Injury-International Journal of the Care of the Injured最新文献

{"title":"Trauma video review – A novel method to evaluate resident competency and delivery of orthopaedic care in the trauma bay","authors":"Andrew J. Rodenhouse ,&nbsp;Michael Vella ,&nbsp;John Gorczyca","doi":"10.1016/j.injury.2025.112427","DOIUrl":"10.1016/j.injury.2025.112427","url":null,"abstract":"<div><h3>Introduction</h3><div>Trauma video review (TVR), whereby resuscitations in the trauma bay are audio-visually recorded, has not been investigated within the orthopaedic context. The purpose of this study was to evaluate the utility of TVR as a practical method to evaluate the delivery of orthopaedic care and resident competency in the trauma bay.</div></div><div><h3>Materials and Methods</h3><div>This was a retrospective study of 15 trauma resuscitations performed at an academic, level I trauma center between May – June 2024. TVR was used to evaluate the quality of orthopaedic care delivered in the trauma bay and to assess resident competency using Accreditation Council for Graduate Medical Education (ACGME) milestones and American Board of Orthopaedic Surgery (ABOS) Knowledge, Skills and Behavior criteria.</div></div><div><h3>Results</h3><div>TVR allowed for quantification of multiple orthopaedic time-based metrics. TVR identified themes to prompt institutional quality improvement initiatives in the future. Importantly, TVR provided a unique opportunity to evaluate the resident interacting as part of an impromptu multidisciplinary team in a high stress environment. TVR effectively provided a method to assess competency using ACGME and ABOS criteria.</div></div><div><h3>Conclusions</h3><div>TVR is a practical tool to evaluate and improve the quality of orthopaedic care provided in the trauma bay. It offers a unique opportunity to assess resident competency by ACGME and ABOS criteria.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 8","pages":"Article 112427"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal humeral fractures treated with ORIF or hemiarthroplasty: A matched-pair analyses","authors":"Marc Maximilian Weber ,&nbsp;Valentin Rausch ,&nbsp;Lars Peter Müller ,&nbsp;Michael Hackl ,&nbsp;Tim Leschinger","doi":"10.1016/j.injury.2025.112428","DOIUrl":"10.1016/j.injury.2025.112428","url":null,"abstract":"<div><h3>Introduction</h3><div>Fractures of the distal humerus are common in older patients with osteoporotic bone, often presenting as complex, multi-fragmentary injuries involving the articular surface. This complexity complicates the decision between open reduction and internal fixation (ORIF) and total elbow arthroplasty (TEA), as both procedures carry specific risks. Hemiarthroplasty (HA) may be a viable alternative, yet few studies have compared its outcomes with those of ORIF. In this retrospective matched-pair study, we aimed to compare primary HA versus ORIF for complex distal humerus fractures. Our hypothesis was that HA could achieve functional outcomes equivalent to ORIF when joint reconstruction is not feasible.</div></div><div><h3>Materials and methods</h3><div>We matched 10 pairs of patients who underwent HA or ORIF between 2018 and 2022. Matching criteria included age, gender, and fracture classification (Orthopaedic Trauma Association (OTA) or Dubberley classification for coronal shear fractures). Functional outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand (qDASH) score and the Mayo Elbow Performance Score (MEPS). The mean follow-up was 29 months for the HA group and 33 months for the ORIF group.</div></div><div><h3>Results</h3><div>Both treatment groups exhibited satisfactory functional outcomes. In the HA group, the median MEPS was 89.5 and a qDASH score of 21.6. Mean range of motion in extension/flexion was 105.9°. The ORIF group had a median MEPS of 81.5, a qDASH of 17 and a mean range of motion of 116.5°. No significant differences in functional outcomes were observed between the two groups</div></div><div><h3>Conclusions</h3><div>HA can yield functional results comparable to ORIF in managing complex distal humerus fractures. When ORIF is not feasible, HA is an effective alternative, particularly for physically active patients over 60 years, as it avoids the limitations associated with linked total elbow arthroplasty, such as weight restrictions and the risk of ulnar component loosening.</div></div><div><h3>Level of evidence</h3><div>Level III</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112428"},"PeriodicalIF":2.