ABSTRACT'The frequency of abdominal injury is rising. In an analysis of 1,354 cases of closed abdominal trauma sustained during a 30-year period in Skaraborg County, Sweden, a distinct increase was found in the numbers associated with sporting activities. The severity of the injuries caused by sports likewise showed an increase. The representation of injured organs was of the same order as in the total series of dosed abdominal injuries. An analysis of the 136 cases of sports-associated injury is presented with regard to cause and type of the injuries, diagnosis and prognosis.
INTRODUCTIONSports-associated injuries, primarily orthopaedic, have been discussed in many published studies. None so far has focused on abdominal injury.A review of abdominal injuries over a 30-year period in the Swedish county of Skaraborg showed a clear increase in sporting activities as causal factors (Bergqvist et al, 1981 Statistics from the regional Amateur Athletic Federation showed that the number of sports clubs in the region doubled from 600 during the period of the review. The concomitant overall increase in membership was five-fold, from 45,000 to 242,000 while football club membership increased four-fold, from 17,500 to 70,000. RESULTS An appreciable increase was found in the number of persons incurring abdominal trauma from sporting activities during the 30-year review period (Fig. 1). Of the 136 injured persons, only 21 (16%) were female.Horse-riding accounted for 11 of these 21 accidents and was the only sport in which more than half of the injured persons were female. The dominant age group was 10 to 20 years (Fig. 2). Only a few patients were older than 35 years.The seasonal incidence of the injuries was highest in the month of May, but there was a minor peak in 76 on 7 June 2019 by guest. Protected by copyright.