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Shoulder injuries during alpine skiing

M S Kocher1, J A Feagin

  • 1Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts, USA.

The American Journal of Sports Medicine
|September 1, 1996
PubMed
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Alpine skiing frequently causes shoulder injuries, with falls being the primary cause. Rotator cuff strains and dislocations are the most common types, affecting males more than females.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Epidemiology

Background:

  • Alpine skiing is a popular recreational activity associated with a significant risk of injury.
  • Shoulder injuries represent a substantial portion of all injuries sustained during skiing.

Purpose of the Study:

  • To determine the incidence and types of shoulder injuries in alpine skiers.
  • To analyze the mechanisms and patient demographics associated with these injuries.

Main Methods:

  • Retrospective review of 3451 injuries from 3247 patients over three ski seasons at a destination resort.
  • Analysis of injury data, including location, mechanism, diagnosis, patient age, and sex.

Main Results:

  • The overall injury rate was 4.44 per 1000 skier-days.

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  • Shoulder complex injuries accounted for 11.4% of all injuries (0.51 per 1000 skier-days).
  • Common injuries included rotator cuff strains (24.2%), anterior glenohumeral dislocations/subluxations (21.6%), acromioclavicular separations (19.6%), and clavicle fractures (10.9%). Falls were the predominant cause (93.9%).
  • Patients with shoulder injuries were typically male (3:1 ratio) with a mean age of 35.4 years.

    • Conclusions:

    • Shoulder injuries are a significant concern in alpine skiing, with falls being the primary mechanism.
    • Understanding the incidence and types of these injuries can inform prevention strategies and clinical management.
    • Further research into specific injury prevention techniques for skiers is warranted.