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Ski Trauma in Australia 1953-1990Eugene Sherry MD FRACSIntroduction:People are surprised to hear that you can snow ski in Australia.In fact Australia has a snow covered area bigger than Europe. Of course theSnow is thinner than that in the US or Europe, but at least here you can skiIn the sun (in bikinis or shorts-the ULTIMATE experience). There are few avalanches.I collected this data on the 10,000 injuries I personally treated 1983-86(incl)In Perisher Valley, NSW (E.Sherry et al.
 
Trends in skiing injury type and rates in Australia.A review of 22,261 injuries over 27 years in the Snowy Mountains.Med J Aust. 1991 Oct 21; 155(8):513-5)(all this material is copyright).History of sportCPR on the slopes Types of injuries Perisher Valley (PV), NSWDevelopment of skis Dev. of boots, soft Dr John Shedden, first tofrom strap in to leather to firm hold collect stats in NSWBinding release.
 
Ski Trauma in Australia 1953-1990Eugene Sherry MD FRACS
(
I collected Risk factors Location Over viewdata on > 20,000injuries ( 1983-86).
 
Background;A prospective study of 1850 skiing injuries which occurred during the 1983 skiing season inAustralia, all injuries were seen and treated by the same medical practitioner, showed upperextremity injuries and lower extremity injuries were almost equally represented (36% and 42% of the total number of injuries, respectively); injuries to the head, face and neck accounted for 17% of the total number of injuries. The injury rate of 3.80 per 1000 skiers establishes skiing as a safe sport.Attention is drawn to the high incidence of facial lacerations and of disruption of the ulnar collateralligament of the metacarpophalangeal joint of the thumb ("skier's thumb"). It is recommended thatboth competitive and recreational skiers wear helmets with attached visors. With adequate medicalpersonnel and facilities, over 90% of injuries can receive definitive primary treatment on location;this results in minimum patient discomfort, complications. And hospital costs. (E Sherry. Skiinginjuries in Australia.Med J Aust. 1984 Apr 28; 140(9):530-1).
 
The trends in the rate and type of skiing injuries in Australia.A retrospective analysis. Skiing injuries in the Snowy Mountains, NSW, from 1962 to 1988.All injuries were seen and treated at the Ski Injury Clinic in Perisher Valley.A total of 22,261 injuries were seen over this 27 year period (data for 1963, 1964, 1966, 1977, 1978, 1981 and 1982were missing).Injured skiers were treated at the Clinic with a small number sent to main centres for tertiary care.The overall injury rate (1962-1988) and the specific injury rate for six subgroups of injuries (1974-1988) werecalculated.The overall injury rate declined dramatically over this period.The incidence of tibial fractures, ankle injuries and lacerations also declined. Upper body injuries continue to risealthough this trend was not statistically significant.There was a statistically significant increase in knee injuries.The trends reported here are similar to those overseas except that the incidence of thumb injuries has notchanged in Australia. The changes in the rates of lacerations, and tibial and ankle injuries can be related toimprovements in ski bindings and boots.
 
Ski Trauma in Australia 1953-1990Eugene Sherry MD FRACSPV on a busy Injury trending down Changing types of injuriesWeekend, 20,000Skiers on slopesLower limb injuries Injury rateX- country lower rate Because more isolatedbut more severe.
Nordic Injuries:
A retrospective study of 88 nordic skiing injuries from the 1984 and 1985 skiing seasons in Australia is presented. Toour knowledge, this is the largest study to date of such injuries. These injuries are compared with alpine skiing injuriesfrom the same medical clinic for the 1985 skiing season.
There was a much lower incidence of injury from nordic skiing; however, when injuries did occur, they tendedto be more serious than those of alpine skiing and frequently required immediate evacuation to hospital fortreatment.
 As the nordic skier is relatively isolated from medical services, these findings need to be considered in the futureplanning of rescue services for such skiers.
 (E Sherry et al.
 
Hazards of cross country skiing. Aust Fam Physician. 1987 Jun; 16(6):851); E Sherry et al.
 
Nordic (cross-country) skiing injuries in Australia. Med J Aust. 1987 Mar 2; 146(5):245-6).
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