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Synergies Between National Mine Action Strategies and National Surgical, Obstetric, and Anesthesia Plans","authors":"Christopher W Reynolds ,&nbsp;Emmanuel A Ameh ,&nbsp;Aparna Cheran ,&nbsp;Hannah B Wild ,&nbsp;Adam L Kushner","doi":"10.1016/j.injury.2025.112366","DOIUrl":"10.1016/j.injury.2025.112366","url":null,"abstract":"<div><div>National Mine Action Strategies (NMAS) and National Surgical, Obstetric, and Anesthesia Plans (NSOAPs) have emerged as two frameworks with potential to improve the health and safety of millions living in vulnerable communities through coordinated and systematic planning. NMAS describe strategies for eliminating explosive ordnance (EO) and providing services and support to EO victims. NSOAPs outline a strategy to enhance surgical systems through surgical, anesthesia, and obstetric capacity building, taking broad approaches spanning from individual health providers and facilities to country-level Ministry of Health governance and financing. Though NMAS and NSOAPs originate in different sectors, they both adopt a systemic approach to complex problems with population-wide effects in low-resource settings. While seemingly disparate plans, NMAS and NSOAPs share overlapping objectives and methods to achieve them, each centered around promoting population health at national levels through complex infrastructure, human capacity, and resources development. NMAS and NSOAPs both encounter similar objectives, challenges, and implementation considerations which could benefit from improved communication and coordination between these communities. Analyzing the strengths and criticisms of current NMAS and NSOAPs in light of one another can help to mutually strengthen and support these critically important strategic plans.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112366"},"PeriodicalIF":2.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skeletal Survey of Children Younger Than 1 Year With Fractures: A Cross-sectional Study (2017–2023)","authors":"Julie Moissonnier ,&nbsp;Jean Delmas ,&nbsp;Clément Brunet ,&nbsp;Myriam Marichal ,&nbsp;Pascal Pillet ,&nbsp;Marion Bailhache","doi":"10.1016/j.injury.2025.112365","DOIUrl":"10.1016/j.injury.2025.112365","url":null,"abstract":"<div><h3>Purpose</h3><div>Fractures in infants younger than 1 year without an obvious accidental cause raise suspicion of child abuse, warranting a skeletal survey. However, adherence to child abuse screening guidelines remains suboptimal. This study aimed to identify factors associated with skeletal survey completion in infants with fractures in the absence of a clear accidental context.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted on children younger than 1 year with at least one fracture, identified over a 6-year period (2017–2023) at a French tertiary children's hospital. Infants with fractures due to obstetric trauma or road traffic accidents were excluded. Multivariate logistic regression was used to determine factors associated with skeletal survey completion.</div></div><div><h3>Results</h3><div>A total of 312 children were included, of whom 97 (33%) underwent a skeletal survey. Among those children, additional fractures were detected in 16 (16.5%). Skeletal surveys were more frequently performed in boys (odds ratio [OR]: 3.82, 95% confidence interval [CI]: 1.66–8.84), younger infants, and those with an inconsistent or evolving trauma explanation (OR: 17.18, 95% CI: 1.86–158.26) or no reported explanation (OR: 16.56, 95% CI: 6.30–43.54).</div></div><div><h3>Conclusions</h3><div>Only one-third of infants were screened for occult fractures, but the factors associated with skeletal survey completion aligned with established clinical guidelines. Long-term follow-up is necessary to assess whether the two-thirds of children who were unscreened were later identified as victims of child abuse.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112365"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of inpatient rehabilitation on patient function and quality of life after multiple trauma","authors":"John Olver ,&nbsp;Bianca Fedele ,&nbsp;Matthew Tuminello ,&nbsp;Dean McKenzie ,&nbsp;Kerry O’Meara ,&nbsp;Bridget Hill ,&nbsp;Jo Goodridge ,&nbsp;Robin Hunter","doi":"10.1016/j.injury.2025.112409","DOIUrl":"10.1016/j.injury.2025.112409","url":null,"abstract":"<div><h3>Background</h3><div>Following multiple trauma, individuals experience significant disability and poor functioning across several health domains. Rehabilitation is a component of trauma care management, however, there is limited evidence on patient outcomes after multiple trauma and the effectiveness of rehabilitation. This study was based on a Value-Based HealthCare (VBHC) framework and aimed to evaluate the impact of multiple trauma on patients’ function and quality of life, and the relationship between these outcomes and the cost of inpatient rehabilitation. It also aimed to obtain the patient perspective regarding health areas to address for future trauma research.