Objectives

Lacerations comprise 5.6–33.6% of skiing/snowboarding related injuries. This study aimed to investigate the mechanism of injury and the location of these lacerations and propose preventive measures.

Methods

After our state ethics committee approval, we retrospectively reviewed the medical records and surgical protocols of 46 patients (mean age (±SD) 34.6 (±15.3); 71.4% men) treated for severe skiing/snowboarding lacerations at our level-1 trauma centre between 2016 and 2021. Patients were asked to answer a questionnaire on their skiing experience, equipment used and the circumstances of the accident.

Results

Lacerations around the hip, thigh, and knee accounted for 94%. The latter was the most common location (45%). Although 91.3% of patients wore appropriate clothing and full standard protection equipment, it did not offer any extra-resistance against skiing/snowboarding's edges. Skiers were more affected (91.3%) than snowboarders (8.7%). The most common mechanism of injury was inadvertent release of the bindings (52.2%), followed by insufficient ski level for the slope (21.7%) and collisions (17.4%). Long-term trends demonstrated an increasing incidence.

Conclusion

Identification of body areas at risk and the mechanisms of injury were the most significant findings of this work. These data encourage the development of specific injury prevention programs as the occurrence of these lesions tended to increase over the last few years. To reduce their incidence, we propose skiers to have their bindings regularly adjusted and manufacturers to develop cut-resistant skiwear.

Level of evidence

IV.

中文翻译：

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滑雪和单板滑雪相关的深度撕裂伤。来自瑞士阿尔卑斯山一级创伤中心的五个季节横断面分析

目标

撕裂伤占滑雪/单板滑雪相关伤害的 5.6-33.6%。本研究旨在调查损伤机制和这些撕裂伤的位置，并提出预防措施。

方法

经国家伦理委员会批准后，我们​​回顾了 46 名患者（平均年龄 (±SD) 34.6 (±15.3)；71.4% 为男性）在一级创伤中心接受严重滑雪/单板滑雪撕裂伤治疗的病历和手术方案2016 年至 2021 年之间。患者被要求回答一份关于他们的滑雪经历、使用的设备和事故情况的问卷。

结果

臀部、大腿和膝盖周围的撕裂伤占 94%。后者是最常见的位置 (45%)。尽管 91.3% 的患者穿着合适的衣服和全套标准防护设备，但它没有提供任何额外的滑雪/单板滑雪边缘防护。滑雪者 (91.3%) 比单板滑雪者 (8.7%) 受到的影响更大。最常见的伤害机制是不慎松开固定器 (52.2%)，其次是斜坡的滑雪高度不足 (21.7%) 和碰撞 (17.4%)。长期趋势表明发病率在增加。

结论

识别处于危险中的身体区域和受伤机制是这项工作最重要的发现。这些数据鼓励制定特定的伤害预防计划，因为这些损伤的发生率在过去几年中呈上升趋势。为了减少它们的发生，我们建议滑雪者定期调整他们的固定器，并建议制造商开发耐切割的滑雪服。

证据等级

四、