Donnally Chester J, Lawrie Charles M, Rush Augustus J, Baitner Avi C
From the *Department of Orthopaedics, Leonard M. Miller School of Medicine, University of Miami; and †Department of Orthopaedic Surgery, Nicklaus Children's Hospital, Miami, FL.
Pediatr Emerg Care. 2017 May;33(5):325-328. doi: 10.1097/PEC.0000000000001120.
The aim of this study was to identify the types of pediatric orthopedic extremity fractures that are sustained as a result of hoverboard (self-balancing, self-propelling, 2-wheeled boards) use.
We performed a retrospective review of all orthopedic consultations from the emergency department at our institution from December 1 to 31, 2015. Data was collected on the injury mechanism, fracture location, management, and patient characteristics including sex, age, and hand dominance.
A total of 307 patients with acute extremity injuries were evaluated for a 31-day period. Hoverboard use was identified as the mechanism of injury in 36 patients with 36 fractures (11.7%). The mean age of these 36 patients was 11 years (range, 4-17 y), with most being male (69.4%). There were 35 upper extremity fractures and 1 lower extremity fracture. Eight (22.9%) of the 36 hoverboard patients required closed reduction in the emergency department either under conscious sedation or hematoma block performed with local anesthetic. Four patients (11.1%) required operative treatment.
The overall incidence of extremity fractures due to hoverboard riding seen in our emergency department during the holiday season was relatively high compared with other common childhood activities. The vast majority of these fractures involved the upper extremities. A moderate percentage of these injuries required closed reduction in the emergency department or surgical treatment. Additional studies examining the use of protective equipment while riding hoverboards, time from initial hoverboard use to injury, supervision, and the cost of treating these injuries should be conducted to further elucidate the nature of these injuries and work toward prevention.
本研究旨在确定因使用悬浮滑板（自平衡、自推进、两轮滑板）而导致的小儿骨科四肢骨折类型。
我们对2015年12月1日至31日我院急诊科所有骨科会诊病例进行了回顾性研究。收集了损伤机制、骨折部位、治疗方法以及患者特征的数据，包括性别、年龄和利手情况。
在为期31天的时间里，共评估了307例急性四肢损伤患者。36例患者（共36处骨折，占11.7%）的损伤机制为使用悬浮滑板。这36例患者的平均年龄为11岁（范围4 - 17岁），大多数为男性（占69.4%）。其中上肢骨折35例，下肢骨折1例。36例使用悬浮滑板的患者中有8例（占22.9%）在急诊科需要在清醒镇静或局部麻醉下进行血肿阻滞的情况下进行闭合复位。4例患者（占11.1%）需要手术治疗。
与其他常见的儿童活动相比，我们急诊科在节假日期间因使用悬浮滑板导致的四肢骨折总体发生率相对较高。这些骨折绝大多数累及上肢。这些损伤中有相当一部分需要在急诊科进行闭合复位或手术治疗。应开展进一步研究，调查使用悬浮滑板时防护装备的使用情况、从开始使用悬浮滑板到受伤的时间、监督情况以及治疗这些损伤的费用，以进一步阐明这些损伤的性质并努力预防。