</div></div><div><h3>Methods</h3><div>This prospective, cohort study recruited 62 adult participants from a specialist inpatient rehabilitation unit following multiple trauma orthopaedic injuries. Patients health-related quality of life was measured using the 12-Item Short Form Health Survey (Version 2) (SF-12v2). The SF-12v2 was completed during inpatient rehabilitation (to capture patient recalled pre-injury quality of life) and via a telephone interview at two weeks after rehabilitation discharge. Patients also self-reported their satisfaction with the SF-12v2 and identified important health areas to address after multiple trauma. Routine inpatient rehabilitation data was collected including: the Functional Independence Measure (FIM) (assesses patients’ functional independence on rehabilitation admission and discharge) and demographics.</div></div><div><h3>Results</h3><div>The sample’s mean age was 51.6 years (standard deviation: 17.8) and the majority were male (69.4 %). Between rehabilitation admission to discharge, patients’ demonstrated a statistically significant increase in function (FIM scores). However, quality of life (SF-12v2 scores) significantly decreased between pre-injury to after hospital discharge. At both timepoints, an increased proportion of patients had quality of life scores that were below the population norms. Increased rehabilitation costs (i.e., longer inpatient stays) were positively and significantly associated with increased functional independence, albeit, not quality of life scores. Patients identified important health areas that related to individual outcomes (e.g., mental health, limitations, goals) and familial impacts.</div></div><div><h3>Conclusions</h3><div>This study reported that an individually tailored rehabilitation program was cost effective and led to significant improvements in patient function. Patients experienced significant impacts to quality of life after multiple trauma, which suggests the need for a long-term and integrated care plan including psychological medical input.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112409"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of the trochanteric fixation nail advanced (TFNA) may increase the risk for nail breakage and early breakage time compared to other frequently used implants","authors":"Leevi Karjalainen ,&nbsp;Antti AJ. Ylitalo ,&nbsp;Miika Lähdesmäki ,&nbsp;Antti Eskelinen ,&nbsp;Ville M. Mattila ,&nbsp;Jussi P. Repo","doi":"10.1016/j.injury.2025.112410","DOIUrl":"10.1016/j.injury.2025.112410","url":null,"abstract":"<div><h3>Background</h3><div>Cephalomedullary nails (CMN) are widely used for fixation of unstable pertrochanteric fractures. In 2018, the Depuy Synthes Trochanteric Fixation Nail - Advanced (TFNA) implant was introduced at a level I academic trauma center. Subsequently, clinical concerns were raised about the use of the TFNA due to reports of nail breakage. The purpose of this study was to investigate the risk of nail breakage between TFNA and other nail models. Long term outcomes following nail failure were evaluated.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted using data of 1665 patients who had undergone a CMN procedure between 2014 and 2020. Data were handpicked from patient records. The nail breakage and breakage time of the TFNA were compared to the TFN, PFNA, Gamma3, and Intertan using cox regression analysis and logistic regression analysis. Long term outcomes were evaluated by assessing Oxford Hip Scores (OHS).</div></div><div><h3>Results</h3><div>The number of cephalomedullary nails were as follows: TFNA 754 (45.3 %), Gamma3 462 (27.7 %), PFNA 234 (14.1 %), TFN 211 (12.7 %), and Intertan 4 (0.2 %). A total of 21 (1.3 %) nails broke during the follow-up period. The TFNA broke the most often with 15 cases (2.0 %), followed by the Gamma3 with five cases (1.1 %) and the PFNA with one case (0.4 %). Overall, the mean (SD) nail breakage time was 222 (148) days. However, for the TFNA, Gamma3 and PFNA, the mean breakage times were 177 days (110), 292 (153) and 545, respectively. In logistic regression analysis we observed significant difference between TFNA and non-TFNA group. The odds ratio (OR) for nail breakage in TFNA group was 2.66 [95 % Ci, 1.01–6.99, <em>p</em> = 0.047]. The mean (SD) one year OHS for Total Hip Arthroplasty after nail breakage and overall OHS for re-osteosynthesis was 38.6 (9.8) and 36.3 (7.8), respectively.