Abstract

A central ski patrol-based registration of skiing and boarding injuries was performed by the Norwegian Ski Lift Association during the winter seasons 2002/2003 and 2003/2004. Totals of 7252 injured skiers/boarders and 4.884 million skier/boarder days were recorded during the two seasons, giving an injury rate of 1.5 injured per 1000 skier/boarder days. Most of the injuries occurred during alpine skiing (49 %) and snowboarding (43 %), whereas telemark skiing and skiboarding each accounted for 4 % of the injuries. Wrist injuries were common among injured snowboarders (28 %) compared to only 6 % for skiboarders and 4 % each for alpine and telemark skiers (P<0.001). The knee was the main injury location in alpine skiers (25 %) compared to 19 % among skiboarders, 12 % among telemarkers, and only 7 % among snowboarders (P<0.001), but the percentage of knee injuries was almost twice as high for females compared to males, both in skiers and snowboarders (P<0.001). As percent of all injuries, injured snowboarders suffered more fractures (35 %) than skiboarders (30 %), telemark (24 %) and alpine skiers (22 %) (P<0.001), but fracture of the lower leg was uncommon among snowboarders (1 %) and telemarkers (2 %) compared to alpine skiers (7 %) and skiboarders (15 %) (P<0.001). Lower leg fractures accounted for 4 % of the injured alpine skiers 20 years and older and adolescents aged 13–19 years compared to 15 % for children 12 years and younger (P<0.001). Nineteen percent of the skiers/boarders were injured in snowboarder parks, and these injuries were more severe than those occurring at other locations. In conclusion, injured alpine skiers were most prone to knee injuries, and skiboarders to lower leg fractures. This fracture was still a common injury for children in these two disciplines. Injured snowboarders were most prone to suffer wrist injuries. The percentage of knee injuries among females was almost twice that of males both in skiers and snowboarders. Injuries sustained in snowboarder parks were more severe than other injuries on the slope.

References

1.
Ueland
,
Ø.
, and
Kopjar
,
B.
, “
Occurrence and Trends in Skiing Injuries in Norway
,”
Br. J. Sports Med.
 0306-3674, Vol.
32
, No.
4
,
1998
, pp.
299
-
303
.
2.
Ekeland
,
A.
, and
Rødven
,
A.
, “
Injuries in Alpine Skiing, Telemarking, and Snowboarding
,”
Skiing Trauma and Safety: 13th Volume
, ASTM STP 1397,
R. J.
Johnson
,
P.
Zucco
, and
J. E.
Shealy
, eds.,
ASTM International
,
West Conshohocken, PA
,
2000
, pp.
87
-
94
.
3.
Ekeland
,
A.
, and
Rødven
,
A.
, “
Injuries in Alpine Skiers, Telemarkers and Snowboarders at Norwegian Ski Resorts
,”
Skiing Trauma and Safety, 14th Volume
, ASTM STP 1440,
R. J.
Johnson
,
M. K.
Lamont
, and
J. E.
Shealy
, eds.,
ASTM International
,
West Conshohocken, PA
,
2003
, pp.
97
-
104
.
4.
Sulheim
,
S.
, and
Rødven
,
A.
, “
Injury Rates and Injury Types in Alpine skiing, Telemarking and Snowboarding
,”
Skiing Trauma and Safety, 15th Volume
, ASTM STP 1464,
R. J.
Johnson
,
J. E.
Shealy
, and
M. G.
Ahlbäumer
, eds.,
ASTM International
,
West Conshohocken, PA
,
2005
, pp.
31
-
39
;
J. ASTM Int.
 1546-962X, Vol
2
, No.
5
,
2005
.
5.
Langran
,
M.
, and
Selvaraj
,
S.
, “
Snow Sports Injuries in Scotland. A Case-control Study
,”
Br. J. Sports Med.
 0306-3674, Vol.
36
, No.
2
,
2002
, pp.
135
-
140
.
6.
Greenwald
,
R. M.
,
Nesshoever
,
M.
