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Injuries from winter sports and activities Published: ()

Winter in Canada provides favourable weather conditions for outdoor sports and recreational activities, including skiing, snowboarding, ice skating and sledding. While there are numerous health benefits resulting from these sports and activities, there are also risks of serious injuries.reference1-3 These risks highlight the importance of personal safety, such as wearing appropriate clothing and safety equipment, and ensuring your gear is in good condition. For more information on winter safety tips, please visit the following sites:

This data blog presents injury statistics on popular winter sports and activities captured in the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) between October 1, 2016 and January 11, 2024. CHIRPP is a sentinel surveillance system capturing injuries and poisonings presenting in 20 emergency departments across Canada. Every year, approximately 170,000 injury and poisoning records are entered in the database, from which information on the circumstances, types and emergency department outcomes of injuries can be examined. In this data blog, records with injuries related to sledding/tobogganing, ice skating, alpine skiing and snowboarding were examined.


Snowboarding:

Overall

Between October 1, 2016 and January 11, 2024 there were 4,214 snowboarding-related injuries reported in the CHIRPP database, representing 535.5 cases per 100,000 CHIRPP records. Of these injuries, the average age among patients was 16.6 years and males represented the largest percentage at 69.5%. Among children, those aged 10 to 14 years represented 49.7% of all cases (Table 1). Over two thirds of those injured (69.6%; n = 2,934) stated that they were wearing safety equipment when the injury occurred.reference1

Table 1. Demographic characteristics of snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Characteristics Count Proportion (%)
Sex Male 2,899 68.8
Female 1,315 31.2
Age group (years) 2 to 4 20 0.5
5 to 9 262 6.2
10 to 14 2,086 49.7
15 to 19 1,035 24.7
20 to 29 501 11.9
30 to 39 186 4.4
40 to 49 83 2.0
50 + 26 0.6

Note: 15 reported cases were missing information on age.


Type of injury

Shown below in Table 2 are the types of injuries resulting from the reported snowboarding-related injuries. Representing the majority of all injuries were fractures at 49.4%. Traumatic brain injuries (12.7%) followed this category, among which concussions had the largest number of counts (n = 420). Table 3 provides a breakdown of the body regions where the fractures occurred. Of the 2,161 reported fractures, the upper extremity region represented a sizable percentage at 79.1%. Among fractures in the upper extremity region, those concerning the wrists and forearms had the highest counts. The trunk was the second most common body region where fractures occurred, among which clavicle fractures had the largest counts.

Table 2. Type of injury from snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Type of injury Count Proportion (%)
Fractures 2,161 49.4
Traumatic brain injuries All traumatic brain injuries 554 12.7
Concussion 420 -
Minor head injury 130 -
Intracranial injury 4 -
Soft tissue injury 551 12.6
Dislocation/Sprain/Strain/Pulled elbow 502 11.5
Superficial/Open wound 222 5.1
Injury to nerve/vessel/tendon 84 1.9
Injury to internal organ 27 0.6
Other 27 0.6
Not specified 81 1.9

Note: Five reported cases were missing information on the type of injury.

Table 3. Fractures by body regions among snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Body region Body part Count Proportion (%)
Upper extremities All upper extemities fractures 1,693 79.1
Wrist 815 -
Forearm 611 -
Upper arm 115 -
Elbow 87 -
Hand 35 -
Finger or thumb 30 -
Trunk All trunk fractures 317 14.8
Clavicle 241 -
Shoulder 27 -
Thorax 13 -
Thoracic spine 11 -
Lumbar spine 11 -
Sacrum and Coccyx 10 -
Pelvis 2 -
Spine 1 -
Back 1 -
Lower extremities All lower extremities fractures 140 6.5
Lower leg 55 -
Ankle 33 -
Thigh 21 -
Knee 13 -
Foot 11 -
Hip 6 -
Toe 1 -
Head and Neck All head and neck fractures 11 0.5
Face 8 -
Cervical spine 3 -

Event circumstances associated with fractures

Table 4 shows the event circumstances associated with the reported fractures. A 30% random sample of all fractures (n = 649) showed that falls represented the highest percentage of cases at 77.5%. The second and third most common circumstances were fractures involving jumps (12.9%) and individuals falling off or hitting a rail (3.7%).

Table 4. Event circumstances associated with fractures among snowboarding-related cases in CHIRPP (30% sample), October 1, 2016 to January 11, 2024.
Mechanism Count Proportion (%)
Fell while snowboarding 503 77.5
Fracture occurred as a result of a jump 84 12.9
Fracture occurred as a result of falling off or hitting a rail 24 3.7
Hit stationary object/structure while skiing 20 3.1
Came into contact with person 10 1.5
Not specified 8 1.2

Emergency department outcomes

Table 5 presents a breakdown of the emergency department outcomes of reported snowboarding-related injuries. Of the 4,214 records, the majority of patients required treatments in the emergency departments (67.2%). There were 146 reported hospital admissions, and of these, 69.2% were associated with fractures and 16.4%, with injuries to internal organs.

Table 5. Emergency department outcomes among snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Emergency department outcomes Count Proportion (%)
Treatment required at emergency department 2,833 67.2
Left without being seen by physician or advice only provided 963 22.9
Observation in emergency department 271 6.4
Admitted to hospital 146 3.5

Note: One reported case was missing information on the emergency department outcome.

Snowboarding safety tips:
  • Avoid snowboarding alone.
  • Dress appropriately for winter conditions.
  • Wear appropriate safety equipment, such as a helmet.
  • Prior to going out on the slopes, it is recommended to do warmup exercises and stretches.
  • Stay on designated ski trails and follow all rules of conduct.
  • High speeds, jumps and maneuvers increase the risks of injuries.
  • Select ski trails that best fit your ability as a snowboarder.
  • Be aware of hazards on trails (trees, rocks, chair lift poles).
  • Ensure that your snowboarding equipment is in good condition and well maintained.
  • Maintain a good distance with others on the slope to avoid collisions.
  • If you are just starting to snowboard, it is recommended to take lessons with a certified instructor.
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