</div></div><div><h3>Conclusions</h3><div>Our study provides evidence suggesting that the TFNA may be associated with an increased risk of nail breakage compared to other nail models. It should be noted that implant breakage is a relatively infrequent complication. Long-term outcomes following secondary procedures were comparable between THA and re-osteosynthesis.</div></div><div><h3>Level of evidence</h3><div>Level IV</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112410"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Distal locking screw migration in the depuy-synthes retrograde femoral nail-advanced—an unexpected consequence of an implant upgrade” [Injury, Volume 56, Issue 4, 112265]","authors":"Danielle Piper ,&nbsp;Ayman A. Qatawneh ,&nbsp;Andrew Grazette ,&nbsp;Ross Fawdington ,&nbsp;Paul Fenton ,&nbsp;Julian Cooper","doi":"10.1016/j.injury.2025.112358","DOIUrl":"10.1016/j.injury.2025.112358","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 6","pages":"Article 112358"},"PeriodicalIF":2.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrieval of ferrous metal foreign body from limbs soft tissue aided by a permanent magnet: A surgical technique and case series","authors":"Yu-Ping Liu ,&nbsp;Ming-Ming Wang ,&nbsp;Xiu-Fang Duan ,&nbsp;Xue-Qiang Yuan ,&nbsp;Zhi-Wei Zhang ,&nbsp;Hao Liu ,&nbsp;Jian Fan","doi":"10.1016/j.injury.2025.112412","DOIUrl":"10.1016/j.injury.2025.112412","url":null,"abstract":"<div><h3>Background</h3><div>Ferrous metal foreign bodies (FMFBs) are often the most common metallic foreign bodies for the widespread application and low price of ferrous metal, but these bodies are very tiny and with the uncertainty of the position, it is very difficult to find them and get them out without a hitch. Our aim was to evaluate the reliability of retrieval of FMFBs from limbs soft tissue aided by a permanent magnet. In addition, we sought to analyze the outcomes of retrieval of FMFBs from limbs soft tissue aided by a permanent magnet.</div></div><div><h3>Methods</h3><div>twenty-two patients with FMFBs in limbs soft tissue who underwent surgical intervention were included between September 2022 and April 2024. Preoperative X-ray localization and intraoperative magnet assistance were performed on all patients. Clinical evaluations included operation time and postoperative complications. The mean follow-up period was 10 ± 2.4 months.</div></div><div><h3>Results</h3><div>these FMFBs have been got out successfully in all the cases without complications. The average distance between the foreign body and the body surface measured before surgery was 2.35 cm.The operation time ranged from 30 s to 45 min, with an average operation time of 13.7 min.</div></div><div><h3>Conclusions</h3><div>Retrieval of FMFBs from limbs soft tissue aided by a permanent magnet is an effective and reliable treatment without postoperative complications.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112412"},"PeriodicalIF":2.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic and racial minority patients are under-represented in US clinical trials for surgical management of hip fractures","authors":"Jason Silvestre ,&nbsp;Jaimo Ahn ,&nbsp;Mitchel B Harris ,&nbsp;Langdon A Hartsock ,&nbsp;Gerard P Slobogean","doi":"10.1016/j.injury.2025.112413","DOIUrl":"10.1016/j.injury.2025.112413","url":null,"abstract":"<div><h3>Introduction</h3><div>The impact of social determinants on clinical outcomes following surgeries for orthopaedic injuries are well-documented. In this study, we sought to quantify the representation of women, racial, and ethnic minorities in US-based clinical trials for hip fracture surgery.</div></div><div><h3>Methods</h3><div>This was a cross-sectional analysis of patients enrolled in US-based, interventional clinical trials for hip fractures registered on ClinicalTrials.gov (2000–2022). Participation-to-prevalence ratios (PPRs) were calculated for demographic groups in clinical trials relative to their prevalence among patients receiving hip fracture surgery in the National Inpatient Sample (2006–2015). PPRs between 0.8–1.2 were considered equitable representation. PPRs&lt;0.8 were considered underrepresentation and PPRs&gt;1.2 were considered overrepresentation. Temporal trends were analyzed between previous (2000–2010) and contemporary (2011–2022) periods.