Injury in Kite buggying: The role of the ‘out of buggy experience’

ABSTRACT Background Kite buggying is a fast growing sport recognized by the International Sand and Landyachting Federation (FISLY) that originated in the 1990s and is now practiced all over the world. However, little is known about the injury patterns. Purpose: to classify injury patterns and determine dynamics of injuries, possible causes and preventive measures. Study design: descriptive epidemeological Methods: A questionnaire was filled in by 127 kite buggying enthusiasts in 17 countries. Injuries were classified by type and anatomical site. Incident causes were analyzed using the Haddon matrix. Results: Injuries classified as moderate or severe (AIS Score ≥ 2) were sustained by 26% of kite buggy enthusiasts. The most common incident dynamic (61.8%) was the OBE (an acronym for "out of buggy experience"). Causal factors were largely equipment-related (42.3%), with remaining incidents being equally attributable to environmental and human factors. While upper and lower limbs were equally involved in incidents, the most frequently affected anatomical site was the shoulder (23%). Conclusion: Kite buggying can be considered a sport with the potential for serious injury. Injury prevention in this sport needs to be approached from several angles and should include the development and adoption of automatic release systems and shoulder guards, the establishment of formal training programs covering the subject of meteorology and the establishment of secure, designated kite buggying areas. Findings from this study are important for two reasons. First they demonstrate the significance of understanding specific sports when considering health and safety and second the study provides specific data for the fast growing extreme sport of kite buggying

Rolando Fractures

The term Rolando fracture was described for the first time in 1910 by Silvio Rolando, an Italian surgeon. The eponym is used to describe a comminuted articular fracture of the base of the thumb metacarpal, while partial articular fractures at the volar-ulnar base of the thumb metacarpal are referred to as Bennett fractures. The former describes more comminuted intra-articular patterns through the base, generating the classically described "Y" or "T" morphologies. The latter is distinguished by its 2-part articular fracture pattern including the nondisplaced volar-ulnar fragment which is held in place by its ligamentous attachment to the trapezium, known as the anterior oblique ligament. This activity reviews the classification, evaluation, and management of Rolando fracture, and also illustrates the evaluation and management of Rolando fracture and reviews the role of the interprofessional team in improving care for patients with this condition. Objectives: Describe the pathophysiology of Rolando fracture. Describe the typical imaging findings associated with Rolando fracture. Review the treatment considerations for patients with Rolando fracture. Explain the importance of the interprofessional team as it pertains to improving care coordination among the interprofessional team members when treating Rolando fracture

The Incidence of Pediatric and Adolescent Concussion in Action Sports: A Systematic Review and Meta-Analysis

Background: This was a systematic review and meta-analysis of the incidence of concussion risk in youth athletes involved in action sports (AS). Methods: A search of PubMed and Web of Science (from January 1980 to August 2020). Titles, abstracts, and full text were screened according to predefined inclusion criteria to find relevant studies. Moreover, the methodological quality of the studies selected was assessed. Results: Nineteen of 1.619 studies were included in the systematic review and 14 in the meta-analysis. Motocross, sailing and snowboarding presented the highest incidence rates per 1000 athlete exposure at 39.22, 3.73 and 2.77 respectively, whereas alpine skiing had the lowest incidence rates resulting in 0.30. Overall risk of concussion was estimated at 0.33 (CI: 0.22, 0.45). Regarding the methodological quality, we have to report that 26.3% of the studies reported the definition of concussion while 36.8% presented age and gender-specific incidence rates. The mechanism of injury and follow up were reported only in one study. Conclusions: There are significant differences in the rates of incident youth concussion across AS. Despite some limitations, the data from this research can serve as the current sport-specific baseline risk of concussion among youth athletes who practice action sports

Cavernous Angioma of the Corpus Callosum Presenting with Acute Psychosis

Psychiatric symptoms may occasionally be related to anatomic alterations of brain structures. Particularly, corpus callosum lesions seem to play a role in the change of patients’ behavior. We present a case of a sudden psychotic attack presumably due to a hemorrhagic cavernous angioma of the corpus callosum, which was surgically removed with complete resolution of symptoms. Although a developmental defect like agenesis or lipoma is present in the majority of these cases, a growing lesion of the corpus callosum can rarely be the primary cause. Since it is potentially possible to cure these patients, clinicians should be aware of this association

Editorial: Application of lung ultrasound in the management of pediatric lung diseases

No abstract availabl

A systematic review of smart clothing in sports: Possible applications to extreme sports

Background. Traditional monitoring of athletes during sports has long been hampered by bulky, complicated and tethered systems. In the past decade, this has changed due to the miniaturization of sensors and improvement of systems to store and transmit data. These systems have been integrated into textiles to create ‘smart clothing’ which has been so ubiquitous that a review of the recent literature is crucial for understanding its full potential and potential use in extreme sports. Methods. An electronic data base search was performed from 2003 to April 2019 for full length articles including “Smart” AND “Clothing” OR “Clothing” AND “Sport(s)” written in English with human subjects. Articles were evaluated according to the Newcastle-Ottawa Scale. Results. Twenty-four studies resulted in 18 systems comprised of 22 types of clothing with various capabilities, including: monitoring heart rate, electromyography, respiratory rate, steps, GPS, energy expenditure, posture, body temperature and identifying the activity. Conclusions. Many types of smart clothing from socks and gloves, to pants, shirts and bras are increasingly utilized to monitor sports activity worldwide and gather previously unavailable, yet highly valuable data. This provides a unique opportunity to study athletes during training and competition, potentially providing more effective training and better safety protocols

Editorial: Understanding extreme sports: a psychological perspective

No abstract availabl

What is so special about wingsuit BASE jumpers? A comparative study of their psychological characteristics

For the general public, BASE jumping is considered the ultimate extreme activity. Among BASE jumpers, those using wingsuits are generally perceived as the most experienced but also as the most risk-taking. Starting from this observation, we wanted to know whether wingsuit users differed in their psychological characteristics from other BASE jumpers. More specifically, we hypothesized that wingsuit users would be characterized by higher levels of mental toughness and by lower levels of harm avoidance. We also expected them to use more mental training techniques than the other jumpers. To this end, we conducted a vast survey on a sample of 183 BASE jumpers. Contrary to our hypotheses, the results did not reveal any significant difference in psychological characteristics between wingsuit users and other BASE jumpers. This absence of significant differences is discussed and recommendations for the use of mixed or multi-methods in the study of extreme sports are proposed

Incidents and injuries in foot launched flying extreme sports: a snap shot from the UK

Background. Participation rates in extreme sports have grown exponentially in the last 40 years,often surpassing traditional sporting activities. The purpose of this study was to examine injury rates in foot launched flying sports, i.e. sports in which a pilot foot-launches into flight with a wing already deployed. Method. This paper is based on a retrospective analysis of the reports of incidents that occurred between 2000 and 2014 among the British Hang Gliding and Paragliding Association members. Results. The majority of the 1411 reported injuries were in the lower limb, followed by the upper limb. The most common lower limb injury was to the ankle and included fractures sprains and dislocations. The distribution of injures was different in each discipline. The calculated yearly fatality rate (fatalities /100,000 participants) was 40.4 in hang gliding, 47.1 in paragliding, 61.9 in powered hang gliding and 83.4 in powered paragliding; the overall value for foot launched flight sports was 43.9. Discussion. Significant differences in injury rates and injury patterns were found among different sport disciplines that can be useful to steer research on safety, and adopt specific safety rules about flying, protective clothing and safety systems in each of these sports