This study suggests that BFR is an effective intervention after knee arthroscopy. Further investigation is warranted to elucidate the benefits of this intervention in populations with greater initial impairment.

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.

Most authors agree that anatomic reduction is the key to optimal results in treatment of injuries of the Lisfranc joint; a few controversies remain. One controversy is the identification of the strongest ligament of the second metatarsal-medial cuneiform articulation-the critical ligament of the Lisfranc joint. The purpose of this study is to objectively quantify the cross-sectional area of each ligament of this crucial joint. Twenty cadaveric feet were dissected to isolate the second metatarsal-medial cuneiform articulation. The point of maximum thickness, height, and width of the dorsal, plantar, and interosseous ligaments were measured using handheld calipers at the second metatarsal attachment. The distribution failed to pass Mauchly's test of sphericity, so the Greenhouse-Geisser method was used to assess differences in the height and width to a P

Future studies should focus on causal relationships among specific aspects of the work environment and possible preventive or protective measures. Expanding future studies to include multiple study sites would improve the quality and generalizability of the results.