Possley Daniel R, Johnson Anthony E
Department of Orthopaedic Surgery and Rehabilitation, San Antonio Military Medical Center, Fort Sam Houston, TX 78234, USA.
Mil Med. 2012 Jan;177(1):60-3. doi: 10.7205/milmed-d-11-00065.
Participation in martial arts has grown over the past 15 years with an estimated 8 million participants. In 2004, the Chief of Staff of the Army directed that all Initial Military Training soldiers receive Modern Army Combatives (MAC) training. The mechanical differences between the various martial arts styles incorporated into mixed martial arts/MAC pose challenges to the medical professional. We report the incidence of musculoskeletal injuries by Level 1 and 2 trained active duty soldiers participating in MAC over a 3-year period.
From June 1, 2005 to January 1, 2009, the Orthopaedic Surgery service treated and tracked all injuries in MAC. Data was analyzed using the Chi(2) method of analysis. (p < 0.05).
155 of 1,025 soldiers presenting with MAC injuries reported inability to perform their military occupation specialty duties. The knee was most frequently injured followed by shoulder. Surgical intervention was warranted 24% of the time.
Participants in MAC reported injuries severe enough to impact occupational duties at 15.5%. Surgical intervention was warranted only 24% of the time. The knee and shoulder are the most frequently injured body parts. Labral repair was the most frequent surgical procedure.
在过去15年中，参与武术运动的人数有所增加，估计有800万人参与其中。2004年，陆军参谋长指示所有参加初始军事训练的士兵接受现代陆军格斗术（MAC）训练。综合格斗术/MAC中所包含的各种武术风格之间的力学差异给医学专业人员带来了挑战。我们报告了在3年时间里，接受1级和2级训练的现役士兵参与MAC训练时肌肉骨骼损伤的发生率。
2005年6月1日至2009年1月1日，骨科对MAC训练中的所有损伤进行治疗和跟踪。使用卡方分析方法对数据进行分析（p<0.05）。
1025名出现MAC训练损伤的士兵中，有155人报告无法履行其军事职业专长职责。膝盖是最常受伤的部位，其次是肩膀。24%的情况下需要进行手术干预。
参与MAC训练的人员中，有15.5%报告受伤严重到足以影响职业职责。仅24%的情况下需要进行手术干预。膝盖和肩膀是最常受伤的身体部位。盂唇修复是最常见的外科手术。