, and
Boynton
,
M. D.
, “
Ski Injury Epidemiology: A Two Years Epidemiology Study of Injuries with Skiboarders
,”
Skiing Trauma and Safety: 14th Volume
, ASTM STP 1440,
R. J.
Johnson
,
M.
Lamont
, and
J. E.
Shealy
, eds.,
ASTM International
,
West Conshohocken, PA
,
2003
, pp.
113
-
120
.
7.
Ekeland
,
A.
,
Holtmoen
,
Å.
, and
Lystad
,
H.
, “
Lower Extremity Equipment-Related Injuries in Alpine Recreational Skiers
,”
Am. J. Sports Med.
 0363-5465, Vol.
21
, No.
2
,
1993
, pp.
201
-
205
.
8.
Sulheim
,
S.
,
Bahr
,
R.
, and
Ekeland
,
A.
, “
Self-estimation of Ability Among Skiers and Snowboarders in Alpine Skiing Resorts
,”
15th International Congress on Ski Trauma and Skiing Safety
,
St. Moritz
, April 27–May 2, 2003, Abstract in Abstract Book, p.
S1
-
7
.
9.
Johnson
,
R. J.
,
Ettlinger
,
C. F.
, and
Shealy
,
J. E.
, “
Lower Extremity Injuries Involving Traditionally Skis versus Short Skis with Non-release Bindings
,”
Skiing Trauma and Safety: 14th Volume
, ASTM STP 1440,
R. J.
Johnson
,
M. H.
Lamont
and
J. E.
Shealy
, eds.,
ASTM International
,
West Conshohocken, PA
,
2003
, pp.
105
-
112
.
10.
Rønning
,
R.
,
Gerner
,
T.
, and
Engebretsen
,
L.
, “
The Efficacy of Wrist Protectors in Preventing Snowboarding Injuries
,”
Am. J. Sports Med.
 0363-5465, Vol.
29
, No.
5
,
2001
, pp.
581
-
585
.
11.
Made
,
C.
, and
Elmquist
,
L.-G.
, “
A 10-years Study of Snowboard Injuries in Laland Sweden
,”
Scand. J. Med. Sci. Sports
 0905-7188, Vol.
14
,
2004
, pp.
128
-
133
.
12.
Binet
,
M. H.
,
Laporte
,
J. D.
, and
Constans
,
D.
, “
The French Skiing Safety Network
,”
15th International Congress on Ski Trauma and Skiing Safety
,
St. Moritz
, April 27–May 2, 2003, Abstract in Abstract Book, p.
E1
-
6
.
13.
Shealy
,
J. E.
, and
Ettlinger
,
C. F.
, “
Gender-related Injury Patterns in Skiing
,”
Skiing Trauma and Safety: 10th Volume
, ASTM STP 1266,
C. D.
Mote
, Jr.
,
R. J.
Johnson
,
W.
Hauser
, and
P. S.
Schaff
, eds.,
ASTM International
,
West Conshohocken, PA
,
1996
, pp.
45
-
57
.
14.
Cadman
,
R.
, and
Macnab
,
A. J.
, “
Age and Gender: Two Epidemiological Factors in Skiing and Snowboarding Injuries
,”
Skiing Trauma and Safety, 10th Volume
, ASTM STP 1266,
C. D.
Mote
, Jr.
,
R. J.
Johnson
,
W.
Hauser
, and
P. S.
Schaff
, eds.,
ASTM International
,
West Conshohocken, PA
,
1996
, pp.
58
-
65
.
15.
Laporte
,
J. D.
,
Binet
,
M. H.
, and
Constans
,
D.
, “
Evolution of ACL Ruptures in French Ski Resorts 1992–1999
,”
Skiing Trauma and Safety: 13th Volume
, ASTM STP 1397.
R. J.
Johnson
,
P.
Zucco
, and
J. E.
Shealy
, eds.,
ASTM International
,
West Conshohocken, PA
,
2000
, pp.
95
-
107
.
16.
Arendt
,
E.
, and
Dick
,
R.
, “
Knee Injury Patterns Among Men and Women in Collegiate Basketball and Soccer
,”
Am. J. Sports Med.
 0363-5465, Vol.
23
, No.
4
,
1995
, pp.
694
-
701
.
17.
