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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...

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All-Terrain Vehicle-Related Distal Upper-Extremity Injury Rates and Patterns.

Janine Myint1, Xinfei Miao2, Subhas Gupta1

  • 1Department of Plastic Surgery, Loma Linda University, Loma Linda, CA.

Journal of Hand Surgery Global Online
|June 4, 2026
PubMed
Summary
This summary is machine-generated.

All-terrain vehicle (ATV) use leads to a rise in upper-extremity injuries, particularly fractures, in adolescents and males. Prevention strategies for ATV-related arm injuries require focused attention.

Keywords:
All-terrain vehiclesFracturesHand surgeryTraumaUpper extremity injury

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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Public Health

Background:

  • All-terrain vehicle (ATV) use is associated with significant upper-extremity injuries presenting to emergency departments.
  • Existing research lacks a comprehensive analysis of the specific patterns of upper-extremity injuries resulting from ATV use.

Purpose of the Study:

  • To investigate the incidence, trends, and characteristics of distal upper-extremity injuries related to all-terrain vehicle (ATV) use in the United States.
  • To identify demographic patterns and injury types associated with ATV-related distal upper-extremity trauma.

Main Methods:

  • Utilized the National Electronic Injury Surveillance System (NEISS) database from 2013 to 2022.
  • Analyzed demographic factors (age, sex, race), incident location, injury diagnosis, and body part involved.
  • Categorized injuries, with specific subcategorization for forearm fractures (ulna, radius, both).

Main Results:

  • A gradual uptrend in distal upper-extremity ATV injuries was observed, peaking in 2020, despite an overall decrease in ATV injury visits.
  • Males (68.87%) and adolescents aged 10-19 years (41.1%) were most affected.
  • Fractures were the most common injury type overall, with the radius being the most frequently involved bone in forearm fractures.

Conclusions:

  • ATV-related upper-extremity injuries show a distinct trend, predominantly affecting males and adolescents, with fractures being the most common diagnosis.
  • The rising incidence of these specific injuries, contrasting with the decline in overall ATV injuries, highlights the need for targeted prevention efforts.
  • Further research and interventions focused on upper-extremity injury prevention during all-terrain vehicle (ATV) operation are warranted.