All-Terrain Vehicle-Related Orthopaedic Trauma in North Central West Virginia: An 8-Year Review of a Level I Trauma Center

OBJECTIVES:All-terrain vehicle (ATV)-related trauma is increasing nationally. This study highlights the demographics, mechanisms, and associated orthopaedic injuries for ATV-related traumas that presented to our Level I trauma center over an 8-year period and addresses the effects of statewide legislation on injury occurrences. DESIGN:Retrospective. SETTING:Level I trauma center in West Virginia. PATIENTS:Those presenting to a Level I trauma center with ATV-related injuries between January 2000 and June 2007. MAIN OUTCOMES:We reviewed data available for demographics, substance abuse, helmet use, length of stay, discharge disposition, injury mechanism and severity, anatomic location of injuries, and orthopaedic injuries. RESULTS:In 2000, 72 individuals presented with ATV-related injuries; this number rose significantly each year to 234 individuals in 2006. Of the 1234 patients over 8 years, 79% were male and 95% were white. The average age was 30 years (range, 1–87 years) with 22% of those injured being aged 16 years or younger. Only 27% of the riders were helmeted. There were 647 (52%) patients who sustained orthopaedic injuries (defined as fractures or dislocations). There was no significant decrease in injury occurrence after the implementation of statewide ATV-related legislation in 2004. CONCLUSIONS:This trauma center is in a unique position to highlight a national problem. Over half (52%) of the patients had an orthopaedic injury defined as a fracture or dislocation. Before measures can be implemented to effect change, we must first be aware of the exact nature and spectrum of injuries associated with ATV use.