{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:53:49Z","timestamp":1785372829308,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze the etiology, diagnosis, and incidence of head and neck (HN) injuries among ocean surfers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The National Electronic Injury Surveillance System database was queried for surfing HN injuries presenting to United States emergency departments (EDs) between January 2003 and December 2022. Date of presentation, age, sex, race, injured body part, injury diagnosis, and disposition, as well as a brief injury narrative, were included in the data. National estimates (NEs) were calculated using the associated statistical weight of the reporting hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1,359 surfing\u2010related HN injuries (NE, 90,872) were included in this study. The average age at presentation was 29.2 \u00b1 13.8 years (range, 3 to 81 years). The most commonly specified mechanisms of injury were impact with board (NE, 48,360 [53%]) and impact with ocean floor (NE, 8,690 [10%]). Concussions represented 5% of surfing HN injuries and occurred at a higher rate (8%) in the age group younger than 20 years. There were statistically significant decreases in overall HN injuries (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) (coefficient, \u2013270; 95% confidence interval [CI], \u2013355 to \u2013206), lacerations (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) (coefficient, \u2013208; 95% CI, \u2013258 to \u2013158), and impact\u2010with\u2010board injuries (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) (coefficient, \u2013177; 95% CI, \u2013327 to \u2013117) presenting to United States EDs from 2003 to\u00a02022.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although surfing HN injury ED presentations decreased from 2003 to 2022, the rate of surfing\u2010related concussions presenting to EDs remained steady. Concussions therefore remain a significant concern in surfing, especially among surfers under 20 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>As the sport of surfing has increased in popularity, it is important to understand the range of surfing injuries seen in EDs. HN injuries, especially concussions, should be thoroughly investigated to better understand the risks of ocean surfing, to advise athletes, and to develop effective injury prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.101014","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T21:12:01Z","timestamp":1727471521000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Twenty\u2010Year Analysis of Surfing Head and Neck Injuries Presenting to United States Emergency Departments Showed a Decrease in Overall Injuries Despite Steady Concussion Rates"],"prefix":"10.1002","volume":"7","author":[{"given":"Eli M.","family":"Snyder","sequence":"first","affiliation":[{"name":"John A. Burns School of Medicine University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Rooks","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle K.","family":"Obana","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York Presbyterian Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spencer K.Y.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Pali Momi Medical Center Hawaii Pacific Health Medical Group Aiea Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York Presbyterian Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Popkin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York Presbyterian Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Trofa","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York Presbyterian Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"e_1_2_3_2_2","first-page":"232","article-title":"Decreasing trend in upper extremity surfing injuries presenting to United States emergency departments\u2014A 20\u2010year analysis","volume":"82","author":"Obana K.K.","year":"2023","journal-title":"Hawaii J Health Soc Welf"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241237289"},{"key":"e_1_2_3_4_2","unstructured":"Surf Park Central.New study confirms the explosive growth of surfinghttps:\/\/surfparkcentral.com\/new\u2010study\u2010confirms\u2010the\u2010explosive\u2010growth\u2010of\u2010surfing\/.Published November 1 2022. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"101014"}}