Larson A Noelle, Stans Anthony A, Shaughnessy William J, Dekutoski Mark B, Quinn Michael J, McIntosh Amy L
Mayo Clinic, Rochester, MN 55905, USA.
J Pediatr Orthop. 2009 Dec;29(8):847-50. doi: 10.1097/BPO.0b013e3181c1e2fa.
Motocross is a nationally organized sport that is growing in popularity. The distribution and severity of motocross injuries in the pediatric population is not known. We hypothesize a high rate of musculoskeletal injuries requiring hospitalization and/or surgical intervention.
All patients 17 years of age or younger with injuries sustained while using off-road 2-wheeled motorcycles were identified through surgical, diagnostic, and trauma registries at a level 1 regional trauma center. Type, severity, and mechanism of injury were assessed, as well as charges billed for medical care. Both recreational and competitive motocross activities were included.
From 2000 to 2007, 299 cases were noted in 249 unique patients. In 141 instances, hospital admission was required, for a total of 412 inpatient days. Twenty patients required ICU admission. Surgery was performed in 91 cases (81 orthopaedic, 6 general, 1 urology, and 4 facial reconstructions). Orthopaedic surgical procedures included treatment of 29 femur fractures, 8 forearm, 6 ankle, 5 tibial shaft, 6 proximal tibia, 5 spine, 6 proximal humerus, 4 hand, 4 foot, 3 elbow fractures, and 5 other. Orthopaedic interventions also included 8 reductions under general anesthesia and 31 conscious sedations. Mean age at injury was 14.1 years (range: 5.4 to 17.9). Ninety-four percent of patients were male and 85% were White. The majority of patients were wearing helmets/safety equipment. One hundred and eighty-four injuries occurred on a track, with 150 during competition. The mean charge billed per injury was $14,947 (range: $105 to $217,780), with a total cost of $4.5 million.
Nearly half of motocross patients treated at a regional level 1 trauma center required hospitalization, and nearly one-third required surgery. The vast majority of surgical procedures (89%) were orthopaedic. Despite a high usage rate of helmets and protective gear, severe injuries were still sustained, including femur fracture (29), hemiparesis/spinal cord injury (2), and head injury (43). The majority of injuries occurred during organized race or practice. Families should be counseled with regard to the use of safety equipment and the severity of injuries sustained during competitive motocross activity.
Level IV, case series.
摩托车越野赛是一项全国性组织的运动，其受欢迎程度正在不断提高。儿科人群中摩托车越野赛损伤的分布和严重程度尚不清楚。我们推测需要住院治疗和/或手术干预的肌肉骨骼损伤发生率很高。
通过一级区域创伤中心的外科、诊断和创伤登记处，确定所有17岁及以下在使用越野两轮摩托车时受伤的患者。评估损伤的类型、严重程度和机制，以及医疗费用。娱乐性和竞技性摩托车越野赛活动均包括在内。
2000年至2007年，在249例不同患者中记录了299例病例。其中141例需要住院治疗，总共住院412天。20例患者需要入住重症监护病房。91例患者接受了手术（81例骨科手术、6例普通外科手术、1例泌尿外科手术和4例面部重建手术）。骨科手术包括治疗29例股骨骨折、8例前臂骨折、6例踝关节骨折、5例胫骨干骨折、6例胫骨近端骨折、5例脊柱损伤、6例肱骨近端骨折、4例手部骨折、4例足部骨折、3例肘部骨折和5例其他骨折。骨科干预还包括8例全身麻醉下的复位和31例清醒镇静。受伤的平均年龄为14.1岁（范围：5.4至17.9岁）。94%的患者为男性，85%为白人。大多数患者佩戴了头盔/安全设备。184例损伤发生在赛道上，其中150例发生在比赛期间。每次损伤的平均费用为14,947美元（范围：105美元至217,780美元），总费用为450万美元。
在一级区域创伤中心接受治疗的摩托车越野赛患者中，近一半需要住院治疗，近三分之一需要手术。绝大多数手术（89%）为骨科手术。尽管头盔和防护装备的使用率很高，但仍发生了严重损伤，包括股骨骨折（29例）、偏瘫/脊髓损伤（2例）和头部损伤（43例）。大多数损伤发生在有组织的比赛或练习期间。应就安全设备的使用以及竞技性摩托车越野赛活动中受伤的严重程度向家庭提供咨询。
四级，病例系列。
