http://jramc.bmj.com/content/jramc/151/3/171.full.pdf This was another article that I used during my second fieldwork rotation at the Chillicothe VA Medical Center in regards of orthopedic surgeries. The purpose of this article was to determine whether military patients presenting with shoulder symptoms have a higher incidence of SLAP lesions compared to civilian patients. This article used a retrospective review of all shoulder arthroscopies performed by a single surgeon between June 2003 and December 2004 at a general hospital serving both a military and civilian population. The incidence of SLAP lesions were recorded for both populations. Results included 178 arthroscopies total (70 military, 108 civilian); 27 SLAP lesions in military (38.6%) and 12 SLAP lesions in civilian (11.1%). The article concluded a higher than average incidence of SLAP lesions in the military population when compared to the civilian population. This study reports that the civilian population incidence of SLAP tears is more comparable to the general population that current literature is reviewing (rather than current literature focusing on any other population such as military). Although SLAP lesions can be associated with a history of repetitive overhead motions, there is usually a history of trauma such as a superior or inferior traction injury, direct blow to the shoulder, or compressive injury on to a forward flexed abducted arm. Therefore, military personnel who are exposed to (repetitive) strenuous physical activity, have an increased chance of developing a SLAP lesion.
This was another article that I used during my second fieldwork rotation at the Chillicothe VA Medical Center in regards of orthopedic surgeries. The purpose of this article was to determine whether military patients presenting with shoulder symptoms have a higher incidence of SLAP lesions compared to civilian patients. This article used a retrospective review of all shoulder arthroscopies performed by a single surgeon between June 2003 and December 2004 at a general hospital serving both a military and civilian population. The incidence of SLAP lesions were recorded for both populations. Results included 178 arthroscopies total (70 military, 108 civilian); 27 SLAP lesions in military (38.6%) and 12 SLAP lesions in civilian (11.1%). The article concluded a higher than average incidence of SLAP lesions in the military population when compared to the civilian population. This study reports that the civilian population incidence of SLAP tears is more comparable to the general population that current literature is reviewing (rather than current literature focusing on any other population such as military). Although SLAP lesions can be associated with a history of repetitive overhead motions, there is usually a history of trauma such as a superior or inferior traction injury, direct blow to the shoulder, or compressive injury on to a forward flexed abducted arm. Therefore, military personnel who are exposed to (repetitive) strenuous physical activity, have an increased chance of developing a SLAP lesion.