• John R Hayes and Jonathan I Groner.
• The Trauma Program, Columbus Children's Hospital, and The Division of Pediatric Surgery, Department of Surgery, The Ohio State University College of Medicine, Columbus, OH 43205, USA.
• J. Pediatr. Surg. 2008 May 1;43(5):928-30.

PurposeTo investigate injuries among children and adolescents who participate in downhill sports.MethodsWe collected trauma registry data (January 1999-May 2006) from a level 1 pediatric trauma center with an average snowfall of 28 in (71 cm)/y. Cases were analyzed for injury mechanism, injury type, organ injured, Injury Severity Score, age, sex, and whether or not an operation was required.ResultsThere were 57 snowboarders and 22 skiers admitted during the study period. Forty-one (72%) of snowboarders and 16 (73%) of skiers required operations; 32 (56%) of snowboarders and 9 (41%) of skiers sustained fractures; and 14 (25%) of snowboarders and 6 (27%) of skiers sustained abdominal injuries. (P = NS for all comparisons). Serious splenic injuries were more common in snowboarders (14% vs 4%), but the difference was not statistically significant. All skiing injuries occurred at recreational facilities (commercial skiing areas), whereas 12% of snowboard injuries occurred at home, other residence, or public parks (P = .08). The most striking finding is the rising number of snowboarding injuries and the relatively stable rate of skiing injuries (see graph).ConclusionsAs the popularity of snowboarding rises, snowboarding injuries in children are increasing. Pediatric surgeons should be wary of the "snowboard spleen."

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