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Poland’s Syndrome And Military Personnel
  1. PM Phaltankar, MS (Orth), D.Ortho, FRCS (Tr & Orth), Specialist Registrar in Trauma and Orthopaedics1,
  2. J Langdon, MB BS BSc, Senior House Officer in Trauma and Orthopaedics2 and
  3. J Clasper, DPhil DM FRCSEd (Orth), Consultant Orthopaedic Surgeon1,2
  1. 1jcclasper{at}
  2. 2Department of Orthopaedics, Frimley Park Hospital, Portsmouth Road, Camberley, GU16 7UJ


We describe three cases of undiagnosed Poland’s syndrome in Army personnel and discuss their fitness according to the PULHHEEMS system. This syndrome has variable clinical features that include unilateral chest wall and upper limb abnormalities. The syndrome is not hereditary and is of unknown origin. If the syndrome was diagnosed prior to enlistment the potential recruit would normally be graded P8, and unfit to enlist. However, these individuals had managed to pass routine medical examination as well as successfully complete basic training. The suitability of continuation in the army of personnel with Poland’s syndrome is discussed.

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