Gerick Alexander, Kell David, Williams Brendan A
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Injury. 2025 Jun;56(6):112280. doi: 10.1016/j.injury.2025.112280. Epub 2025 Mar 26.
Snowboarding, skateboarding, and water surfing have emerged as popular pediatric sports. While prior work has examined differences among some types of board sports in certain populations, no prior study has directly compared pediatric injury patterns in board sports with similar techniques but on different terrains. The aim of this study was to compare the frequency and severity of orthopedic and craniofacial trauma sustained by pediatric skateboarders, snowboarders, and surfers. These injury types were selected as they encompass the majority of board sport-related trauma, providing a broad overview of injury patterns across different terrains.
We hypothesized that pediatric skateboarders and snowboarders sustained more fractures and strains/sprains to the upper extremity, while pediatric surfers sustained more injuries to the head and neck.
The National Electronic Injury Surveillance System (NEISS) was queried for orthopedic and craniofacial trauma related to unpowered skateboarding, snowboarding, and surfing between 2014 and 2023. Annualized trends in injury type, injury location, and injury prevalence were examined over the study period and across sport type. Univariate analyses were utilized to compare injury characteristics and patient demographics across board sport cohorts.
NEISS case criteria identified an estimated 546,231 board sport injuries over the study period. Early-adolescent males were the most commonly injured cohort (76.0 %; CI: 73.8-78.2 %). Fractures to the upper extremity were the most common orthopedic injury among skateboarders (31.6 %; CI: 24.8-38.4 %) and snowboarders (45.7 %; CI: 38.9-52.5 %), while lacerations to the head and neck were the most common injury among surfers (24.5 %; CI: 22.0-26.95 %). Pediatric snowboarders sustained more upper extremity fractures and concussions, but sustained less trauma to the lower extremity.
Findings from this study indicate that pediatric board sport athletes sustain injuries that are analogous but unique. Upper extremity fractures are common in skateboarding and snowboarding. While surfing has a higher incidence of laceration injuries, snowboarding has a higher incidence of concussions but lower incidence of lower extremity injuries. It is important for healthcare personnel to be aware of these injury patterns, especially in settings where immediate healthcare is limited.
单板滑雪、滑板运动和冲浪已成为流行的儿童运动项目。虽然此前的研究探讨了某些特定人群中部分类型的滑板运动之间的差异，但尚无研究直接比较过在不同地形上采用类似技巧的滑板运动中儿童的损伤模式。本研究的目的是比较儿童滑板运动员、单板滑雪运动员和冲浪运动员遭受的骨科及颅面创伤的频率和严重程度。选择这些损伤类型是因为它们涵盖了大多数与滑板运动相关的创伤，能全面概述不同地形上的损伤模式。
我们假设儿童滑板运动员和单板滑雪运动员上肢骨折和拉伤/扭伤更多，而儿童冲浪运动员头部和颈部受伤更多。
查询了国家电子伤害监测系统（NEISS）在2014年至2023年期间与无动力滑板运动、单板滑雪和冲浪相关的骨科及颅面创伤情况。在研究期间及不同运动类型中，对损伤类型、损伤部位和损伤发生率的年度趋势进行了研究。采用单变量分析比较不同滑板运动队列的损伤特征和患者人口统计学数据。
NEISS病例标准在研究期间确定了约546,231例滑板运动损伤。青少年早期男性是最常受伤的群体（76.0%；置信区间：73.8 - 78.2%）。上肢骨折是滑板运动员（31.6%；置信区间：24.8 - 38.4%）和单板滑雪运动员（45.7%；置信区间：38.9 - 52.5%）中最常见的骨科损伤，而头部和颈部撕裂伤是冲浪运动员中最常见 的损伤（24.5%；置信区间：22.0 - 26.95%）。儿童单板滑雪运动员上肢骨折和脑震荡更多，但下肢创伤较少。
本研究结果表明，儿童滑板运动运动员遭受的损伤既有相似之处又有独特之处。上肢骨折在滑板运动和单板滑雪中很常见。虽然冲浪中撕裂伤的发生率较高，但单板滑雪中脑震荡的发生率较高，下肢损伤的发生率较低。医护人员了解这些损伤模式很重要，尤其是在即时医疗资源有限的情况下。
