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At least 19 recordsLinked to original sources
PubMed2004

Snow sports related head and spinal injuries: an eight-year survey from the neurotrauma centre for the Snowy Mountains, Australia.

Neurotrauma from snow-sports related injuries is infrequently documented in the literature. In Australia no collective data has ever been published. The aim of this study is to document the injury pattern of snow sports related neurotrauma admissions to The Canberra Hospital, the regional trauma centre for the Snowy Mountains. A computerised hospital record search conducted between January 1994 and July 2002 revealed 25 head and 66 spinal injury admissions. The incidence of severe injuries requiring referral to tertiary trauma hospital was estimated to be 7.4 per 100,000 skier-days and for head and spinal injury 1.8 per 1,000,000 skier-days and 5.6 per 1,000,000 skier-days, respectively. Collision with a stationary object was disproportionately associated with head injury ( [Formula: see text] ) and falling forward with spinal injury ( [Formula: see text] ). Snowboarders tended to sustain cervical fractures more often than skiers ( [Formula: see text] ). The importance of helmet usage in buffering the impact of head-on collision and the proposition of having both feet fastened to a snowboard in leading to cervical injury were highlighted.

Adolescent↗
PubMed2002

Snow sports injuries in Scotland: a case-control study.

OBJECTIVES: To examine the incidence and patterns of snow sports injuries at the three largest commercial ski areas in Scotland and to identify factors associated with injury risk. METHODS: A prospective case-control study of all injured people at Cairngorm, Glenshee, and Nevis Range ski areas during the 1999-2000 winter season. Personal details, snow sports related variables, diagnosis, and treatment were recorded. Control data were collected at random from uninjured people at all three areas. Random counts were performed to analyse the composition of the on slope population. RESULTS: A total of 732 injuries were recorded in 674 people. Control data were collected from 336 people. The injury rate for the study was 3.7 injuries per 1000 skier days. Alpine skiers comprised 67% of the on slope population, snowboarders 26%, skiboarders 4%, and telemark skiers 2%. Lower limb injuries and sprains were the commonest injuries in alpine skiers and skiboarders. Snowboarders sustained more injuries to the upper limb and axial areas. Skiboarders and snowboarders had a higher incidence of fractures. After adjustment for other variables, three factors were all independently associated with injury: snowboarding (odds ratio (OR) 4.07, 95% confidence interval (CI) 1.65 to 10.08), alpine skiing (OR 3.82, CI 1.6 to 9.13), and age <16 years (OR 1.9, CI 1.14 to 3.17). More than five days of experience in the current season and at least one week of experience in total had a protective effect against injury. CONCLUSIONS: Despite a change in the composition of the alpine population at Scottish ski areas, the overall rate and pattern of injury are similar to those reported previously in comparable studies. Several factors are associated with an increased risk of injury and should be targeted in future injury prevention campaigns.

Adolescent↗
PubMed2002

Injury patterns in skiboarding. A 2-year study in Scotland.

OBJECTIVES: To examine the incidence and patterns of injury associated with skiboarding, a new snow sport whose popularity has increased in recent years. METHODS: A prospective study of all injured skiboarders at Cairngorm, Glenshee and Nevis Range ski areas during the 1999-2000 and 2000-2001 winter seasons. Personal details, skiboarding parameters, diagnosis and treatment were recorded. Random counts were performed to analyse the percentage of skiboarders amongst the on-slope population. RESULTS: The 84 injuries were recorded in 80 individuals. The injury rate for skiboarding was 252 mean days between injury (MDBI). Skiboarders comprised 5% of the total on-slope population. Ligament sprains and fractures accounted for 49 and 36% of all injuries, respectively. Over 70% of all injuries affected the lower limb and 21% of injuries were below knee fractures. The incidence of upper limb injuries was lower than expected at 13% of total. CONCLUSIONS: Skiboarding, whilst not associated with an excess injury rate, has a unique pattern of injury with a higher fracture rate than any other snow sport. The rates of lower limb and upper limb injury may be explained by the use of a non-release binding and inherent differences in the nature of a skiboard fall.

