Obana Kyle K, Yendluri Avanish, Kocher Mininder S, Ganley Theodore J, Trofa David P, Parisien Robert L
Department of Orthopaedic Surgery, New York-Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Arthrosc Sports Med Rehabil. 2024 Aug 28;6(6):100990. doi: 10.1016/j.asmr.2024.100990. eCollection 2024 Dec.
To analyze mechanisms, diagnoses, and incidence of youth snowboarding-related injuries presenting to US emergency departments.
Data from the National Electronic Injury Surveillance System were analyzed for pediatric snowboarding injuries (≤18 years old) from 2012 to 2022. Data were collected for mechanism of injury, diagnosis, location of injury, and disposition. National estimates (NEs) were calculated using the statistical sample weight of the corresponding hospital assigned by the National Electronic Injury Surveillance System. Linear regressions were used to analyze injuries over time.
In total, 3,036 (NEs = 120,140) pediatric snowboarding injuries were included in this study. Average age was 14.0 ± 2.7 years. The most common mechanism of injury was impact with the ground (NEs = 97,120, 80.8%). The most injured body parts were 719 wrists (NEs = 115,505, 96.1%), 580 heads (NEs = 22,258, 18.5%), and 381 shoulders (NEs = 17,269, 14.4%). The most common diagnoses were fractures (NEs = 48,886, 40.7%), strains/sprains (NEs = 22,948, 19.1%), and concussions (NEs = 12,553, 10.4%). Fractures primarily involved the wrist (NEs = 18,122, 37.1%), lower arm (NEs = 12,348, 25.3%), and shoulder (NEs = 9,073, 18.6%). From 2012 to 2022, there were average decreases of 1,051 overall injuries per year ( < .01), 299 fractures per year ( = .04), 298 strains/sprains per year ( < .01), and 143 concussions per year ( < .01). There were average decreases of 784 impact with ground injuries per year ( < .01), 161 not specified injuries per year ( < .01), and 42 impact with inanimate object injuries per year ( = .03) from 2012 to 2022.
Pediatric snowboarding injuries demonstrated a large decline from 2012 to 2022. Fractures are the most common diagnosis, primarily affecting the wrist and shoulder. The head was the second most injured body part, and concussions were the third most common diagnosis.
This study highlights decreasing injuries despite growing popularity of snowboarding, bringing to light the importance of protective equipment, on-site injury management, and implementation of clinics at resort bases.
分析美国急诊科收治的青少年单板滑雪相关损伤的机制、诊断及发生率。
对2012年至2022年国家电子伤害监测系统中18岁及以下儿童单板滑雪损伤的数据进行分析。收集损伤机制、诊断、损伤部位及处置情况的数据。使用国家电子伤害监测系统分配给相应医院的统计样本权重计算全国估计数（NE）。采用线性回归分析随时间推移的损伤情况。
本研究共纳入3036例（NE = 120140）儿童单板滑雪损伤病例。平均年龄为14.0±2.7岁。最常见的损伤机制是与地面碰撞（NE = 97120，80.8%）。受伤最多的身体部位是719例手腕（NE = 115505，96.1%）、580例头部（NE = 22258，18.5%）和381例肩部（NE = 17269，14.4%）。最常见的诊断是骨折（NE = 48886，40.7%）、拉伤/扭伤（NE = 22948，19.1%）和脑震荡（NE = 12553，10.4%）。骨折主要累及手腕（NE = 18122，37.1%）、下臂（NE = 12348，25.3%）和肩部（NE = 9073，18.6%）。2012年至2022年，每年总体损伤平均减少1051例（P <.01），骨折每年减少299例（P =.04），拉伤/扭伤每年减少298例（P <.01），脑震荡每年减少143例（P <.01）。2012年至2022年，每年与地面碰撞导致的损伤平均减少784例（P <.01），未明确的损伤每年减少161例（P <.01），与无生命物体碰撞导致的损伤每年减少42例（P =.03）。
2012年至2022年儿童单板滑雪损伤显著下降。骨折是最常见的诊断，主要影响手腕和肩部。头部是第二大受伤身体部位，脑震荡是第三常见的诊断。
本研究强调尽管单板滑雪越来越受欢迎，但损伤却在减少，凸显了防护装备、现场损伤管理以及在滑雪场基地设立诊所的重要性。
