Injuries from winter sports and activities: Snowboarding

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  • Last updated: 2024-01-16

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.


Alpine skiing:

Overall

Between October 1, 2016 and January 11, 2024 there were 5,434 alpine skiing-related injuries reported in the CHIRPP database, representing 690.5 cases per 100,000 CHIRPP records. Of these injuries, the average age among patients was 16.9 years and males represented the largest percentage at 57.8%. Among children, those aged 5 to 9 years represented 43.3% of all cases (Table 1). Among those injured, 66.7% (n = 3,622) stated that they were wearing safety equipment when the injury occurred.reference1

Table 1. Demographic characteristics of alpine skiing-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Characteristics Count Proportion (%)
Sex Male 3,157 58.1
Female 2,277 41.9
Age group (years) 2 to 4 157 2.9
5 to 9 1,111 20.5
10 to 14 2,350 43.3
15 to 19 984 18.1
20 to 29 229 4.2
30 to 39 117 2.2
40 to 49 148 2.7
50 + 327 6.0

Note: 11 reported cases were missing information on age.


Type of injury

Shown below in Table 2 are the types of injuries resulting from the reported alpine skiing-related injuries. Representing over a third of all injuries and the largest percentage (39.4%) were fractures. Soft tissue injuries (17.2%) and dislocations/sprains /strains/pulled elbows (14.5%) were the second and third most common types of injuries reported, respectively. Table 3 provides a breakdown of the body regions where the fractures occurred. Of the 2,139 reported fractures, the upper and lower extremity regions were similar in terms of distribution. With respect to the upper extremity region, wrist fractures were most common, whereas lower leg fractures were more common in the lower extremity region.

Table 2. Type of injury from alpine skiing-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Type of injury Count Proportion (%)
Fractures 2,139 39.4
Soft tissue injury 935 17.2
Dislocation/Sprain/Strain/Pulled elbow 788 14.5
Traumatic brain injuries All traumatic brain injuries 759 14.0
Concussion 546 -
Minor head injury 191 -
Intracranial injury 22 -
Superficial/Open wound 342 6.3
Injury to nerve/vessel/tendon 225 4.1
Injury to internal organ 37 0.7
Other 105 2.0
Not specified 100 1.8
Table 3. Fractures by body regions among alpine skiing-related cases in CHIRPP, October 1, 2016 to January 11, 2024
Body region Body part Count Proportion (%)
Upper extremities All upper extemities fractures 861 40.3
Wrist 241 -
Finger or thumb 204 -
Forearm 186 -
Upper arm 88 -
Elbow 73 -
Hand 69 -
Lower extremities All lower extremities fractures 851 39.8
Lower leg 503 -
Knee 118 -
Thigh 112 -
Ankle 72 -
Hip 24 -
Foot 21 -
Toe 1 -
Trunk All trunk fractures 377 17.6
Clavicle 247 -
Shoulder 48 -
Thorax 31 -
Thoracic and lumbar spine 29 -
Pelvis 18 -
Sacrum and Coccyx 3 -
Spine (not specified) 1 -
Head and Neck All head and neck fractures 50 2.3
Face 39 -
Cervical spine 7 -
Head 4 -

Event circumstances associated with fractures

Table 4 shows the event circumstances associated with the reported fractures. A 30% random sample of all fractures (n = 642) showed that falls represented the highest percentage of cases at 67.0%. Following this category, the second and third most common circumstances were fractures involving jumps (12.6%) and individuals coming into contact with stationary objects/structures, such as trees, rocks and chair lift poles (8.9%).

Table 4. Event circumstances associated with fractures from alpine skiing-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Mechanism Count Proportion (%)
Fell while skiing 430 67.0
Fracture occurred as a result of a jump 81 12.6
Hit stationary object/structure while skiing 57 8.9
Came into contact with person 35 5.5
Injury involving mechanical chair lift 12 1.9
Not specified 27 4.2

Emergency department outcomes

Table 5 presents a breakdown of the emergency department outcomes of the reported alpine skiing-related injuries. Of the 5,434 records, the majority of patients required treatments in the emergency departments (58.4%). There were 404 reported hospital admissions, and of these, 74.8% were associated with fractures and 7.5%, with injuries to internal organs.

Table 5. Emergency department outcomes – alpine skiing-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Emergency department outcomes Count Proportion (%)
Treatment required at emergency department 3,170 58.4
Left without being seen by physician or advice only provided 1,431 26.4
Observation in emergency department 424 7.8
Admitted to hospital 404 7.4
Death 1 0.02

Note: Four reported cases were missing information on the emergency department outcome.

Alpine skiing safety tips:
  • Avoid skiing alone.
  • Dress appropriately for winter conditions.
  • Wear appropriate safety equipment, such as a helmet.
  • 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 skier.
  • Be aware of hazards on trails (trees, rocks, chair lift poles).
  • Ensure that your ski 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 ski, it is recommended to take lessons with a certified instructor.
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