스노보드 손상 환자에 있어서 손목 손상의 특성 (Characteristics of Wrist Injuries in Snowboarding)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 22권 / 1호 / 29 ~ 36페이지
· 저자명 : 김영준, 이강현, 차경철, 김현, 황성오, 오진록

초록

Purpose: The purpose of this study was to analyze the characteristics and severity of wrist injuries in snowboarding.
Methods: December 2005 to February 2008, Snowboarders who experienced wrist injures were included in
this study. On the basis of the medical records and radiographic evaluation, the severity of distal radius fracture
was classified according to the Arbeitsgemeinschaft fu¨ r Osteosynthesefragen/Association for the Study of
Internal Fixation (AO/ASIF) classification.
Results: Most of the injured snowboarders were a either of the beginner (35 cases, 46.1%) or the intermediate
(27 cases, 35.5%) level. The most common cause of injury in snowboarding was a slip down (60 cases,
78.9%). Comminuted and articular fractures classified as AO types A3, B, and C, which required surgical
reduction, made up 42.3% of the distal radial fractures in snowboarders. When we analyzed the differences in
severity between the educated and the non-educated groups, an A2 type injury in the AO classification was the
most common type of injury in the educated group (20 cases, 38.5%), it means less severe fractures ocurred in
the educated group (p=0.045). The most frequent injury mechanism of fractures was slip down (48 cases,
63.2%), and a slip down backwards was the dominant type of slip down (36 cases, 75.0%) (p=0.031).
Conclusion: Among the snowboarders in this study who suffered self-down injury to the wrist, more fractures
were associated with a backwards slip down than with a forward slip down due to over extension. For
educated snowboarders the severity of fracture was lower than it was for uneducated snowboarders.

영어초록

Purpose: The purpose of this study was to analyze the characteristics and severity of wrist injuries in snowboarding.
Methods: December 2005 to February 2008, Snowboarders who experienced wrist injures were included in
this study. On the basis of the medical records and radiographic evaluation, the severity of distal radius fracture
was classified according to the Arbeitsgemeinschaft fu¨ r Osteosynthesefragen/Association for the Study of
Internal Fixation (AO/ASIF) classification.
Results: Most of the injured snowboarders were a either of the beginner (35 cases, 46.1%) or the intermediate
(27 cases, 35.5%) level. The most common cause of injury in snowboarding was a slip down (60 cases,
78.9%). Comminuted and articular fractures classified as AO types A3, B, and C, which required surgical
reduction, made up 42.3% of the distal radial fractures in snowboarders. When we analyzed the differences in
severity between the educated and the non-educated groups, an A2 type injury in the AO classification was the
most common type of injury in the educated group (20 cases, 38.5%), it means less severe fractures ocurred in
the educated group (p=0.045). The most frequent injury mechanism of fractures was slip down (48 cases,
63.2%), and a slip down backwards was the dominant type of slip down (36 cases, 75.0%) (p=0.031).
Conclusion: Among the snowboarders in this study who suffered self-down injury to the wrist, more fractures
were associated with a backwards slip down than with a forward slip down due to over extension. For
educated snowboarders the severity of fracture was lower than it was for uneducated snowboarders.

참고자료

· 없음