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Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system

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Abstract

Purpose

Although injuries sustained during ice skating have been reported to be more serious than other forms of skating, the potential injury risks are often underestimated by skating participants. The purpose of this study was to give a descriptive overview of injury patterns occurring during ice skating. Special emphasis was put on injury severity by using a standardised injury classification system.

Methods

Over a six month period, all patients treated with ice-skating-related injuries at Europe’s largest hospital were included. Patient demographics were collected and all injuries categorised according to the Abbreviated Injury Scale (AIS) 2005. A descriptive statistic and logistic regression analysis was performed.

Results

Three hundred and forty-one patients (134 M, 207 F) were included in this study. Statistical analysis revealed that age had a significant influence on injury severity. People > 50 years had a higher risk of sustaining a more severe injury according to the AIS compared with younger skaters. Furthermore, the risk of head injury was significantly lower for people aged between 18 and 50 years than for people < 18 years (p = 0.0007) and significantly higher for people > 50 years than for people aged between 18 and 50 years (p = 0.04).

Conclusion

The severity of ice-skating injuries is associated with the patient’s age, showing more severe injuries in older patients. Awareness should be raised among the public and physicians about the risks associated with this activity in order to promote further educational interventions and the use of protective gear.

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References

  1. Clarke HJ, Ryan D, Cullen I, Cusack S (2006) The impact of a temporary ice-rink on an emergency department service. Eur J Emerg Med 13:204–208

    Article  PubMed  Google Scholar 

  2. Williamson DM, Lowdon IM (1986) Ice-skating injuries. Injury 17:205–207

    Article  CAS  PubMed  Google Scholar 

  3. Oakland CD (1990) Ice skating injuries: can they be reduced or prevented? Arch Emerg Med 7:95–99

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. McGregor D, Vickery J, Riou P (2010) The impact of a temporary ice rink on a local emergency department service. Emerg Med J 27:48–49. doi:10.1136/emj.2008.068296

    Article  CAS  PubMed  Google Scholar 

  5. Dillon JP, Geurin S, Laing AJ, Ryan D, Dolan M (2006) The impact of ice-skating injuries on orthopaedic admissions in a regional hospital. Ir Med J 99:7–8

    CAS  PubMed  Google Scholar 

  6. Baker SP, O'Neill B, Haddon W Jr, Long WB (1974) The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14:187–196

    Article  CAS  PubMed  Google Scholar 

  7. Gennarelli TA, Wodzin E (2005) Abbreviated injury scale 2005, Des Plaines, Illinois

  8. Johnell O, Kanis J (2005) Epidemiology of osteoporotic fractures. Osteoporos Int 16(Suppl 2):S3–S7. doi:10.1007/s00198-004-1702-6

    Article  PubMed  Google Scholar 

  9. Knox CL, Comstock RD, McGeehan J, Smith GA (2006) Differences in the risk associated with head injury for pediatric ice skaters, roller skaters, and in-line skaters. Pediatrics 118:549–554

    Article  PubMed  Google Scholar 

  10. Kelsall NK, Bowyer GW (2009) Injuries sustained at a temporary ice-skating rink: prospective study of the Winchester experience 2007–2008. Injury 40:1276–1278. doi:10.1016/j.injury.2009.02.006

    Article  CAS  PubMed  Google Scholar 

  11. Barr LV, Imam S, Crawford JR, Owen PJ (2010) Skating on thin ice: a study of the injuries sustained at a temporary ice skating rink. Int Orthop 34:743–746. doi:10.1007/s00264-010-0953-4

    Article  PubMed Central  PubMed  Google Scholar 

  12. Lam CK, Leung WY, Wu WC, Lam J, Ip FK (1997) Orthopaedic ice-skating injuries in a regional hospital in Hong Kong. Hong Kong Med J 3:131–134

    PubMed  Google Scholar 

  13. Freeland P (1988) Implications of two newly opened ice rinks on an accident and emergency department. Br Med J (Clin Res Ed) 296:96

    Article  CAS  Google Scholar 

  14. Dubravcic-Simunjak S, Kuipers H, Moran J, Simunjak B, Pecina M (2006) Injuries in synchronized skating. Int J Sports Med 27:493–499. doi:10.1055/s-2005-865816

