Title: Epidemiology of Alpine Skiing Injuries<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
<strong>Epidemiology of Alpine Skiing Injuries</strong></p>
<p>
</p>
<p>
Mean age of injury 30.3 (range 24 to 35.4 years)</p>
<p>
Populations at greatest risk are children and adolescents and possibly adults over 50 (increased risk of tibial plateau fractures)</p>
<p>
Sex: Males> females</p>
<p>
Knee injuries, esp to ACL, are higher among females</p>
<p>
Fractures greater in males</p>
<p>
Injury location greatest at lower extremity (primarily to knee)</p>
<p>
Primarily sprains to MCL and ACL (increasing incidence)</p>
<p>
14% occur to upper extremity and primarily involve the thumb and shoulder</p>
<p>
Skiers thumb – FOOSH with thumb Abducted gripping pole</p>
<p>
Pole is implicated as this injury is rare among snowboarders</p>
<p style="margin-left:.5in;">
The pole acts as a lever to amplify the forced Abduction of the thumb as the outstretched hand hits the ground.</p>
<p style="margin-left:.5in;">
Let go before you hit the ground!!</p>
<p>
13% occur to head and neck</p>
<p>
The number of all type injuries has decreased over time with advances in equipment and helmet use</p>
<p>
Proportion of skiers wearing a helmet exceeds 80% </p>
<p>
However, the number of traumatic fatalities has remained constant</p>
<p>
Accidents involving fatalities exceed the protective capacity of helmets</p>
<p>
Helmets likely decrease risk of mild and moderate head injury</p>
<p>
</p>
<p>
</p>
<fieldset><legend>References</legend>
<p>
Ekeland et al., 2018. Epidemiology of Alpine Skiing Injuries. J Sci Med Sport</p>
<p>
Davey et al., 2018. Alpine Skiing Injuries. Sports Health</p>
<p>
</p>
</fieldset>