Brudvik C
Tidsskr Nor Laegeforen. 2001 Jan 10;121(1):19-22.
The popularity of rollerblading and skateboarding activities in Norway is reflected in the number of injuries seen at our casualty centres and hospitals.
During 1998, we made a prospective registration of 7,041 new injuries involving children below the age of 16 treated at the Accident and Emergency Department and at Haukeland University Hospital in Bergen.
Rollerblading and skateboarding injuries accounted for 113 cases, representing 1.6% of all injuries. Three quarters were boys, nine out of ten were 10 to 15-year-olds, and arms/hands were injured in two thirds of the cases. Almost two thirds of the injuries were fractures (n = 67), representing a higher fraction than seen in other activities. Most of them were distal radial fractures (n = 39), but scaphoid fractures, an otherwise seldom child fracture, were seen in one tenth (n = 6) of all fractures.
Scaphoid fractures can, when untreated, cause pseudarthrosis; this should be borne in mind when treating children with hand pain after fall on their rollerblades or skateboards. As fractures of the hand root and wrist accounted for 40% of all injuries, hand and wrist protection seem to be the best preventive measure in terms of number of injuries.
挪威轮滑和滑板活动的普及程度可从我们急诊中心和医院收治的受伤人数中得到体现。
1998年期间,我们对卑尔根市事故与急诊科以及豪克兰大学医院收治的7041例16岁以下儿童新伤进行了前瞻性登记。
轮滑和滑板受伤病例有113例,占所有受伤病例的1.6%。其中四分之三为男孩,十分之九为10至15岁的儿童,三分之二的病例受伤部位为手臂/手部。几乎三分之二的损伤为骨折(n = 67),这一比例高于其他活动中的骨折比例。大多数骨折为桡骨远端骨折(n = 39),但舟骨骨折在所有骨折病例中占十分之一(n = 6),而舟骨骨折在儿童中本就较为少见。
舟骨骨折若不治疗可能导致假关节形成;在治疗因轮滑或滑板摔倒后手部疼痛的儿童时应牢记这一点。由于手部和腕部骨折占所有损伤的40%,就受伤数量而言,手部和腕部防护似乎是最佳预防措施。