John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KKO, JBR).
Division of Orthopaedic Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (MEH, LSKL).
Hawaii J Health Soc Welf. 2023 Oct;82(10):232-239.
Surfing is a globally popular recreational sport with limited epidemiologic data. Currently, there is a paucity of literature regarding injury profiles and mechanisms of orthopaedic-related injuries. This study analyzed trends, etiologies, and diagnoses of upper extremity orthopaedic-related surfing injuries presenting to United States (US) emergency departments. The National Electronic Injury Surveillance System database was accessed to query upper extremity surfing-related injuries presenting to US emergency departments from January 1, 2002 to December 31, 2021. Data were analyzed for year, body part, mechanism of injury, diagnosis, and disposition. National estimates were calculated based on the assigned statistical sample weight of each hospital. A total of 33 323 surfing-related injuries were included. The most common upper extremity body parts involved 15 169 shoulders (45.5%), 4220 fingers (12.7%), and 3753 hands (11.3%). The most common identifiable mechanisms of injuries were 7474 board-to-body (22.4%), 4188 impact with sand (12.6%), and 2639 impact with water (7.9%). Overuse constituted 7.2% of overall upper extremity injuries but 40% of strains. Only 2.2% of injuries required hospital admission. Between 2002 and 2021, there was a decreasing annual trend in upper extremity surfing-related injuries (P=.01). The decreasing trend in emergency department visits may be due to urgent care utilization and training for surfers and lifeguards to manage these injuries on-site, as the majority were minor given the small proportion requiring hospital admission. Chronic stress on rotator cuff and peri-scapular musculature while paddling in the prone position likely contributed to the large proportion of overuse injury.
冲浪是一项在全球范围内流行的休闲运动，但相关的流行病学数据有限。目前，关于骨科相关损伤的损伤类型和机制的文献很少。本研究分析了美国（US）急诊部门接诊的上肢骨科相关冲浪损伤的趋势、病因和诊断。访问了国家电子伤害监测系统数据库，以查询 2002 年 1 月 1 日至 2021 年 12 月 31 日期间到美国急诊部门就诊的上肢冲浪相关损伤。对年份、身体部位、损伤机制、诊断和处理进行了数据分析。根据每个医院分配的统计样本权重计算了全国估计值。共纳入 33323 例冲浪相关损伤。最常见的上肢身体部位包括 15169 个肩部（45.5%）、4220 个手指（12.7%）和 3753 个手（11.3%）。最常见的可识别损伤机制是 7474 个板体（22.4%）、4188 个沙撞击（12.6%）和 2639 个水撞击（7.9%）。过度使用占上肢损伤的 7.2%，但占劳损的 40%。仅 2.2%的损伤需要住院治疗。2002 年至 2021 年，上肢冲浪相关损伤的年发生率呈下降趋势（P=0.01）。急诊就诊人数的下降趋势可能是由于紧急护理的利用以及对冲浪者和救生员进行管理这些现场损伤的培训，因为大多数损伤是轻微的，因为需要住院治疗的比例很小。在俯式划水时，肩袖和肩胛周围肌肉的慢性压力可能导致过度使用损伤的比例较大。
