Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service

Medical Journal, Armed Forces India
Puneet Takkar, Rajat Prabhakar

Abstract

Stress fractures (SFs) occur because of repetitive submaximal stresses to the bone over a period of time. SFs cause an economic loss to the organization and to the individuals who get invalided out of army because of SFs. This study was conducted to determine the incidence, distribution, onset of SFs, and invalidment patterns due to SFs. This prospective study was carried out among recruits undergoing training at training centres in a cantonment of Central India. The recruits enrolled were followed up through their training period for occurrence of SF. On occurrence of SF, the clinical features, site of bone involved, and the weeks of completed military training were noted. The SFs were graded into four grades based on clinicoradiological features and managed accordingly. A total of 8974 recruits were enrolled into the study, of which 208 recruits suffered SFs. The commonest bone involved was the tibia (86.5%), commonest site being the proximal one-third of the tibia shaft (46.2%). Average week of developing SF was the 15th week of training. Seven recruits were invalided out of army because of SFs, the commonest cause being femoral neck SFs. Prevention is the best approach for SFs. It is suggested to increase the intensity of t...Continue Reading

Citations

Mar 23, 2021·Clinics in Orthopedic Surgery·Hyung Ku YoonByung-Ho Yoon

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