Hill Owen T, Bulathsinhala Lakmini, Scofield Dennis E, Haley Timothy F, Bernasek Thomas L
Military Performance Division, The U.S. Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA.
Mil Med. 2013 Jun;178(6):676-82. doi: 10.7205/MILMED-D-13-00049.
There is a scarcity of analytic research on active duty Army (ADA) knee injuries (KI), such as soft tissue knee injuries (STKI), which are the predominant ADA KI pattern.
To quantify the independent adjusted association of significant ADA STKI risk factors, 2000-2005.
MATERIALS/METHODS: Using the Total Army Injury and Health Outcomes Database, we (1) captured absolute STKI numbers and rates (N = 83,323) and (2) developed regression models to determine significant STKI risk factors. Models included STKI overall and subcategories: meniscus, patella, anterior/posterior cruciate ligament, and medial/lateral cruciate ligament.
Eight risk factors significantly increased STKI. They are: (1) prior KI (within 2 years) (odds ratio [OR] 9.83, 95% confidence interval [CI] 9.67-10.00); (2) increasing length of service (OR 1.83, 95% CI 1.76-1.90); (3) increasing age (OR 1.57, 95% CI 1.50-1.65); (4) prior deployment (OR 1.39, 95% CI 1.36-1.41); (5) prior ankle injury (OR 1.16, 95% CI 1.14-1.19); (6) Infantry occupation (OR 1.12, 95% CI 1.04-1.21); (7) marital status (OR 1.10, 95% CI 1.08-1.12); (8) and prior hip injury (OR 1.08, 95% CI 1.03-1.12).
Soldiers with a prior KI have nearly a 10-fold increased relative risk of developing a subsequent STKI.
现役陆军（ADA）膝关节损伤（KI），如软组织膝关节损伤（STKI）的分析研究较少，而STKI是ADA中主要的KI类型。
量化2000 - 2005年ADA中显著的STKI危险因素的独立调整关联。
材料/方法：使用陆军总伤病与健康结果数据库，我们（1）获取了STKI的绝对数量和发生率（N = 83,323），（2）建立回归模型以确定显著的STKI危险因素。模型包括总体STKI及其亚类：半月板、髌骨、前/后交叉韧带以及内侧/外侧交叉韧带。
八个危险因素显著增加了STKI。它们是：（1）既往KI（2年内）（比值比[OR] 9.83，95%置信区间[CI] 9.67 - 10.00）；（2）服役年限增加（OR 1.83，95% CI 1.76 - 1.90）；（3）年龄增加（OR 1.57，95% CI 1.50 - 1.65）；（4）既往部署（OR 1.39，95% CI 1.36 - 1.41）；（5）既往踝关节损伤（OR 1.16，95% CI 1.14 - 1.19）；（6）步兵职业（OR 1.12，95% CI 1.04 - 1.21）；（7）婚姻状况（OR 1.10，95% CI 1.08 - 1.12）；（8）既往髋关节损伤（OR 1.08，95% CI 1.03 - 1.12）。
既往有KI的士兵发生后续STKI的相对风险增加近10倍。
