Are Different Aged Youth Skiers and Snowboarders Experiencing Different Injury Characteristics?

Chesler, Kyle; Howell, David R.; Khodaee, Morteza; Pierpoint, Lauren A.; Comstock, R. Dawn; Provance, Aaron J.

doi:10.1016/j.wem.2022.10.010

Cited by 3 publications

(4 citation statements)

References 35 publications

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“…Sledging accidents account for 7% (6300) of all winter sports injuries in Switzerland. 11 While many studies have investigated injuries associated with winter sports, such as skiing and snowboarding, [12][13][14][15][16][17] only a few studies have focused on injuries related to sledging, particularly in adult patients. [18][19][20][21] Severe injury leading to disability is mainly suffered by adults between 17 and 64 years of age.…”

Section: Discussionmentioning

confidence: 99%

Sex differences in sledging injuries: a retrospective 10-season study from a Swiss level 1 trauma centre

Klukowska-Rötzler,

Buerzle,

Exadaktylos

et al. 2023

BMJ Open Sport Exerc Med

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ObjectivesSledging is a popular and traditional winter sport in Switzerland. This study examines injury patterns of patients who presented to a tertiary trauma centre in Switzerland following sledging trauma, focusing on sex differences.MethodsRetrospective single-centre study over 10 winters (2012–2022), including all patients experiencing sledging-related trauma. Injury history was collected and analysed from the patient data and demographic information. The Abbreviated Injury Scale and the Injury Severity Score (ISS) were used to classify injury types and severity.Results193 patients were identified with sledging injuries. The median age was 46 (IQR 28–65), and 56% were female. The most frequent mechanism of injury was a fall (70%), followed by collision (27%) and other fall on slopes (6%). Lower extremities (36%), trunk (20%) and head/neck (15%) were the most frequently injured body areas. Fourteen per cent of patients were admitted with head injuries, whereas females were significantly more likely to present with head injuries than males (p=0.047). Males were significantly more often admitted with fractures to the upper extremities than females (p=0.049). The median ISS was 4 (IQR 1–5), without significant differences between males and females (p=0.290). The hospital admission rate was 28.5% for sledging-related injuries. The median length of stay for patients admitted to the hospital was 5 (IQR 4–8) days. The total cost for all patients was CHF1 292 501, with a median of CHF1009 per patient (IQR CHF458–CHF5923).ConclusionSledging injuries are common and may result in serious injuries. The lower extremities, trunk and head/neck are frequently injured and could be specifically protected with safety devices. Multiple injuries were statistically more frequent in women compared with men. Males were significantly more often admitted with fractures to the upper extremities, and females were more likely to sustain head injuries. The findings can help to develop data-driven measures to prevent sledging accidents in Switzerland.

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Section: Discussionmentioning

confidence: 99%

Sex differences in sledging injuries: a retrospective 10-season study from a Swiss level 1 trauma centre

Klukowska-Rötzler,

Buerzle,

Exadaktylos

et al. 2023

BMJ Open Sport Exerc Med

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“… 6 , 21 , 31 While prevention protocols have been implemented, 5 , 14 , 16 skiing-related musculoskeletal injuries and concussions continue to present to emergency departments (EDs) in the United States. 10 , 15 Furthermore, while the pediatric population makes up approximately 20% of skiers, this demographic makes up a large proportion of injuries, 3 , 15 , 21 with a study by Hurt et al 15 reporting approximately 40% of injuries being among youth skiers. Differences in anatomy, biomechanics, skill level, and coordination also result in distinctive injury patterns among pediatric skiers compared with adults.…”

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confidence: 99%

“…Differences in anatomy, biomechanics, skill level, and coordination also result in distinctive injury patterns among pediatric skiers compared with adults. 3 , 6 , 21 …”

mentioning

confidence: 99%

“…Differences in anatomy, biomechanics, skill level, and coordination also result in distinctive injury patterns among pediatric skiers compared with adults. 3,6,21 The purpose of this study was to assess injury trends and the primary mechanisms underlying skiing injuries in pediatric patients who visited US EDs between 2012 and 2022. Furthermore, we aimed to characterize injury trends and distribution by diagnosis type.…”

