ARRS 2022 Abstracts

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E1140. Proceed at Your Own Risk: Unique Considerations in the Setting of Winter Sports Trauma
Authors
  1. Amanda Crawford; University of Utah
  2. Stuart Willick; University of Utah
  3. Maryam Soltanolkotabi; University of Utah
  4. Rebekah Aquino; University of Utah
  5. Nathan Kwok; University of Utah
  6. Randy Brown; University of Utah
  7. Brian Chan; University of Utah
Background
Snow sports continue to grow in popularity. Proximity to the mountains is no longer a requirement. Although Mountain West residents have disproportionate access, winter sports enthusiasts are traveling to ski and snowboard more than ever before due to the emergence of global multi-resort passes. Therefore, clinicians of all practice settings must be familiar with the acute presentations of winter sports injuries. In addition, specialized equipment and atypical mechanisms of injury in snow sports lead to a broad spectrum of unique low- and high-velocity trauma. The purpose of this exhibit is to highlight the imaging evaluation and mechanism of injury resulting in commonly encountered skiing and snowboarding trauma.

Educational Goals / Teaching Points
The goals of this exhibit are to provide a case-based review of frequently encountered winter sports injuries; introduce unique mechanisms of injury and equipment considerations predisposing to winter sports injuries; and discuss radiographic and cross-sectional imaging findings that facilitate diagnosis and are relevant for clinical management.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This exhibit begins with a discussion of aspects of winter sports that lead to unique patterns of injury, including basics of skiing and snowboarding technique and an overview of specialized equipment used in winter sports, followed by a case-based review of winter sports injuries (injuries influenced by technique: anterior cruciate ligament rupture, ,eniscus tears, Achilles tendon rupture, lateral process of the talus fracture [snowboarders’ fracture]; injuries related to equipment (boot fracture, gamekeeper’s/skier’s thumb); injuries from blunt trauma (falls) (shoulder dislocation, clavicle fracture and acromioclavicular separation, vertebral body compression fractures, greater tuberosity fracture and rotator cuff tears); and injuries due to overuse (“shin bang,” adventitial bursitis (pseudotumor), and anterior ankle impingement).

Conclusion
Winter sports trauma is common regardless of practice location and characterized by unique patterns of injury. Understanding considerations specific to skiing and snowboarding facilitates appropriate diagnosis and management.