Clinical Reviews in Bone and Mineral Metabolism

, Volume 16, Issue 4, pp 103–115 | Cite as

Military Fractures: Overtraining, Accidents, Casualties, and Fragility

  • Abigail R. WheelerEmail author
  • Joseph C. Wenke
Part of the following topical collections:
  1. Fracture


Fractures sustained by military personnel are prevalent and costly both in the lives of individual service members and in consideration of overall military readiness. Training, environment, and hazards change throughout and after a military career. During training, military recruits are susceptible to stress fractures through overtraining. In both non-deployed and deployed non-battle environments, the most likely cause of fractures to service members is through mechanisms regularly encountered in civilian environments, including motor vehicle accidents and falls. In combat environments, however, fractures are typically sustained through targeted violent mechanisms such as explosions and gunshot wounds that often cause injury leading to long-term disability. Bone fragility is the primary cause of fracture for veterans. Fractures in the military maintain an incidence rate and injury mechanism similar to that in the civilian population, with the exception to battlefield casualties, while contributing a similar burden to the work force through limiting sustainable activity and increasing costs associated with treatment and recovery from injury. Greatly influencing the impact of fractures in the military is the mechanism of injury and the environment in which they are sustained.


Fracture Combat injury Military fracture Stress fracture Veteran injury 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Research Involving Human or Animal Participants

The article does not contain any studies with human or animal subjects performed by any of the authors. Informed consent is not needed as no studies on human subjects were performed.


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Orthopaedic Trauma DepartmentU.S. Army Institute of Surgical ResearchSan AntonioUSA

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