Lower extremity equipment-related injuries are the most significant injury group in alpine skiing. The lower extremity equipment-related injuries occurring at four Norwegian ski resorts were studied during the winter of 1985 to 1986. A total of 132 skiers with injuries were included (40% of all injured skiers) and compared with a randomly selected control population of 316 uninjured skiers. The most common lower extremity equipment- related injuries were knee sprains (56%) and lower leg fractures (14%), usually caused by no or late binding release.
Significantly more lower extremity equipment-related injuries (33%) than other skiing injuries (19%) needed hospital admittance. Children below 10 years had a risk of lower leg fractures nine times that of skiers beyond 20 years. Beginners were six times more at risk for a lower extremity equipment-related injury than skiers of higher skiing abilities. The following factors were also associated with a significantly increased risk for a lower extremity equipment-related injury: less than three skiing seasons, no skiing instruction, and no self-testing of the bindings.
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References
1.
Asang E., Hauser W., Nagel A., et al: Skifahren-aber mit sicherer Ausrüstung, Munich, Bayerisches Staatsministerium fur Arbeit und Sozialordnung, 1983, pp 1-68
2.
Ascherl R., Schlemmer H., Lechner F., et al: A ten year survey of skiing injuries, in Hauser W, Karlsson J, Magi M (eds): Ski Trauma and Skiing Safety IV. Munich, Publication Series of TUV-Edition, 1982 pp 153-163
3.
Bhattacharyya GK, Johnson RA: Statistical Concepts and Methods . New York, John Wiley & Sons , 1977, pp 441-444
4.
Bouter LM, Knipschild PG, Volovicx A.: Ability and physical condition in relation to injury risk in downhill skiing , in Bouter LM: Injury Risk in Downhill Skiing (Thesis), Haarlem, Uitgeverij De Vrieseborch, 1988, pp 30-47
5.
Danielsson K. , Eriksson E., Jonsson E., et al: Attempts to reduce the incidence of skiing injuries in Sweden, in Johnson RJ, Mote CD Jr (eds): Skiing Trauma and Safety: Fifth International Symposium, ASTM STP 860. Philadelphia, American Society for Testing and Materials , 1985, pp 326-337
6.
Ekeland A.: Forebyggelse av skiskader (Prevention of skiing injuries) (Editorial) Nord Med103: 3, 1988
7.
Ekeland A.: Injuries to advanced and expert skiers during summer skiing, in Johnson RJ, Hauser W, Karlsson J, et al (eds): Ski Trauma and Skiing Safety III. Munich , Publication Series of TÜV-Edition, 1982, pp 119-125
8.
Ekeland A., Holm A.: Injury and race completion rates in alpine competitions, in Johnson RJ, Mote CD Jr (eds): Skiing Trauma and Safety: Fifth International Symposium, ASTM STP 860. Philadelphia, American Society for Testing and Materials, 1985, pp 293-301
9.
Ekeland A., Holtmoen Å., Lystad H.: Skiing injuries in alpine recreational skiers, in Johnson RJ, Mote CD Jr, Binet MH (eds): Skiing Trauma and Safety: Seventh International Symposium, ASTM STP 1022. Philadelphia , American Society for Testing and Materials , 1989, pp 41-50
10.
Ekeland A., Holtmoen Å., Lystad H.: Skiing behavior of alpine recreational skiers, in Johnsson RJ, Mote CD Jr, Binet MH (eds): Skiing Trauma and Safety: Seventh International Symposium, ASTM STP 1022. Philadelphia , American Society for Testing and Materials , 1989, pp 85-93
11.
Ekeland A., Larsen SR, Tuxen AG, et al: Organization of skiing safety in Norway, in Johnson RJ, Mote CD Jr, Binet MH (eds): Skiing Trauma and Safety: Seventh International Symposium, ASTM STP 1022. Philadelphia, American Society for Testing and Materials , 1989, pp 342-353
12.
Ekeland A., Lund O.: Functional control of release bindings in uninjured Scandinavian skiers , in Hauser W, Karlsson J, Magi M (eds): Ski Trauma and Skiing Safety IV. Munich, Publication Series of TUV-Edition, 1982, pp 59-68
13.
Johnson RJ, Ettlinger CF, Shealy JE: Skier injury trends, in Johnson RJ , Mote CD Jr, Binet MJ (eds): Skiing Trauma and Safety: Seventh International Symposium ASTM STP 1022. Philadelphia, American Society of Testing and Materials, 1989, pp 25-31
14.
Garrick JG, Requa R.: The role of instruction in preventing ski injuries. Physician Sportsmed5: 57-59, 1977
15.
Gundersen TM: Comparative laboratory tests of release bindings for children and young skiers with special reference to the influence of boot material and boot sole length , in Mote CD Jr, Johnsson RJ (eds): Skiing Trauma and Safety: Sixth International Symposium, ASTM STP 938. Philadelphia , American Society for Testing and Materials , 1987, pp 188-201
16.
Hauser W., Asang E., Muller B.: Injury risk in alpine skiing, in Johnson RJ , Mote CD Jr (eds): Skiing Trauma and Safety: Fifth International Symposium, ASTM STP 860. Philadelphia, American Society for Testing and Materials , 1985, pp 338-348
17.
Johnson RJ, Ettlinger CF: Alpine ski injuries: Changes through the years. Clin Sports Med1: 181-197, 1982
18.
Johnson RJ, Pope MH: Safety in skiing, in Scott WN, Nisonson B, Nicholas JA (eds): Principles of Sports Medicine. Baltimore , Williams & Wilkins, 1984 , pp 367-374
19.
Johnson RJ, Pope MH, Ettlinger C.: Ski injuries and equipment function. J Sports Med6: 299-307, 1974
20.
Johnson RJ, Pope MH, Weisman G., et al: Knee injury in skiing: A multifaceted approach. Am J Sports Med7: 321-327, 1979
21.
Lindgren BW (ed): Statistical Theory. New York, MacMillan, 1968, pp 329-333
22.
Lystad H.: A one-year study of alpine ski injuries in Hemsedal, Norway, in Johnson RJ, Mote CD Jr (eds): Skiing Trauma and Safety: Fifth International Symposium, ASTM STP 860. Philadelphia , American Society for Testing and Materials , 1985 , pp 314-325
23.
Mills OS, Hull ML: Flexibility of the human knee as result of varus/valgus and axial moments in vivo, in Mote CD Jr, Johnson RJ (eds): Skiing Trauma and Safety: Eight International Symposium, ASTM STP 1104. Philadelphia, American Society for Testing and Materials , 1991, pp 35-56
24.
Moraeus L.: Report on a binding test in a lift queue at Sundsvall, Sweden. Orthop Clin North Am7: 149, 1976
25.
Nagel A., Mosch S.: Test devices for ski bindings sold in sports shops: State of the art and future development, in Mote CD Jr, Johnson RJ (eds): Skiing Trauma and Safety: Sixth International Symposium, ASTM STP 938. Philadelphia, American Society for Testing and Materials , 1987, pp 217-224
26.
Shealy JE: Overall analysis of NSAA/ASTM data on skiing injuries for 1978 through 1981 , in Johnson RJ, Mote CD Jr (eds): Skiing Trauma and Safety: Fifth International Symposium, ASTM STP 860. Philadelphia , American Society for Testing and Materials , 1985, pp 302-313
27.
Ungerholm S. , Gustavsson J.: Skiing safety in children: A prospective study of downhill skiing injuries and their relation to the skier and his equipment. Int J Sports Med6: 353-358, 1985