Adolescent↗
PubMed2002

Skiing, snowboarding, and sledding injuries in a northwestern state.

OBJECTIVE: Winter sports continue to be a popular form of recreation, but few studies have focused on serious injuries. The objectives of this study were to evaluate the major morbidity associated with downhill skiing, snowboarding, and sledding and to determine the incidence of serious injuries sustained while downhill skiing and snowboarding. METHODS: State trauma registry data from the 1992-93 through 1998-99 ski seasons on all snow sports participants transported to tertiary trauma hospitals in Oregon were analyzed. RESULTS: Of 132 patients, 80% were male and 20% were female, with a mean age of 30.4 +/- 15.6 for skiers, 24.1 +/- 10.5 for snowboarders, and 18.8 +/- 11.9 for sledders. The mean Injury Severity Score was 12.3 +/- 7.6 for skiers, 10.3 +/- 7.4 for snowboarders, and 12.8 +/- 8.5 for sledders. Head injuries accounted for 55% of sledding injuries and 39% of all injuries. Skiers and snowboarders were less likely to have head injuries than sledders (odds ratio [OR] = 0.45; 95% CI, 0.21 to 0.98). A higher proportion of injuries sustained by snowboarders were due to falls from heights (29%) compared with injuries sustained by skiers or sledders (OR = 4.8; 95% CI, 1.6 to 13.7). Sledders were more likely to be injured during collisions than were skiers or snowboarders (OR = 16.7; 95% CI, 5.8 to 47.6). The incidence of serious skiing and snowboarding injuries was 6.4 injuries per million visits. There were 4 deaths (3%), 1 each from snowboarding and skiing (head injuries) and 2 from sledding (1 from head and 1 from head and thoracic injuries). CONCLUSIONS: Serious snow sports injuries are rare but potentially debilitating. Head injuries account for the majority of deaths and functional impairment.

Adolescent↗
PubMed2006

Drunk, drowsy, doped: skiers' and snowboarders' injury risk perceptions regarding alcohol, fatigue and recreational drug use.

The objective was to investigate perceptions of snowfield resort visitors about injury risk regarding alcohol, fatigue and recreational drug use. Visitors to a resort village in a large Australian snowfield region completed a brief survey about fatigue, alcohol and recreational drug use and injury risk perception. Participants stated their ability to ski or snowboard and drive safely following a lack of sleep, alcohol and recreational drug use. Intoxicated snowfield resort visitors were compared with non-intoxicated visitors. Safety beliefs across snow sport and transport were compared. Participants reported that they generally slept less than usual and 30% reported both drinking alcohol and using drugs more than usual while visiting the snowfields. Participants perceived driving as a greater injury risk than skiing/snowboarding (p < 0.001). Fatigue was perceived as a relatively weak injury risk factor, particularly whilst skiing and snowboarding. Awareness needs to be raised among snowfield resort visitors about the contribution of alcohol, fatigue and recreational drug use to snow sport and transport-related injury risk.

Adult↗
PubMed1998

Lightning injuries during snowy conditions.

Skiers and other snow sports enthusiasts can become lightning casualties. Two such accidents are reported, one being fatal. There are fewer warning signals of impending lightning strikes in winter-like conditions. However, outdoor activists should be aware of at least two suspicious clues: the appearance of convective clouds, and the presence of graupel (snow pellets) during precipitation.

Adult↗
PubMed2006

Self-estimation of ability among skiers and snowboarders in alpine skiing resorts.

