Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents
Abstract Accidents, injuries, and deaths sustained via all-terrain vehicle (ATV) use are on the rise. In addition to safe and proper ATV operation, accident-related risk factors include operator controllable behaviors such as helmet use, alcohol use, and deciding whether or not to carry a passenger....
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Veröffentlicht in: | The Journal of emergency medicine 2009-02, Vol.36 (2), p.121-131 |
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creator | Balthrop, Paul M., MS Nyland, John, EDD, PT, SCS, ATC, FACSM Roberts, Craig S., MD |
description | Abstract Accidents, injuries, and deaths sustained via all-terrain vehicle (ATV) use are on the rise. In addition to safe and proper ATV operation, accident-related risk factors include operator controllable behaviors such as helmet use, alcohol use, and deciding whether or not to carry a passenger. What the operator has little or no control over, however, is the inherently unstable ATV design with its narrow wheelbase, short turning radius, and high center of gravity, in addition to common use of low tire pressure to maximize maneuverability. These factors lead to musculoskeletal injuries that consist predominantly of extremity fractures, primarily through rollover events. There is a need for improved ATV operator safety education and more stringent regulations. The purpose of this review is to identify the accident and injury risk factors associated with ATV operation and to compare them with bicycle and motorcycle accident and injury risk factors to enable emergency medical professionals to develop better patient management and injury prevention strategies. |
doi_str_mv | 10.1016/j.jemermed.2007.05.013 |
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In addition to safe and proper ATV operation, accident-related risk factors include operator controllable behaviors such as helmet use, alcohol use, and deciding whether or not to carry a passenger. What the operator has little or no control over, however, is the inherently unstable ATV design with its narrow wheelbase, short turning radius, and high center of gravity, in addition to common use of low tire pressure to maximize maneuverability. These factors lead to musculoskeletal injuries that consist predominantly of extremity fractures, primarily through rollover events. There is a need for improved ATV operator safety education and more stringent regulations. 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In addition to safe and proper ATV operation, accident-related risk factors include operator controllable behaviors such as helmet use, alcohol use, and deciding whether or not to carry a passenger. What the operator has little or no control over, however, is the inherently unstable ATV design with its narrow wheelbase, short turning radius, and high center of gravity, in addition to common use of low tire pressure to maximize maneuverability. These factors lead to musculoskeletal injuries that consist predominantly of extremity fractures, primarily through rollover events. There is a need for improved ATV operator safety education and more stringent regulations. The purpose of this review is to identify the accident and injury risk factors associated with ATV operation and to compare them with bicycle and motorcycle accident and injury risk factors to enable emergency medical professionals to develop better patient management and injury prevention strategies.</description><subject>Accidents - statistics & numerical data</subject><subject>Age Factors</subject><subject>Alcohol Drinking</subject><subject>Bicycling - injuries</subject><subject>Emergency</subject><subject>Equipment Design</subject><subject>extremity fractures</subject><subject>Female</subject><subject>Head Protective Devices - utilization</subject><subject>helmet use</subject><subject>Humans</subject><subject>Leisure Activities</subject><subject>Male</subject><subject>Motorcycles</subject><subject>Musculoskeletal System - injuries</subject><subject>Off-Road Motor Vehicles</subject><subject>recreational vehicle safety</subject><subject>Risk Factors</subject><subject>rules and regulations</subject><subject>Rural Population</subject><subject>United States - epidemiology</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkktv1DAQgC0EokvhL1Q5cUs6ficXxKpqaaUipFJob5bXnqjOepNiJ6D--ybahQOXHkZzmG8e-jSEnFCoKFB12lUd7jDt0FcMQFcgK6D8FVkxLlkpgTWvyQo0V6VQujki73LuAKiGmr4lR1Q3nAtdr8jdTcjb4sK6cUi5sL0vvk7ZTXHIW4w42lhc9d2UAuZinfPggh3RF3_C-FCsYyxvMSUb-uInPgQXsVg7Fzz2Y35P3rQ2ZvxwyMfkx8X57dllef3ty9XZ-rp0QrKxZFpoWSvthYc5eI3zzY5tVK0aVK13UloL3lFWM26FkNZrVnO1Eay1LUp-TD7u5z6m4deEeTS7kB3GaHscpmyUahhtFHsRZCBqAUrNoNqDLg05J2zNYwo7m54MBbO4N535694s7g1IM7ufG08OG6bNUvvXdpA9A5_3AM5CfgdMJruAvUMfErrR-CG8vOPTfyNcDH1wNm7xCXM3TKmfdRtqMjNgvi8fsDwAaACu6T1_Bkw_rbU</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Balthrop, Paul M., MS</creator><creator>Nyland, John, EDD, PT, SCS, ATC, FACSM</creator><creator>Roberts, Craig S., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents</title><author>Balthrop, Paul M., MS ; Nyland, John, EDD, PT, SCS, ATC, FACSM ; Roberts, Craig S., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-27475867d4d0d4d38e073c2b6869e6fdc55aa0dc12823a445ad72836b42fafe53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidents - statistics & numerical data</topic><topic>Age Factors</topic><topic>Alcohol Drinking</topic><topic>Bicycling - injuries</topic><topic>Emergency</topic><topic>Equipment Design</topic><topic>extremity fractures</topic><topic>Female</topic><topic>Head Protective Devices - utilization</topic><topic>helmet use</topic><topic>Humans</topic><topic>Leisure Activities</topic><topic>Male</topic><topic>Motorcycles</topic><topic>Musculoskeletal System - injuries</topic><topic>Off-Road Motor Vehicles</topic><topic>recreational vehicle safety</topic><topic>Risk Factors</topic><topic>rules and regulations</topic><topic>Rural Population</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balthrop, Paul M., MS</creatorcontrib><creatorcontrib>Nyland, John, EDD, PT, SCS, ATC, FACSM</creatorcontrib><creatorcontrib>Roberts, Craig S., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balthrop, Paul M., MS</au><au>Nyland, John, EDD, PT, SCS, ATC, FACSM</au><au>Roberts, Craig S., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>36</volume><issue>2</issue><spage>121</spage><epage>131</epage><pages>121-131</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Accidents, injuries, and deaths sustained via all-terrain vehicle (ATV) use are on the rise. In addition to safe and proper ATV operation, accident-related risk factors include operator controllable behaviors such as helmet use, alcohol use, and deciding whether or not to carry a passenger. What the operator has little or no control over, however, is the inherently unstable ATV design with its narrow wheelbase, short turning radius, and high center of gravity, in addition to common use of low tire pressure to maximize maneuverability. These factors lead to musculoskeletal injuries that consist predominantly of extremity fractures, primarily through rollover events. There is a need for improved ATV operator safety education and more stringent regulations. The purpose of this review is to identify the accident and injury risk factors associated with ATV operation and to compare them with bicycle and motorcycle accident and injury risk factors to enable emergency medical professionals to develop better patient management and injury prevention strategies.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17933478</pmid><doi>10.1016/j.jemermed.2007.05.013</doi><tpages>11</tpages></addata></record> |
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subjects | Accidents - statistics & numerical data Age Factors Alcohol Drinking Bicycling - injuries Emergency Equipment Design extremity fractures Female Head Protective Devices - utilization helmet use Humans Leisure Activities Male Motorcycles Musculoskeletal System - injuries Off-Road Motor Vehicles recreational vehicle safety Risk Factors rules and regulations Rural Population United States - epidemiology |
title | Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents |
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