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Telken W, Solberg J, Raymond M. Snocross “Shark-bite” Laceration. Clin Pract Cases Emerg Med 2022; 6:268-269. [PMID: 36049196 PMCID: PMC9436498 DOI: 10.5811/cpcem2022.6.57128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 06/09/2022] [Indexed: 11/11/2022] Open
Abstract
Case Presentation A snowmobile racer fell from his sled and was run over by another, sustaining “shark bite” to his hand and leg. He was evacuated to a trackside medical trailer where the characteristic wounds were felt to require further exploration at a hospital. Discussion “Shark bite” is a colloquial term for lacerations sustained from metal studs attached to a snowmobile’s track. “Shark-bite” lacerations may be more prone to complications than other lacerations commonly sustained in motorsports events.
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Affiliation(s)
- Wyatt Telken
- University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota
| | - Jon Solberg
- University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota
| | - Mark Raymond
- University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota
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Hurt J, Graf A, Dawes A, Toston R, Gottschalk M, Wagner E. Winter sport musculoskeletal injuries: epidemiology and factors predicting hospital admission. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY : ORTHOPEDIE TRAUMATOLOGIE 2022:10.1007/s00590-022-03322-y. [PMID: 35943590 DOI: 10.1007/s00590-022-03322-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 06/15/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Participation in winter sports such as skiing, snowboarding and snowmobiling is associated with risk of musculoskeletal injury. The purpose of our study was to describe and quantify emergency department encounters associated with these sports. METHODS The National Electronic Injury Surveillance System (NEISS) was queried for skiing-, snowboarding- and snowmobiling-related injuries from 2009 to 2018. Patient demographics and disposition data were collected from emergency department encounters. Descriptive statistics were utilized to describe the trends in injuries from each sport and factors associated with the sports-specific injuries. RESULTS From 2009 to 2018, there were an estimated 156,353 injuries related to snowboarding, skiing, or snowmobiling. Estimated injury incidence per 100,000 people decreased over time for skiing (3.24-1.23), snowboarding (3.98-1.22,) and snowmobiling (0.71-0.22,). The most common injury location by sport was shoulder for skiing (29.6%), wrist for snowboarding (32.5%) and shoulder for snowmobiling (21.9%), with fractures being the most common diagnosis. Only 4.5% required admission to the hospital. Fracture or dislocation was associated with highest likelihood of hospital admission (OR 42.34; 95% CI 22.59-79.37). Snowmobiling injuries (OR 1.63; 95% CI 1.20-2.22) and white race (OR 1.42; 95% CI 1.17-1.72) were also both associated with increased risk of hospital admission. CONCLUSIONS Upper extremity injuries, particularly those involving fractures, were more common than lower extremity injuries for all three sports, with the shoulder being the most common location of injury for skiing and snowmobiling. This study can serve as the foundation for future research in sports safety and health policy to continue the declining trend of musculoskeletal injuries in the future. LEVEL OF EVIDENCE III.
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Affiliation(s)
- John Hurt
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA
| | - Alexander Graf
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA
| | - Alex Dawes
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA
| | - Roy Toston
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA
| | - Michael Gottschalk
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA
| | - Eric Wagner
- Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
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Goldwag JL, Porter ED, Wilcox AR, Li Z, Tosteson TD, Crockett AO, Wolffing AB, Mancini DJ, Martin ED, Scott JW, Briggs A. Geriatric Snowmobile Trauma: Longer Courses After Similar Injuries. J Surg Res 2021; 262:85-92. [PMID: 33549849 DOI: 10.1016/j.jss.2020.12.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 11/28/2020] [Accepted: 12/28/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Snowmobiling is a popular activity that leads to geriatric trauma admissions; however, this unique trauma population is not well characterized. We aimed to compare the injury burden and outcomes for geriatric versus nongeriatric adults injured riding snowmobiles. MATERIALS AND METHODS A retrospective cohort study was performed using the National Trauma Databank comparing nongeriatric (18-64) and geriatric adults (≥65) presenting after snowmobile-related trauma at level 1 and 2 trauma centers from 2011 to 2015. Demographic, admission, injury, and outcome data were collected and compared. A multivariate logistic regression model assessed for risk factors associated with severe injury (Injury Severity Score >15). Analysis was also performed using chi square, analysis of variance, and Kruskal-Wallis testing. RESULTS A total of 2471 adult patients with snowmobile trauma were identified; 122 (4.9%) were geriatric. Rates of severe injury (Injury Severity Score >15) were similar between groups, 27.5% in geriatric patients and 22.5% in nongeriatric adults (P = 0.2). Geriatric patients experienced higher rates of lower extremity injury (50.4 versus 40.3%, P = 0.03), neck injury (4.1 versus 1.4%, P = 0.02), and severe spine injury (20.6 versus 7.0%, P = 0.004). Geriatric patients had longer hospitalizations (5 versus 3 d, P < 0.0001), rates of discharge to a facility (36.8% versus 12%, P < 0.0001), and higher mortality (4.1 versus 0.6%, P < 0.0001). Geriatric age did not independently increase the risk for severe injury. CONCLUSIONS Geriatric age was not a significant predictor of severe injury after snowmobile trauma; however, geriatric patients suffered unique injuries, had longer hospitalizations, had higher rates of discharge to a facility, and had higher mortality. Tailored geriatric care may improve outcomes in this unique sport-related trauma population.
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Affiliation(s)
- Jenaya L Goldwag
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire
| | - Eleah D Porter
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire
| | - Allison R Wilcox
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire
| | - Zhongze Li
- Biomedical Data Science Department, Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire
| | - Tor D Tosteson
- Biomedical Data Science Department, Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire
| | - Andrew O Crockett
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire
| | - Andrea B Wolffing
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire
| | - D Joshua Mancini
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire
| | - Eric D Martin
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire
| | - John W Scott
- Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | - Alexandra Briggs
- Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire.
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