Traumatic Dislocation and Fractures

  • Andrea Panzeri
  • Paolo CapitaniEmail author
  • Gabriele Thiébat
  • Herbert Schoenhuber
Part of the Sports and Traumatology book series (SPORTS)


Alpine Ski is an high energy sport where athletes reach high speeds. Their joints are undergone to several stresses that can lead to traumas of two types: generic and specific for joints. The first one are the injuries caused by high energy traumas and usually happen more often in Downhill (DH) and Super-Giant Slalom (SG). In Giant Slalom (GS) and Slalom (SL), the joint usually undergo a specific mechanism of injury due to an inappropriate movement.


Trauma Dislocation Fractures Elite Alpine ski Downhill Slalom Giant slalom Super-giant slalom 


  1. 1.
    Koehle MS, Lloyd-Smith R, Taunton JE (2002) Alpine ski injuries and their prevention. Sports Med 32(12):785–793CrossRefPubMedGoogle Scholar
  2. 2.
    Meyers MC, Laurent CM Jr, Higgins RW, Skelly WA (2007) Downhill ski injuries in children and adolescents. Sports Med 37(6):485–499CrossRefPubMedGoogle Scholar
  3. 3.
    Coury T, Napoli AM, Wilson M, Daniels J, Murray R, Milzman D (2013) Injury patterns in recreational alpine skiing and snowboarding at a mountainside clinic. Wilderness Environ Med 24(4):417–421CrossRefPubMedGoogle Scholar
  4. 4.
    Ruedl G, Kopp M, Sommersacher R, Woldrich T, Burtscher M (2013) Factors associated with injuries occurred on slope intersections and in snow parks compared to on-slope injuries. Accid Anal Prev 50:1221–1225CrossRefPubMedGoogle Scholar
  5. 5.
    Flørenes TW, Nordsletten L, Heir S, Bahr R (2012) Injuries among World Cup ski and snowboard athletes. Scand J Med Sci Sports 22(1):58–66CrossRefPubMedGoogle Scholar
  6. 6.
    Gilgien M, Spörri J, Kröll J, Crivelli P, Müller E (2014) Mechanics of turning and jumping and skier speed are associated with injury risk in men’s World Cup alpine skiing: a comparison between the competition disciplines. Br J Sports Med 48(9):742–747CrossRefPubMedGoogle Scholar
  7. 7.
    McBeth PB, Ball CG, Mulloy RH, Kirkpatrick AW (2009) Alpine ski and snowboarding traumatic injuries: incidence, injury patterns, and risk factors for 10 years. Am J Surg 197(5):560–563. discussion 563–4CrossRefPubMedGoogle Scholar
  8. 8.
    Stenroos AJ, Handolin LE (2014) Alpine skiing injuries in Finland – a two-year retrospective study based on a questionnaire among ski racers. BMC Sports Sci Med Rehabil 6(1):9CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Ruedl G, Kopp M, Burtscher M, Bauer R, Benedetto K (2013) Ursachen und Einflussfaktoren von Personenkollisionen auf der Skipiste – causes and factors associated with collisions on ski slopes. Sportverletz Sportschaden 27(2):100–104CrossRefPubMedGoogle Scholar
  10. 10.
    Philippe M, Ruedl G, Feltus G, Woldrich T, Burtscher M (2014) How frequent and why are skiers and snowboarders falling? Sportverletz Sportschaden 28(4):188–192CrossRefPubMedGoogle Scholar
  11. 11.
    Rust DA, Gilmore CJ, Treme G (2013) Injury patterns at a large Western United States ski resort with and without snowboarders: the Taos experience. Am J Sports Med 41(3):652–656CrossRefPubMedGoogle Scholar
  12. 12.
    Sulheim S, Holme I, Rødven A, Ekeland A, Bahr R (2011) Risk factors for injuries in alpine skiing, telemark skiing and snowboarding—case-control study. Br J Sports Med 45(16):1303–1309CrossRefPubMedGoogle Scholar
  13. 13.
    Bere T, Flørenes TW, Nordsletten L, Bahr R (2014) Sex differences in the risk of injury in World Cup alpine skiers: a 6-year cohort study. Br J Sports Med 48(1):36–40CrossRefPubMedGoogle Scholar
  14. 14.
    Heir S, Krosshaug T, Rødven A Ekeland A (2002) Injuries in alpine skiing related to age groups. Paper presented at the 10th ESSKA CongressGoogle Scholar
  15. 15.
    Westin M, Alricsson M, Werner S (2012) Injury profile of competitive alpine skiers: a five-year cohort study. Knee Surg Sports Traumatol Arthrosc 20(6):1175–1181CrossRefPubMedGoogle Scholar
