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Injuries Sustained During Modern Army Combatives Tournaments
Jonathan I Stuart1, Ian L Hudson1, Simon A Sarkisian1
1Department of Emergency Medicine, Carl R. Darnall Army Medical Center, 36065 Sante Fe Ave., Fort Hood, TX.
Military Medicine
|February 9, 2018
Summary
Modern Army Combatives (MAC) tournaments cause injuries comparable to other combat sports, with advanced fighting styles leading to higher risks. Duty limitations averaged one month for injured competitors.
Area of Science:
- Military Medicine
- Sports Medicine
- Trauma Research
Background:
- Modern Army Combatives (MAC) tournaments can lead to unpredictable competitor recovery times and military unit readiness loss.
- Limited data exists on MAC-specific injuries, making it difficult for medical providers and commanders to anticipate outcomes.
- Existing mixed martial arts (MMA) data shows wide injury rate variations (8.5%–70%), hindering direct extrapolation to MAC events.
Purpose of the Study:
- To retrospectively analyze injury patterns from MAC tournaments.
- To provide descriptive clinical information for military medical providers and unit commanders.
- To offer data-driven insights into injury risks and recovery in MAC competitions.
Main Methods:
- Retrospective review of pre- and post-competition medical records from two MAC tournaments (Fort Hood, 2014-2015).
- Analysis of 195 competitor records, focusing on injury types, duty limitations, and concussion evaluations.
- Comparison of injury rates between different MAC fighting styles (Advanced MAC vs. upper body grappling).
Main Results:
- A total of 67 injuries were recorded among 195 competitors; 29 (14.8%) resulted in duty limitations.
- Competitors in Advanced MAC were 4.3 times more likely to be injured compared to those in upper body grappling.
- Military Acute Concussion Evaluations showed no significant pre- to post-tournament differences; injured competitors faced an average of 1 month of duty limitations.
Conclusions:
- MAC tournaments yield injury rates comparable to other combative sports and military training.
- Advanced MAC fighting poses a significantly higher injury risk than grappling-only events.
- The study provides essential data for managing readiness and medical care in MAC competitions.
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