    Article  CAS  PubMed  Google Scholar 

  15. Dubravcic-Simunjak S, Pecina M, Kuipers H, Moran J, Haspl M (2003) The incidence of injuries in elite junior figure skaters. Am J Sports Med 31:511–517

    PubMed  Google Scholar 

  16. Fortin JD, Roberts D (2003) Competitive figure skating injuries. Pain Physician 6:313–318

    PubMed  Google Scholar 

  17. Quinn A, Lun V, McCall J, Overend T (2003) Injuries in short track speed skating. Am J Sports Med 31:507–510

    PubMed  Google Scholar 

  18. Murphy NM, Riley P, Keys C (1990) Ice-skating injuries to the hand. J Hand Surg (Br) 15:349–351

    Article  CAS  Google Scholar 

  19. Zalavras C, Nikolopoulou G, Essin D, Manjra N, Zionts LE (2005) Pediatric fractures during skateboarding, roller skating, and scooter riding. Am J Sports Med 33:568–573

    Article  PubMed  Google Scholar 

  20. Lewis LM, West OC, Standeven J, Jarvis HE (1997) Do wrist guards protect against fractures? Ann Emerg Med 29:766–769

    Article  CAS  PubMed  Google Scholar 

  21. Staebler MP, Moore DC, Akelman E, Weiss AP, Fadale PD, Crisco JJ 3rd (1999) The effect of wrist guards on bone strain in the distal forearm. Am J Sports Med 27:500–506

    CAS  PubMed  Google Scholar 

  22. Giacobetti FB, Sharkey PF, Bos-Giacobetti MA, Hume EL, Taras JS (1997) Biomechanical analysis of the effectiveness of in-line skating wrist guards for preventing wrist fractures. Am J Sports Med 25:223–225

    Article  CAS  PubMed  Google Scholar 

  23. Machold W, Kwasny O, Eisenhardt P, Kolonja A, Bauer E, Lehr S, Mayr W, Fuchs M (2002) Reduction of severe wrist injuries in snowboarding by an optimized wrist protection device: a prospective randomized trial. J Trauma 52:517–520

    Article  PubMed  Google Scholar 

  24. Ronning R, Ronning I, Gerner T, Engebretsen L (2001) The efficacy of wrist protectors in preventing snowboarding injuries. Am J Sports Med 29:581–585

    CAS  PubMed  Google Scholar 

  25. Schieber RA, Branche-Dorsey CM, Ryan GW, Rutherford GW Jr, Stevens JA, O'Neil J (1996) Risk factors for injuries from in-line skating and the effectiveness of safety gear. N Engl J Med 335:1630–1635. doi:10.1056/NEJM199611283352202

    Article  CAS  PubMed  Google Scholar 

  26. McGeehan J, Shields BJ, Smith GA (2004) Children should wear helmets while ice-skating: a comparison of skating-related injuries. Pediatrics 114:124–128

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Trauma Surgery, Medical University of Vienna, Austria, Vienna

    Roman C. Ostermann, Marcus Hofbauer, Thomas M. Tiefenböck, Patrick Platzer & Silke Aldrian

  2. Centre for Musculoskeletal Surgery, Universityhospital Charitè- Berlin, Berlin, Germany

    Matthias Pumberger

  3. Department of Orthopaedics, Herz Jesu Hospital, Austria, Vienna

    Michael Tiefenböck

  4. Department of Trauma Surgery, General Hospital of Vienna, Medical University of Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria

    Roman C. Ostermann

Authors
  1. Roman C. Ostermann
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  2. Marcus Hofbauer
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  3. Thomas M. Tiefenböck
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  4. Matthias Pumberger
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  5. Michael Tiefenböck
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  6. Patrick Platzer
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  7. Silke Aldrian
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Correspondence to Roman C. Ostermann.

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Ostermann, R.C., Hofbauer, M., Tiefenböck, T.M. et al. Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system. International Orthopaedics (SICOT) 39, 119–124 (2015). https://doi.org/10.1007/s00264-014-2488-6

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  • DOI: https://doi.org/10.1007/s00264-014-2488-6

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