{"title":"冰球停在这里：成人的头部和颈部冰球撕裂伤。","authors":"Beatrice Bacon, Rhys Mendel, Katelin Keenehan, Gaayathri Varavenkataraman, Francesca Viola, Michele Carr","doi":"10.1002/lary.31970","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study was to describe lacerations of the head and neck sustained among ice hockey players in the US.</p><p><strong>Methods: </strong>Data on adult (20-65 years) ice hockey injuries were collected from the 2003-2022 National Electronic Injury Surveillance System (NEISS) database. Injuries of the head, neck, face, mouth, and ears were included, while those sustained as a spectator, coach, or on a non-ice surface were excluded. Frequencies and means were calculated. A one-way ANOVA and chi-squared tests were performed, with p < 0.05 indicating statistical significance.</p><p><strong>Results: </strong>Five hundred ninety-three patients were included; 578 (97.5%) male, 15 (2.5%) female. Mean age was 31.3 (95% CI 30.5-32.2) years. Lacerations occurred on the face (N = 422, 71.2%), mouth (N = 124, 20.9%), head (N = 23, 3.9%), ear (N = 22, 3.7%), and neck (N = 2, 0.3%). One patient (0.17%) was admitted due to closed head injury; there were no deaths. Pucks were the primary cause of lacerations (N = 210, 35.4%), followed by sticks (N = 135, 22.8%), collisions (N = 56, 9.4%), and falls (N = 51, 8.6%). 3.4% (N = 20) of patients experienced a laceration caused by a skate blade, most often on the face (N = 17/20, 85.0%).</p><p><strong>Conclusion: </strong>Hockey pucks are the primary cause of lacerations in the head, face, and mouth, with neck lacerations being rare in this cohort. Full face protective gear would reduce the number of adult ice hockey head and neck lacerations.</p><p><strong>Level of evidence: </strong>IV Laryngoscope, 2024.</p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Puck Stops Here: Head and Neck Ice Hockey Lacerations in Adults.\",\"authors\":\"Beatrice Bacon, Rhys Mendel, Katelin Keenehan, Gaayathri Varavenkataraman, Francesca Viola, Michele Carr\",\"doi\":\"10.1002/lary.31970\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The goal of this study was to describe lacerations of the head and neck sustained among ice hockey players in the US.</p><p><strong>Methods: </strong>Data on adult (20-65 years) ice hockey injuries were collected from the 2003-2022 National Electronic Injury Surveillance System (NEISS) database. Injuries of the head, neck, face, mouth, and ears were included, while those sustained as a spectator, coach, or on a non-ice surface were excluded. Frequencies and means were calculated. A one-way ANOVA and chi-squared tests were performed, with p < 0.05 indicating statistical significance.</p><p><strong>Results: </strong>Five hundred ninety-three patients were included; 578 (97.5%) male, 15 (2.5%) female. Mean age was 31.3 (95% CI 30.5-32.2) years. Lacerations occurred on the face (N = 422, 71.2%), mouth (N = 124, 20.9%), head (N = 23, 3.9%), ear (N = 22, 3.7%), and neck (N = 2, 0.3%). One patient (0.17%) was admitted due to closed head injury; there were no deaths. Pucks were the primary cause of lacerations (N = 210, 35.4%), followed by sticks (N = 135, 22.8%), collisions (N = 56, 9.4%), and falls (N = 51, 8.6%). 3.4% (N = 20) of patients experienced a laceration caused by a skate blade, most often on the face (N = 17/20, 85.0%).</p><p><strong>Conclusion: </strong>Hockey pucks are the primary cause of lacerations in the head, face, and mouth, with neck lacerations being rare in this cohort. Full face protective gear would reduce the number of adult ice hockey head and neck lacerations.</p><p><strong>Level of evidence: </strong>IV Laryngoscope, 2024.</p>\",\"PeriodicalId\":49921,\"journal\":{\"name\":\"Laryngoscope\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-12-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laryngoscope\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/lary.31970\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.31970","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
The Puck Stops Here: Head and Neck Ice Hockey Lacerations in Adults.
Objective: The goal of this study was to describe lacerations of the head and neck sustained among ice hockey players in the US.
Methods: Data on adult (20-65 years) ice hockey injuries were collected from the 2003-2022 National Electronic Injury Surveillance System (NEISS) database. Injuries of the head, neck, face, mouth, and ears were included, while those sustained as a spectator, coach, or on a non-ice surface were excluded. Frequencies and means were calculated. A one-way ANOVA and chi-squared tests were performed, with p < 0.05 indicating statistical significance.
Results: Five hundred ninety-three patients were included; 578 (97.5%) male, 15 (2.5%) female. Mean age was 31.3 (95% CI 30.5-32.2) years. Lacerations occurred on the face (N = 422, 71.2%), mouth (N = 124, 20.9%), head (N = 23, 3.9%), ear (N = 22, 3.7%), and neck (N = 2, 0.3%). One patient (0.17%) was admitted due to closed head injury; there were no deaths. Pucks were the primary cause of lacerations (N = 210, 35.4%), followed by sticks (N = 135, 22.8%), collisions (N = 56, 9.4%), and falls (N = 51, 8.6%). 3.4% (N = 20) of patients experienced a laceration caused by a skate blade, most often on the face (N = 17/20, 85.0%).
Conclusion: Hockey pucks are the primary cause of lacerations in the head, face, and mouth, with neck lacerations being rare in this cohort. Full face protective gear would reduce the number of adult ice hockey head and neck lacerations.
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
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