BACKGROUND: There is a scarcity of analytic research on active duty Army (ADA) knee injuries (KI), such as soft tissue knee injuries (STKI), which are the predominant ADA KI pattern. PURPOSE: To quantify the independent adjusted association of significant ADA STKI risk factors, 2000-2005. MATERIALS/ METHODS: Using the Total Army Injury and Health Outcomes Database, we (1) captured absolute STKI numbers and rates (N = 83,323) and (2) developed regression models to determine significant STKI risk factors. Models included STKI overall and subcategories: meniscus, patella, anterior/posterior cruciate ligament, and medial/lateral cruciate ligament. RESULTS: Eight risk factors significantly increased STKI. They are: (1) prior KI (within 2 years) (odds ratio [OR] 9.83, 95% confidence interval [CI] 9.67-10.00); (2) increasing length of service (OR 1.83, 95% CI 1.76-1.90); (3) increasing age (OR 1.57, 95% CI 1.50-1.65); (4) prior deployment (OR 1.39, 95% CI 1.36-1.41); (5) prior ankle injury (OR 1.16, 95% CI 1.14-1.19); (6) Infantry occupation (OR 1.12, 95% CI 1.04-1.21); (7) marital status (OR 1.10, 95% CI 1.08-1.12); (8) and prior hip injury (OR 1.08, 95% CI 1.03-1.12). MAJOR CONCLUSION: Soldiers with a prior KI have nearly a 10-fold increased relative risk of developing a subsequent STKI. Reprint &
BACKGROUND: There is a scarcity of analytic research on active duty Army (ADA) knee injuries (KI), such as soft tissue knee injuries (STKI), which are the predominant ADA KI pattern. PURPOSE: To quantify the independent adjusted association of significant ADA STKI risk factors, 2000-2005. MATERIALS/ METHODS: Using the Total Army Injury and Health Outcomes Database, we (1) captured absolute STKI numbers and rates (N = 83,323) and (2) developed regression models to determine significant STKI risk factors. Models included STKI overall and subcategories: meniscus, patella, anterior/posterior cruciate ligament, and medial/lateral cruciate ligament. RESULTS: Eight risk factors significantly increased STKI. They are: (1) prior KI (within 2 years) (odds ratio [OR] 9.83, 95% confidence interval [CI] 9.67-10.00); (2) increasing length of service (OR 1.83, 95% CI 1.76-1.90); (3) increasing age (OR 1.57, 95% CI 1.50-1.65); (4) prior deployment (OR 1.39, 95% CI 1.36-1.41); (5) prior ankle injury (OR 1.16, 95% CI 1.14-1.19); (6) Infantry occupation (OR 1.12, 95% CI 1.04-1.21); (7) marital status (OR 1.10, 95% CI 1.08-1.12); (8) and prior hip injury (OR 1.08, 95% CI 1.03-1.12). MAJOR CONCLUSION: Soldiers with a prior KI have nearly a 10-fold increased relative risk of developing a subsequent STKI. Reprint &
Authors: Shawn D Flanagan; Kellen T Krajewski; Aaron M Sinnott; Caleb D Johnson; Shawn R Eagle; Alice D LaGoy; Meaghan E Beckner; Anne Z Beethe; Rose Turner; Mita T Lovalekar; Courtenay Dunn-Lewis; Chris Connaboy; Bradley C Nindl Journal: Syst Rev Date: 2018-12-23
Authors: Stefan Sammito; Vedran Hadzic; Thomas Karakolis; Karen R Kelly; Susan P Proctor; Ainars Stepens; Graham White; Wes O Zimmermann Journal: Mil Med Res Date: 2021-12-10
Authors: Julie M Hughes; Craig J McKinnon; Kathryn M Taylor; Joseph R Kardouni; Lakmini Bulathsinhala; Katelyn I Guerriere; Kristin L Popp; Mary L Bouxsein; Susan P Proctor; Ronald W Matheny Journal: J Bone Miner Res Date: 2018-12-10 Impact factor: 6.741