Abstract:
OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutive patients with mean age of 36.5 +/- 12.9 at presentation completed baseline outcomes assessments that included Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Surgeons (ASES) Score, Western Ontario Shoulder Instability Index (WOSI), Western Ontario Rotator Cuff Index (WORC), the Simple Shoulder Test (SST), and the Disabilities of the Arm, Shoulder, and Hand Index (DASH). The patients were grouped by clinical, radiographic, and surgical findings into 10 diagnostic categories. OUTCOMES:The initial mean outcomes scores were SANE 48.8, ASES 50.1, WOSI 1279 (40% normal), WORC 1122.4 (47% normal), SST 6.7, and DASH 33.1. Patients with superior labrum anterior-posterior tears demonstrated the lowest mean scores, followed by instability and rotator cuff tear patients. For all conditions, scores were lower for patients who went onto surgery compared with those managed nonoperatively (p = 0.008). CONCLUSIONS:Our findings may be utilized as a baseline to compare and track patient-derived disability across multiple shoulder conditions and serve to define mean diagnosis-specific shoulder patient preoperative scores.
journal_name
Mil Medjournal_title
Military medicineauthors
Provencher MT,Frank RM,Macian D,Dewing CB,Ghodadra NS,Carney J,LeClere L,Solomon DJdoi
10.7205/milmed-d-11-00234subject
Has Abstractpub_date
2012-08-01 00:00:00pages
975-82issue
8eissn
0026-4075issn
1930-613Xjournal_volume
177pub_type
杂志文章abstract::Hypothermia increases mortality rates and should be treated aggressively in the forward echelons of care, but no practical solution exists to accomplish such treatment. The enormous energy burden for this task requires maximal thermodynamic efficiency for a practical portable solution. This review article presents an ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.8.743
更新日期:2008-08-01 00:00:00
abstract::Fixed wing aircraft are the primary means of deployment for designated U.S. contingency forces. The majority of logistical constraints medical units encounter during deployment (in support of contingency forces) are a direct result of limited airframes dedicated to their movement into an area of operations. The compet...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1125
更新日期:2007-10-01 00:00:00
abstract::The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.11.1132
更新日期:2008-11-01 00:00:00
abstract::Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.171.4.333
更新日期:2006-04-01 00:00:00
abstract::Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:A new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages. MATERIALS AND ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa476
更新日期:2021-01-25 00:00:00
abstract::The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy149
更新日期:2018-09-01 00:00:00
abstract::Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::A case of fly larva infestation of the eye (ophthalmomyiasis) is reported in an American soldier serving in Operation Desert Shield. Background information, prognosis, and treatment are discussed. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract::Very little data are available to commanders regarding gynecological problems encountered by a large female population in a combat zone for extended periods of time. The 312th Evacuation Hospital supported Operation Desert Storm, treating over 12,000 patients. Of these, 577 were treated by the gynecological service. O...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::The Department of Defense Serum Repository (DoDSR) of the Armed Forces Health Surveillance Center (AFHSC), Silver Spring, Maryland, has over 55 million specimens. Over 80% of these specimens are linked to individual health data. In response to Congressional and Department of Defense (DoD) concern about toxic exposures...
journal_title:Military medicine
pub_type:
doi:10.7205/MILMED-D-15-00065
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. METHODS:A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included med...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00051
更新日期:2012-10-01 00:00:00
abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00444
更新日期:2014-03-01 00:00:00
abstract::The Clinical Breast Care Project (CBCP) is a congressionally mandated program that began in the year 2000. The military-civilian collaboration was founded on five pillars: (1) center of excellence in clinical care, (2) risk reduction for women at risk for developing breast cancer, (3) tissue banking to develop and mai...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00052
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:A cavum septum pellucidum is an anatomical variant that is usually considered an incidental finding of little clinical significance. This is a fluid-containing structure between the lateral ventricles whose walls exhibit lateral bowing and are 10-mm apart or greater. It has been hypothesized that enlarged cys...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00009
更新日期:2011-10-01 00:00:00
abstract::Sarcoidosis has been associated with various demographic risk factors, yet findings may be falsely influenced by effects such as socioeconomic status. We used univariate and multiple logistic regression to compare demographic data from military sarcoidosis hospitalizations with similar data from the general military p...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
abstract:Introduction:Many service members experiencing symptoms of mental health conditions do not receive mental health care for these symptoms. The stigma associated with having a mental health condition or seeking treatment is often cited as a specific barrier to mental health care. However, study results bearing on the que...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.1093/milmed/usx219
更新日期:2018-11-01 00:00:00
abstract::This study evaluated the noise attenuation of earplugs and earmuffs or their combined use against heavy weapon noise in field conditions for military personnel. The noise attenuation was measured with a miniature microphone inserted into the ear canal. The subjects (13) were tested against pink noise and against the n...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers. METHODS:Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00340
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
abstract::Malaria was eradicated and the Republic of Korea (ROK) declared "malaria free" in 1979. However, in 1993, a temperate strain of vivax malaria, expressing both latent and nonlatent disease populations, re-emerged near the demilitarized zone (DMZ), rapidly spread to civilian sectors near the DMZ, and increased exponenti...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-01-6208
更新日期:2009-07-01 00:00:00
abstract::In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devise...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-15-00390
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.8.600
更新日期:2004-08-01 00:00:00
abstract::Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx148
更新日期:2018-03-01 00:00:00
abstract::In 1991-1992, a pelvic stress fracture incidence of 11.2% was recorded in a cohort of 143 female Australian Army recruits. An incidence of 0.1% was recorded in a cohort of male recruits trained in the 1992-1993 year using a nearly identical program. A number of preventive strategies were instituted in an attempt to re...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::The Navy Reserve Nurse Corps faces a nursing shortage that reflects the national picture and holds major implications for the military patient care readiness of this nation. This account of the changing climate of nursing practice in the Navy Reserves offers observations on recruitment and retention strategies for the...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.1.100
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Military personnel must remain physically active to meet operational requirements. Military physical training not only provides the performance capabilities required for performing occupational tasks but also fosters the development of sport. Thus, Armed Forces across the world have historically invested i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz003
更新日期:2019-12-01 00:00:00