Analysis of incidence of tibia stress fractures among the militaries


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Abstract

Аbstract. In the process of special training of military servicemen, various elements of the musculoskeletal system of a person are constantly exposed to mechanical loads of various frequencies, intensities and strengths. With such prolonged and shock loads characteristic of military personnel and athletes, permanent minor damage to the bones occurs, which over time can lead to impaired formation of bones and joints, up to the development of the disease. Violation of the motor reactions of the limb ultimately leads to the suppression of the mechanisms of social adaptation, physiological functions and aggravates the course of most diseases, decompensating processes that affect not only the quality of life, but also its duration. A very important point is that labor losses in military personnel during stress fractures can reach 6 months, which negatively affects the service, with a total duration of 12 months of military service. In this regard, questions arise about the advisability of such military servicemen in the army and further spending of budget funds for their maintenance. The stress fractures of long bones are analyzed on the example of fractures of the tibia. It has been established that the greatest number of injuries associated with stress fractures occur during combat training conducted in a special military uniform. A feature of the course of stress fractures is increasing pain in the limb. Among injured with tension fractures, 83,5% of the military did not do the sports before drafting, and physical activity that arose during the service was difficult or not tolerated.

About the authors

G. J. Omarov

Military Clinical Hospital of the Ministry of Defense of the Republic of Kazakhstan

Author for correspondence.
Email: vmeda-nio@mil.ru
Russian Federation, Almaty

A. A. Paltushev

Military Clinical Hospital of the Ministry of Defense of the Republic of Kazakhstan

Email: vmeda-nio@mil.ru
Russian Federation, Almaty

S. A. Panov

Military Clinical Hospital of the Ministry of Defense of the Republic of Kazakhstan

Email: vmeda-nio@mil.ru
Russian Federation, Almaty

V. I. Iontsev

Military Medical Academy. CM. Kirov

Email: vmeda-nio@mil.ru
Russian Federation, Saint Petersburg

V. Y. Apchel

Military Medical Academy. CM. Kirov; Russian State Pedagogical University. A.I. Herzen

Email: vmeda-nio@mil.ru
Russian Federation, Saint Petersburg; Saint Petersburg

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2. Fig. 1. The number of patients suffering from PN treated in the VKG MO RK from 1998 to 2017

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3. Fig. 2. The number of treated patients suffering from NAPS over 10 years in relation to the total morbidity

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4. Fig. 3. The number of patients suffering from PN, by years from 2008 to 2017

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5. Fig. 4. Distribution of PN by localization.

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6. Fig. 5. Distribution of patients' responses about the intensity of pain arising in PN, on a 10-point scale.

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Copyright (c) 2020 Omarov G.J., Paltushev A.A., Panov S.A., Iontsev V.I., Apchel V.Y.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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