AJSM Click here for details!
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on April 27, 2007, doi:10.1177/0363546507301256
This version was published on August 1, 2007
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
35/8/1308    most recent
0363546507301256v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by White, L. D. W.
Right arrow Articles by Basamania, C. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by White, L. D. W.
Right arrow Articles by Basamania, C. J.
Related Collections
Right arrow Injury
Right arrow Reconstruction
Right arrow Basketball
Right arrow Football
Right arrow Other
The American Journal of Sports Medicine 35:1308-1314 (2007)
© 2007 American Orthopaedic Society for Sports Medicine

Incidence of Major Tendon Ruptures and Anterior Cruciate Ligament Tears in US Army Soldiers

LTC Daniel W. White, MD{dagger},*, Joseph C. Wenke, PhD{ddagger}, MAJ Dan S. Mosely, MD§, Sally B. Mountcastle, PhD|| and Carl J. Basamania, MD

From the {dagger} Tripler Army Medical Center, Honolulu, Hawaii, {ddagger} US Army Institute of Surgical Research, Fort Sam Houston, Texas, § DeWitt Army Hospital, Fort Belvoir, Virginia, || Keller Army Hospital, West Point, New York, and Duke University Medical Center, Durham, North Carolina

* Address correspondence to LTC Daniel W. White, MD, 1 Jarrett White Road, Tripler AMC, HI, 96859 (e-mail: daniel.w.white{at}us.army.mil).

Background: Although a rare event, the prevalence of major tendon rupture has increased in recent decades. Identification of risk factors is important for prevention purposes.

Hypothesis: Race is a risk factor for major tendon ruptures.

Study Design: Cohort study (prevalence); Level of evidence, 2.

Methods: All patients admitted for surgical management of a rupture of a major tendon at Womack Army Medical Center, Fort Bragg, North Carolina, in 1995 and 1996 were identified and evaluated for risk factors.

Results: The authors identified 52 major tendon ruptures: 29 Achilles, 12 patellar, 7 pectoralis major, and 4 quadriceps tendon ruptures. All patients were active-duty soldiers, and 1 was a female soldier. Forty-one tendon ruptures occurred among black soldiers, 8 occurred among white soldiers, and 3 occurred among Latino soldiers. The population at risk included 93 224 exposures during the 2-year period, of which 67.1% were white, 24.5% were black, and 8.4% were self-classified as other race. The rate ratio for tendon rupture, adjusted for gender and age, was 13.3 (95% confidence interval, 6.2–28.5) between blacks and whites and 2.9 (95% confidence interval, 0.8–10.9) between Latinos and whites.

Conclusion: The rate of major tendon rupture was 13 times greater for black men in this study population when compared with whites. Interventions among those at a higher risk for injury should be considered.

Key Words: pectoralis major tendon rupture • quadriceps tendon rupture • patellar tendon rupture • Achilles tendon rupture • race • mechanism of injury






HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Orthopaedic Society for Sports Medicine.