{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:18:06Z","timestamp":1787872686943,"version":"build-2784847793"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Lower extremity fractures are relatively common in winter sports. This\n                    retrospective descriptive study evaluated the demographics, injury mechanisms,\n                    and environmental factors associated with lower leg fractures (below the knee,\n                    excluding tibial plateau and fibular head fractures) among patients treated at a\n                    Colorado clinic during the 2012\/13 to 2016\/17 ski seasons. The chart review\n                    confirmed diagnoses and assessed associated factors. A total of 346 lower leg,\n                    ankle, and\/or foot fractures were identified, representing 5.4% of all visits.\n                    The average patient age was 33.1 years (range 4\u201374), and 60.7% were men. Most\n                    injuries were ski-related (84.7%). The majority of fractures were sustained\n                    among skiers and snowboarders who self-identified as a beginner or an\n                    intermediate skill level (64.8%), on easy or intermediate runs (64.9%). The most\n                    common injuries were complete tibia\/fibula fractures (36.4%), isolated tibia\n                    fractures (28.3%), and lateral malleolus fractures (26.9%). Of the complete\n                    tibia\/fibula fractures, 57.0% were \u201cboot-top\u201d fractures. Danis\u2013Weber B was the\n                    most frequent type of lateral malleolus fracture (73.6%). Only 12 foot fractures\n                    were recorded. In conclusion, lower leg fractures were more common in skiers\n                    than snowboarders and in men than women. Most fractures occurred on\n                    mild-to-moderate runs, with lower risk in older individuals. Tibia\/fibula\n                    fractures were most common, followed by lateral malleolus fractures.<\/jats:p>","DOI":"10.1055\/a-2836-1929","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:09:51Z","timestamp":1773792591000},"page":"787-793","source":"Crossref","is-referenced-by-count":1,"title":["Epidemiology of Lower Leg Fractures at a Colorado Ski\n                    Resort"],"prefix":"10.1055","volume":"47","author":[{"given":"Jennifer","family":"Cogburn","sequence":"additional","affiliation":[{"name":"Family Medicine, OHSU, Portland, United\n                    States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Pierpoint","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, University of Utah\n                    Health, Salt Lake City, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Kordell","sequence":"additional","affiliation":[{"name":"Family Medicine, Kaiser Permanente Colorado Institute\n                    for Health Research, Aurora, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Orthopedics, University of Colorado School of Medicine,\n                    Aurora, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahita","family":"Saeedi","sequence":"additional","affiliation":[{"name":"Biostatistics, University of Massachusetts Chan Medical\n                    School, Worcester, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Spittler","sequence":"additional","affiliation":[{"name":"Family Medicine and Orthopedics, University of Colorado\n                    School of Medicine, Aurora, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3549-5333","authenticated-orcid":false,"given":"Morteza","family":"Khodaee","sequence":"additional","affiliation":[{"name":"Family Medicine and Orthopedics, University of Colorado\n                    School of Medicine, Aurora, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1055\/a-2240-7747","article-title":"An epidemiologic comparison of injuries to skiers and snowboarders treated at\n                    united states emergency departments, 2000\u20132019","volume":"45","author":"N Kelley","year":"2024","journal-title":"Int J Sports Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.jshs.2020.10.006","article-title":"Incidence of injuries in professional snow sports: A 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dislocations and trauma: Advanced on- and off-field\n                    management","author":"M Khodaee","year":"2020"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1007\/s00132-022-04312-y","article-title":"Fractures of tibial shaft and tibial head in winter sports","volume":"51","author":"L Kohn","year":"2022","journal-title":"Orthopadie (Heidelb)"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"119","DOI":"10.23736\/S0022-4707.19.09753-6","article-title":"Injury patterns after skiing and snowboarding sports accidents","volume":"60","author":"S C Maat","year":"2020","journal-title":"J Sports Med Phys Fitness"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1177\/1457496915607410","article-title":"Tibial fractures in alpine skiing and snowboarding in Finland: A retrospective\n                    study on fracture types and injury mechanisms in 363 patients","volume":"105","author":"A 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Nathanson","year":"2016","journal-title":"Clin Pediatr (Phila)"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1303","DOI":"10.1136\/bjsports-2011-090407","article-title":"Risk factors for injuries in alpine skiing, telemark skiing and\n                    snowboarding-case-control study","volume":"45","author":"S Sulheim","year":"2011","journal-title":"Br J Sports Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.1016\/j.jsams.2018.07.011","article-title":"Injuries among children and adults in alpine skiing and snowboarding","volume":"22","author":"A Ekeland","year":"2019","journal-title":"J Sci Med Sport"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1080\/02813432.2019.1685202","article-title":"Fractures diagnosed in primary care\u2014a five-year retrospective observational\n                    study from a Norwegian rural municipality with a ski resort","volume":"37","author":"S Vabo","year":"2019","journal-title":"Scand J Prim Health Care"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-204220","article-title":"Snowboarders\u2019 ankle","volume":"2014","author":"I F Kramer","year":"2014","journal-title":"BMJ Case Rep"},{"key":"ref26","volume-title":"What\u2019s the difference between men\u2019s and women\u2019s ski boots?","author":"B Chang","year":"2025"},{"key":"ref27"}],"container-title":["International Journal of Sports 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