Metzler J, Morandi EM, Schwaiger K, Wolfram D, Cakl T, Djedovic G, Bauer T, Pierer G, Wechselberger G, Tasch C. Ski- and snowboard related open
peroneal nerve injury: A 20-year retrospective case series study.
Ann Med Surg (Lond) 2021;
69:102662. [PMID:
34429947 PMCID:
PMC8371230 DOI:
10.1016/j.amsu.2021.102662]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/01/2021] [Accepted: 08/03/2021] [Indexed: 11/26/2022] Open
Abstract
Introduction
Traumatic peroneal nerve injury (PNI) caused by ski or snowboard edges is a severe but scarcely reported accident.
Methods
In a 20-year retrospective study, all skiers and snowboarders with this injury treated surgically at the Department of Plastic, Reconstructive and Aesthetic Surgery at the Medical University of Innsbruck, Austria, were included, covering a period from 1999/2000 to 2018/2019.
Results
In total, 34 patients were included in this study (30 males (88.2%) and 4 (11.8%) females). Of these 34 injured skiers or snowboarders, 33 (97.1%) were recreational athletes and Non-Austrian citizens, and 21 (61.8%) patients sustained accidental injuries without collision. All of the injuries under investigation, i.e., open lacerations, most often with complete transection, were the patients’ main injuries. Surgery was performed with direct coaptation in 24 patients (70.6%), and with a suralis nerve graft in the other 10 patients (29.4%).
Conclusion
Traumatic laceration of the peroneal nerve at the knee level by sharp ski or snowboard edges is a rare but severe injury. Causes for this injury may be multifactorial. Recommendations to reduce the risk of such an injury may follow general instructions and warnings to skiers and snowboarders regarding equipment, familiarity with the region, as well as appropriate skills and training.
In accidents of skiers and snowboarders traumatic laceration of the peroneal nerve is a severe, but rare injury.
This injury type is rarely reported.
The injuries are caused by the sharp edges of modern skies or snowboards and require urgent microsurgical intervention.
Our 20 years study shows that this injury type primarily affects recreational athletes and guest skiers.
Current equipment, e.g. ski trousers do not protect the affected region on the lateral side of the knee.
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