title: Prevalence and distribution of musculoskeletal disorders causing unfitness for military service among young adult men: An epidemiologic study.
abstract: OBJECTIVE
  The aim of this cross-sectional epidemiologic study was to investigate the prevalence and distribution of musculoskeletal disorders causing unfitness to Turkish Military Service.
  
  
  METHODS
  This study has been carried out by examining the medical reports of 1.777.500 people who applied to the Turkish Armed Forces for military service between 2009-2011. Age and geographic region of individuals were compiled and organized in groups. Musculoskeletal disorders were classified mainly as fracture sequel, spine disorders, absence of phalanges, extremity amputation, aggressive or multiple benign tumors of bones and pes planus.
  
  
  RESULTS
  Unfitness to military service caused by musculoskeletal disorders was found to be 6.53‰ in 2009, 7.10‰ in 2010 and 7.28‰ in 2011. The prevalence of musculoskeletal diseases has increased by years. The prevalence of fracture squeal by years was found to be 2.83‰ in 2009, 3.10‰ in 2010 and 3.03‰ in 2011. In this study, the most common musculoskeletal disorders were: limitation of joint mobility (0.89‰), degeneration of joint surface (0.69‰), lower and upper limb discrepancies (0.60‰), posterior fusion surgery (0.59‰) and the absence of the phalanges in hand (0.51‰). We found an increase in both the prevalence of posterior fusion surgery and the absence of the phalanges in study group.
  
  
  CONCLUSIONS
  These results has given information about severe musculoskeletal disorders among young adult male in Turkey. New studies including young adult female will add important information to our knowledge about musculuskelatal problems in our community.
authors: Şafak Ekinci, Agri Military Hospital, Agrı, Turkey.
authors: Şafak
authors: Ş
authors: Ekinci
authors: Necmettin Kocak, Turkish Coast Guard Command, Ankara, Turkey.
authors: Necmettin
authors: N
authors: Kocak
authors: Ibrahim Aydin, Sarikamis Military Hospital, Kars, Turkey.
authors: Ibrahim
authors: I
authors: Aydin
authors: Kenan Koca, Gulhane Military Medical Academy, Department of Orthopedic Clinic, Ankara, Turkey.
authors: Kenan
authors: K
authors: Koca
authors: Ramazan Akyildiz, Ministry of Defence, Ankara, Turkey.
authors: Ramazan
authors: R
authors: Akyildiz
authors: Omer Ersen, Erzurum Military Hospital, Erzurum, Turkey.
authors: Omer
authors: O
authors: Ersen
authors: Selim Kilic, Gulhane Military Medical Academy, Department of Public Health, Ankara, Turkey.
authors: Selim
authors: S
authors: Kilic
keywords: Fracture sequel; Musculoskeletal disorders; Unfitness to military service