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Musculoskeletal Injuries During Military Initial Entry Training

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Musculoskeletal Injuries in the Military

Abstract

The US military recruits and trains approximately 180,000 new recruits every year. Up to 31 % of these recruits fail to complete training for various reasons including musculoskeletal injuries. The cost of attrition is estimated at $ 57,500 per recruit who fails to complete training. In addition to the monetary cost, these injuries represent a major public health problem as many trainees sustain injuries that contribute to long-term disability. The most common injury unique to Initial Entry Training (IET) is bone stress injury. Bone stress injuries fall along a spectrum from stress reaction which is a painful condition with no macroscopic bone damage to complete stress fracture where there is a macroscopic fracture which may require surgical stabilization. The most costly common injury among trainees is the femoral neck stress fracture. While this injury represents only 5–10 % of IET injuries, the estimated cost of a femoral neck stress fracture is approximately $ 100,000. Because of the severity of this injury, all medical providers in IET clinics must carefully rule out this injury in trainees before proceeding to further rehabilitation or returning to training.

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Authors and Affiliations

  1. Department of Physical Therapy, William Beaumont Army Medical Center, 79916, El Paso, TX, USA

    Major Scott D. Carow PT, DSc, OCS, SCS

  2. Multisport Athletics, 31905, Columbus, GA, USA

    Dr. Jennifer L. Gaddy PT, DPT, OCS

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  1. Major Scott D. Carow PT, DSc, OCS, SCS
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  2. Dr. Jennifer L. Gaddy PT, DPT, OCS
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Correspondence to Scott D. Carow PT, DSc, OCS, SCS .

Editor information

Editors and Affiliations

  1. Keller Army Hospital, West Point, New York, USA

    Kenneth L. Cameron

  2. Keller Army Hospital, West Point, New York, USA

    Brett D. Owens

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Carow, S., Gaddy, J. (2016). Musculoskeletal Injuries During Military Initial Entry Training. In: Cameron, K., Owens, B. (eds) Musculoskeletal Injuries in the Military. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2984-9_5

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  • DOI: https://doi.org/10.1007/978-1-4939-2984-9_5

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