Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors

Jessica C Rivera; Joseph C Wenke; Joseph A Buckwalter; James R Ficke; Anthony E Johnson

doi:10.5435/JAAOS-20-08-S64

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Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors

Journal article

Open access

Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors

Jessica C Rivera, Joseph C Wenke, Joseph A Buckwalter, James R Ficke and Anthony E Johnson

Journal of the American Academy of Orthopaedic Surgeons, Vol.20 Suppl 1(8), pp.S64-69

2012

DOI: 10.5435/JAAOS-20-08-S64

PMCID: PMC3689418

PMID: 22865140

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Abstract

The Army Physical Evaluation Board results for wounded warriors from a previously described cohort were reviewed to identify permanently disabling conditions and whether the conditions were preexisting or caused by battlefield injury. Arthritis was the most common unfitting condition in this cohort, with 94.4% of cases attributed to combat injury and only 5.6% attributed to preexisting conditions or documented in the health records prior to battle injury. The most common causes of injury that resulted in arthritis were intra-articular fractures secondary to explosions, traumatic arthrotomies resulting from fragment projectiles, and gunshot wounds. Arthritis was recognized as a disabling condition an average of 19 ± 10 months after injury. Research is needed to enhance prevention and management of joint injuries in order to minimize the disabling effects of joint degeneration in this young patient population.

Blast Injuries - epidemiology

Intra-Articular Fractures - epidemiology

Spinal Injuries - epidemiology

Military Personnel

Humans

Disabled Persons - statistics & numerical data

Intra-Articular Fractures - complications

Retrospective Studies

Warfare

Osteoarthritis - etiology

Details

Title: Subtitle: Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors
Creators: Jessica C Rivera - Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, Fort Sam Houston, TX, USA
Joseph C Wenke
Joseph A Buckwalter
James R Ficke
Anthony E Johnson
Resource Type: Journal article
Publication Details: Journal of the American Academy of Orthopaedic Surgeons, Vol.20 Suppl 1(8), pp.S64-69
DOI: 10.5435/JAAOS-20-08-S64
PMID: 22865140
PMCID: PMC3689418
NLM abbreviation: J Am Acad Orthop Surg
ISSN: 1067-151X
eISSN: 1940-5480
Publisher: United States
Grant note: P50 AR 055533 / NIAMS NIH HHS P50 AR055533 / NIAMS NIH HHS
Language: English
Date published: 2012
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Injury Prevention Research Center
Record Identifier: 9984040313202771

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