Skiing ability is thought to be an important risk factor for injuries, but the best method to classify skiing ability is not known. The objective of this study was to validate five different questions designed to self-report skiing ability for ski injury surveillance. To this end 512 alpine skiers, Telemark skiers, snowboarders and skiboarders were asked to selfestimate their skiing ability using five different questions based on skiing skill, piste difficulty, turning technique, skiing experience and falling frequency, each with four categories. The participants then made a test run to test their skiing ability. Observed and self-reported skiing ability were compared using kappa statistics. The correlation between observed and self-reported skiing ability was low to fair, with kappa values of 0.34 for skiing skill), 0.33 for piste difficulty, 0.38 for turning technique, 0.26 for experience and 0.16 for falling frequency. However, the sensitivity and specificity for each of the questionnaires in discriminating between individuals in the poorest skiing ability category on the test and the rest of the group was relatively good (skiing skill: sensitivity 75%, specificity 91%; piste difficulty 68, 96%; turning technique 75, 91%; experience 75, 90%; falling frequency 61, 97%). The results show that the capacity to self-assess skiing ability is limited, but estimation based upon turning technique or skiing skill seem to be best methods for epidemiological studies on injuries in snow sports.

Adolescent↗
PubMed2004

Injuries among skiers and snowboarders in Quebec.

BACKGROUND: Snow sports such as skiing and snowboarding are recognized as hazardous, but population-based injury rates or specific risk factors have been difficult to estimate as a result of a lack of complete data for both numerator and denominator. METHODS: We used data from 3 surveys to estimate the number of participants and annual number of outings in Quebec by age, sex, activity, and calendar year. Injuries reported by ski patrollers were used to estimate injury rates among skiers and snowboarders for the head and neck, trunk, upper extremity, and lower extremity. RESULTS: Head-neck and trunk injury rates increased over time from 1995-1996 to 1999-2000. There was a steady increase in the rate of injury with younger age for all body regions. The rate of head-neck injury was 50% higher in snowboarders than in skiers (adjusted rate ratio [ARR] = 1.5; 95% confidence interval = 1.3-1.8). Women and girls had a lower rate of head-neck injury (0.73; 0.62-0.87). Snowboarders were twice as likely as skiers to have injuries of the trunk (2.1; 1.7-2.6), and more than 3 times as likely to have injuries of the upper extremities (3.4; 2.9-4.1). Snowboarders had a lower rate of injury only of the lower extremities (0.79; 0.66-0.95). Snowboarder collision-related injury rates increased substantially over time. CONCLUSIONS: Except for lower extremity injuries, snowboarders have a higher rate of injuries than skiers. Furthermore, collision-related injury rates have increased over time for snowboarders. Targeted injury prevention strategies in this group seem justified.

Adolescent↗
PubMedDate not supplied

The safety experience of New Zealand adventure tourism operators.

BACKGROUND: This survey examined parameters of the New Zealand adventure tourism industry client injury risk. The research also sought to establish priorities for intervention to reduce adventure tourism risk, and identify client injury control measures currently in place (or absent) in the New Zealand adventure tourism industry, with a view to establishing guidelines for the development of effective adventure tourism safety management systems. This 2003 survey builds upon an exploratory study of New Zealand adventure tourism safety conducted by us during 1999. METHOD: A postal questionnaire was used to survey all identifiable New Zealand adventure tourism operators. The questionnaire asked respondents about their recorded client injury experience, perceptions of client injury risk factors, safety management practices, and barriers to safety. RESULTS: Some 27 adventure tourism activities were represented among the responding sample (n=96). The highest client injury risk was reported in the snow sports, bungee jumping and horse riding sectors, although serious underreporting of minor injuries was evident across the industry. Slips, trips and falls (STF) were the major client injury mechanisms, and a range of risk factors for client injuries were identified. Safety management measures were inconsistently applied across the industry. CONCLUSIONS: The industry should consider the implications of poor injury reporting standards and safety management practices generally. Specifically, the industry should consider risk management that focuses on minor (e.g., STF) as well as catastrophic events.

Athletic Injuries↗
PubMed1999

Snow-related recreational injuries in children: assessment of morbidity and management strategies.

