Abstract
Objectives: To evaluate injury patterns of snowbladers and compare them with those of skiers and snowboarders. To determine possible effects of helmet use in these sports on injury to the head and neck.
Methods: This prospective case series observational study was conducted by collecting the injury reports from the ski patrol during the 1999–2000 season at Mont Tremblant ski resort, Quebec. All participants in downhill winter sports who presented themselves to the ski patrol with traumatic injury related to their sport were included. A concussion was defined as any loss of consciousness, amnesia, confusion, disorientation, vertigo, or headache that resulted from injury. The ski patroller reported helmet use on the accident report at the time of injury.
Results: Snowbladers present with a unique pattern of injury compared with skiers and snowboarders. The incidence of leg, knee, and ankle/foot injuries were 20.5%, 25.6%, and 10.3% respectively. Concussions represented 11% of all injuries. There was no increase in other injury, including neck injury, related to helmet use.
Conclusions: Unique injury patterns in snowbladers warrant reconsideration of equipment design. Concussion is a common injury on the ski slope. Although the effects of helmet use on concussion rate are inconclusive based on this study, helmet use did not increase the rate of neck injury, even when adjusted for age.
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Selected References
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- Abu-Laban R. B. Snowboarding injuries: an analysis and comparison with alpine skiing injuries. CMAJ. 1991 Nov 1;145(9):1097–1103. [PMC free article] [PubMed] [Google Scholar]
- Bladin C., Giddings P., Robinson M. Australian snowboard injury data base study. A four-year prospective study. Am J Sports Med. 1993 Sep-Oct;21(5):701–704. doi: 10.1177/036354659302100511. [DOI] [PubMed] [Google Scholar]
- Blitzer C. M., Johnson R. J., Ettlinger C. F., Aggeborn K. Downhill skiing injuries in children. Am J Sports Med. 1984 Mar-Apr;12(2):142–147. doi: 10.1177/036354658401200210. [DOI] [PubMed] [Google Scholar]
- Bouter L. M., Knipschild P. G., Volovics A. Binding function in relation to injury risk in downhill skiing. Am J Sports Med. 1989 Mar-Apr;17(2):226–233. doi: 10.1177/036354658901700213. [DOI] [PubMed] [Google Scholar]
- Callé S. C., Evans J. T. Snowboarding trauma. J Pediatr Surg. 1995 Jun;30(6):791–794. doi: 10.1016/0022-3468(95)90749-1. [DOI] [PubMed] [Google Scholar]
- Cantu R. C. Head injuries in sport. Br J Sports Med. 1996 Dec;30(4):289–296. doi: 10.1136/bjsm.30.4.289. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chissell H. R., Feagin J. A., Jr, Warme W. J., Lambert K. L., King P., Johnson L. Trends in ski and snowboard injuries. Sports Med. 1996 Sep;22(3):141–145. doi: 10.2165/00007256-199622030-00001. [DOI] [PubMed] [Google Scholar]
- Chow T. K., Corbett S. W., Farstad D. J. Spectrum of injuries from snowboarding. J Trauma. 1996 Aug;41(2):321–325. doi: 10.1097/00005373-199608000-00021. [DOI] [PubMed] [Google Scholar]
- Davidson T. M., Laliotis A. T. Alpine skiing injuries. A nine-year study. West J Med. 1996 Apr;164(4):310–314. [PMC free article] [PubMed] [Google Scholar]
- Davidson T. M., Laliotis A. T. Snowboarding injuries, a four-year study with comparison with alpine ski injuries. West J Med. 1996 Mar;164(3):231–237. [PMC free article] [PubMed] [Google Scholar]
- Deibert M. C., Aronsson D. D., Johnson R. J., Ettlinger C. F., Shealy J. E. Skiing injuries in children, adolescents, and adults. J Bone Joint Surg Am. 1998 Jan;80(1):25–32. [PubMed] [Google Scholar]
- Hagel B. E., Meeuwisse W. H., Mohtadi N. G., Fick G. H. Skiing and snowboarding injuries in the children and adolescents of Southern Alberta. Clin J Sport Med. 1999 Jan;9(1):9–17. doi: 10.1097/00042752-199901000-00003. [DOI] [PubMed] [Google Scholar]
