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Characteristics of Wrist Injuries in Snowboarding  

Kim, Yeong Jun (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University)
Lee, Kang Hyun (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University)
Cha, Kyoung Chul (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University)
Kim, Hyun (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University)
Hwang, Sung Oh (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University)
Oh, Jin Rok (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University)
Publication Information
Journal of Trauma and Injury / v.22, no.1, 2009 , pp. 29-36 More about this Journal
Abstract
Purpose: The purpose of this study was to analyze the characteristics and severity of wrist injuries in snowboarding. Methods: December 2005 to February 2008, Snowboarders who experienced wrist injures were included in this study. On the basis of the medical records and radiographic evaluation, the severity of distal radius fracture was classified according to the Arbeitsgemeinschaft fur Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) classification. Results: Most of the injured snowboarders were a either of the beginner (35 cases, 46.1%) or the intermediate (27 cases, 35.5%) level. The most common cause of injury in snowboarding was a slip down (60 cases, 78.9%). Comminuted and articular fractures classified as AO types A3, B, and C, which required surgical reduction, made up 42.3% of the distal radial fractures in snowboarders. When we analyzed the differences in severity between the educated and the non-educated groups, an A2 type injury in the AO classification was the most common type of injury in the educated group (20 cases, 38.5%), it means less severe fractures ocurred in the educated group (p=0.045). The most frequent injury mechanism of fractures was slip down (48 cases, 63.2%), and a slip down backwards was the dominant type of slip down (36 cases, 75.0%) (p=0.031). Conclusion: Among the snowboarders in this study who suffered self-down injury to the wrist, more fractures were associated with a backwards slip down than with a forward slip down due to over extension. For educated snowboarders the severity of fracture was lower than it was for uneducated snowboarders.
Keywords
Wrist injuries; Distal radius fracture; Snowboarding;
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  • Reference
1 Idzikowski JR, Janes PC, Abbott PJ. Upper extremity snowboarding injuries: ten-year results from the Colorado snowboard injury survey. Am J Sports Med. 2000;28:825?32
2 O'Neill DF. Wrist injuries in guarded versus unguarded first time snowboarders. Clin Orthop Relat Res. 2003;409:91-5   DOI
3 Matsumoto K, Miyamoto K, Sumi H. Upper extremity injuries in snowboarding and skiing: a comparative study. Clin J Sport Med. 2002;12:354-9   DOI   ScienceOn
4 Ronning R, Ronning I, Gerner T, Engebretsen L. The efficacy of wrist protectors in preventing snowboarding injuries. Am J Sports Med 2001;29:581-5
5 Howard PW, Stewart HD, Hind RE. External fixation or plaster for severely displaced comminuted Colles' fractures. a prospective study of anatomical and functional results. J Bone Joint Surg Br. 1989;71:68-73.s
6 Belloti JC, Tamaoki MJ, Balbachevsky D, Chap Chap E, Albertoni WM, Faloppa F. et al. Are distal radius fracture classifications reproducible? Intra and interobserver agreement. Sao Paulo Med J. 2008 May;126(3):180-5
7 Machold W, Kolonja A, Kwasny O, Fuchs M. Risk of injuries in snowboarding. Sportverletzung Sportschaden 1999;13:1-7   DOI
8 Young CC, Niedfeldt MW. Snowboarding injuries. Am Fam Physician 1999 Jan 1;59:131-6
9 Matsumoto K, Sumi H, Sumi Y, Shimizu K. Wrist fractures from snowboarding. Clin J Sport Med 2004;14:64-71   DOI   ScienceOn
10 Thurston AJ. 'Ao' or eponyms: the classification of wrist fractures. ANZ J Surg. 2005 May;75(5):347-55   DOI   ScienceOn
11 Wulf CA, Ackerman DB, Rizzo M. Contemporary evaluation and treatment of distal radius fractures. Hand Clin. 2007 May;23(2):209-26   DOI   ScienceOn
12 Sasaki K, Takagi M, Ida H, Yamakawa M, Ogino T. Severity of upper limb injuries in snowboarding. Arch Orthop Trauma Surg 1999;119:292-5   DOI   ScienceOn
13 Lee YH, Lee JM, Kim KW, Kang SJ, Park JM, Moon JH, et al. The factors associated with fractures by snowboard injuries. Korea J Sports Med. 2000;18:301-6
14 Lim JC, Kim H, Lim KS, Hwang SO. Clinical survey of ski injury. J Korean Soc Emerg Med 1996;7:268-73
15 Sasaki K, Takagi M, Kiyoshige. Snowboarder's wrist: its severity compared with alpine skiing. J Trauma 1999;46:1059-61   DOI
16 Van Dommelen BA, Zvirbulis RA. Upper extremity injuries in snow skiers. Am J Sports Med 1989;17:751-4   DOI   ScienceOn
17 Machold W, Kwasny O, Eisenhardt P. Reduction of severe wrist injuries in snowboarding by an optimized wrist protection device. J Trauma. 2002;52:517-20   DOI   ScienceOn