  16. 16.
    Greier K (2011) Skiing injuries in school sport and possibilities to prevent them. Sportverletz Sportschaden 25(4):216–221CrossRefPubMedGoogle Scholar
  17. 17.
    Flørenes TW, Bere T, Nordsletten L, Heir S, Bahr R (2009) Injuries among male and female World Cup alpine skiers. Br J Sports Med 43(13):973–978CrossRefPubMedGoogle Scholar
  18. 18.
    Gilgien M, Crivelli P, Spörri J, Kröll J, Müller E (2015) Characterization of course and terrain and their effect on skier speed in World Cup alpine ski racing. PLoS One 10(3):e0118119CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Bere T, Bahr R (2014) Injury prevention advances in alpine ski racing: harnessing collaboration with the International Ski Federation (FIS), long-term surveillance and digital technology to benefit athletes. Br J Sports Med 48(9):738CrossRefPubMedGoogle Scholar
  20. 20.
    Bere T, Flørenes TW, Krosshaug T, Haugen P, Svandal I, Nordsletten L, Bahr R (2014) A systematic video analysis of 69 injury cases in World Cup alpine skiing. Scand J Med Sci Sports 24(4):667–677CrossRefPubMedGoogle Scholar
  21. 21.
    Flørenes TW, Nordsletten L, Heir S, Bahr R (2011) Recording injuries among World Cup skiers and snowboarders: a methodological study. Scand J Med Sci Sports 21(2):196–205CrossRefPubMedGoogle Scholar
  22. 22.
    Ruedl G, Schobersberger W, Pocecco E, Blank C, Engebretsen L, Soligard T, Steffen K, Kopp M, Burtscher M (2012) Sport injuries and illnesses during the first Winter Youth Olympic Games 2012 in Innsbruck. Austria Br J Sports Med 46(15):1030–1037CrossRefPubMedGoogle Scholar
  23. 23.
    Ruedl G, Schnitzer M, Kirschner W, Spiegel R, Platzgummer H, Kopp M, Burtscher M, Pocecco E (2016) Sports injuries and illnesses during the 2015 Winter European Youth Olympic Festival. Br J Sports Med 50(10):631–636CrossRefPubMedGoogle Scholar
  24. 24.
    Deady LH, Salonen D (2010) Skiing and snowboarding injuries: a review with a focus on mechanism of injury. Radiol Clin N Am 48(6):1113–1124CrossRefPubMedGoogle Scholar
  25. 25.
    Shea KG, Archibald-Seiffer N, Murdock E, Grimm NL, Jacobs JC Jr, Willick S, Van Houten H (2014) Knee injuries in downhill skiers: a 6-year survey study. Orthop J Sports Med 2(1):2325967113519741CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Bere T, Flørenes TW, Krosshaug T, Nordsletten L, Bahr R (2011) Events leading to anterior cruciate ligament injury in World Cup Alpine Skiing: a systematic video analysis of 20 cases. Br J Sports Med 45(16):1294–1302CrossRefPubMedGoogle Scholar
  27. 27.
    Bere T, Mok KM, Koga H, Krosshaug T, Nordsletten L, Bahr R (2013) Kinematics of anterior cruciate ligament ruptures in World Cup alpine skiing: 2 case reports of the slip-catch mechanism. Am J Sports Med 41(5):1067–1073CrossRefPubMedGoogle Scholar
  28. 28.
    Heinrich D, van den Bogert AJ, Nachbauer W (2014) Relationship between jump landing kinematics and peak ACL force during a jump in downhill skiing: a simulation study. Scand J Med Sci Sports 24(3):e180–e187CrossRefPubMedGoogle Scholar
  29. 29.
    Abdalla FH, Tehranzadeh J, Horton JA (1982) Avulsion of lateral tibial condyle in skiing. Am J Sports Med 10(6):368–370CrossRefPubMedGoogle Scholar
  30. 30.
    Brukner P (2012) Brukner and Khan’s clinical sports medicine. McGraw-Hill, North RydeGoogle Scholar
  31. 31.
    Canale ST, Beaty JH (2012) Campbell’s operative orthopaedics, XI edn. Elsevier Health Sciences, Philadelphia, PAGoogle Scholar
  32. 32.
    Jordan MJ, Aagaard P, Herzog W (2015) Lower limb asymmetry in mechanical muscle function: a comparison between ski racers with and without ACL reconstruction. Scand J Med Sci Sports 25(3):e301–e309CrossRefPubMedGoogle Scholar
  33. 33.
    Jordan MJ, Aagaard P, Herzog W (2015) Rapid hamstrings/quadriceps strength in ACL-reconstructed elite Alpine ski racers. Med Sci Sports Exerc 47(1):109–119CrossRefPubMedGoogle Scholar
