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SKIVT-L  February 2000, Week 1

SKIVT-L February 2000, Week 1

Subject:

Ski injuries, Helmets, etc.

From:

Randy Witlicki <[log in to unmask]>

Reply-To:

Vermont Skiing Discussion and Snow Reports <[log in to unmask]>

Date:

Sat, 5 Feb 2000 10:36:02 EST

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (67 lines)

  I did a search of Grateful Med  (at http://igm.nlm.nih.gov/ )
  with Ski and Helmets as search terms and the below was one of the
  results.

   - Randy

 TITLE: Evaluation of alpine skiing and snowboarding injury in a northeastern state.
 AUTHORS:  Sacco DE; Sartorelli DH; Vane DW
 AUTHOR AFFILIATION: Department of Surgery, University of Vermont College of Medicine,
 Burlington 05405, USA.
 SOURCE: J Trauma 1998 Apr;44(4):654-9
 CITATION IDS:  PMID: 9555837 UI: 98215121
 ABSTRACT:  BACKGROUND: To demonstrate the injury patterns of Alpine skiing and
 snowboarding in a northeastern state and evaluate potential risk factors.
 METHODS: The medical records of a single pediatric and adult Level I trauma
 center were evaluated from January 1, 1990, through December 31, 1995. All
 admissions with injuries caused by Alpine skiing or snowboarding were reviewed.
 Those patients arriving from two local ski resorts, all of whose injuries are
 referred to the institution for care, were separated out for consideration. Age, sex,
 type of injury, date of injury, Injury Severity Score, operations performed, and
 outcome (including mortality) were evaluated. In addition, resort utilization for the
 study period was obtained from the two resorts included in the evaluation.
 Mortality data was obtained from the Vermont office of the Chief Medical Examiner
 for the same time period. RESULTS: For the 6-year period of the study
 approximately 2,978,000 skier and snowboarder days were recorded at the study
 sites. Approximately 447,000 of those days were attributed to snowboarders
 (15%). In all, 279 patients were admitted for injuries (0.01%), 238 were related to
 Alpine skiing (incidence 0.01%) and 40 to snowboarding (incidence 0.01%).
 Snowboarders were statistically younger (20 years; range, 4-44 years) than skiers
 (29 years; range, 6-70 years) (p < 0.001) and had a significantly lower Injury
 Severity Score (15 in snowboarders vs. 27 in skiers, p < 0.03). Two female
 patients were injured snowboarding and 68 female patients were injured skiing.
 Eight percent of injured snowboarders and 16% of injured skiers sustained
 multiple injuries (p < 0.01). Injury patterns were significantly different. Upper
 extremity injuries were almost exclusively found in snowboarders (24% vs. 7%, p
 < 0.003), whereas cruciate ligament injuries occurred far more commonly in skiers
 (45% vs. 4%, p < 0.001 Lower extremity injuries in general were more common in
 skiers (78% vs. 38%, p < 0.001). Central nervous system injuries, including head
 and spine, were evenly distributed over the two groups, although the
 snowboarders with central nervous system injuries were younger. In addition,
 splenic injuries were more common in snowboarders (13% vs. 2%, p < 0.01).
 Snowboarding accidents were far more common in December, March, and April
 than other months. Fifty-one patients sustained abdominal or chest injuries and
 only two of these required operative intervention (two splenectomies). Other
 operative interventions were limited to extremity injuries, injuries of the spine, or
 placement of an intracranial pressure monitor. There were no fatalities recorded in
 this population, although over the 6.5 years, there were 25 deaths related to alpine
 skiing and one to snowboarding in the State (incidence 0.0000009 skier days).
 Victims tended to be male: 96% of the skiers and the one snowboarder. The
 predominant cause of death was blunt head trauma followed by blunt chest trauma.
 Helmets were not worn by those sustaining head injuries or fatalities. Spine
 injuries were recorded only in extremely young snowboarders and skiers out of
 control. CONCLUSION: Snowboarders and Alpine skiers are equally prone to
 injury. Snowboarding accidents are typically less severe and show significantly
 different injury patterns than skiing accidents. Abdominal and chest injuries in this
 population are generally amenable to nonoperative management. Prevention
 programs are best targeted at safe skiing and snowboarding practices, not skiing or
 snowboarding in poor conditions, use of helmets for skiers, and restraint of
 snowboard use in very young children.

 -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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