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与摩托车越野赛相关的手部和腕部损伤:5年病例系列

Hand and Wrist Injuries Related to Motocross Injuries: 5 Year Series.

作者信息

Singh Rohit, Chojnowski Adrian, Hay Stuart

机构信息

* Royal Shrewsbury Hospital and Robert Jones Agnes Hunt Orthopaedic Hospital, Shropshire, UK.

† Norfolk and Norwich University Hospital, Norfolk, UK.

出版信息

J Hand Surg Asian Pac Vol. 2019 Mar;24(1):60-64. doi: 10.1142/S2424835519500115.

Abstract

BACKGROUND

The increasingly fashionable sport of motocross is practiced worldwide by millions of people, but there is very little in the literature regarding its associated injuries and their prevention. We therefore present the first comprehensive, prospective study looking at hand and wrist injuries resulting from motocross injuries in the UK.

METHODS

Data was prospectively collected over a 5-year period (from 2010 to 2015) at our regional trauma unit. We exclusively looked at motocross riders. Injuries sustained via motorcycle were excluded from our study.

RESULTS

During the period studied (five years), 615 injuries were collected, including 240 patients with 265 hand and wrist injuries. Most of injuries were sustained in male patients. The patient's age range was from 4-78 years with most injuries occurring during the spring and summer months. A total of 96 (40%) patients required operative treatment. The most common injury pattern was distal radius fractures (n = 53, 20%), followed by metacarpal fractures (n = 38, 14%) and phalangeal fractures (n = 36, 13.5%).

CONCLUSIONS

This study shows the impact and incidence of related hand and wrist injuries. Motocross is a globally fashionable sport. This study shows that the number of annual tournaments and racers have doubled in last 5 years. The number of hand and wrist related injuries and operative requirements have quadruples over the last five years. It is recognized as a high-risk sport despite the use of protective equipment and course adaptions. These injuries can have implications for nearby treating hospitals.

摘要

背景

越野摩托车这项日益流行的运动在全球范围内有数百万人参与,但关于其相关损伤及预防的文献却非常少。因此,我们开展了英国第一项全面、前瞻性研究,观察越野摩托车运动导致的手部和腕部损伤。

方法

在我们地区创伤中心前瞻性收集了5年(2010年至2015年)的数据。我们只观察越野摩托车骑手。通过摩托车造成的损伤被排除在研究之外。

结果

在研究期间(5年),共收集到615例损伤,其中240名患者有265处手部和腕部损伤。大多数损伤发生在男性患者中。患者年龄范围为4至78岁,大多数损伤发生在春季和夏季。共有96例(40%)患者需要手术治疗。最常见的损伤类型是桡骨远端骨折(n = 53,20%),其次是掌骨骨折(n = 38,14%)和指骨骨折(n = 36,13.5%)。

结论

本研究显示了相关手部和腕部损伤的影响及发生率。越野摩托车是一项全球流行的运动。本研究表明,在过去5年中,年度赛事和赛车手数量翻了一番。在过去5年中,手部和腕部相关损伤及手术需求增加了四倍。尽管使用了防护装备并对赛道进行了调整,但它仍被认为是一项高风险运动。这些损伤可能会对附近的治疗医院产生影响。

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