Hassan I, Dorani B J
Accident and Emergency Department, Queen Elizabeth Hospital, Gateshead, Tyne and Wear.
J Accid Emerg Med. 1999 Sep;16(5):348-50. doi: 10.1136/emj.16.5.348.
To establish the demographic profile and injury characteristics of children presenting with rollerblading or skateboarding associated injuries. This study also examines the circumstances leading to these injuries with a view to suggesting preventive measures.
A prospective study using a proforma to collect data from each child presenting with rollerblading or skateboarding related injuries. Injury details were obtained from clinical and radiological records. The injury severity score (ISS) was calculated for each child and statistical analysis was done using chi2.
Eighty one children presented with rollerblading associated injuries accounting for 7% of childhood injuries seen during the eight month study period. The mean age was 10.3 years and sex distribution was equal. Soft tissue injuries accounted for 51% and fractures for 49% of the injuries. Wrist fractures alone accounted for 86% of all fractures seen. Seventy per cent of soft tissue injuries involved the upper limb. The overall mean ISS was 3.0 with a range from 1 to 9. Injury was attributed to fall secondary to loss of control or collision with an obstacle while rollerblading in the majority of children. Injury occurred while rollerblading in residential or public places in 99% of the children. In contrast skateboarding related injuries were much rarer and caused soft tissue injuries only.
This study has revealed a higher incidence of rollerblading injuries than previously suspected. Effective management strategies should include not only the treatment of these injuries but also attention to their causes and prevention.
确定因轮滑或滑板运动受伤的儿童的人口统计学特征和损伤特点。本研究还调查导致这些损伤的情况,以提出预防措施。
采用前瞻性研究,使用表格从每例因轮滑或滑板运动受伤的儿童收集数据。损伤细节从临床和放射学记录中获取。计算每个儿童的损伤严重程度评分(ISS),并使用卡方进行统计分析。
81名儿童因轮滑受伤,占8个月研究期间所见儿童损伤的7%。平均年龄为10.3岁,性别分布均衡。软组织损伤占损伤的51%,骨折占49%。仅腕部骨折就占所见所有骨折的86%。70%的软组织损伤累及上肢。总体平均ISS为3.0,范围为1至9。在大多数儿童中,损伤归因于轮滑时因失控摔倒或与障碍物碰撞。99%的儿童在住宅或公共场所轮滑时受伤。相比之下,与滑板运动相关的损伤要少见得多,且仅导致软组织损伤。
本研究显示轮滑损伤的发生率比之前怀疑的更高。有效的管理策略不仅应包括对这些损伤的治疗,还应关注其原因和预防。