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1、ClarkSchierle,HMSIVGillianLieberman,MDMarch2003SnowboardingTraumaSnowboardingTraumaClarkClarkSchierleSchierle,HMSIV,HMSIVGillianLieberman,MDGillianLieberman,MDClarkSchierle,HMSIVGillianLieberman,MDOurFirstPatientOurFirstPatientNAisa21yearNAisa21year--oldoldmanwhopresentstomanwhopresentstotheemergenc
2、yroomtheemergencyroomwithleftwristpainwithleftwristpainafteraFOOSHwhileafteraFOOSHwhilesnowboardingsnowboardinghttp://www.sugarbowl.com2ClarkSchierle,HMSIVGillianLieberman,MDFOOSHFOOSH••FFallallOOnnOOutut--SStretchedtretchedHHandand••MostcommonmechanismofsnowboardingMostcommonmechanismofsnowboarding
3、relatedinjuriesrelatedinjuries••MostcommonMostcommonsequelasequelaisfractureoftheisfractureofthedistalradiusand/orulnadistalradiusand/orulna••CarpalinjurieslesscommonbuthaveCarpalinjurieslesscommonbuthaveseriousrepercussionsforlongseriousrepercussionsforlong--termfunctiontermfunction3ClarkSchierle,H
4、MSIVGillianLieberman,MDPatientOneH&PPatientOneH&P•Novicesnowboarder•Caughtdownhilledge•FOOSHofleftupperextremity•Severepain,decreasedAROM•Pointtendernessoverdistalforearm•ROMtestinglimitedbypainhttp://www.sugarbowl.com4ClarkSchierle,HMSIVGillianLieberman,MDPlainFilmoftheWristPlainFilmoftheWristBIDMC
5、PACS5ClarkSchierle,HMSIVGillianLieberman,MDDiagnosis&DispositionDiagnosis&Disposition••NonNon--displaceddistalradiusfracturedisplaceddistalradiusfracture••Armwassplinted&patientwasdischargedArmwassplinted&patientwasdischargedhomewithhomewithintructionsintructionsforfollowforfollow--upup••Snowboarder
6、snowmakeup40Snowboardersnowmakeup40--60%of60%ofcustomersparticipantsatmajorskiresortscustomersparticipantsatmajorskiresorts••ThisinjuryistypicalofthoseexperiencedThisinjuryistypicalofthoseexperiencedbysnowboarders,let’slearnmore…bysnowboarders,let’slearnmore…6ClarkSchierle,HMSIVGillianLieberman,MDSn
7、owboardingTraumaSnowboardingTrauma••IntroductiontosnowboardingIntroductiontosnowboarding••PatternsofinjuryPatternsofinjury••UpperextremityinjuriesUpperextremityinjuries••LowerextremityinjuriesLowerext