Korean J Sports Med.  2019 Dec;37(4):134-139. 10.5763/kjsm.2019.37.4.134.

Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis

Affiliations
  • 1Department of Orthopaedic Surgery, Ajou University Graduate School of Medicine, Suwon, Korea.
  • 2Department of Orthopaedic Surgery, Yanbian University School of Medicine, Yanbian, China.
  • 3Department of Orthopaedic Surgery, Ajou University School of Medicine, Suwon, Korea. doolungee@aumc.ac.kr
  • 4Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
  • 5Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Abstract

PURPOSE
The aim of this study was to analyze an injury scene during fly fish boat riding (FBR).
METHODS
We conducted survey on 12 patients who had humerus shaft fractures during FBR between 2011 and 2016 at three university-based emergency rooms. Individual information, injury mechanism, classification of humerus shaft fracture, and combined injury were recorded from medical document and telephone interview.
RESULTS
The injury happened when the kite was turned over and fall into the water in 10 patients (82%); the kite was turned over in the air in one patient (9%), and a leash between kite and boat was broken in one patient (9%). All patients showed 12-B1 or 12-B3 type distal humerus shaft fracture. And there were combined contralateral distal humeral shaft fractures in two patients, vertebral compression fracture in one patient, and radial nerve injury in four patients.
CONCLUSION
Riding position and injury mechanism such as turning over may affect distal humerus shaft fractures with butterfly fragment during FBR.

Keyword

Flying fish; Humeral fracture; Water sports

MeSH Terms

Butterflies
Classification
Diptera*
Emergency Service, Hospital
Fractures, Compression
Humans
Humeral Fractures
Humerus*
Interviews as Topic
Radial Nerve
Ships*
Water
Water

Figure

  • Fig. 1 The riding position of fly fish boat riding. (A) Sitting position like riding a motorcycle. (B) Lying position.

  • Fig. 2 The situation of fallen of rider due to the kite losing balance during fly fish boat riding. (A) Sitting position. (B) Lying position.

  • Fig. 3 Twenty-four-year-old woman (case 5) with bilateral humeral shaft fractures (A: left side, 12-B1; B: right side, 12-B3).

  • Fig. 4 Twenty-seven-year-old man (case 12) with bilateral humeral shaft fractures (A: right side, 12-B3; B: left side, 12-B1).


Reference

1. Lee BG, Park KC, Choi YH, Jung WS, Hwang KT. Humerus Shaft fractures in leisure sport ‘flyfish riding’: 4 cases report. J Korean Fract Soc. 2012; 25:327–330.
2. Spanjersberg WR, Schipper IB. Kitesurfing: when fun turns to trauma-the dangers of a new extreme sport. J Trauma. 2007; 63:E76–E80.
3. Turk EE, Riedel A, Pueschel K. Natural and traumatic sports-related fatalities: a 10-year retrospective study. Br J Sports Med. 2008; 42:604–608.
4. Ziegler M, Lockemann U, Puschel K. Fatal accident during kite surfing lesson. Rechtsmedizin. 2009; 19:162–164.
5. Scheibe E, Lignitz E, Hinz P, Scheibe R. Kitesurfen. Rechtsmedizin. 2009; 19:145–151.
6. Petersen W, Hansen U, Zernial O, Nickel C, Prymka M. Mechanisms and prevention of kitesurfing injuries. Sportverletz Sportschaden. 2002; 16:115–121.
7. Nickel C, Zernial O, Musahl V, Hansen U, Zantop T, Petersen W. A prospective study of kitesurfing injuries. Am J Sports Med. 2004; 32:921–927.
8. Grunner S, Kotlarsky P, Berkovich Y, Givon A, Keren Y. Epidemiology of kite surfing injuries among recreational athletes. Isr Med Assoc J. 2016; 18:272–274.
9. O'Donnell J, Wilson KL, Caesar DH. “Banana boating”. Inj Prev. 2001; 7:254.
10. O'Donnell J, Gleeson AP. Exercise-induced rhabdomyolysis. Eur J Emerg Med. 1998; 5:325–326.
11. Cohen JE, Moscovici S, Rosenthal G, Benifla M, Itshayek E. Life-threatening neurovascular injuries associated with recreational use of "banana" boats. J Clin Neurosci. 2012; 19:1323–1325.
12. Wood JJ, Rajput R, Ward AJ. Avulsion fracture of the greater trochanter of the femur: recommendations for closed reduction of the apophyseal injury. Inj Extra. 2005; 36:255–258.
13. Kim NE, Ahn ME, Seo JY, et al. The type analysis for safety accident of water sports happening in river. J Trauma Inj. 2017; 30:186–191.
14. Christensen J, Spence S, Watson D, et al. Orthopaedic watercraft injuries: characterization of mechanisms, fractures, and complications in 216 injuries. J Orthop Trauma. 2018; 32:e134–e138.
15. Bourgois JG, Boone J, Callewaert M, Tipton MJ, Tallir IB. Biomechanical and physiological demands of kitesurfing and epidemiology of injury among kitesurfers. Sports Med. 2014; 44:55–66.
16. Baker JI, Griffin R, Brauneis PF, Rue LW 3rd, McGwin G Jr. A comparison of wakeboard-, water skiing-, and tubingrelated injuries in the United States, 2000-2007. J Sports Sci Med. 2010; 9:92–97.
17. Branche CM, Conn JM, Annest JL. Personal watercraftrelated injuries: a growing public health concern. JAMA. 1997; 278:663–665.
18. Haan JM, Kramer ME, Scalea TM. Pattern of injury from personal watercraft. Am Surg. 2002; 68:624–627.
19. Hamman BL, Miller FB, Fallat ME, Richardson JD. Injuries resulting from motorized personal watercraft. J Pediatr Surg. 1993; 28:920–922.
20. White MW, Cheatham ML. The underestimated impact of personal watercraft injuries. Am Surg. 1999; 65:865–869.
21. Yoon YH, Ha JK, Choi KE, Lee KH, Shin SJ. The fractures of humerus shaft and medial epicondyle by arm wrestling. J Korean Fract Soc. 2006; 19:437–442.
22. Whitaker JH. Arm wrestling fractures: a humerus twist. Am J Sports Med. 1977; 5:67–77.
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