Increasing Incidence of Hand and Distal Upper Extremity Injuries Associated With Electric Scooter Use

LaGreca, Mark; Didzbalis, Christopher James; Oleck, Nicholas C.; Weisberger, Joseph; Ayyala, Haripriya S.

doi:10.1016/j.jhsa.2021.05.021

Cited by 14 publications

(6 citation statements)

References 6 publications

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“…We performed a cross-sectional, descriptive, epidemiologic study with data obtained from the US Consumer Product Safety Commission's (CSPC) National Electronic Injury Surveillance System (NEISS) in compliance with RECORD guidelines. The NEISS database, a well-established source for characterizing orthopaedic injuries, is a repository of injury-related data collected as a probability sample from approximately 100 Emergency Departments (EDs) across the US that represent geographic and size-based distributions of hospitals across the country [8][9][10][11][12]. NEISS data is obtained by a hospital-specific coordinator who reviews and codes all ED visits based on available clinical information and telephone follow-up if necessary [13].…”

Section: Databasementioning

confidence: 99%

Acute Simple Elbow Dislocations in the United States: An Epidemiological Analysis of Trends Including COVID-19

Baird,

Sandler,

Scanaliato

et al. 2024

Cureus

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Background Elbows are one of the most frequently dislocated large joints; however, there is limited epidemiological data, especially during the coronavirus disease 2019 (COVID-19) pandemic. This study characterizes elbow dislocations presenting to Emergency Departments (EDs) over the last decade. Methods This study is a cross-sectional, descriptive, epidemiologic analysis of isolated elbow dislocations presenting to EDs from 2011-2020 using the National Electronic Injury Surveillance System (NEISS) database. Patients under 10, those with radial head subluxation, and those with complex fractures were excluded. Data on incidence ratios, patient demographics, mechanisms of injury, and incident locales were analyzed. Results Approximately 83,996 simple, primary elbow dislocations occurred from 2011-2020 (n=2,328), generating an incidence of 2.98/100,000 person-years. Incidence was higher among males (3.26 versus 2.69/100,000 person-years). Dislocations peaked in patients aged 10-19, with higher rates in males (11.12 versus 5.31/100,000 person-years; injury rate ratio 2.09, CI=2.05-2.14, p<0.001). Rates of elbow dislocations decreased with age in males (age 20-29=11.12, age >80=0.63/100,000) but increased in females over 40 (age 40-49=1.59, age 70-79=2.83/100,000). Athletic activities accounted for 55% of dislocations (n=45,902), with 15% from football and 14% from wrestling. The fewest annual dislocations occurred during COVID-19 (n=6440). Injuries occurring at schools and during contact and indoor sports decreased, while those from soccer increased. Conclusions Elbow dislocations are common, with trends of decreasing incidence with age among men and increasing incidence in women over 40. COVID-19 impacted sports-related and epidemiologic injury patterns. Ultimately, understanding population-level risks for elbow dislocations enables orthopaedic surgeons to predict injury trends and conceive educational preventative measures.

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Section: Databasementioning

confidence: 99%

Acute Simple Elbow Dislocations in the United States: An Epidemiological Analysis of Trends Including COVID-19

Baird,

Sandler,

Scanaliato

et al. 2024

Cureus

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“…A morbilidade elevada dos acidentes de trotinetas elétricas não se traduz em mortalidade, documentada em apenas 0.1-0.6% dos casos. 15,20 Segundo Cohen e at 22 , as crianças demonstram uma incidência superior de fraturas e traumatismos múltiplos em comparação com os adultos e um número semelhante de traumatismos craniencefálicos, que sugere falta de uso de capacete, o que é mais frequentemente verificado no adulto. 1,8,17,18,21 Estratégias de prevenção e recomendações de segurança São inúmeras as campanhas de sensibilização e alterações à legislação que têm ocorrido em todos os continentes para fazer face a esta nova realidade ortopédica, traumatológica e de saúde pública.…”

Section: Traumatologia Associada àS Trotinetas Elétricasunclassified

Traumatologia Associada ao Uso das Trotinetas Elétricas

Homem¹,

Gonçalves²,

Marques³

et al. 2022

revdesp

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The use of scooters is not recent, but it was the advances in electronic technology that were the main drivers of electric scooters as a public transport. However, the gain in mobility resulted in an increase in accidents, which combined with other risk behaviors, such as alcoholism and driving while using the cell phone, turned e-scooters into a public health issue. Road accidents involving two-wheeled vehicles tend to be more severe. The greater vulnerability results from the combination of the vehicle’s characteristics and the behavior of its drivers. The e-scooter accident is related to a higher incidence of upper limb and face trauma. Lower limb trauma, although rarer, has a greater need for surgical treatment. The incidence of spinal and organ trauma is low and despite the low global mortality rate, it has harmful consequences.

