By Barbara A. Springer, Amy E. Ross, Walter Reed Army Medical Center Borden Institute, Paul J. Dougherty
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Additional info for Musculoskeletal Injuries In Military Women
Intrinsic factors may include aging and degeneration of the tendon, decreased vascularity, heel-forefoot malalignment, poor gastrocnemius-soleus flexibility, excessive dorsiflexion range of motion, and foot hyperpronation. If the Achilles is tight, hyperpronation will be exaggerated and there will be further stress on the tendon. Extrinsic factors may include sudden increases in training intensity or duration, change of running surfaces from soft to hard, inappropriate or old footwear, and repetitive forces such as marching/running up and down hilly terrain or performing jumping jacks.
110–112 Occasionally, a fluid collection deep to the ITB or ITB thickening has been noted. 121 Patellar Tendinitis/Tendinosis Incidence. 21 Activities such as marching or running downhill, jumping off obstacles, performing jumping jacks, or playing sports can lead to patellar tendinopathy in the military. 22 Patellar tendinitis and tendinosis are commonly referred to as “jumper’s knee” because repetitive jumping can lead to tendinopathy. 21 Diagnosis. Patients will complain of anterior knee pain typically with eccentric loading of the quadriceps muscle.
Throughout the year, cadets engage in basketball, rugby, running, and many other athletic activities. 131 Studies in the civilian athletic population demonstrate that women have a higher risk of sustaining ankle sprains than men in some sports. In a prospective study evaluating the relative risk of ankle injuries in scholastic and collegiate basketball players, 11,780 athletes (4,940 females) participated. 136 Mechanism of Injury/Diagnosis. The lateral ankle is sprained more frequently than the medial ankle because of the anatomy and mechanism of injury.