Journal of Rehabilitation Research & Development (JRRD)

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Volume 52 Number 7, 2015
   Pages 785 — 792

Abstract — Volumetric muscle loss leads to permanent disability following extremity trauma

Benjamin T. Corona, PhD;1* Jessica C. Rivera, MD;1 Johnny G. Owens, MPT;2 Joseph C. Wenke, PhD;1 Christopher R. Rathbone, PhD1

1Extremity Trauma and Regenerative Medicine, U.S. Army Institute of Surgical Research, Fort Sam Houston, TX; 2Physical Therapy Service, Center for the Intrepid, San Antonio Military Medical Center, San Antonio, TX

Abstract — Extremity injuries comprise the majority of battlefield injuries and contribute the most to long-term disability of servicemembers. The purpose of this study was to better define the contribution of muscle deficits and volumetric muscle loss (VML) to the designation of long-term disability in order to better understand their effect on outcomes for limb-salvage patients. Medically retired servicemembers who sustained a combat-related type III open tibia fracture (Orthopedic cohort) were reviewed for results of their medical evaluation leading to discharge from military service. A cohort of battlefield-injured servicemembers (including those with nonorthopedic injuries) who were medically retired because of various injuries (General cohort) was also examined. Muscle conditions accounted for 65% of the disability of patients in the Orthopedic cohort. Among the General cohort, 92% of the muscle conditions were identified as VML. VML is a condition that contributes significantly to long-term disability, and the development of therapies addressing VML has the potential to fill a significant void in orthopedic care.

Key words: battlefield, disability, extremity, function, injury, limb, regeneration, skeletal muscle, soft tissue, soldier, volumetric muscle loss.


View HTML ¦ View PDF ¦ Contents Vol. 52, No.7

This article and any supplementary material should be cited as follows:
Corona BT, Rivera JC, Owens JG, Wenke JC, Rathbone CR. Volumetric muscle loss leads to permanent disability following extremity trauma. J Rehabil Res Dev. 2015; 52(7):785–92.
http://dx.doi.org/10.1682/JRRD.2014.07.0165
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Last Reviewed or Updated  Thursday, December 3, 2015 8:50 AM

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