Characteristics of Head Injuries After Skiing and Snowboarding Accident.
- Author:
Sung Chan KANG
1
;
Kang Hyun LEE
;
Han Joo CHOI
;
Kyung Hye PARK
;
Sang Chul KIM
;
Hyun KIM
;
Sung Oh HWANG
Author Information
1. Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea. ed119@yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Brain injuries;
Skiing injury;
Snowboarding injury
- MeSH:
Abbreviated Injury Scale;
Brain;
Brain Concussion;
Brain Injuries;
Craniocerebral Trauma;
Emergencies;
Glasgow Coma Scale;
Head;
Head Protective Devices;
Headache;
Humans;
Incidence;
Intracranial Hemorrhages;
Male;
Skiing
- From:Journal of the Korean Society of Traumatology
2008;21(1):53-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Skiing and snowboarding are becoming increasingly popular. Accordingly, the incidences of injuries among skiers and snowboarders are also increasing. The purpose of this study was to investigate the injury patterns of and the contributing factors to head injuries of skiers and snowboarders and to evaluate the differences in characteristics between skiing and snowboarding head injuries. METHODS: One-hundred patients who visited the emergency department of Wonju Christian Hospital between January 2005 and March 2007 due to head injuries from skiing and snowboarding were enrolled. The mechanisms and the histories of the injuries were investigated by surveying the patients, and the degrees of head injuries were estimated by using brain CT and the Glasgow Coma Scale. The degrees and the characteristics of brain injuries were also analyzed and compared between skiers and snowboarders. RESULTS: Out of 100 patients, 39 were injured by skiing, and 61 were injured by snowboarding. The mean age of the skiers was 26.7+/-10.0, and that of the snowboarders was 26.7+/-6.2. The percentage of male skiers was 43.6%, and that of snowboarders was 63.9%. The most frequent initial chief complaints of head-injured skiers and snowboarders were headache and mental change. The most common mechanism of injuries was a slip down. The mean Abbreviated Injury Scale Score (AIS score) of the skier group was 4.5+/-2.1 and that of the snowboarder group was 5.9+/-5.0 (p=0.222). The percentage of helmet users was 7.1% among skiers and 20.8% among snowboarders (p=0.346). Head injuries were composed of cerebral concussion (92.0%) and intracranial hemorrhage (8.0%). Intracranial hemorrhage was most frequently caused by falling down (62.5%). CONCLUSION: The most common type of head injury to skiers and snowboarders was cerebral concussion, and severe damage was usually caused by jumping and falling down. No differences in the characteristics of the head injuries existed between skiing and snowboarding injuries.
