Clavicle Fractures in the United States Military: Incidence and Characteristics

Hsiao, Mark S.; Cameron, Kenneth L.; Huh, Jeannie; Hsu, Joseph R.; Benigni, Matthew; Whitener, JoAnna C.; Owens, Brett D.

doi:10.7205/milmed-d-12-00075

Cited by 21 publications

(18 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the incidence rate of clavicle fractures among U.S. military personnel was found to be 0.91 per 1,000 person-years, which is higher than the values of previous epidemiological reports. An explanation for this finding is that the relatively young and active group of military personnel have job-related upper extremity demands [9]. The result in our study showed an incidence rate of clavicle fractures of 0.94 per 1,000 person-years, which is similar to the rate reported in the aforementioned study.…”

Section: Discussionsupporting

confidence: 89%

Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea

Lee¹

2021

J Trauma Inj

View full text Add to dashboard Cite

Purpose: Fractures are common in the military population, but limited studies have investigated the incidence of fractures among Korean military personnel. Hence, this study aimed to clarify this issue. methods: Eligible subjects were patients who had sustained a fracture and were registered in the N-DEMIS (the medical records system of participating hospitals) from June 2017 to May 2019. Fractures were categorized according to the fracture site, patients' age, sex, and type of duty. results: In total, 23,687 patients with 23,981 fractures were included. There were 216 patients with multiple fractures, of whom 156 had fractures at two sites, 42 had fractures at three sites, and 18 had fractures at four sites. Of the 23,687 patients, 23,340 were men and 347 were women. The incidence of fractures in men and women was 12.96 per 1,000 person-years and 0.19 per 1,000 person-years, respectively. In terms of the broad location of fractures, the percentage of fractures was the highest in the hand, followed by the foot and lower leg. When the location of fractures was analyzed more specifically, the percentage of fractures was the highest in the phalanx (thumb and fingers), followed by the ankle and metacarpal bones. Conclusions: Hand, foot, ankle, and wrist fractures were the most commonly encountered fractures in the Korean military population. To prevent the loss of combat power due to non-battle-related injuries, thorough preparation is necessary, including protective equipment and preliminary training for areas with a high frequency of fracture occurrence.

show abstract

Section: Discussionsupporting

confidence: 89%

Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea

Lee¹

2021

J Trauma Inj

View full text Add to dashboard Cite

show abstract

“…Clavicle fractures are common orthopedic injuries that occur in a young active population and account for 2.6% of all fractures [1]. They are more common in the military than in the general population, with an incidence of nearly one per 1000 persons annually [2]. Peak incidence is seen in patients in their second decade and decreases with increasing age.…”

Section: Introductionmentioning

confidence: 99%

Improved Functional Outcomes Following Operative Treatment of Midshaft Clavicle Fractures in an Active Duty Population

Lake

Mombell

Bernstein

et al. 2020

Cureus

View full text Add to dashboard Cite

Clavicle fractures are common orthopedic injuries that occur in a young active population and are even more common in the military. Military fitness test data presents the unique opportunity to analyze functional ability with regard to military-specific activities. The primary goal of this study was to compare functional outcomes using military fitness test data between operative and non-operative treatment of midshaft clavicle fractures. We performed a retrospective review of active-duty U.S. Navy and Marine patients with midshaft clavicle fractures treated at our institution over a seven-year period. There were 94 and 153 patients in our operative and non-operative cohorts, respectively. Average follow-up time from the date of injury or surgery was 28 months. The rate of infection in the operative group (4%) was significantly greater than in the nonoperative group (0%, p = 0.023). The rate of non-union in the operative group (3%) was significantly lower than in the non-operative group (14.5%, p = 0.004). The rate of symptomatic malunion in the operative group (0%) was significantly different from that in the non-operative group (4.6%, p = 0.036). There was no significant difference in the rate of revision surgery between the operative (9.2%) and non-operative (13.2%) groups (p = 0.105). A total of 51 marines met inclusion criteria for our functional outcome analysis using Marine Corps Physical Fitness Test (PFT) data. Of those who underwent operative fixation, 68% were able to meet or surpass their pre-injury average amount of pull-ups in their first PFT after surgery and 88% by the next PFT at least one year after surgery. While 69% of non-operative patients met their pre-injury average in their first PFT, only 57% maintained this level at least one year after surgery. This difference was statistically significant.

show abstract

“…Clavicle fractures make up between 2.6% and 10% of all fractures across all sports 3,5,10,13,25,30 and are common skiing and snowboarding injuries. One study at a ski clinic in Taos, New Mexico, found a clavicle fracture rate of 7.1 per 100,000 mountain visits in skiers and snowboarders over the course of 2 winter sports seasons.…”

mentioning

confidence: 99%

Epidemiology of Clavicle Fractures Sustained at a Colorado Ski Resort

Oberle

Pierpoint

Spittler

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Although clavicle fractures are a common sports injury, there are limited studies on the incidence and causes of clavicle fractures among winter sports athletes. Purpose: To evaluate the characteristics and injury mechanisms associated with clavicle fractures among patients evaluated at a Colorado ski resort. Study Design: Descriptive epidemiology study. Methods: This was a retrospective descriptive analysis of patients with clavicle fractures at the Denver Health Winter Park Medical Center during the 2012-2013 to 2016-2017 ski seasons. Chart review was performed on the patient cohort to confirm clavicle fracture diagnosis and to evaluate factors associated with clavicle fracture. Results: A total of 393 clavicle fractures (6.2% of total clinic visits) occurred during the study period, corresponding to an overall clavicle fracture incidence of 8.4 per 100,000 participant-visits. The mean patient age was 26.4 years (range, 5-73 years). The majority were middle-third fractures (85.5%), occurring mainly in men (87.3%). More than half of the fractures were comminuted (54.5%) and occurred in snowboarders (55.0%). The most common mechanism of injury was a fall onto snow while skiing or snowboarding (92.4%). Women sustained more clavicle fractures while skiing compared with snowboarding (82.0% vs 18.0%; P < .001), while men sustained more fractures while snowboarding compared with skiing (60.3% vs 39.7%; P < .001). Conclusion: Clavicle fractures are relatively common, but there are scant incidence data for clavicle fractures in mountain sports. Consistent with prior studies, clavicle fractures were more common in younger patients and men. The most common anatomic fracture location was the midclavicle. A greater proportion of clavicle fractures among men were sustained during snowboarding and among women during skiing.

show abstract

Clavicle Fractures in the United States Military: Incidence and Characteristics

Abstract: The incidence of clavicle fractures among U.S. military personnel (0.908 per 1,000 person-years) is higher than previous epidemiological reports.

Cited by 21 publications

References 22 publications

Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea

Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea

Improved Functional Outcomes Following Operative Treatment of Midshaft Clavicle Fractures in an Active Duty Population

Epidemiology of Clavicle Fractures Sustained at a Colorado Ski Resort

Contact Info

Product

Resources

About