</div></div><div><h3>Results</h3><div>There were thirty-eight hip fracture clinical trials involving 6937 participants included in this study. All clinical trials reported sex, but only sixteen trials (42 %) reported race and ten trials (26 %) reported ethnicity. In total, trial participants were predominately White (89.3 %) and female (68.0 %). Few patients were non-White including Asian (7.2 %), Black (2.1 %), and Hispanic (0.8 %). Female (PPR=0.97) and male (PPR=1.07) patients had equitable representation. However, Hispanic (PPR=0.22), and African American (PPR=0.51) patients were underrepresented. White patients (PPR=1.00) had equitable representation while Asian patients were overrepresented (PPR=4.50). The rate of race (P &lt; 0.001) and ethnicity (P = 0.010) reporting increased between previous and contemporary periods.</div></div><div><h3>Conclusion</h3><div>Recruitment of racial and ethnic minorities into hip fracture clinical trials remains limited. The impact of social determinants on outcomes after trauma surgery requires equitable representation of all groups in clinical trials to ensure translatability of results. Stakeholders across healthcare, industry, and government must work to address these disparities.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112413"},"PeriodicalIF":2.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric ice hockey injury trends presenting to US emergency departments: A 10-year review of national injury data","authors":"Luca M. Valdivia,&nbsp;Charu Jain,&nbsp;Jonathan J. Huang,&nbsp;Nikan Namiri,&nbsp;Salvatore Capotosto,&nbsp;Sheena C. Ranade","doi":"10.1016/j.injury.2025.112411","DOIUrl":"10.1016/j.injury.2025.112411","url":null,"abstract":"<div><h3>Introduction</h3><div>Ice hockey is a high-contact sport that can often endanger athletes’ physical health, especially adolescents. Youth hockey players still learning to properly play the sport tend to be much more prone to serious injury. The goal of this study was to examine the frequency and trends of pediatric hockey-related injuries presenting to United States (US) emergency departments (EDs) amongst youth.</div></div><div><h3>Methods</h3><div>Ice hockey-related injuries presenting to US EDs from January 1st, 2014 to December 31st, 2023 were queried using the National Electronic Injury Surveillance System (NEISS). For each injury, patient disposition, demographics, diagnosis, and site of injury were recorded. National estimates (NEs) were calculated using the NEISS statistical sample weights. Injury trends were evaluated by linear regression modeling.</div></div><div><h3>Results</h3><div>There was a total of 3847 ED visits due to ice hockey-related injuries during the study period, resulting in an NE of 110,293 injuries. Linear regression analysis displayed no significant trend in annual injuries among females (<em>p</em> = 0.079) or males (<em>p</em> = 0.911). The frequency of injuries during 2014–2019 remained relatively steady, aside from a 46.0 % decrease from 2019 (<em>n</em> = 11,001) to 2020 (<em>n</em> = 5944), which returned to the original incidence level by 2022 (<em>n</em> = 12,963). A sudden increase in hospitalization rate post-pandemic was observed (<em>p</em> = 0.109), where the rate dramatically rose from 0.1 % to 5.6 %. Dislocations (8.5 %) had the highest rate of hospitalization amongst diagnoses. The most common injuries amongst all hockey players were injuries to the head (<em>n</em> = 37,816, 34.2 %) and shoulder (<em>n</em> = 16,836, 15.3 %). We observed a significant increase in head (<em>p</em> = 0.041) and shoulder (<em>p</em> = 0.020) injuries after 2020.</div></div><div><h3>Conclusion</h3><div>Although the overall number of injuries amongst youth hockey players did not change significantly over time, we saw a significant increase in head and shoulder injuries. Additionally, the hospitalization rate from these injuries has increased recently post-pandemic. The high and increasing frequency of head and shoulder injuries emphasizes the importance of proper protective equipment to these areas in pediatric athletes.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 7","pages":"Article 112411"},"PeriodicalIF":2.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}