TY - BOOK AU - Milzman, David TI - Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic SN - 1080-6032 KW - *Athletic Injuries/cl [Classification] KW - *Athletic Injuries/ep [Epidemiology] KW - *Skiing/in [Injuries] KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - Montana KW - Prospective Studies KW - Questionnaires KW - Seasons KW - Young Adult KW - MedStar Washington Hospital Center KW - Emergency Medicine KW - Journal Article N1 - Available online from MWHC library: 1995 - present N2 - CONCLUSIONS: At this mountainside clinic, the most frequent ski injuries are to the knee and shoulder, regardless of skill level. Beginning snowboarders most frequently injure their wrists whereas shoulder injuries remain frequent at all skill levels. Knowledge of these injury patterns may help manage patients who present for medical care in the prehospital setting as well as help in designing targeted educational tools for injury prevention. 2013 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved; METHODS: Prospectively collected data of all acutely injured patients at the Big Sky Medical Clinic at the base of Big Sky Ski Area in the Northern Rocky Mountains were reviewed. A total of 1593 patients filled out the study questionnaire during the 1995-2000 and 2009-2010 ski seasons. Injury patterns by sport, demographics, and skill level were analyzed and compared over time; OBJECTIVE: The purpose of this study was to examine the demographic and injury characteristics of skiing and snowboarding at a mountainside clinic; RESULTS: The mean overall age was 32.9 + 14.9 years, 35.4 + 15.2 for skiers and 23.6 + 9.5 for snowboarders (P < .01). The knee accounted for 43% of all skiing injuries, the shoulder 12%, and the thumb 8%. The wrist accounted for 18% of all snowboarding injuries, the shoulders 14%, and the ankle and knee each 13%. Beginner snowboarders were more likely to present with wrist injuries compared with intermediate (P = .04) and advanced snowboarders (P < .01). Demographic and injury patterns did not significantly 20140821 over time UR - http://dx.doi.org/10.1016/j.wem.2013.07.002 ER -