Unterschenkelfrakturen beim alpinen Skisport – Einfluss von Skischuhen und Unfallmechanismus

Bürkner, A.; Simmen, Hans‐Peter

doi:10.1055/s-2008-1027947

Cited by 9 publications

(3 citation statements)

References 18 publications

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“…The idea of protective gear causing a specific pattern of injury is further historically supported by a series of specific injury patterns that have resulted from adjustments in skiing equipment. The aforementioned boot top fracture findings led to an alteration of ski boots' safety bindings, and the ski boot was made more flexible in order to reduce the incidence of boot top fractures [ 10 , 13 , 14 ]. Although these adjustments caused a reduced number of overall ankle and tibia fractures, the point of injury moved proximally resulting in an increased number of knee injuries and proximal tibia fractures [ 15 – 17 ].…”

Section: Discussionmentioning

confidence: 99%

Femur Fracture Associated with Knee Brace Wear in the Motocross Athlete: A Report of Two Cases and Review of the Literature

Erwood

Wilson

Schwartz

et al. 2018

Case Reports in Orthopedics

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The sport of motocross entails off-road motorcycle racing and is associated with a high incidence of traumatic injury. While prophylactic knee braces are routinely worn, there has been anecdotal concern that brace use is linked to femoral shaft fractures. While this risk remains unreported in the medical literature, preventing this complication has played a role in new commercial knee brace designs. We present two cases in which two motocross riders sustained transverse femoral shaft fractures at the proximal portion of each respective knee brace. The fracture locations measured on anterior-posterior radiograph were 22 and 21.1 cm proximal to the center of the knee, which is also the recommended proximal extent of motocross knee braces. We propose that the rigid knee brace protects the ligamentous knee structures but may focus undue force on the proximal aspect of the brace. New knee brace designs have incorporated features to dissipate the potentially injurious force to prevent femur fracture. While knee braces undoubtedly help prevent ligamentous knee injury, these cases question the safety of standard brace design and highlight the need for further brace development to better protect the patient's bony structures, in addition to the knee joint.

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Section: Discussionmentioning

confidence: 99%

Femur Fracture Associated with Knee Brace Wear in the Motocross Athlete: A Report of Two Cases and Review of the Literature

Erwood

Wilson

Schwartz

et al. 2018

Case Reports in Orthopedics

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“…13,23,25 Bindings not releasing during falls has been identified as a major cause of tibial shaft fractures. 3…”

Section: Specific Injuriesmentioning

confidence: 99%

Alpine Skiing Injuries

Davey

Endres

Johnson

et al. 2018

Sports Health: A Multidisciplinary Approach

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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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“…diese Art der Verletzung seitdem verringert und Verletzungen des Kniegelenkes dominieren [4,14]. Bürkner und Simmen [5] stell-ten in ihrer Untersuchung aber fest, dass Unterschenkelfrakturen aufgrund der zunehmenden Dynamik im alpinen Skisport weiterhin als häufige Verletzung präsent bleiben. Eine Sonderstellung beim alpinen Skilauf nehmen die Kopfverletzungen ein, da diese schwerwiegende Verletzung darstellen können.…”

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Skilaufverletzungen im Schulsport und Möglichkeiten der Prävention

Greier¹

2011

Sportverletz Sportschaden

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Skiing injuries account for a significant proportion of all school sport-related injuries in Tyrol. Lower extremity injuries account for the vast majority of all injuries. Overestimation and overtiredness may be responsible for skiing sport injuries. Preventive measures such as a fitness training (e. g., skiing exercises) prior to skiing courses, appropriate breaks and proper protective gear (i. e., helmet and spine protector) may reduce the injury rate in skiing school sport.

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Unterschenkelfrakturen beim alpinen Skisport – Einfluss von Skischuhen und Unfallmechanismus

Cited by 9 publications

References 18 publications

Femur Fracture Associated with Knee Brace Wear in the Motocross Athlete: A Report of Two Cases and Review of the Literature

Femur Fracture Associated with Knee Brace Wear in the Motocross Athlete: A Report of Two Cases and Review of the Literature

Alpine Skiing Injuries

Skilaufverletzungen im Schulsport und Möglichkeiten der Prävention

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