A case of arterial priapism treated by embolization

Skateboarding injuries: An updated review

This in-depth literature review shows that skateboarding has experienced intermittent periods of popularity, with an estimated 6-15 million skateboarders in the US currently involved at all levels of recreational play and competition. Head trauma accounts for ∼ 3.5-13.1% of all skateboarding injuries. Injury occurs most often to the upper extremity (55-63%), whereas thoracoabdominal and spine injuries account for 1.5-2.9% of all trauma and lower extremity injuries occur 17-26% of the time. Few fatal injuries (1.1%) have been reported, oftentimes resulting from traumatic head injuries incurred from collisions with motor vehicles. Although skateparks may be perceived as a safer alternative to street skateboarding, injuries still occur when the skateboarder collides with an object or falls from the board. Factors leading to trauma include fatigue and overuse, age and skill level, inadequate medical care, environmental conditions, equipment concerns, lack of fitness and training, and the detrimental behavior of the competitor. Although not all skateboarding injuries are avoidable, numerous opportunities exist to instill safety involving education, instruction, and supervision and the proper use of protective gear to reduce predisposition to trauma. Future research recommendations include a more standardized data collection system, as well as an increased focus on kinetic analysis of the sport. Legislation involving helmet laws and the increased investment in a safer environment for the skateboarder may also assist in reducing injury in this sport.

Post-traumatic high flow priapism: demonstrable findings of penile enhanced computed tomography

Post-traumatic high flow priapism is a rare disease. A review of English published reports revealed 63 cases. Enhanced computed tomography (CT) of the penis has not previously been used as a diagnostic method for post-traumatic high flow priapism. We present a case of post-traumatic high flow priapism diagnosed with enhanced CT of the penis. Additionally, diagnostic modalities for post-traumatic high flow priapism are discussed with review of published work.

Skateboarding injuries

Skateboarding has experienced intermittent periods of popularity since the 1960s. Along with this popularity, there have been concomitant increases in numerous types of injuries. Most documented cases occur in boys aged from 10 to 14 years, with injuries ranging from minor cuts and abrasions to multiple fractures and, in some cases, even death. Although head injuries account for approximately 3.5 to 9% of all skateboarding injuries, fractures of both upper and lower extremities account for 50% of all musculoskeletal trauma. Not surprising is the fact that 33% of those injured on skateboards are injured within the first week of skateboarding. Most individuals experience some form of trauma during the initial attempt at skateboarding. Because of the nature of skateboarding, encompassing both high speed and extreme manoeuvres, injuries often occur when the skateboarder collides with an immovable object, falls from the skateboard or is involved in vehicular traffic. Most injuries occur when the skateboard strikes an irregularity in the riding surface, projecting the skateboarder in the direction of travel. Despite traffic legislation, 65% of injured adolescent skateboarders sustain injuries on public roads, on footpaths, and in parking lots. Several organisations have recommended safety guidelines and restrictions based on age and common sense. Use of a helmet, knee and elbow pads, and wrist guards should be required of all skateboarders, as well as some type of formal education. The American Academy of Pediatrics recommends that children under 5 years of age should not be allowed to ride skateboards. At an early age, injuries occur due to several reasons. These include high centre of mass, immature skeletal development, an undeveloped neuromuscular system, and simply poor judgement. Skateboarding injuries are expected to rise with the increasing number of participants, high-tech equipment development and renewed advertising. Although limited preventative measures exist which will totally eradicate skateboarding trauma, some thought to actual restrictions may decrease the incidence and severity of injuries.