Boyce S H, Quigley M A
A&E Dept., Crosshouse Hospital, Kilmarnock.
Scott Med J. 2003 Aug;48(3):88-90. doi: 10.1177/003693300304800308.
To assess the incidence of attendance, type of injury, sport involved and management of sports injuries in children attending an Accident & Emergency (A&E) department.
Children, aged between 5-16 years, presenting with an injury related to sport, were studied over a period of three months.
1858 children attended the A&E department during the three month period. 238 (12.8%) were classified as sports injuries. Boys (71%) were injured more frequently than girls (29%). Injury rates in boys peaked at 14 years whereas in girls a peak occurred earlier at 12 years. Football was the most common sport implicated in injuries (39%). Rollerblading (14%), Rugby (8%), Basketball (7%) and Physical Education at school (7%) were the next most frequently involved sports. Soft tissue injuries dominated (61%). The upper limb was the most common anatomical area injured (46%). Other injuries involved the lower limb (36%), head and neck (15%) and the trunk (3%). Injuries to the wrist were the most frequent presentation accounting for 30 fractures and 30 soft tissue injuries (25%). The majority of children were discharged from the A&E department after treatment (71%). 26% were reviewed at out-patient clinics and 3% required hospital admission. No children were referred for physiotherapy.
Children participate in sport and can be injured. The majority of sports injuries presenting to an A&E department appear to be of a minor nature and could be managed with simple first aid techniques by parents, teachers and coaches at the scene or by attending primary care in the first instance. Supervision of children, participation in organised sport and the use of protection devices may help to prevent serious injury.
评估就诊于急诊部的儿童运动损伤的就诊率、损伤类型、涉及的运动项目及处理方式。
对年龄在5至16岁、因运动相关损伤前来就诊的儿童进行了为期三个月的研究。
在这三个月期间，有1858名儿童前往急诊部就诊。其中238例（12.8%）被归类为运动损伤。男孩（71%）受伤的频率高于女孩（29%）。男孩的损伤率在14岁时达到峰值，而女孩的峰值出现在较早的12岁。足球是导致损伤最常见的运动项目（39%）。轮滑（14%）、橄榄球（8%）、篮球（7%）和学校体育课（7%）是接下来最常涉及的运动项目。软组织损伤占主导（61%）。上肢是最常受伤的解剖部位（46%）。其他损伤涉及下肢（36%）、头部和颈部（15%）以及躯干（3%）。手腕损伤是最常见的表现，有30例骨折和30例软组织损伤（25%）。大多数儿童在接受治疗后从急诊部出院（71%）。26%的儿童在门诊接受复查，3%的儿童需要住院治疗。没有儿童被转诊接受物理治疗。
儿童参与体育运动时可能会受伤。大多数就诊于急诊部的运动损伤似乎性质较轻，家长、教师和教练在现场或首先通过初级保健采用简单的急救技术即可处理。对儿童的监督、参与有组织的运动以及使用保护装置可能有助于预防严重损伤。
