Analysis of Patients Coming to the Emergency Department with Snow Sports Injury



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Submitted Feb 19, 2023
Published Apr 11, 2023
10.24018/ejsport.2023.2.2.69

Abstract viewed = 259 times

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Snow sports pose serious risks from minor soft tissue traumas to injuries of vital areas. For this reason, we think that the importance of the multidisciplinary approach of the emergency room doctors and to pay attention to the prehospital safety methods is absolutely necessary. The study included patients who applied to Erciyes University Faculty of Medicine, Department of Emergency Medicine between 01.11.2018 and 31.03.2019 with snow sports injuries. After snow sports traumas, the first application was in December and the most frequent application was in February with a rate of 37.3% (n=121). 1.06 patients applied daily and peaked with 4.32 patients daily in February. 56.2% (n=182) of the patients who presented to the emergency department with snow sports trauma were male and the mean age was 26.78±10.83 (6–65) were professionals. According to the frequency of traumas of the athletes, ski, snowboard and sled use depended. The patients most frequently applied with extremity traumas, followed by head, spine, and trunk traumas. X-rays were used in extremity traumas, while CT imaging was preferred in head and trunk traumas. 93% (n=301) of the patients were discharged from the emergency department, 25.3% (n=82) were consulted, 7% (n=23) were hospitalized and surgical treatment was performed for 3.7% (n=12) of the patients.

Keywords: diagnosis methods and treatments after snow sports traumas emergency service snow sports in children and adolescents snow sports skiing accidents sledding accidents snowboarding accidents

