Sasaki K, Takagi M, Kiyoshige Y, Ogino T
Department of Orthopaedic Surgery, Saiseikai Yamagata Hospital, Oki-machi, Japan.
J Trauma. 1999 Jun;46(6):1059-61. doi: 10.1097/00005373-199906000-00015.
Although the upper extremity, especially the wrist, has been reported to be the most commonly injured site in snowboarding, the severity of these injuries is still unknown. The purpose of this study is to compare the severity of wrist injuries in snowboarding with those in alpine skiing for insight into the treatment of snowboarder's wrist.
The cases of 11,598 patients injured while snowboarding and skiing who presented to the Zao clinic during the past 7 seasons were reviewed and compared. Demographics were studied, focusing on fractures around the wrist joint. Roentgenographically precise assessment of the distal radial fracture was performed according to AO classification.
Snowboarders were more likely to injure the wrist than were skiers (18.7% vs. 2.5%, p<0.01). In these wrist injuries, distal radial fractures occurred at a rate of 0.28 per 1000 snowboarders and 0.008 per 1000 skiers. Comminuted and articular fractures classified as AO type A3, B and C, which required surgical treatment, were 49.4% of distal radial fractures in snowboarders and 23.8% in skiers.
Wrist injury sustained while snowboarding is characterized as a severe and complex injury. Thus, we call attention to its severity in the treatment of snowboarder's wrist.
尽管上肢，尤其是手腕，据报道是单板滑雪中最常受伤的部位，但这些损伤的严重程度仍不清楚。本研究的目的是比较单板滑雪与高山滑雪中手腕损伤的严重程度，以便深入了解单板滑雪者手腕损伤的治疗方法。
回顾并比较了过去7个赛季在藏王诊所就诊的11598名单板滑雪和滑雪受伤患者的病例。对人口统计学进行了研究，重点关注腕关节周围的骨折。根据AO分类法对桡骨远端骨折进行了X线精确评估。
单板滑雪者比滑雪者更容易手腕受伤（18.7%对2.5%，p<0.01）。在这些手腕损伤中，桡骨远端骨折的发生率为每1000名单板滑雪者中有0.28例，每1000名滑雪者中有0.008例。需要手术治疗的AO A3型、B型和C型粉碎性及关节内骨折，在单板滑雪者的桡骨远端骨折中占49.4%，在滑雪者中占23.8%。
单板滑雪时发生的手腕损伤具有严重和复杂的特点。因此，我们在单板滑雪者手腕损伤的治疗中呼吁关注其严重性。
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