  34. 34.
    Sidorenko EV, Preobrazhenskiĭ VIu, Vnukov DV, Preobrazhenskaia MV (2013) [Peculiarities of early rehabilitation of mountain ski athletes after plastic reconstruction of anterior cruciate ligament]. Vopr Kurortol Fizioter Lech Fiz Kult. Jul-Aug;(4):35–38.Google Scholar
  35. 35.
    Hosp S, Bottoni G, Heinrich D, Kofler P, Hasler M, Nachbauer W (2015) A pilot study of the effect of kinesiology tape on knee proprioception after physical activity in healthy women. J Sci Med Sport 18(6):709–713CrossRefPubMedGoogle Scholar
  36. 36.
    Bottoni G, Herten A, Kofler P, Hasler M, Nachbauer W (2013) The effect of knee brace and knee sleeve on the proprioception of the knee in young non-professional healthy sportsmen. Knee 20(6):490–492CrossRefPubMedGoogle Scholar
  37. 37.
    Raschner C, Platzer HP, Patterson C, Werner I, Huber R, Hildebrandt C (2012) The relationship between ACL injuries and physical fitness in young competitive ski racers: a 10-year longitudinal study. Br J Sports Med 46(15):1065–1071CrossRefPubMedGoogle Scholar
  38. 38.
    Bürkner A, Simmen HP (2008) Fractures of the lower extremity in skiing - the influence of ski boots and injury pattern. Sportverletz Sportschaden 22(4):207–212CrossRefPubMedGoogle Scholar
  39. 39.
    Pätzold R, Spiegl U, Wurster M, Augat P, Gutsfeld P, Gonschorek O, Bühren V (2013) Proximal tibial fractures sustained during alpine skiing – incidence and risk factors. Sportverletz Sportschaden 27(4):207–211CrossRefPubMedGoogle Scholar
  40. 40.
    Deibert MC, Aronsson DD, Johnson RJ, Ettlinger CF, Shealy JE (1998) Skiing injuries in children, adolescents, and adults. J Bone Joint Surg Am 80(1):25–32CrossRefPubMedGoogle Scholar
  41. 41.
    Mückley T, Kruis C, Schütz T, Brucker P, Bühren V (2004) Fractures of the lower leg in professional skiers. Sportverletz Sportschaden 18(1):22–27CrossRefPubMedGoogle Scholar
  42. 42.
    Pavić R (2012) Multifragmentary distal crural fracture ski injury in an athlete: a case report. Coll Antropol 36(4):1471–1474PubMedGoogle Scholar
  43. 43.
    Hotfiel T, Engelhardt M (2015) Osteochondritis dissecans of the talus with hindfoot malalignment––autologous matrix-induced chondrogenesis with lateral calcaneal distraction osteotomy in an internationally successful young female ski racer. Sportverletz Sportschaden 29(2):118–121PubMedGoogle Scholar
  44. 44.
    Steadman JR, Hanson CM, Briggs KK, Matheny LM, James EW, Guillet A (2014) Outcomes after knee microfracture of chondral defects in alpine ski racers. J Knee Surg 27(5):407–410CrossRefPubMedGoogle Scholar
  45. 45.
    McCall D, Safran MR (2009) Injuries about the shoulder in skiing and snowboarding. Br J Sports Med 43(13):987–992CrossRefPubMedGoogle Scholar
  46. 46.
    Bissell BT, Johnson RJ, Shafritz AB, Chase DC, Ettlinger CF (2008) Epidemiology and risk factors of humerus fractures among skiers and snowboarders. Am J Sports Med 36(10):1880–1888CrossRefPubMedGoogle Scholar
  47. 47.
    di Mento L, Staletti L, Cavanna M, Mocchi M, Berlusconi M (2015) Posterior sternoclavicular joint dislocation with brachiocephalic vein injury: a case report. Injury 46(Suppl 7):S8–10CrossRefPubMedGoogle Scholar
  48. 48.
    National Ski Areas Association (2016) Facts about skiing/snowboarding safety. NSAA Online publications.
  49. 49.
    Shealy J, Johnson R, Ettlinger C (2006) On piste fatalities in recreational snow sports in the US. Skiing trauma and safety 16th volume. ASTM STP 1474:27–34Google Scholar
  50. 50.
    Xiang H, Stallones L, Smith GA (2004) Downhill skiing injury fatalities among children. Inj Prev 10(2):99–102CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Andrea Panzeri
    • 1
  • Paolo Capitani
    • 1
    Email author
  • Gabriele Thiébat
    • 1
  • Herbert Schoenhuber
    • 1
  1. 1.Sport Traumatology CentreIRCCS Istituto Ortopedico GaleazziMilanoItaly

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