Combat musculoskeletal wounds in a US Army brigade combat team during Operation Iraqi Freedom
Belmont, Philip J. Jr.
Goodman, Gens P.
Schoenfeld, Andrew J.
Owens, Brett D.
MetadataShow full item record
Background: A prospective, longitudinal analysis of musculoskeletal combat injuries sustained by a large combat-deployed maneuver unit has not previously been performed. Methods: A detailed description of the musculoskeletal combat casualty care statistics, distribution of wounds, and mechanisms of injury incurred by a US Army Brigade Combat Team during “The Surge” phase of Operation Iraqi Freedom was performed using a centralized casualty database and an electronic medical record system. Results: Among the 4,122 soldiers deployed, there were 242 musculoskeletal combat wounds in 176 combat casualties. The musculoskeletal combat casualty rate for the Brigade Combat Team was 34.2 per 1,000 soldier combat-years. Spine, pelvis, and long bone fractures comprised 55.9% (33 of 59) of the total fractures sustained in combat. Explosions accounted for 80.7% (142 of 176) of all musculoskeletal combat casualties. Musculoskeletal combat casualty wound incidence rates per 1,000 combat-years were as follows: major amputation, 2.1; minor amputation, 0.6; open fracture, 5.0; closed fracture, 6.4; and soft-tissue/neurovascular injury, 32.8. Among musculoskeletal combat casualties, the likelihood of a gunshot wound causing an open fracture was significantly greater (45.8% [11 of 24]) when compared with explosions (10.6% [15 of 142]) (p 0.0006). Long bone amputations were more often caused by explosive mechanisms than gunshot wounds. Conclusions: A large burden of complex orthopedic injuries has resulted from the combat experience in Operation Iraqi Freedom. This is because of increased enemy reliance on explosive devices, the use of individual and vehicular body armor, and improved survivability of combat-injured soldiers.
The article of record as published may be found at http://dx.doi.org/10.1097/TA.0b013e3181edebed
RightsThis publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
Showing items related by title, author, creator and subject.
The Influence of Musculoskeletal Conditions, Behavioral Health Diagnoses, and Demographic Factors on Injury-Related Outcome in a High-Demand Population Schoenfeld, Andrew J.; Goodman, Gens P.; Burks, Robert; Black, Michael A.; Nelson, James H.; Belmont, Philip J. Jr. (Journal of Bone and Joint Surgery, 2014);Background: The extent to which musculoskeletal injuries and sociodemographic factors impact long-term out- come remains unknown. The purpose of this study was to provide a prognostic analysis of the influence of muscu- ...
An innovative approach for assessing the ergonomic risks of lifting tasks using a video motion capture system Wilson, Rhoda M. (Monterey, California. Naval Postgraduate School, 2006-03);Low back pain (LBP) and work-related musculoskeletal disorders (WMSDs) can lead to employee absenteeism, sick leave, and permanent disability. Over the years, much work has been done in examining physical exposure to ...
Taylor, M.K.; Hernández, L.M.; Sessoms, P.H.; Kawamura, C.; Fraser, J.J. (National Athletic Trainers' Association, 2020);Context: Tactical athletes commonly experience high levels of physical stress, which may increase their risk of musculoskeletal injury. It is critical to understand psychological predictors of functional movement (FM), ...