Foot and ankle injuries occurring in inflatable rescue boats (IRB) during surf lifesaving activities

Inflatable Rescue Boats (IRBs) are utilised by the Surf Life Saving Association (SLSA) in Australia to perform rescue operations and in regional competitions between surf clubs. These activities have resulted in a number of serious foot and ankle injuries which reflect the high impact of this activity in heavy and unpredictable surf. We have retrospectively reviewed 12 significant injuries relating to IRB usage presented to our regional hospital emergency department over a 3-year period. These include 6 Lisfranc fracture dislocations of the midfoot, 4 ankle fracture variants, one tibial shaft fracture, and one traumatic rupture of the peroneal retinaculum leading to peroneal tendon dislocation. Analysis of IRB footstraps in current usage shows they are directly related to the patterns of injury seen. We have recommended modifications to footstraps and handgrips currently in use with the aim of minimising or preventing these injuries.