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confidence: 99%

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Skiing Injuries in the US Pediatric Population: An Analysis of National Injury Trends and Mechanisms Between 2012 and 2022

Yendluri,

Hrabarchuk,

Obana

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: While prevention protocols have been implemented, skiing-related musculoskeletal injuries and concussions continue to present to emergency departments in the United States. Previous literature has suggested the pediatric population may constitute up to 40% of skiing-related injuries. Purpose: To assess injury trends and the underlying mechanisms of skiing injuries in pediatric patients seen at emergency departments in the United States. Study Design: Descriptive epidemiology study. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for pediatric (age ≤18 years) skiing injuries between January 1, 2012, and December 31, 2022. Injury mechanism, location, disposition, and diagnosis were recorded, and the statistical sample weight assigned by NEISS by hospital was used to calculate national estimates (NEs). Injury trends were evaluated with linear regression analysis. Results: Overall, 2951 pediatric skiing injuries were included (NE = 123,386). The mean age of the patients was 12.4 ± 3.5 years, with 61.3% of the injuries occurring in male patients. Impact with the ground was the most common injury mechanism (NE = 87,407; 70.8%). Fractures were the most common diagnosis (NE = 38,527, 31.2%), followed by strains/sprains (NE = 22,562, 18.3%), contusions/abrasions (NE = 16,257, 13.2%), and concussions (NE = 12,449, 10.1%). The lower leg was the most common fracture site (NE = 9509, 24.7%), followed by the shoulder (NE = 7131, 18.5%) and lower arm (NE = 5876, 15.3%). Analysis of annual injuries revealed no significant trend between 2012 and 2022 ( P = .17), with fluctuations apparent throughout the study period. Significant decreases were seen in strains/sprains ( P < .01) and contusions/abrasions ( P < .01), but not in concussions ( P = .57) or fractures ( P = .70). Conclusion: Impacts with the snow/ground made up 70.8% of all injuries. Fractures were the most common injury diagnosis, followed by strains/sprains, with the lower leg being most frequently fractured. While strains/sprains and contusions/abrasions showed a significant decline, there were no significant trends in fractures and concussions between 2012 and 2022.

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Escherichia coli Activate Extraintestinal Antibody Response and Provide Anti-Infective Immunity

Liu,

Peng,

2024

IJMS

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The effects of intestinal microflora on extraintestinal immune response by intestinal cytokines and metabolites have been documented, but whether intestinal microbes stimulate serum antibody generation is unknown. Here, serum antibodies against 69 outer membrane proteins of Escherichia coli, a dominant bacterium in the human intestine, are detected in 141 healthy individuals of varying ages. Antibodies against E. coli outer membrane proteins are determined in all serum samples tested, and frequencies of antibodies to five outer membrane proteins (OmpA, OmpX, TsX, HlpA, and FepA) are close to 100%. Serum antibodies against E. coli outer membrane proteins are further validated by Western blot and bacterial pull-down. Moreover, the present study shows that OstA, HlpA, Tsx, NlpB, OmpC, YfcU, and OmpA provide specific immune protection against pathogenic E. coli, while HlpA and OmpA also exhibit cross-protection against Staphylococcus aureus infection. These finding indicate that intestinal E. coli activate extraintestinal antibody responses and provide anti-infective immunity.

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Are Different Aged Youth Skiers and Snowboarders Experiencing Different Injury Characteristics?

Cited by 3 publications

References 35 publications

Sex differences in sledging injuries: a retrospective 10-season study from a Swiss level 1 trauma centre

Sex differences in sledging injuries: a retrospective 10-season study from a Swiss level 1 trauma centre

Skiing Injuries in the US Pediatric Population: An Analysis of National Injury Trends and Mechanisms Between 2012 and 2022

Escherichia coli Activate Extraintestinal Antibody Response and Provide Anti-Infective Immunity

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