{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:58:05Z","timestamp":1781089085869,"version":"3.54.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction\u2014<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate pediatric skiing and snowboarding fracture injuries at a large ski resort, comparing injury patterns in those who sustained fracture injuries at a single site against those with injuries in multiple sites. Given the more serious nature of multisite injuries, this information may give healthcare providers insight into injury patterns when assessing a patient in snow sport settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\u2014<\/jats:title>\n                    <jats:p>\n                      Radiographs of 797 patients aged 3 to 17 y diagnosed with at least 1 skiing- or snowboarding-related fracture at a large ski resort were reviewed by a sports medicine fellowship-trained physician. Descriptive information about regions of injury was provided, and Bonferroni-corrected multivariable logistic regression modeling and\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results\u2014<\/jats:title>\n                    <jats:p>Of the total, 756 patients had single-site fractures, whereas 41 patients had fractures with a secondary injury. Upper extremity fractures were the most common primary injury site in both groups at 61%. The head\/neck was the most common location of a second injury, with concussions being the most common injury type. Collision with an object or person and being transferred to a local hospital were independently associated with higher odds of a multisite injury. No significant differences were found when comparing age, sex, self-rated ability, or terrain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\u2014<\/jats:title>\n                    <jats:p>One must maintain a high index of suspicion for concussions\/head injuries following any fracture injury and have a low threshold for working up internal organ injuries with fractures in the torso.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032251345771","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T04:07:31Z","timestamp":1749614851000},"page":"542-548","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparing Single-Site Fractures with Multisite Injuries in Pediatric Skiers and Snowboarders"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9752-8810","authenticated-orcid":false,"given":"Ruikang (Kong Kong)","family":"Liu","sequence":"first","affiliation":[{"name":"LSU Health Shreveport"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lieu","sequence":"additional","affiliation":[{"name":"LSU Health Shreveport School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2955-0191","authenticated-orcid":false,"given":"David R.","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Children's Hospital Colorado Sports Medicine Center, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Pierpoint","sequence":"additional","affiliation":[{"name":"Pierpoint Analytics, LLC, Boulder, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3549-5333","authenticated-orcid":false,"given":"Morteza","family":"Khodaee","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Provance","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181df9211"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2020.12.001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.05.061"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.110899"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2022.10.010"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308597"},{"key":"e_1_3_3_8_2","article-title":"SalterHarris fractures in paediatric skiers and snowboarders","author":"Liu RKK","unstructured":"Liu RKK, Howell DR, Pierpoint LA, Little CC, Spittler J, Khodaee M, et al. 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Spinal fractures and\/or spinal cord injuries are associated with orthopedic and internal organ injuries in proximity to the spinal injury. N Am Spine Soc J. 2021;6:100057.","journal-title":"N Am Spine Soc J"},{"issue":"40","key":"e_1_3_3_22_2","first-page":"5131","article-title":"Epidemiology of pelvic fractures and concomitant injuries\u2014a cross-sectional observational study","volume":"7","author":"Swain L","year":"2018","unstructured":"Swain L, Rautray PN, Singh M. Epidemiology of pelvic fractures and concomitant injuries\u2014a cross-sectional observational study. 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