- Hentschel S., Hader W., Boyd M. Head injuries in skiers and snowboarders in British Columbia. Can J Neurol Sci. 2001 Feb;28(1):42–46. doi: 10.1017/s0317167100052537. [DOI] [PubMed] [Google Scholar]
- Holowenko D., Philipp R., MacDonald P. B. Fractured tibia and fibula during use of "snowblades": implications of the return of nonrelease bindings. Clin J Sport Med. 2000 Jan;10(1):67–68. doi: 10.1097/00042752-200001000-00012. [DOI] [PubMed] [Google Scholar]
- Machold W., Kwasny O., Gässler P., Kolonja A., Reddy B., Bauer E., Lehr S. Risk of injury through snowboarding. J Trauma. 2000 Jun;48(6):1109–1114. doi: 10.1097/00005373-200006000-00018. [DOI] [PubMed] [Google Scholar]
- Macnab A. J., Cadman R. Demographics of alpine skiing and snowboarding injury: lessons for prevention programs. Inj Prev. 1996 Dec;2(4):286–289. doi: 10.1136/ip.2.4.286. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meeuwisse W. H., Love E. J. Athletic injury reporting. Development of universal systems. Sports Med. 1997 Sep;24(3):184–204. doi: 10.2165/00007256-199724030-00008. [DOI] [PubMed] [Google Scholar]
- Nakaguchi H., Fujimaki T., Ueki K., Takahashi M., Yoshida H., Kirino T. Snowboard head injury: prospective study in Chino, Nagano, for two seasons from 1995 to 1997. J Trauma. 1999 Jun;46(6):1066–1069. doi: 10.1097/00005373-199906000-00017. [DOI] [PubMed] [Google Scholar]
- O'Neill D. F., McGlone M. R. Injury risk in first-time snowboarders versus first-time skiers. Am J Sports Med. 1999 Jan-Feb;27(1):94–97. doi: 10.1177/03635465990270012301. [DOI] [PubMed] [Google Scholar]
- Pino E. C., Colville M. R. Snowboard injuries. Am J Sports Med. 1989 Nov-Dec;17(6):778–781. doi: 10.1177/036354658901700610. [DOI] [PubMed] [Google Scholar]
- Prall J. A., Winston K. R., Brennan R. Severe snowboarding injuries. Injury. 1995 Oct;26(8):539–542. doi: 10.1016/0020-1383(95)00085-n. [DOI] [PubMed] [Google Scholar]
- Requa R. K., Toney J. M., Garrick J. G. Parameters of injury reporting in skiing. Med Sci Sports. 1977 Fall;9(3):185–190. [PubMed] [Google Scholar]
- Sacco D. E., Sartorelli D. H., Vane D. W. Evaluation of alpine skiing and snowboarding injury in a northeastern state. J Trauma. 1998 Apr;44(4):654–659. doi: 10.1097/00005373-199804000-00016. [DOI] [PubMed] [Google Scholar]
- Shorter N. A., Jensen P. E., Harmon B. J., Mooney D. P. Skiing injuries in children and adolescents. J Trauma. 1996 Jun;40(6):997–1001. doi: 10.1097/00005373-199606000-00024. [DOI] [PubMed] [Google Scholar]
- Shorter N. A., Mooney D. P., Harmon B. J. Snowboarding injuries in children and adolescents. Am J Emerg Med. 1999 May;17(3):261–263. doi: 10.1016/s0735-6757(99)90121-3. [DOI] [PubMed] [Google Scholar]
- Sutherland A. G., Holmes J. D., Myers S. Differing injury patterns in snowboarding and alpine skiing. Injury. 1996 Jul;27(6):423–425. doi: 10.1016/0020-1383(96)00026-5. [DOI] [PubMed] [Google Scholar]
- Tarazi F., Dvorak M. F., Wing P. C. Spinal injuries in skiers and snowboarders. Am J Sports Med. 1999 Mar-Apr;27(2):177–180. doi: 10.1177/03635465990270021101. [DOI] [PubMed] [Google Scholar]
- Tator C. H. Neck injuries in ice hockey: a recent, unsolved problem with many contributing factors. Clin Sports Med. 1987 Jan;6(1):101–114. [PubMed] [Google Scholar]
- Weiss B. D. Bicycle-related head injuries. Clin Sports Med. 1994 Jan;13(1):99–112. [PubMed] [Google Scholar]
- Yamakawa H., Murase S., Sakai H., Iwama T., Katada M., Niikawa S., Sumi Y., Nishimura Y., Sakai N. Spinal injuries in snowboarders: risk of jumping as an integral part of snowboarding. J Trauma. 2001 Jun;50(6):1101–1105. doi: 10.1097/00005373-200106000-00020. [DOI] [PubMed] [Google Scholar]