To describe the patterns of protective equipment use by in-line skaters in Winnipeg, Manitoba and nearby rural communities.
In-line skaters were observed for three months in 1996 at 190 urban and 30 rural sites selected using a formal sampling scheme. Age, gender, protective equipment use, skating companions, correct helmet use, and use of headphones were recorded.
Altogether 123 in-line skaters were observed at 61 sites, including one rural site. No skaters were observed at the remaining sites. There were 37 adults and 86 children; 56% were male. Helmet use was 12.2% (95% confidence interval (CI) = 6.4% to 18.0%), wrist guard use was 16.3% (95% CI = 9.7% to 22.8%), knee pad use was 9.8% (95% CI = 5.2% to 16.4%), and elbow pad use was 7.3% (95% CI = 3.4% to 13.4%). Children were more likely to wear a helmet than teens 12-19 years of age (relative risk (RR) = 30, 95% CI = 4.01 to 225). Adults were more likely to wear wrist guards than children (RR = 4.32, 95% CI = 1.87 to 9.94). No gender differences were found. Incorrect helmet use was documented in four skaters; three skaters were wearing headphones.
Low rates of protective equipment use were documented in our region, significantly lower than those reported in the literature. Barriers to equipment use are not known, and should be examined by further study. In-line skating safety programs should be developed, promoted, and evaluated. Teens should be targeted for future preventive efforts.
INTRODUCTION: Before the new temporary ice rink in Esbjerg was built, opponents feared that it would disproportionately increase the number of traumas needing medical care at the hospital. The reason for this concern was that it was built with ramps. MATERIAL AND METHODS: During the winter of 2004 an estimated 30,000 people visited the two ice rinks in Esbjerg. The temporary rink had ramps, whereas the permanent rink had no ramps. A total of 104 persons were injured and needed treatment at the emergency room of orthopaedic surgery. They all received a questionnaire in order to obtain information about a) whether the accident took place on one or the other ice rink, and b) how frequently safety equipment was used. RESULTS: The answers from the questionnaire were used along with information obtained from the emergency room journals. We wanted to establish if accidents on the temporary ice rink were more serious or if the proportion of injuries was higher compared to accidents on the permanent ice rink. DISCUSSION: There was no significant difference in the number of injuries or in the severity of the traumas resulting from skating on the temporary ice rink compared with the permanent rink. Only 4% used safety equipment. CONCLUSION: Having ramps on the ice rink produced no significant increase in the proportion of injuries, nor did it produce more severe traumas. Safety equipment protecting hand and wrist would probably decrease the number of soft tissue injuries presented at hospital.
Rollerskating is an activity that has become increasingly popular over the past several years among children and adults in Denmark. During a 7-month period in 1997, 300 in-line skaters and 107 roller skaters were treated in the Emergency Department, Esbjerg County Hospital. Of these, 60.4% had minor injuries (sprains, bruises, lacerations) and 39.6% fractures. There was no statistical significant difference in the types of injury between skater groups. The most common serious injury was fracture of the wrist, which occurred in both skater groups (25%, n=102). Almost all of the fractures of the wrist and elbow occurred among skaters who did not wear wrist or elbow guards Only 20% of the skaters used protective equipment. In-line skaters used protective equipment more often than did roller skaters. Of all accidents, 69% occurred on public roads (street and sidewalk).
Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC), US Public Health Service, US Department of Health and Human Services, Atlanta, GA 30341, USA. firstname.lastname@example.org
OBJECTIVE: To describe the injury pattern of skateboarding injuries today. METHODS: The pattern of injuries, circumstances, and severity were investigated in a study of 139 people injured in skateboarding accidents during 1995 through 1998 inclusive and admitted to the University Hospital of Umeå, Umeå, Sweden. This is the only hospital in the area, serving a population of 135,000. RESULTS: Of the 139 injured, 3 were pedestrians hit by a skateboard rider; the rest were riders. The age range was 7 to 47 years (mean, 16.0). The severity of the injuries was minor (Abbreviated Injury Scale 1) to moderate (Abbreviated Injury Scale 2); fractures were classified as moderate. The annual number of injuries increased during the study period. Fractures were found in 29% of the casualties, and four children had concussion. The most common fractures were of the ankle and wrist. Older patients had less severe injuries, mainly sprains and soft tissue injuries. Most children were injured while skateboarding on ramps and at arenas; only 12 (9%) were injured while skateboarding on roads. Some 37% of the injuries occurred because of a loss of balance and 26% because of a failed trick attempt. Falls caused by surface irregularities resulted in the highest proportion of the moderate injuries. CONCLUSIONS: Skateboarding should be restricted to supervised skateboard parks, and skateboarders should be required to wear protective gear. These measures would reduce the number of skateboarders injured in motor vehicle collisions, the personal injuries among skateboarders, and the number of pedestrians injured in collisions with skateboarders.
