{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:23:23Z","timestamp":1773570203738,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009885","name":"American Academy of Orthopaedic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009885","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004329","name":"Genzyme","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004329","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009885","name":"American Academy of Orthopaedic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate 1\u2010year outcomes in active\u2010duty servicemembers who underwent patellar tendon rupture repair and to identify baseline variables associated with return to activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective review of all active\u2010duty servicemembers undergoing primary patellar tendon rupture repair between 2009 and 2014. All patients had a minimum 12\u2010month follow\u2010up. Demographic variables were recorded, as well as ability to return to impact activities and remain on active\u2010duty status. Rates of recurrent rupture and revision surgery were identified. Univariate analysis was performed to assess relations between outcomes and baseline variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 123 patients met the inclusion criteria (average age, 33.5 \u00b1 6.6 years; 99% male patients) with a mean follow\u2010up period of 4.3 \u00b1 2.2 years. Whereas 67.4% of patients returned to running at an average of 8.3 months from index surgery, only 42.4% of patients resumed unrestricted occupational function. Higher rates of return to running were observed among patients with senior military rank (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .046). Senior military rank was also associated with a higher rate of return to unrestricted active\u2010duty status (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .006). Logistic regression analysis showed an association between postoperative pain (odds ratio [OR], 0.684; 95% confidence interval [CI], 0.56\u20100.84;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and return to running, between postoperative pain (OR, 0.77; 95% CI, 0.60\u20100.98;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .033) and return to active duty, and between rank (OR, 2.06; 95% CI, 1.04\u20104.07;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .037) and return to active duty. Patients who sustained injuries during deployment had a higher rate of recurrent rupture (26.1% vs 9.3%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At 1\u2010year follow\u2010up, approximately two\u2010thirds of military servicemembers undergoing primary patellar tendon repair had returned to running after surgery, whereas fewer than one\u2010half returned to full military duty. Younger age and more senior military rank were associated with higher rates of return to running. Additionally, servicemembers of higher rank, particularly officers, had statistically higher rates of return to unrestricted activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2022.09.001","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T19:43:59Z","timestamp":1667245439000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Senior Military Rank Is Associated With Higher Rates of Return to Running and Unrestricted Activity Among Military Servicemembers After Surgical Repair of Patellar Tendon Rupture at 1\u2010Year Follow\u2010up"],"prefix":"10.1002","volume":"4","author":[{"given":"Edward C.","family":"Beck","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest Baptist Medical Center Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Rider","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest Baptist Medical Center Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nischal","family":"Nadig","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Moreland","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Rehabilitation Womack Army Medical Center Fort Bragg North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Rushford","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cortney","family":"Wolfley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Aaron","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest Baptist Medical Center Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507301256"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520943879"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200508"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200519"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270030601"},{"key":"e_1_2_2_7_2","first-page":"17","article-title":"Primary patellar tendon repair and early mobilization: Results in an active\u2010duty population","volume":"10","author":"Enad J.G.","year":"2001","journal-title":"J\u00a0South Orthop Assoc"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211026963"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119875139"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518800713"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(00)00107-0"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003095"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003541"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2011.02.016"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.03.026"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.30498"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X22001420?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X22001420?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2022.09.001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2022.09.001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2022.09.001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:07:48Z","timestamp":1773565668000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2022.09.001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1016\/j.asmr.2022.09.001"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2022.09.001","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,31]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Senior Military Rank Is Associated With Higher Rates of Return to Running and Unrestricted Activity Among Military Servicemembers After Surgical Repair of Patellar Tendon Rupture at 1-Year Follow-up","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2022.09.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}