PURPOSE: The aim of this study was to investigate the causes, clinical course, and financial impact of snow-related sport injuries in children. METHODS: Reports of snow-related injuries (skiing, toboganning, snowboarding) occurring in 147 consecutive children (< or =16 years of age) admitted from 1991 through 1997 were collected prospectively and assessed retrospectively. During the last year of the study, outpatients treated and released from the emergency department (1996 through 1997) were examined in parallel (n = 101). Total financial impact was determined from the aggregate hospital, rehabilitation, and societal costs. RESULTS: One hundred thirty-seven patients (M:F, 2:1; mean age, 13 yrs) were admitted (toboggan [n = 74], ski [n = 59], snowboard [n = 16]), of which 66% occurred at licensed resorts, and 33% at parks or private property. There was one death. Although the pattern of injury was similar in all groups (head greater than long bone greater than intraabdominal injuries), mean injury severity scores (ISS) were significantly higher for snowboard injuries. Seventy-five percent of patients required at least one operation. Postdischarge, 15% of patients required institutional care. Of the 101 ambulatory patients (ski [n = 48], toboggan [n = 35], snowboard [n = 18]), 65% were injured at licensed resorts, and 56% required outpatient rehabilitation or home care. The per-patient costs were: hospital treatment, $27,936; outpatient services, $15,243; lost parental income, $1,500. CONCLUSIONS: Snow sport injuries, particularly snowboarding, cause severe childhood morbidity. Helmet usage, training requirements, and regulation of licensed resorts may reduce the morbidity and staggering costs.

Adolescent↗
PubMed1991

Snow skiing for the physically disabled.

The sport of snow skiing by the physically disabled, which originated in Europe in 1935 and first received attention in the United States in the 1940s, is reviewed in terms of opportunities available, instructions, adaptive equipment necessary, and benefits provided. Persons with a wide variety of disabilities (such as cerebral palsy, multiple sclerosis, spinal cord injury, hemiplegia, amputation, blindness, spina bifida, and muscular dystrophy) can participate. Accordingly, a wide range of adaptive equipment is available--including outrigger skis, flip-skis, canting wedges, ski bras, "toe spreaders," sit-skis, and mono-skis--to allow safe enjoyment of the sport. Programs for instruction of the disabled skier are increasing in number and popularity, and numerous opportunities are available to enter competitive events sponsored by National Handicapped Sports. Both the participants and the instructors relate the numerous physical and psychologic benefits that can be derived from skiing; the sport provides an almost universal enjoyment of the sense of freedom and independence. Snow skiing is an enjoyable, beneficial, outdoor cold-weather activity that the disabled population can safely learn with proper instruction.

Adaptation, Physiological↗
PubMed2003

The Cresta Run: a uniquely evolving tradition.

The Cresta Run is a unique toboggan run and exists in only one place in the world, namely, St. Moritz, Switzerland. The height of the resort is over 6,000 feet (1828 metres). Therefore there is a diminution of oxygen content in the air. Normally it takes from three to seven days for a person from lower habitat altitudes, visiting the resort, to become fully acclimatized if they are to be involved in energetic competitive sport. The age and fitness of the toboggan rider is a factor. The Cresta Run takes place each year and has, since its inception under the auspices of the St Moritz Tobogganing Club, been built from virgin snow to a formula determined by a brilliant 22-year-old Swiss geometrician, Peter Bonorand, who devised the first Run in 1884. Using his exceptional mathematical knowledge to determine a course from St. Moritz to Celerina, he drew up plans and drawings for the first Cresta Run. The Run therefore is constructed to a known formula and it is significant that in over 115 years the times on the Run have only improved on average by a few tenths of a second progressively each year despite improvements to riding equipment. Since the Run's inception in 1885 there has always been an element of danger, but accidents have invariably occurred on the section of the Run that comprises the competition course between the start line and the finish line. During the past few seasons, an increasing number of accidents have taken place after the finish line. The problem is short-term blackout while riding (Reader, 1978). There is now a need to investigate what changes have been made or have evolved to cause this. However, certain immutable facts have remained constant and these must be identified and then considered in the context of recent changes as a result of improvements in equipment. Considerable improvements have been made over the past 25 years to safety helmets. These are the result of different materials, their suitability and ease of manufacture, particularly with regard to the full-face type helmet. The full-face helmet could be a significant contributing factor to the problem of accidents, particularly after the finish line, on the Cresta Run.

