Expanding the injury definition: evidence for the need to include musculoskeletal conditions

Public Health
Anna Schuh-RennerB H Jones

Abstract

The objectives of the study are to quantify the proportion of cumulative microtraumatic overuse injuries in a physically active population, evaluate their impact in terms of lost work time, and link them to precipitating activities to inform prevention initiatives. The study design is retrospective cohort study. For a population of U.S. Army Soldiers, diagnoses from medical records (International Classification of Diseases [ICD]-9 800-999 and selected ICD-9 710-739) were matched with self-reported injury information. Common diagnoses, limited duty days, and activities and mechanisms associated with the injuries were summarized. Most self-reported injuries (65%) were classified by providers with diagnoses that described cumulative microtraumatic tissue damage, and these injuries led to a higher incidence of limited duty (85%) than acute traumatic injury diagnoses. Reported mechanisms and activities often indicated repetitive physical training-related onset. Because many diagnoses for cumulative microtraumatic musculoskeletal tissue damage are categorized as diseases to the musculoskeletal system in the International Classification of Diseases, they are often not included in definitions of injury. However, reported injury activit...Continue Reading

Citations

Jan 22, 2021·BMJ Military Health·Joanne Stannard, L Fortington
Apr 30, 2019·Journal of Science and Medicine in Sport·Veronique D HauschildBruce H Jones
Jun 22, 2021·American Journal of Preventive Medicine·Anna Schuh-RennerMichelle Canham-Chervak

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