TY - JOUR
T1 - Electric Scooter–Related Upper Limb Fractures
T2 - Analysis of 458 Cases
AU - Factor, Shai
AU - Shaked, Or
AU - Atlan, Franck
AU - Pritsch, Tamir
AU - Shichman, Ittai
N1 - Publisher Copyright:
© 2023 American Society for Surgery of the Hand
PY - 2023/2
Y1 - 2023/2
N2 - Purpose: To perform an analysis of electric scooter (e-scooter)–related upper limb fractures (ULFs), which have increased dramatically in parallel with the rapid rise in the use of e-scooters and shared e-scooter services in recent years. Methods: We retrospectively reviewed the medical charts of e-scooter–related emergency department visits between January 2017 and January 2020 at a level I trauma center. All patients with ULFs were included in the study, and their data were analyzed for demographics, fracture diagnosis, associated injuries, and required surgical treatment. Results: This study included 356 patients (50% men) with 458 ULFs, of which 23 (5%) were open fractures. The mean age of the cohort was 32.9 years (standard deviation, 10.1 years). The most common mechanism of injury was rider fall (92.1%). The nondominant hand was injured in 53.1% of cases, and 32.1% of all fractures were treated with surgery. A total of 120 (33.7%) patients sustained more than 1 ipsilateral ULF, and 27 (7.6%) patients had a concomitant contralateral ULF. Radial head fracture was the most common fracture type (n = 123, 26.8%), of which 16 (13%) were bilateral. The fifth ray was injured most frequently among the metacarpal and phalangeal fractures (n = 33, 47.1%). Most of the nonextremity-associated injuries were those of the head and maxillofacial bones. Conclusions: The most common ULF associated with e-scooters was the radial head fracture. Physicians should be alert to and seek associated fractures during initial assessments of e-scooter–related upper limb injuries. Further investigation may be warranted to evaluate the effectiveness of protective measures in reducing the number of injuries. Type of study/level of evidence: Therapeutic IV.
AB - Purpose: To perform an analysis of electric scooter (e-scooter)–related upper limb fractures (ULFs), which have increased dramatically in parallel with the rapid rise in the use of e-scooters and shared e-scooter services in recent years. Methods: We retrospectively reviewed the medical charts of e-scooter–related emergency department visits between January 2017 and January 2020 at a level I trauma center. All patients with ULFs were included in the study, and their data were analyzed for demographics, fracture diagnosis, associated injuries, and required surgical treatment. Results: This study included 356 patients (50% men) with 458 ULFs, of which 23 (5%) were open fractures. The mean age of the cohort was 32.9 years (standard deviation, 10.1 years). The most common mechanism of injury was rider fall (92.1%). The nondominant hand was injured in 53.1% of cases, and 32.1% of all fractures were treated with surgery. A total of 120 (33.7%) patients sustained more than 1 ipsilateral ULF, and 27 (7.6%) patients had a concomitant contralateral ULF. Radial head fracture was the most common fracture type (n = 123, 26.8%), of which 16 (13%) were bilateral. The fifth ray was injured most frequently among the metacarpal and phalangeal fractures (n = 33, 47.1%). Most of the nonextremity-associated injuries were those of the head and maxillofacial bones. Conclusions: The most common ULF associated with e-scooters was the radial head fracture. Physicians should be alert to and seek associated fractures during initial assessments of e-scooter–related upper limb injuries. Further investigation may be warranted to evaluate the effectiveness of protective measures in reducing the number of injuries. Type of study/level of evidence: Therapeutic IV.
KW - Electric scooter
KW - e-scooter
KW - forearm
KW - fracture
KW - hand
KW - prevention
UR - http://www.scopus.com/inward/record.url?scp=85120061310&partnerID=8YFLogxK
U2 - 10.1016/j.jhsa.2021.09.033
DO - 10.1016/j.jhsa.2021.09.033
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C2 - 34852957
AN - SCOPUS:85120061310
SN - 0363-5023
VL - 48
SP - 197.e1-197.e6
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 2
ER -