In-line skating, also known as rollerblading, is an increasingly popular recreational activity that carries with it the potential for injury. As reported in the Canadian Hospitals Injury Reporting and Prevention Program database (CHIRPP), 194 children were injured while in-line skating. Fractures to the radius and ulna were the most common type of injury sustained (57.5%), followed by lacerations and abrasions (14.9%). Five children had concussions and very few children reported wearing protective gear such as a helmet or wrist, elbow and knee protectors. Compared to the database overall, in-line skaters suffered more severe injuries and were more likely to require follow-up treatment. Safety implications in relation to protective gear and learning the sport of in-line skating are discussed.
INTRODUCTION: Since the beginning of the nineties, skate-boards, in-liners, roller skates, and during the past years non-powered scooters have gained increasing popularity. This surge of enthusiasm has resulted in an increasing number of injuries involving scooters. MATERIAL AND METHODS: The subject of our study was to ascertain injuries resulting from scooter usage based on consecutive sampling of patients treated at the casualty department of Odense University Hospital in Denmark between January 1st 1996 and December 31st 2001. RESULTS: 162 patients were registered. 86% of the injuries occurred in the years 2000 and 2001. The major part took place among children under the age of fifteen (93% of all). 94% of the injuries were sustained because the person tumbled when scooting. The injuries were distributed as follows: skull/face 51 (32%), upper extremity 78 (48%), lower extremity 31 (17%), and trunk 2 (1%). 43 persons sustained a fracture of which 32 (74%) were located to the upper extremity. DISCUSSION: Based on the distribution of severe injuries by body regions the results advocates usage of wrist protection at all ages when using a scooter, and parents are advised to restrict usage of scooters to children above the age of eight. Furthermore the study underlines the need for precise registration and code procedures in the emergency room. Otherwise injuries resulting from new products or behaviours cannot be identified.
Since 2000, a substantial increase in injuries related to nonmotorized scooters (kickboards) has been observed among children. The authors conducted a population-based prospective study to characterize these injuries in comparison with skateboard-related injuries during the same period.
Little is known about the pattern of injury in short track speed skating.
To investigate the incidence and characteristics of injuries in short track speed skating.
Ninety-five of 150 elite-level skaters (63.3%) were surveyed to collect information on training and competition load as well as on injuries sustained during the 1999-2000 competitive season. Injuries were characterized in terms of anatomic location, type of injury, time loss from training and competition, and circumstance of injury (acute onset during competition, on-ice practice, off-ice training, or insidious onset).
Sixty-one of the 95 skaters (64.2%) reported sustaining at least one injury. The knee, ankle, spine, leg, and groin were the most commonly reported sites of injury. Skaters were also asked to list previous on-ice injuries. The two most common injuries occurring on-ice before the 1999-2000 season were lacerations from the knee down (11.1%) and ankle fractures (10.2%).
The results of this study suggest that there is a high incidence of injury in competitive short track speed skating.
In-line skating injuries have increased in recent years. Hospital based data from UmeÃ¥ concerning 135 persons injured in in line skating collisions were analyzed. The highest yearly incidence of injury was found in males 10-19 years of age, at 1.7 per 1,000 inhabitants; the corresponding figure for females was 0.5. Two-thirds of incidents were caused by falls due to balance problems without the influence of any "external factor" such as rough road surfaces. No collisions with motor vehicles or other road users were registered. Nearly half of the injuries were fractures or dislocation injuries, most frequently of the upper extremities. Non-minor head injuries were rare. Protective gear for wrist and elbow may have the potential to reduce these injuries.