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“…Typically, these services are accessed through a smartphone app, allowing users to locate and unlock available scooters in their vicinity. Upon completing their journey, users can park the scooter at a designated location and conclude the rental through the app [3]. Fueled by heightened demand, such platforms have gained popularity in recent years by providing a convenient and eco-friendly alternative to traditional types of transportation.…”

Section: Introductionmentioning

confidence: 99%

Unveiling the Surge: A Comprehensive Analysis of E-Scooter-Related Injuries at an Urban Level 1 Trauma Center in Vilnius, Lithuania (2018-2021)

Suslavičius,

Utkus,

Uvarovas

et al. 2024

Cureus

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BackgroundThe surge in electric scooter (e-scooter) adoption in 2019 fueled by sharing platforms has raised safety concerns, leading to an increased incidence of e-scooter-related injuries. Despite regulatory efforts, there has been a notable rise in accidents, prompting a comprehensive investigation. This study conducted at the Republican Vilnius University Hospital (RVUH), a level 1 trauma center, is one of the first in the Baltic States aiming to analyze the causes, severity, and frequency of e-scooter injuries from 2018 to 2021. This research addresses a critical gap in understanding e-scooter safety in the Baltic States, providing valuable insights for informed policy and preventive measures. MethodologyThis retrospective study analyzed e-scooter-related injuries in Vilnius, Lithuania, from April to September during 2018-2021. Data from the RVUH emergency department were examined. Using keywords such as "scooter" and "electric," relevant cases were extracted from the RVUH electronic health system. Included were individuals, both riders and pedestrians, with clear e-scooter involvement, excluding duplicates, those under 18, and users of other types of scooters. Extracted medical records provided data on demographics, injury specifics, helmet use, alcohol consumption, and more. Trauma severity was assessed through the New Injury Severity Score (NISS) and Abbreviated Injury Scale (AIS). Statistical analysis utilized GraphPad Prism software and Excel, adhering to ethical guidelines with RVUH Bioethics Committee approval. ResultsOver four years, 1,036 e-scooter-related injuries at RVUH revealed a gender-based shift, with males sustaining more injuries. The introduction of rentals in 2019 triggered a 334% surge in injuries compared to 2018. Despite an annual 208% increase from 2018 to 2021, 2021 saw a 710.93% rise. Trauma severity remained consistent, with AIS scores 1 and 2 being prevalent. Non-helmet wearers constituted 97.97%, and soft tissue damage was predominant. Ownership patterns shifted toward rentals (81.15%), reflecting the popularity of sharing platforms. Alcohol influence showed no significant change, but intoxicated patients had a higher surgery rate during four years. Mechanism analysis highlighted tripping as the primary cause. Injury characteristics revealed fractures in 34.56% of cases, primarily affecting upper limbs (53.35%). Soft tissue trauma was prominent (65.44%), with lower limbs being significantly impacted. ConclusionsThe surge in e-scooter injuries demands urgent preventive action. While most injuries are mild, a significant proportion is moderate to severe, even fatal. Inadequate education, lax enforcement, and uneven infrastructure contribute to the risk. Urgent measures, including road maintenance, speed reduction, and mandatory helmet use, are crucial. Clarity in government directives for designated e-scooter areas is vital. Further research is needed to understand the broader impact of informed policymaking and safer urban mobility. Expanding research to other Lithuanian regions wo...

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Increasing Incidence of Hand and Distal Upper Extremity Injuries Associated With Electric Scooter Use

Cited by 14 publications

References 6 publications

Acute Simple Elbow Dislocations in the United States: An Epidemiological Analysis of Trends Including COVID-19

Acute Simple Elbow Dislocations in the United States: An Epidemiological Analysis of Trends Including COVID-19

Traumatologia Associada ao Uso das Trotinetas Elétricas

Unveiling the Surge: A Comprehensive Analysis of E-Scooter-Related Injuries at an Urban Level 1 Trauma Center in Vilnius, Lithuania (2018-2021)

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