We studied the injury mechanism and prophylaxis from a characteristic of severe head injury patients by a ski.
We reviewed patient background, the situation for head trauma of 62 cases (7.1%) accompanied with organic lesion out of 877 skiing head injury patients for 1995/96 – 2003/04 seasons. The patient ages were 7 – 64 years old, an average of 29.7 ± 13.1 years old. They were male 43, female 19 in gender. 62 lesions (62 cases) consisted of cranio-facial fracture 29, brain contusion 10, acute subdural hematoma 8, subarachnoid hemorrhage 5, maxillary sinus hematoma 5, epidural hematoma 3, intracerebral hemorrhage 2.
The predominant features of ski-related severe head injury: Intermediate skier hit a forehead (p<0.0001) significantly by collision at a middle slope about cranio-facial fracture. Brain contusion was a similar tendency, but merged amnesia (p=0.004) significantly. Intermediate skier was accompanied with amnesia (p=0.0241) in fall about acute subdural hematoma, there were significantly much temporal lesion (p=0.0397) or missing lesion (p=0.0243) on head impact site. A craniotomy was performed in subdural hematomas 5, epidural hematoma one case, and outcomes of the former was SD 1, VS 2, D 2, and the latter was G. Fall cases were not accompanied with brain contusion and collision cases were accompanied with brain contusion in acute subdural hematoma cases.
These results suggest linear impact occurs in a collision injury, rotatory force occurs during a fall injury. Improvement of a manner is desirable for prevention of collision.
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