Goldhaber Nicole H, Goldin Amanda N, Pennock Andrew T, Livingston Kristin, Bae Donald S, Yen Yi Meng, Shore Benjamin J, Kramer Dennis E, Jagodzinski Jason E, Heyworth Benton E
Harvard Medical School, Boston, MA USA.
University of California San Diego (UCSD), San Diego, CA USA.
HSS J. 2020 Dec;16(Suppl 2):221-225. doi: 10.1007/s11420-019-09682-2. Epub 2019 May 21.
Since its release in 2015, the hoverboard has been associated with injuries in children and adolescents. However, its public health implications have yet to be explored in the orthopedic literature across multiple centers.
PURPOSE/QUESTIONS: We sought to assess the nature of orthopedic injuries and the use of clinical resources related to the hoverboard at four high-volume, regional pediatric hospitals.
Departmental databases of emergency department (ED) consultations and urgent orthopedic clinic (UC) visits were queried for hoverboard injuries. A retrospective medical record review was performed for patients presenting over a 3-month period at four institutions. Data on demographics, injuries, clinical course, and resource use were analyzed. The frequency of hoverboard-related consultations was compared to those for monkey bar-related injuries at the primary study institution.
Eighty-nine patients with orthopedic hoverboard injuries presented to the ED and/or UC in the study period. Hoverboard injuries represented 2.2% of orthopedic ED consultations at the primary institution, compared to 1.5% for monkey bar injuries. Sixty-nine out of 89 (77.5%) total injuries involved the upper extremity, including 47 (52.8%) distal radius fractures, the most common hoverboard-related diagnosis. All but one injury (97.8%) underwent radiography, and eight (9%) required surgery. No patients reported wearing protective gear at the time of their injury.
Hoverboards were associated with a variety of pediatric orthopedic injuries and required the use of significant resources in the ED, UC, and operating room. These data may represent a starting point for further prospective multi-center studies and public health efforts toward prevention of hoverboard injuries.
自2015年上市以来，悬浮滑板一直与儿童和青少年受伤事件相关联。然而，其对公共卫生的影响尚未在多个中心的骨科文献中得到探讨。
目的/问题：我们试图评估四家大型地区儿科医院中与悬浮滑板相关的骨科损伤的性质以及临床资源的使用情况。
查询急诊科（ED）会诊和骨科急诊诊所（UC）就诊的科室数据库，以获取悬浮滑板损伤病例。对四个机构在3个月期间就诊的患者进行回顾性病历审查。分析人口统计学、损伤情况、临床病程和资源使用的数据。将与悬浮滑板相关的会诊频率与主要研究机构中与攀爬架相关损伤的会诊频率进行比较。
在研究期间，有89例骨科悬浮滑板损伤患者到急诊科和/或骨科急诊诊所就诊。悬浮滑板损伤占主要机构骨科急诊会诊的2.2%，而攀爬架损伤占1.5%。89例损伤中有69例（77.5%）累及上肢，其中47例（52.8%）为桡骨远端骨折，这是与悬浮滑板相关的最常见诊断。除1例损伤外，所有损伤（97.8%）均接受了X光检查，8例（9%）需要手术治疗。没有患者报告在受伤时佩戴了防护装备。
悬浮滑板与多种儿科骨科损伤相关，在急诊科、骨科急诊诊所和手术室需要使用大量资源。这些数据可能是进一步开展前瞻性多中心研究以及预防悬浮滑板损伤的公共卫生工作的起点。
