Reduction of Severe Wrist Injuries in Snowboarding by an Optimized Wrist Protection Device: A Prospective Randomized Trial

Machold, W.; Kwasny, O.; Eisenhardt, Peter; Kolonja, A.; Bauer, Ewald; Lehr, Stephan; Mayr, Winfried; Fuchs, Martin

doi:10.1097/00005373-200203000-00016

Cited by 60 publications

(48 citation statements)

References 12 publications

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“…However, in another biomechanical analysis, Giacobetti et al [22] failed to prove the efficiency of wrist protectors in preventing wrist fractures in inline skating. In contrast, clinical studies in snowboarders and in-line skaters showed a significant reduction of wrist and forearm injuries with the use of wrist protectors [23][24][25]. Furthermore, these clinical studies did not find an increased number of proximal forearm fractures due to the use of wrist protectors.…”

Section: Head Injuries and Fractures According To Age Groupmentioning

confidence: 74%

Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system

Ostermann

Hofbauer

Tiefenboeck

et al. 2014

International Orthopaedics (SICOT)

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Section: Head Injuries and Fractures According To Age Groupmentioning

confidence: 74%

Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system

Ostermann

Hofbauer

Tiefenboeck

et al. 2014

International Orthopaedics (SICOT)

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“…In contrast to studies investigating a large number of risk factors with little depth, less frequently studies have gone into more depth focusing on a single factor such as physical condition [58] or ski binding factors [59][60][61]. Of the ten intervention studies (Table 1), six focused on education programmes [28,21,23,22,19,26], three on wrist brace interventions [24,25,27], and one on a ski binding adjustment intervention [20]. Data from six of the intervention studies and 49 of the risk factor studies could be used in the pooled odds ratio analyses.…”

Section: Resultsmentioning

confidence: 99%

“…Use of a customized wrist brace in a group of Austrian school children snowboarding showed a clear effect for reducing wrist fractures [25]. Comfort of the brace was noted as a hindrance to retention of the intervention.…”

Section: Effects Of Equipmentmentioning

confidence: 94%

Recreational Snow-Sports Injury Risk Factors and Countermeasures: A Meta-Analysis Review and Haddon Matrix Evaluation

et al. 2015

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Snow sports injuries risk factors and countermeasures 2 listed above qualify for authorship based on making one or more of the substantial contributions to the intellectual content of the manuscript.The opinions expressed are those solely of the authors and do not necessarily reflect those of the Accident Compensation Corporation, New Zealand. Abstract Background:Snow sports (alpine skiing/snowboarding) would benefit from easily implemented and cost effective injury prevention countermeasures that are effective at reducing injury rate and severity. Objective:For snow sports, to identify risk factors and to quantify evidence for effectiveness of injury prevention countermeasures. Methods:Searches of electronic literature databases to February 2014 identified 98 journal articles focused on snow sports that met inclusion criteria and were reviewed. Pooled odds ratios with 90% confidence interval and inferences (OR; 90%CI, % likelihood benefit/harm) were calculated using data from 55 studies using a spread sheet for combining independent groups with a weighting factor based on quality rating scores for effects. Results:More experienced skiers and snowboarders are more likely to sustain an injury as the result of jumps, while beginners sustain injuries primarily as a result of falls. Key risk factors that countermeasure interventions should focus on include beginner skiers (OR 2.72; 90%CI 2.15-3.44, 99% most likely harmful), beginner snowboarders (OR 2.66; 90%CI 2.08-3.40, 99% harmful), skiers/snowboarders who rent snow equipment (OR 2.58; 90%CI 1.98-3.37, 99% harmful) and poor visibility due to inclement weather (OR 2.69; 90%CI 1.43-5.07, 97% harmful). Effective countermeasures include helmets for skiers/snowboarders to prevent head injuries (OR 0.58; 90%CI 0.51-0.66, 99% most likely beneficial), and wrist guards for snowboarders to prevent wrist injuries (OR 0.33; 90%CI 0.23-0.47, 99% beneficial). Discussion:Snow sports injuries risk factors and countermeasures 3 The review identified key risk factors for snow sport injuries and evaluated the evidence for the effectiveness of existing injury prevention countermeasures in recreational (general public use of slopes, not racing) snow sports using a Haddon's matrix conceptual framework for injury causation (host/snow sport participant, agent/mechanism and environment/community). Conclusion:Best evidence for effectiveness of injury prevention countermeasures in recreational snow sports was for the use of helmets and wrist guards and to address low visibility issues via weather reports and signage.

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“…67 Prospective and retrospective studies in European snowboarders have show that wrist guards significantly decrease the incidence of wrist fractures and injuries. 68,69 There is some concern that wrist guards may just change the area of force transmission from a fall. They may produce a stress riser at their proximal edge, and one study reported open forearm fractures as a result of in-line skaters' using wrist guards.…”

Section: Wrist Injury Preventionmentioning

confidence: 99%

Management of Carpal Instability in Athletes

Slade

Milewski

2009

Hand Clinics

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Reduction of Severe Wrist Injuries in Snowboarding by an Optimized Wrist Protection Device: A Prospective Randomized Trial

Abstract: We recommend the use of a wrist protector, particularly for novices participating in this sport. As in other domains of medicine, preventive measures can decrease morbidity also in terms of sport injuries.

Cited by 60 publications

References 12 publications

Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system

Injury severity in ice skating: an epidemiologic analysis using a standardised injury classification system

Recreational Snow-Sports Injury Risk Factors and Countermeasures: A Meta-Analysis Review and Haddon Matrix Evaluation

Management of Carpal Instability in Athletes

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