Finestone A, Shlamkovitch N, Eldad A, Wosk J, Laor A, Danon Y L, Milgrom C
Israeli Defence Forces Medical Corps.
Mil Med. 1991 Oct;156(10):528-30.
In order to answer the question of why the stress fracture morbidity rates among Israeli infantry recruits are so high, we prospectively evaluated 392 infantry recruits for risk factors for stress fractures. Prior to training, each recruit underwent a detailed evaluation. Using multivariate analysis, five risk factors for tibial fractures were identified: shorter tibial length (p less than 0.0001); relatively greater valgus knee alignment (p less than 0.002); right leg dominance (p less than 0.02); external rotation of the hip greater than 65 degrees (p less than 0.02); and training in specific subunits (p less than 0.0002., 0.03). No risk factors for femoral stress fracture were found by multivariate analysis.
为了回答以色列步兵新兵应力性骨折发病率为何如此之高的问题，我们对392名步兵新兵进行了前瞻性评估，以寻找应力性骨折的风险因素。在训练前，每位新兵都接受了详细评估。通过多变量分析，确定了五个胫骨骨折的风险因素：胫骨长度较短（p小于0.0001）；相对较大的膝外翻角度（p小于0.002）；右腿优势（p小于0.02）；髋关节外旋大于65度（p小于0.02）；以及在特定亚单位接受训练（p小于0.0002、0.03）。多变量分析未发现股骨应力性骨折的风险因素。