Goulet
,
C.
,
Réginer
,
G.
,
Grimard
,
G.
,
Valois
,
P.
, and
Villeneuve
,
P.
, “
Risk Factors Associated with Alpine Skiing Injuries in Children
,”
Am. J. Sports Med.
 0363-5465, Vol.
27
, No.
5
,
1999
, pp.
644
-
650
.
18.
Deibert
,
M. C.
,
Aronsson
,
D. D.
,
Johnson
,
R. J.
,
Ettlinger
,
C. F.
, and
Shealy
,
J. E.
, “
Skiing Injuries in Children, Adolescents and Adults
,”
J. Bone Jt. Surg., Am. Vol.
 0021-9355, Vol.
80-A
, No.
1
,
1998
, pp.
25
-
32
.
19.
Shealy
,
J. E.
,
Ettlinger
,
C. F.
, and
Johnson
,
R. J.
, “
Using Signal Detection Theory as a Model to Evaluate Release/Retention Criteria in Alpine Skiing
,”
Skiing Trauma and Safety: 15th Volume
, ASTM STP 1464,
R. J.
Johnson
,
J. E.
Shealy
, and
M. G.
Ahlbäumer
, eds.,
ASTM International
,
West Conshohocken, PA
,
2005
, pp.
1
-
12
,
and
J. ASTM Int.
 1546-962X
2005
, Vol.
2
., No.
7
,
2005
.
20.
Ettlinger
,
C. F.
,
Shealy
,
J. E.
, and
Johnson
,
R. J.
, “
Methods for Improving the Efficiency of Alpine Ski Equipment Rental Operations
,”
Skiing Trauma and Safety: 15th Volume
, ASTM STP 1464,
R. J.
Johnson
,
J. E.
Shealy
, and
M. G.
Ahlbäumer
, eds.,
ASTM International
,
West Conshohocken, PA
,
2005
, pp.
13
-
22
,
and
J. ASTM Int.
 1546-962X, Vol.
2
, No.
9
,
2005
.
21.
Ekeland
,
A.
, and
Nordsletten
,
L.
, “
Equipment-related Injuries in Skiing Recommendations
,”
Sports Med.
 0112-1642, Vol.
17
, No.
5
,
1994
, pp.
283
-
287
.
22.
Jørgensen
,
U.
,
Fredensborg
,
T.
,
Haraszuk
,
J. P.
, and
Crone
,
K. L.
, “
Reduction of Injuries in Downhill Skiing by Use of an Instructional Ski Video: A Prospective Randomized Intervention Study
,
Knee Surg. Sports Traumatol. Arthrosc
 0942-2056, Vol.
6
,
1998
, pp.
194
-
200
.
23.
Ekeland
,
A.
,
Crockett
,
L. J.
, and
Shamoo
,
A. E.
,
Sports Medicine for Coaches and Athletes — Skiing
.
Harwood Academic Publishers
,
Amsterdam
,
2000
, pp.
61
-
73
.
24.
Goulet
,
C.
,
Hagel
,
B.
,
Hamel
,
D.
, and
Légaré
,
G.
, “
Severity of Ski Patrol Reported Injuries Sustained by Skiers and Snowboarders in Snow Parks Compared With Other Slopes in Quebec From 1999 to 2004
,”
Br. J. Sports Med.
 0306-3674, Vol.
39
, No.
6
,
2005
, pp. 387.
25.
Sulheim
,
S.
,
Ekeland
,
A.
, and
Bahr
,
R.
, “
Helmets Reduce the Risk of Head Injuries in Alpine Skiing Disciplines and Snowboarding
,”
Br. J. Sports Med.
 0306-3674, Vol.
39
, No.
6
,
2005
, pp. 403.
26.
Sulheim
,
S.
,
Holme
,
I.
,
Ekeland
,
A.
, and
Bahr
,
R.
, “
Helmet Use and Risk of Head Injuries in Alpine Skiers and Snowboarders
,”
J. Am. Med. Assoc.
 0098-7484, Vol.
295
, No.
8
,
2006
, pp.
919
-
924
.
This content is only available via PDF.
You do not currently have access to this content.