Department of Orthopedic Surgery, Tel Aviv Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Orthopedic Surgery, Tel Aviv Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Hand Surg Am. 2023 Feb;48(2):197.e1-197.e6. doi: 10.1016/j.jhsa.2021.09.033. Epub 2021 Nov 28.
To perform an analysis of electric scooter (e-scooter)-related upper limb fractures (ULFs), which have increased dramatically in parallel with the rapid rise in the use of e-scooters and shared e-scooter services in recent years.
We retrospectively reviewed the medical charts of e-scooter-related emergency department visits between January 2017 and January 2020 at a level I trauma center. All patients with ULFs were included in the study, and their data were analyzed for demographics, fracture diagnosis, associated injuries, and required surgical treatment.
This study included 356 patients (50% men) with 458 ULFs, of which 23 (5%) were open fractures. The mean age of the cohort was 32.9 years (standard deviation, 10.1 years). The most common mechanism of injury was rider fall (92.1%). The nondominant hand was injured in 53.1% of cases, and 32.1% of all fractures were treated with surgery. A total of 120 (33.7%) patients sustained more than 1 ipsilateral ULF, and 27 (7.6%) patients had a concomitant contralateral ULF. Radial head fracture was the most common fracture type (n = 123, 26.8%), of which 16 (13%) were bilateral. The fifth ray was injured most frequently among the metacarpal and phalangeal fractures (n = 33, 47.1%). Most of the nonextremity-associated injuries were those of the head and maxillofacial bones.
The most common ULF associated with e-scooters was the radial head fracture. Physicians should be alert to and seek associated fractures during initial assessments of e-scooter-related upper limb injuries. Further investigation may be warranted to evaluate the effectiveness of protective measures in reducing the number of injuries.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
分析近年来电动滑板车（e-scooter）使用量快速增加所导致的电动滑板车相关上肢骨折（ULF），此类骨折数量急剧上升。
我们回顾性分析了 2017 年 1 月至 2020 年 1 月在一家一级创伤中心因电动滑板车相关事故而就诊的患者的病历。所有 ULF 患者均纳入研究，并对其人口统计学特征、骨折诊断、合并伤和需要手术治疗的情况进行了分析。
本研究共纳入 356 名（50%为男性）患者，共发生 458 例 ULF，其中 23 例（5%）为开放性骨折。队列的平均年龄为 32.9 岁（标准差为 10.1 岁）。最常见的损伤机制是骑手摔倒（92.1%）。非优势手受伤占 53.1%，32.1%的骨折需要手术治疗。共有 120 名（33.7%）患者同侧上肢发生多处骨折，27 名（7.6%）患者对侧上肢同时发生骨折。桡骨头骨折是最常见的骨折类型（n=123，26.8%），其中 16 例（13%）为双侧骨折。掌骨和指骨骨折中，第 5 掌骨最常受累（n=33，47.1%）。大多数非肢体相关损伤是头部和颌面骨损伤。
与电动滑板车相关的最常见 ULF 是桡骨头骨折。医生在对电动滑板车相关上肢损伤进行初次评估时，应注意并寻找相关骨折。可能需要进一步研究以评估保护措施在减少损伤数量方面的有效性。
研究类型/证据水平：治疗性 IV 级。
Zotero 插件