Skiing Injuries in Greece: A Six Years Case-Control Study (2007–2013)

Zacharopoulos, A.; Smyrnis, Anastasios; Vlastos, Iakovos; Zafeiriou, Christos

doi:10.1520/stp158220140006

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…In our study, uninjured skiers showed a significantly higher proportion of more skilled skiers (79.1% vs 51.4%) compared to ACL‐injured skiers. In general, a higher skill level and more skiing experience are associated with a lower injury risk among recreational skiers . Especially, beginners suffer far more injuries than more experienced alpine skiers …”

Section: Discussionmentioning

confidence: 99%

Is ski boot sole abrasion a potential ACL injury risk factor for male and female recreational skiers?

Posch

Ruedl

Schranz

et al. 2019

Scandinavian Med Sci Sports

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ObjectivesTo evaluate the potential impact of ski boot sole abrasion on the ACL injury risk of recreational skiers.MethodsDuring the past two winter seasons 2016/17 and 2017/18, this retrospective case‐control study was conducted in one Austrian ski area. Among a cohort of 148 ACL‐injured (51.4% females) and 455 uninjured recreational skiers (43.3% females), age, sex, height, weight, and self‐reported skill level were collected by questionnaire, ski length and sidecut radius were notated and sole abrasion of the toe and heel piece of the ski boot was measured using a digital caliper.ResultsACL‐injured skiers showed a higher proportion of female (51.4% vs 43.3%, P < 0.001) and less skilled skiers (48.6% vs 20.9%, P < 0.001), and ski length to height ratio was higher (94.7 ± 3.7 vs 93.8 ± 5.0%, P = 0.019) compared to uninjured skiers. ACL‐injured skiers used ski boots of greater abrasion at the toe (4.8 ± 1.8 vs 2.4 ± 2.5 mm, P < 0.001) and heel piece (5.4 ± 1.8 vs 3.3 ± 2.3 mm, P < 0.001) compared to controls. Multivariate regression analysis revealed, beside female sex (OR 6.0, 95% CI, 3.1‐11.5, P < 0.001), lower skill level (OR 3.2, 95% CI, 1.9‐5.4, P < 0.001) and ski length to height ratio (OR 1.1, 95% CI, 1.0‐1.2, P < 0.001), sole abrasion at the toe (OR 1.8, 95% CI, 1.5‐2.1, P < 0.001) and heel piece (OR 1.4, 95% CI, 1.2‐1.6, P < 0.001) to be independently associated with an ACL injury among recreational alpine skiers.ConclusionsBased on the underlying findings, ski boot sole abrasion was found to be an independent risk factor and may contribute to an increased ACL injury risk.

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Section: Discussionmentioning

confidence: 99%

Is ski boot sole abrasion a potential ACL injury risk factor for male and female recreational skiers?

Posch

Ruedl

Schranz

et al. 2019

Scandinavian Med Sci Sports

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“…The highest published injury rate was observed in Greece in winter 2005/06 (6.1 injuries per 1000 skier days) [19]. However, the injury rate during the period 2007-2013 was still 4.1 injuries per 1000 skier days [20]. In France, the injury rate has been reported to be almost the same as in Switzerland, with snow sport participants sustaining 2.6 injuries per 1000 skier days in winter 2012/13 (ski: 2.5, snowboard: 2.9) [13].…”

Section: Discussionmentioning

confidence: 95%

“…Data collection and analysis methods vary among countries. Some calculations are based on ski patrol reports [18], others on information gained from physicians in hospitals or doctors based in ski resorts [13,14,16,[19][20][21], and other on combinations of different methods of data collection [15,17]. Therefore, it is difficult to compare the injury incidence among the various countries.…”

Section: Discussionmentioning

confidence: 99%

Skiing and Snowboarding in Switzerland: Trends in Injury and Fatality Rates Over Time

Bianchi

Brügger

Niemann

2017

Snow Sports Trauma and Safety

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Introduction: Skiing and snowboarding are two of the most popular sports in Switzerland, but their popularity means that the absolute number of injuries remains high. To plan and evaluate effective injury prevention, detailed insights into the injuries that occur are needed. Objective: The aim of this study was to characterize the current status (average winter season 2008-2012) and trends in injury rate (between 2005 and 2012) and fatality rate (between 2000 and 2014) among skiers and snowboarders in Switzerland. Materials/Methods: Injury data from different sources were collected and analyzed. Extrapolation and estimates were made based on a special household survey and insurance data. All fatal injuries were recorded in a separate database. Moreover, an annual survey on Swiss slopes was conducted that delivered different information about skiers and snowboarders in these areas. Skier days were collected by the Swiss Cableways. Results: The rate of sustaining an injury while skiing or snowboarding on Swiss slopes was 2.8 per 1000 skier days on average from 2008 to 2010. The fatality rate was 0.7 deaths per one million skier days in the same period of time. The injury rate remained relatively stable between 2005 and 2012, and the fatality rate has not changed since 2000. Discussion: Compared with other countries, the rates of injury or even fatality while skiing or snowboarding falls in the mid-range for Switzerland; however, further prevention efforts targeting behavior and conditions are needed to minimize and even reduce injuries.

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“…4,5,7,27,29,42,49,51,52,63,66 The mean age of injured patients evaluated in these studies ranged from 24 to 35.4 years, with an overall mean age of 30.3 years. In 2 studies, 10,74 the populations at greatest risk for injury were children and adolescents and adults older than 50 years; however, in another study, 59 there was no greater risk of injury in adults older than 55 years, with the exception of tibial plateau fractures. Because of the varying ways that data on the age of injured patients are presented, it is difficult to draw any conclusions about the effect of age on the overall risk of injury.…”

Section: Epidemiology Of Alpine Skiing Injuriesmentioning

confidence: 95%

Alpine Skiing Injuries

et al. 2018

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Context:Alpine skiing is a popular sport worldwide but has significant risk for injury. The epidemiology of skiing-related injuries has been described, which has led to the identification of risk factors for specific types of injuries.Evidence Acquisition:Pertinent literature from peer-reviewed publications was reviewed.Study Design:Clinical review.Level of Evidence:Level 5.Results:The adoption of international standards for ski-boot-binding systems has changed the profile of skiing-related injuries over time, as has the widespread use of helmets. An understanding of mechanisms of injury, risk factors, and preventative measures may decrease the incidence of skiing-related injuries.Conclusion:Advances in standards for skiing equipment have been effective at decreasing both the frequency and severity of skiing-related injuries, but additional efforts are required to improve the safety of the sport.

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Skiing Injuries in Greece: A Six Years Case-Control Study (2007–2013)

Cited by 5 publications

References 24 publications

Is ski boot sole abrasion a potential ACL injury risk factor for male and female recreational skiers?

Is ski boot sole abrasion a potential ACL injury risk factor for male and female recreational skiers?

Skiing and Snowboarding in Switzerland: Trends in Injury and Fatality Rates Over Time

Alpine Skiing Injuries

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