
@article{ref1,
title="Snowboarding-Related Abdominal Trauma in Children",
journal="Pediatric emergency care",
year="2012",
author="McCrone, Alison B. and Lillis, Kathleen and Shaha, Steven H.",
volume="28",
number="3",
pages="251-253",
abstract="OBJECTIVE: Our aim was to identify the demographics, mechanism, and patterns of injury in children presenting with snowboarding injuries. METHODS: We conducted a retrospective chart review on children aged 6 to 21 years presenting to our level 1 pediatric trauma center between January 2000 and March 2007 with snowboarding-related injury. E-codes for snowboarding injuries identified patients. Statistical analyses included χ and t tests. RESULTS: Our study identified 213 patients, of whom 79% were male and 55% were in the 12- to 14-year age group. Presenting injuries included those to the head/neck (27%), trunk (19%), upper extremity (58%), or lower extremity (10%). Of the children with abdominal trauma, 74% involved injury to the abdominal organs, most commonly the spleen (n = 11). Falls from an elevation of more than 3 ft were not significantly associated with organ injury. Females were more likely to have pelvic injury (P < 0.001), and males were more likely to have abdominal injury (P < 0.001). Males were more likely to have fractures (P < 0.01) and less likely to have a head injury (P < 0.05). Younger children aged 6 to 14 years were more likely to have abdominal injury (P < 0.05), whereas older patients aged 15 to 21 years were more likely to have pelvic injury (P < 0.05). There is a significant relationship between fractures or dislocations of the upper extremity and associated abdominal or pelvic trauma (P = 0.003). CONCLUSIONS: Young male snowboarders are at risk for having abdominal organ injury and upper extremity injury. There is a high incidence of children presenting with both upper extremity and abdominal trauma after a fall while snowboarding.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0b013e3182494ee8",
url="http://dx.doi.org/10.1097/PEC.0b013e3182494ee8"
}