Made C, Elmqvist L-G
The Tärnaby Health Center, Tärnaby, Sweden.
Scand J Med Sci Sports. 2004 Apr;14(2):128-33. doi: 10.1111/j.1600-0838.2003.00342.x.
Snowboard injuries in a Swedish ski area were evaluated from 1989 to 1999. All injured skiers (alpine, telemark, snowboarders) who sought medical attention at the local Medical Center within 48 h of the accident, were asked to answer an injury form. Physicians assessed and treated the injured skiers. There were a total of 1775 injured skiers; 568 injured snowboarders mean age 19 years. The female/male ratio was 34/66%, the injury rate 3/1000 skier days, three times higher than that of alpine skiers. The skill level of the injured snowboard riders improved during the period. The fall/run ratio of the beginners was higher (1.0) and their risk behavior lower (3.9 on visual analogue scale 1-10) in comparison to the advanced riders (0.4 and 6.6, respectively). Injuries were in 54% located to the upper extremity, 35% were wrist/lower arm injuries. Beginners had significantly higher frequency of lower arm/wrist injuries (46%), than average (32%) and advanced riders (20%). The most frequent single diagnosis was wrist/lower arm fracture (20%). Advanced riders tend to have more head/neck injuries than beginners, 17% vs. 13% (NS). Thus, with elevated skill level the injury pattern changed. For injury prevention, wrist guards and helmets are recommended for snowboard riders.
1989年至1999年期间,对瑞典一个滑雪区的单板滑雪损伤情况进行了评估。所有在事故发生后48小时内到当地医疗中心寻求治疗的受伤滑雪者(高山滑雪者、越野滑雪者、单板滑雪者)都被要求填写一份损伤情况表格。医生对受伤的滑雪者进行评估和治疗。总共有1775名受伤的滑雪者;其中568名单板滑雪受伤者,平均年龄为19岁。男女比例为34/66%,损伤率为每1000个滑雪日3例,是高山滑雪者损伤率的三倍。在此期间,受伤单板滑雪者的技术水平有所提高。与高级滑雪者相比(分别为0.4和6.6),初学者的摔倒/滑行比例更高(1.0),危险行为更低(视觉模拟评分1 - 10分为3.9)。54%的损伤位于上肢,35%为手腕/下臂损伤。初学者下臂/手腕损伤的频率(46%)显著高于平均水平(32%)和高级滑雪者(20%)。最常见的单一诊断是手腕/下臂骨折(20%)。高级滑雪者比初学者更容易出现头部/颈部损伤,分别为17%和13%(无统计学差异)。因此,随着技术水平的提高,损伤模式发生了变化。为预防损伤,建议单板滑雪者佩戴护腕和头盔。