Pelvic Fracture.

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Abstract

Conflict of interest statement: Disclosure: Donald Davis declares no relevant financial relationships with ineligible companies. Disclosure: Vivek Tiwari declares no relevant financial relationships with ineligible companies. Disclosure: Steven Kane declares no relevant financial relationships with ineligible companies. Disclosure: Muhammad Waseem declares no relevant financial relationships with ineligible companies. 2. Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1675-1681. doi: 10.1007/s00590-022-03331-x. Epub 2022 Jul 14. Pelvic ring injuries after alpine ski and snowboard accidents. Tucker NJ(1)(2), Kelley N(2), Strage KE(1)(2), Mauffrey C(1)(2), Parry JA(3)(4). Author information: (1)Department of Orthopedics, Denver Health Medical Center, Denver Health, 777 Bannock St, MC 0188, Denver, CO, 80204, USA. (2)University of Colorado School of Medicine, Aurora, CO, USA. (3)Department of Orthopedics, Denver Health Medical Center, Denver Health, 777 Bannock St, MC 0188, Denver, CO, 80204, USA. joshua.alan.parry@gmail.com. (4)University of Colorado School of Medicine, Aurora, CO, USA. joshua.alan.parry@gmail.com. PURPOSE: The purpose of this study was to analyze the patient/injury characteristics and associated hospital course of patients sustaining traumatic pelvic ring injuries after alpine ski and snowboard accidents at a level one trauma center in the Rocky Mountain region. METHODS: Patient/injury characteristics were obtained from patients presenting with pelvic ring injuries after alpine ski (n = 55) and snowboard (n = 9) accidents. Characteristics and outcomes analyzed included mechanism of injury, pelvic ring classification (Young-Burgess and Tile), hospital admission, physical therapy (PT) clearance, ambulation, length of stay, inpatient morphine milligram equivalents (MME), and discharges to rehabilitation facility. RESULTS: Snowboarders were more often younger, male, tobacco/substance users, and more likely to be injured by a fall from height than skiers. There were no differences in injury classification or hospital course outcomes between alpine sports. Most common injuries included lateral compression type 1 (LC1) injuries (37.5%), isolated pubic ramus fractures (31.3%), and isolated iliac wing fractures (15.6%). LC1 injuries were unstable in 50% of cases and associated with increased admissions (proportional difference: 47.5%, CI: 23.8-64.5%, p = 0.0002), longer time to PT clearance (median difference(MD): 1.0 day, CI: 0-2.0, p = 0.03), longer LOS (MD: 2.0, CI: 0-2.0, p = 0.02), and increased inpatient MMEs (MD: 197.9 MME, CI: 30.0-420.0, p = 0.02), as compared to other pelvic ring injuries. CONCLUSION: The majority of pelvic ring injuries from alpine ski and snowboard accidents were LC1 injuries, half of which were unstable, resulting in longer hospital stays, time to PT clearance/ambulation, and opioid use. © 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. DOI: 10.1007/s00590-022-03331-x