Stenroos A, Handolin L
Department of Orthopedics and Traumatology, Helsinki University Hospital, Helsinki, Finland
Department of Orthopedics and Traumatology, Helsinki University Hospital, Helsinki, Finland.
Scand J Surg. 2015 Jun;104(2):127-31. doi: 10.1177/1457496914532249. Epub 2014 Apr 30.
The aim of this study was to provide information on incidences and severity of recreational alpine skiing and snowboarding injuries in Northern Finland and to discuss possible preventive measures to reduce the number and severity of injuries in the future.
This retrospective study consists of all injured skiers and snowboarders in the Levi Ski Resort during the 2006-2012 winter seasons. The Levi Ski Resort has a SKIDATA® system which records automatically every ski-lift run taking place. The emergency system of the resort registers the data (conditions during the injury, patient characteristics, and observed and/or suspected injuries) of all injured persons they meet. The severity of injury is defined by the needed level of care: Grade 1 (treated by the emergency system with no need for further referral), Grade 2 (referral to the local primacy care clinic), Grade 3 (transfer to hospital by ambulance), and Grade 4 (transfer to tertiary care by helicopter).
During the 6-year study period, there were 29,576.132 lift runs and 2911 injuries were met by the emergency system, resulting in the average injury incidence of 0.98 injuries per 10,000 lift runs. Vice versa, the average number of the ski-lift rides needed to generate one injury was 10,160. The knee injuries of the skiers constituted almost one-third of all cases, whereas snowboarders sustained more injuries to the upper limb and axial areas.
Skiing and snowboarding are related to a relatively high risk of injury. The most common injuries affect the knee in skiers and the upper extremity, especially the wrist, in snowboarders. A continuous and systematic review of injuries is needed to monitor the effects of changes made in terms of the safety.
本研究旨在提供有关芬兰北部高山休闲滑雪和单板滑雪受伤发生率及严重程度的信息,并讨论未来减少受伤数量和严重程度的可能预防措施。
这项回顾性研究涵盖了2006 - 2012年冬季利维滑雪胜地所有受伤的滑雪者和单板滑雪者。利维滑雪胜地有一个SKIDATA®系统,可自动记录每次滑雪缆车运行情况。该胜地的急救系统会记录所有遇到的受伤人员的数据(受伤时的情况、患者特征以及观察到的和/或疑似的损伤)。损伤严重程度根据所需护理级别定义:1级(由急救系统处理,无需进一步转诊),2级(转诊至当地初级保健诊所),3级(由救护车转送至医院),4级(由直升机转送至三级医疗机构)。
在6年的研究期间,共有29,576.132次缆车运行,急救系统记录到2911起受伤事件,平均每10,000次缆车运行的受伤发生率为0.98起。反之,造成一次受伤所需的平均滑雪缆车乘坐次数为10,160次。滑雪者的膝部损伤几乎占所有病例的三分之一,而单板滑雪者上肢和躯干部位受伤较多。
滑雪和单板滑雪受伤风险相对较高。最常见的损伤在滑雪者中影响膝部,在单板滑雪者中影响上肢,尤其是腕部。需要持续系统地审查受伤情况,以监测安全方面变化所产生的影响。