Hay Christopher S M, Barton Sue, Sulkin Tom
Department of Clinical Radiology, Royal Cornwall Hospital, Treliske, Truro, Cornwall, UK.
Wilderness Environ Med. 2009 Winter;20(4):335-8. doi: 10.1580/1080-6032-020.004.0335.
To analyze the nature of surfing injuries in Cornwall in order to identify trends and inform clinical management.
The details of patients presenting (with injuries sustained while surfboard/bodyboard riding) to the Emergency Department (ED) of the Royal Cornwall Hospital, Truro (UK), from September 2004 until August 2006 were recorded prospectively. The notes were then retrospectively reviewed by a senior ED physician. The records of each visit were scrutinized for date, age, sex, injury type, and injury severity and outcome; in addition, the patient's residential status (Cornish resident or visitor) was recorded.
A total of 212 patient episodes were collected. Male patients represented 80% of injuries. The average age was 27 years (range, 11-66 years). Nonresident surfers represented 57% (121) of the patients, and 43% (91) of patients were local Cornwall residents. Of the total injuries, 90% (n = 190) were injuries that were minor/moderate (allowing for discharge after treatment). Lacerations accounted for 38% (n = 73) of injuries, and bruising and laceration to the head represented 37% (n = 71) of injuries in this group. Sprains to the neck and back represented 53% (21/40) of all sprains. Fractures of the facial bones represented 6 of the 8 fractures to the head region; the other 2 fractures involved teeth. Fractures to the upper and lower limbs were equally frequent (6 cases of each). Anterior shoulder dislocations accounted for 10% (n = 19) of injuries not requiring hospital admission. Injuries requiring hospital admission represented 10% (n = 22). These injuries were a more disparate group, with fractures of the cervical spine and skull accounting for 32% (n = 7) and fractures of the lower limb 27% (n = 6) of the total. A total of 77% (n = 168) of all injuries presented in the summer months (April through September). The greatest number of presentations occurred in August, with 33% (n = 69) of the total surf-related injuries for the year.
Surfing injuries were most common in young adult men. Most injuries presenting to the ED were minor/moderate injuries and did not require hospital admission. The overall pattern of injuries was similar to those found in studies from other countries where surfing is popular; however, there was a higher-than-expected incidence of shoulder dislocation. The trends identified in this study could be used to inform education focused on prevention of the most common injuries. Increased use of protective headwear should be considered.
分析康沃尔郡冲浪损伤的性质，以确定趋势并为临床管理提供依据。
前瞻性记录2004年9月至2006年8月期间前往英国特鲁罗皇家康沃尔医院急诊科就诊（因冲浪板/趴板冲浪时受伤）的患者详细信息。随后由一位资深急诊科医生进行回顾性审查。仔细检查每次就诊记录的日期、年龄、性别、损伤类型、损伤严重程度及结果；此外，记录患者的居住状况（康沃尔郡居民或访客）。
共收集到212例患者病例。男性患者占损伤病例的80%。平均年龄为27岁（范围11 - 66岁）。非本地冲浪者占患者的57%（121例），43%（91例）患者为康沃尔郡本地居民。在所有损伤中，90%（n = 190）为轻度/中度损伤（治疗后可出院）。撕裂伤占损伤的38%（n = 73），头部擦伤和撕裂伤占该组损伤的37%（n = 71）。颈部和背部扭伤占所有扭伤的53%（21/40）。面部骨折占头部区域8例骨折中的6例；另外2例骨折涉及牙齿。上肢和下肢骨折发生率相同（各6例）。前肩关节脱位占无需住院治疗损伤的10%（n = 19）。需要住院治疗的损伤占10%（n = 22）。这些损伤类型更为多样，颈椎和颅骨骨折占总数的32%（n = 7），下肢骨折占27%（n = 6）。所有损伤中有77%（n = 168）发生在夏季月份（4月至9月）。就诊人数最多的月份是8月，占全年冲浪相关损伤总数的33%（n = 69）。
冲浪损伤在年轻成年男性中最为常见。急诊科就诊的大多数损伤为轻度/中度损伤，无需住院治疗。损伤的总体模式与其他冲浪运动流行国家的研究结果相似；然而，肩关节脱位的发生率高于预期。本研究确定的趋势可用于指导针对预防最常见损伤的教育。应考虑增加防护头盔的使用。
