Accession Number : AD1005807


Title :   Risk Stratification of Stress Fractures and Prediction of Return to Duty


Descriptive Note : Technical Report,15 Nov 2014,14 Nov 2016


Corporate Author : MASSACHUSETTS GENERAL HOSPITAL BOSTON BOSTON United States


Personal Author(s) : Bouxsein,Mary L ; Popp,Kristin


Full Text : http://www.dtic.mil/dtic/tr/fulltext/u2/1005807.pdf


Report Date : 01 Dec 2015


Pagination or Media Count : 8


Abstract : This first annual report reviews progress towards completing each of our three study tasks. Major accomplishments include IRB and HRPO approvals for all study protocols, hiring and training of staff at MGH, as well as the initiation of subject recruitment and enrollment. In study Task 1 we aim to determine the sex- and race-ethnicity-specific bone traits that may contribute to stress fracture risk in military recruits. We are ahead of enrollment projections, with 61 of 120 subjects enrolled to date (n= 40 White women, 14 White men, 6 Black women, 1 Black man). In study Task 2 we aim to quantify changes in bone structure and bone metabolism in recruits before and after Basic Combat Training (BCT). Enrollment (n=161) and data collection are complete, and data analysis is ongoing. Finally, for study Task 3 we aim to characterize recovery and predict bone-healing trajectories and develop return-to-duty guidelines. We hypothesize that changes in bone health during recovery from stress-fracture injury can be quantified and used to develop evidence-based RTD. Enrollment is underway, with 3 women with recent stress fracture enrolled.


Descriptors :   MUSCULOSKELETAL PHYSIOLOGY , LOWER EXTREMITY , WOUNDS AND INJURIES , REPETITIVE STRESS INJURIES , MILITARY TRAINING


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research
      Military Forces and Organizations


Distribution Statement : APPROVED FOR PUBLIC RELEASE