Accident Prevention↗
PubMed1999

[Injury mechanisms in windsurfing regatta].

In a retrospective study, we evaluated the injuries of 44 semi-professional competitors for the German Windsurf Cup, which were suffered from during one windsurfing season. This Cup is the national qualification tour for the annual "production fun board world championship". The subjects, participating in our study were randomly chosen. There were no surf-specific differences between the two groups. The average age was 24.63% had competitive surfing as their hobby, 37% were professional or semi-professional board sailors. The subjects surfed an average of 85 days in 1995. 23 (52%) windsurfers did not get hurt during the entire season. 21 (48%) of them got injured during the 1995 windsurf season. This is an incidence of only one injury per 174 windsurfing days. Only three windsurfers were injured during a competition. The other 18 occurred during training sessions. Most accidents happened because of an overpower situation, i.e. the sail was too big for the wind force (43%), or through negligence on the part of the windsurfer (19%). The most frequent type of the accident was the so called catapult crash (57%). The most common injuries were ligament ruptures of the lower leg (33%) and head burst wounds (19%). Compared with other competitive fun sports (e.g. snow boarding), windsurfing has a lower injury risk. In regard to the injury mechanisms, prophylactic recommendations are made.

Adolescent↗
PubMed2003

Serious winter sport injuries in children and adolescents requiring hospitalization.

To describe the epidemiology of serious winter sports-related injuries resulting in hospitalization in children and adolescents, we prospectively collected and analyzed records of all winter sports-related injuries requiring hospitalization at our respective institutions from 1996 to 2000. We identified 101 patients with a mean age of 10.7 years, of whom 68% were male and 32% female. Skiers accounted for 71% and snowboarders 26% of injuries; 3% of injuries were snowmobile-or luge-related. Leading mechanisms of injury were ground level falls (50%), crashes into trees, (18%), and falls from ski lift (13%). Approximately 26% of the patients met criteria for trauma-team activation. Leading diagnoses were head injury (20%), femur fracture (18%), and concussion (11%). Five patients required admission to the intensive care unit. The median injury severity score (ISS) was 7; 8% of patients had an ISS score > 15. Abbreviated Injury Scale-1990 scores of > or = 3 were noted in 34% of the patients. We conclude that Injuries sustained through participation in winter sports may be severe, especially in the case of injuries involving the head. Injury-prevention strategies should focus on head injuries.

Abbreviated Injury Scale↗
PubMed2004

Periprosthetic fracture of the femur after total hip arthroplasty occurring in winter activities: report of two cases.

Periprosthetic fractures are uncommon after total hip replacement surgery and are most often associated with loosening or osteolysis. In a review of Mayo Clinic records, the cumulative incidence of femoral fractures after primary uncemented prostheses was only 0.4% (4). No periprosthetic fracture associated with sports participation has been previously reported in the literature. When advising patients about return to sports and recreational activities after total hip replacement, concerns fall into two main categories: 1) wear of the bearing surface(s) and secondary ramifications such as early failure or osteolysis, and 2) dislocation or fracture of the prosthesis or periprosthetic bone. The former concerns have been previously examined (5), but the latter have not been reported to date. These case reports describe a complication that may occur in total hip arthroplasty in those patients who return to winter sports and recreational activities. Although at intermediate follow-up there does not appear to have been irreversible damage for these patients, it is imperative to warn patients that activities that place the patient at risk of trauma may compromise the longevity of the artificial joint. This information can be used in helping patients understand the risks associated with athletic activity after total hip arthroplasty, which is a major goal of current recommendations for advising patients after this type of surgery.

Arthroplasty, Replacement, Hip↗