Tomita Hiroyuki, Takagi Yukihiro, Saji Shigetoyo, Kimura Atushi, Imai Hisashi, Sumi Yasuhiko
Department of Surgery, Sumi Memorial Hospital, Gujyou-city, Gifu 5015121, Japan.
Am J Emerg Med. 2006 May;24(3):308-12. doi: 10.1016/j.ajem.2005.10.014.
Splenic injuries are often caused when snowboarders thrust their abdomens with their own left elbows after falling and hitting the ground. We report 10 snowboarders who suffered a splenic injury by accidentally thrusting their own elbow against their abdomen upon falling to the ground. Clinical presentation, postural analysis, and treatment are described. In an attempt to break the force while falling, snowboarders assumed 1 of 2 defensive postures that subsequently induced splenic injury: falling with an outstretched hand or falling with folded arms placed closely to the chest, that is, the fetal tuck posture. Snowboarders who fell in the outstretched hand posture developed more severe symptoms than those who fell in the fetal tuck posture. Herein, we discuss the mechanisms of such snowboarding-related splenic injury in detail and provide a review of the literature.
单板滑雪者摔倒在地后，用自己的左肘猛击腹部时，常会导致脾脏损伤。我们报告了10名单板滑雪者，他们因摔倒时肘部意外撞击腹部而脾脏受伤。文中描述了临床表现、姿势分析及治疗情况。为了在摔倒时缓冲冲击力，单板滑雪者会采取两种防御姿势中的一种，而这随后导致了脾脏损伤：一种是伸展手臂摔倒，另一种是双臂交叉紧贴胸部摔倒，即胎儿蜷缩姿势。伸展手臂摔倒的单板滑雪者比采取胎儿蜷缩姿势摔倒的人出现的症状更严重。在此，我们详细讨论这种与单板滑雪相关的脾脏损伤的机制，并对相关文献进行综述。
