Competitive skiing has gained increasing popularity among adolescent, yet it comes with injury risks. The aim was to determine injury incidence, type and time of injury, localization, and diagnosis, among adolescent competitive skiers (alpine, cross‐country, ski‐cross, mogul), and to compare between skiing discipline, sex, and high school year. All students (n = 190) enrolled in a ski high school from August 2013 to June 2018 were included. All injuries during the study period were prospectively registered by the physiotherapist at the high school. Demographic and injury data were registered. Absolute injury incidence (injuries/100 skiers) was calculated. In total, 166 (87%) skiers reported 502 injuries, which corresponds to an absolute injury incidence of 264.2 injuries/100 skiers during the 5‐year follow‐up. A higher injury incidence was shown in school year 1 compared with year 2–4 (131.3 vs. 79.5–98.4; p < 0.05). No differences in injury incidence were found between sex or skiing discipline. Females were more prone of having a gradual‐onset injury compared with males (179.3 vs. 96.3; p < 0.001). Mogul skiers had higher incidence of acute injuries compared with the other disciplines (220.0 vs. 71.4–160.0; p < 0.001). The knee was the most common localization across all skiing disciplines, except for cross‐country (lower leg). Low back pain was the predominant diagnosis, except in ski‐cross (concussion). Skiers attending specialized ski high schools exhibited a significantly high injury incidence, with first‐year students being the most susceptible to injuries, across all skiing disciplines and both sexes. While the knee was the most common injury location, concussion was remarkably frequent, particularly among ski‐cross skiers.

中文翻译：

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青少年精英滑雪者受伤率高——一项为期 5 年的队列研究


竞技滑雪在青少年中越来越受欢迎，但它也带来了受伤的风险。目的是确定青少年竞技滑雪者（高山滑雪、越野滑雪、越野滑雪、雪上技巧）的受伤发生率、受伤类型和时间、定位和诊断，并比较滑雪学科、性别和高中年。包括 2013 年 8 月至 2018 年 6 月在滑雪高中就读的所有学生 （n = 2018）。研究期间的所有伤害都由高中的物理治疗师前瞻性记录。登记了人口统计和伤害数据。计算绝对伤害发生率 （伤害/100 名滑雪者）。总共有 166 名 （87%） 滑雪者报告了 502 次受伤，这相当于在 5 年随访期间每 100 名滑雪者中有 264.2 人受伤的绝对受伤率。与 2-4 年级相比，1 年级的受伤发生率更高（131.3 vs. 79.5-98.4;p < 0.05）。性别或滑雪学科之间的受伤发生率没有差异。与男性相比，女性更容易发生逐渐发作的损伤 （179.3 vs. 96.3;p < 0.001）。与其他学科相比，雪上技巧滑雪运动员的急性损伤发生率更高（220.0 vs. 71.4-160.0;p < 0.001）。膝盖是所有滑雪项目中最常见的定位，越野（小腿）除外。腰痛是主要诊断，滑雪越野（脑震荡）除外。就读于专业滑雪高中的滑雪者表现出显着的高受伤率，其中一年级学生在所有滑雪学科和性别中最容易受到伤害。虽然膝盖是最常见的受伤部位，但脑震荡非常频繁，尤其是在越野滑雪者中。