دورية أكاديمية
Recurrence and return to duty following patellar instability events in military personnel.
| العنوان: | Recurrence and return to duty following patellar instability events in military personnel. |
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| المؤلفون: | Abraham VM; Bone & Joints Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA., Wieschhaus K; Bone & Joints Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA., Goldman AH; Bone & Joints Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA., Balazs GC; Bone & Joints Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA gcbalazs@gmail.com.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. |
| المصدر: | BMJ military health [BMJ Mil Health] 2023 Sep 13. Date of Electronic Publication: 2023 Sep 13. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101761581 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2633-3775 (Electronic) Linking ISSN: 26333767 NLM ISO Abbreviation: BMJ Mil Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BMJ Publishing Group Ltd., [2020]- |
| مستخلص: | Introduction: Military service members experience patellar dislocations at a rate 10 times that of civilians. The purpose of this study was to determine the return to duty rate of active duty military personnel following first-time or recurrent patellar dislocation. Secondary goals were to identify patient variables and radiographic parameters associated with recurrent instability and requiring medical separation from military service. Methods: The Military Health System Data Repository was used to identify all active-duty military personnel who sustained a patellar dislocation between 2013 and 2018. Medical records were searched for patient variables including demographics, clinical findings, radiographic findings, treatment, adverse outcomes and military disposition. Patient variables associated with recurrent instability and undergoing medical separation were determined using univariate analysis and multivariate logistic regression. A total of 207 patients met inclusion and exclusion criteria. Results: Following patellar instability event, 30% of the cohort underwent surgical treatment. Fourteen per cent (29 of 207) underwent medical separation from military service. Regardless of treatment, 9% (18 of 207) experienced recurrent dislocation and 3% (6 of 207) experienced recurrent instability without dislocation. On multivariate analysis, none of the studied patient variables were associated with recurrent instability or medical separation. Conclusions: Among military personnel, return to duty rates are similar to return to sport rates in civilians. This study demonstrates no difference in risk of recurrent instability or medical separation based on anatomical factors, which is useful during shared decision-making regarding treatment options and goals. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.) |
| فهرسة مساهمة: | Keywords: Adult orthopaedics; Knee; Orthopaedic & trauma surgery |
| تواريخ الأحداث: | Date Created: 20230913 Latest Revision: 20230913 |
| رمز التحديث: | 20230914 |
| DOI: | 10.1136/military-2023-002407 |
| PMID: | 37704398 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2633-3775 |
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| DOI: | 10.1136/military-2023-002407 |