References

  1. Basques, B. A., Gardner, E. C., Samuel, A. M., Webb, M. L., Lukasiewicz, A. M., Bohl, D. D., & Grauer, J. N. (2018). Injury patterns and risk factors for orthopedic trauma from snowboarding and skiing: a national perspective. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 26(7), 1916–1926.
     Google Scholar
  2. Chaze, B., & McDonald, P. (2009). Head injuries in winter sports: downhill skiing, snowboarding, sledding, snowmobiling, ice skating and ice hockey. Physical medicine and rehabilitation clinics of North America, 20(1), 287–xii.
     Google Scholar
  3. Coury, T., Napoli, A. M., Wilson, M., Daniels, J., Murray, R., & Milzman, D. (2013). Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic. Wilderness & environmental medicine, 24(4), 417–421.
     Google Scholar
  4. DeFroda, S. F., Gil, J. A., & Owens, B. D. (2016). Epidemiology of lower extremity injuries presenting to the emergency room in the United States: Snow skiing vs. snowboarding. Injury, 47(10), 2283–2287.
     Google Scholar
  5. Dohjima, T., Sumi, Y., Ohno, T., Sumi, H., & Shimizu, K. (2001). The dangers of snowboarding: a 9-year prospective comparison of snowboarding and skiing injuries. Acta orthopaedica Scandinavica, 72(6), 657–660.
     Google Scholar
  6. Ehrnthaller, C., Kusche, H., & Gebhard, F. (2015). Differences in injury distribution in professional and recreational snowboarding. Open access journal of sports medicine, 6, 109–119.
     Google Scholar
  7. Fukuda, O., Takaba, M., Saito, T., & Endo, S. (2001). Head injuries in snowboarders compared with head injuries in skiers. A prospective analysis of 1076 patients from 1994 to 1999 in Niigata, Japan. The American journal of sports medicine, 29(4), 437–440.
     Google Scholar
  8. Gröber, J., Maurer, F., Eingartner, C., & Weise, K. (1998). Verletzungen beim Schlittenfahren [Injuries in sledding]. Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin, 12(3), 114–117.
     Google Scholar
  9. Haaland, B., Steenstrup, S. E., Bere, T., Bahr, R., & Nordsletten, L. (2016). Injury rate and injury patterns in FIS World Cup Alpine skiing (2006-2015): have the new ski regulations made an impact? British journal of sports medicine, 50(1), 32–36.
     Google Scholar
  10. Hagel, B. E., Goulet, C., Platt, R. W., & Pless, I. B. (2004). Injuries among skiers and snowboarders in Quebec. Epidemiology (Cambridge, Mass.), 15(3), 279–286.
     Google Scholar
  11. Heim, D., Altgeld, K., Hasler, R. M., Aghayev, E., & Exadaktylos, A. K. (2014). A 13-year analysis from Switzerland of non-fatal sledging (sledding or tobogganing) injuries. Injury, 45(1), 338–341.
     Google Scholar
  12. Idzikowski, J. R., Janes, P. C., & Abbott, P. J. (2000). Upper extremity snowboarding injuries. Ten-year results from the Colorado snowboard injury survey. The American journal of sports medicine, 28(6), 825–832.
     Google Scholar
  13. Johnson RJ, Ettlinger CF, Shealy JE. (2009). Myths concerning alpine skiing injuries. Sports Health, 1(6),486–492.
     Google Scholar
  14. Lochner SJ, Kunz SN, Fischer FT, Grove C (2015) Fatal skiing accidents–Forensic assessment at the institute for forensic medicine 2004–2014. Forensic Medicine, 25, 460–465.
     Google Scholar
  15. Machida, T., Hanazaki, K., Ishizaka, K., Nakamura, M., Kobayashi, O., Shibata, H., Nakafuji, H., & Amano, J. (1999). Snowboarding injuries of the chest: comparison with skiing injuries. The Journal of trauma, 46(6), 1062–1065.
     Google Scholar
  16. National Ski Areas Association. Active domestic skiers/snowboarders, 1996/97 to 2017/18.
     Google Scholar
  17. Nakaguchi, H., Fujimaki, T., Ueki, K., Takahashi, M., Yoshida, H., & Kirino, T. (1999). Snowboard head injury: prospective study in Chino, Nagano, for two seasons from 1995 to 1997. The Journal of trauma, 46(6), 1066–1069.
     Google Scholar
  18. Ogawa, H., Sumi, H., Sumi, Y., & Shimizu, K. (2010). Pelvic fractures resulting from snowboarding. The American journal of sports medicine, 38(3), 538–542.
     Google Scholar
  19. Ozen G, Yilmaz E, Koc H, et al. (2017). An epidemiological investigation of skiing injuries in Erciyes Ski Centre. Turk J Sports Med, 52,51–62.
     Google Scholar
  20. Patton, A., Bourne, J., & Theis, J. C. (2010). Patterns of lower limb fractures sustained during Snowsports in Otago, New Zealand. The New Zealand medical journal, 123(1316), 20–25.
     Google Scholar
  21. Prall, J. A., Winston, K. R., & Brennan, R. (1995). Severe snowboarding injuries. Injury, 26(8), 539–542.
     Google Scholar
  22. Rozycki, G. S., Ochsner, M. G., Jaffin, J. H., & Champion, H. R. (1993). Prospective evaluation of surgeons’ use of ultrasound in the evaluation of trauma patients. The Journal of trauma, 34(4), 516–527.
     Google Scholar
  23. Ruedl, G., Pocecco, E., Sommersacher, R., Gatterer, H., Kopp, M., Nachbauer, W., & Burtscher, M. (2010). Factors associated with self-reported risk-taking behaviour on ski slopes. British journal of sports medicine, 44(3), 204–206.
     Google Scholar
  24. Sulheim, S., Holme, I., Rødven, A., Ekeland, A., & Bahr, R. (2011). Risk factors for injuries in alpine skiing, telemark skiing and snowboarding--case-control study. British journal of sports medicine, 45(16), 1303–1309.
     Google Scholar
  25. Sutherland, A. G., Holmes, J. D., & Myers, S. (1996). Differing injury patterns in snowboarding and alpine skiing. Injury, 27(6), 423–425.
     Google Scholar
  26. Wasden, C. C., McIntosh, S. E., Keith, D. S., & McCowan, C. (2009). An analysis of skiing and snowboarding injuries on Utah slopes. The Journal of trauma, 67(5), 1022–1026.
     Google Scholar
  27. Westin, M., Alricsson, M., & Werner, S. (2012). Injury profile of competitive alpine skiers: a five-year cohort study. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 20(6), 1175–1181.
     Google Scholar
  28. Wick, M. C., Weiss, R. J., Lill, M., Jaschke, W., & Rieger, M. (2010). The “Innsbruck Emergency Algorithm” avoids the underdiagnosis of blunt cervical vascular injuries. Archives of orthopaedic and trauma surgery, 130(10), 1269–1274.
     Google Scholar
  29. Wick, M. C., Weiss, R. J., Hohlrieder, M., Tecklenburg, K., Jaschke, W., & Rieger, M. (2009). Radiological aspects of injuries of avalanche victims. Injury, 40(1), 93–98.
     Google Scholar
  30. Yamakawa, H., Murase, S., Sakai, H., Iwama, T., Katada, M., Niikawa, S., Sumi, Y., Nishimura, Y., & Sakai, N. (2001). Spinal injuries in snowboarders: risk of jumping as an integral part of snowboarding. The Journal of trauma, 50(6), 1101–1105.
     Google Scholar