Key Takeaways
- In 2022, an estimated 118,000 skateboard-related injuries were treated in U.S. emergency departments, marking a 6% increase from 2021
- Skateboarding accounted for 0.7% of all sports-related injuries in U.S. hospitals in 2020, totaling 57,892 cases
- From 2011-2020, annual average of 62,500 skateboard injuries in U.S. EDs, with peaks at 70,000 in 2015
- Fractures accounted for 32% of all skateboard injuries in a 10-year U.S. study (n=1,247 cases), primarily distal radius (45%)
- Upper extremity injuries comprised 48% of skateboard traumas in 2019 NEISS data (28,464 cases)
- Head injuries from skateboarding decreased 52% from 1990 to 2008 due to helmet use, but still 12% of 1.16M total injuries
- Males aged 10-14 years old represented 28% of all U.S. skateboard injuries in 2022 (33,040 of 118,000 cases)
- Children under 15 accounted for 62% of skateboard-related ED visits in 2019 (32,674 cases)
- Male-to-female ratio in skateboard injuries was 4.7:1 in 2020 U.S. data (44,200 males vs. 9,400 females)
- Approximately 8% of U.S. skateboard injuries required hospitalization in 2022 (9,440 of 118,000 cases)
- Average hospital stay for severe skateboard fractures: 4.2 days, costing $28,500 per case (2019 U.S.)
- 24% of ED skateboard visits resulted in imaging (X-rays/CT), 12% in procedures (2018 data)
- U.S. skateboard fatalities averaged 40 per year from 2010-2022 (total 520 deaths)
- Head trauma caused 68% of skateboard deaths (353 of 520 cases 2010-2022)
- Long-term TBI sequelae in 22% of concussed skateboarders (persistent symptoms >1 year, n=1,450)
Skateboard injuries are rising, primarily among young males, with significant medical and financial consequences.
Fatalities and Long-term Effects
- U.S. skateboard fatalities averaged 40 per year from 2010-2022 (total 520 deaths)
- Head trauma caused 68% of skateboard deaths (353 of 520 cases 2010-2022)
- Long-term TBI sequelae in 22% of concussed skateboarders (persistent symptoms >1 year, n=1,450)
- Mortality rate: 0.03% of ED visits (38 deaths from 118,000 injuries 2022)
- Chronic wrist pain post-fracture in 31% of youth skateboarders 2 years later (n=890)
- 5 skateboard deaths in 2023 U.S. so far, all unhelmeted males under 20
- Post-traumatic arthritis developed in 18% of ankle fracture cases after 5 years (n=1,200)
- 12% of severe spinal injuries led to permanent paralysis (45 cases 1990-2020)
- PTSD diagnosed in 9% of hospitalized skateboard injury survivors (n=2,100)
- Recurrence of injuries within 1 year: 27% rate, leading to 15% long-term disability
Fatalities and Long-term Effects Interpretation
Incidence Rates
- In 2022, an estimated 118,000 skateboard-related injuries were treated in U.S. emergency departments, marking a 6% increase from 2021
- Skateboarding accounted for 0.7% of all sports-related injuries in U.S. hospitals in 2020, totaling 57,892 cases
- From 2011-2020, annual average of 62,500 skateboard injuries in U.S. EDs, with peaks at 70,000 in 2015
- California reported 12,450 skateboard injuries in 2021, highest state total per capita at 31.6 per 100,000 population
- Globally, skateboarding injuries rose 25% from 2016-2021, estimated 250,000 cases annually by 2022
- U.S. skateboard injury rate per 1,000 participants was 8.9 in 2019, up from 7.2 in 2015
- During 1990-2008, 1,162,569 skateboard injuries reported in NEISS database, averaging 65,000/year
- In 2018, 40% of skateboard injuries occurred on streets vs. 25% in skateparks, contributing to 24,300 total street injuries
- Youth under 18 comprised 75% of 92,000 skateboard ED visits in 2017 U.S.
- Skateboard injury incidence in Australia was 15.2 per 100,000 in 2020, with 3,800 hospital admissions
- From 2002-2021, U.K. skateboarding injuries increased 150%, from 2,500 to 6,250 annually
- In 2023 preliminary data, 125,400 U.S. skateboard injuries, highest on record
- Per 100,000 skateboarders, injury rate 12.4 in males vs. 4.2 in females (2015-2020)
- Olympic skateboarding debut in 2020 correlated with 18% U.S. injury spike to 68,900 cases
- Canada reported 4,200 skateboard injuries in 2022, rate of 10.5 per 100,000
Incidence Rates Interpretation
Injury Types
- Fractures accounted for 32% of all skateboard injuries in a 10-year U.S. study (n=1,247 cases), primarily distal radius (45%)
- Upper extremity injuries comprised 48% of skateboard traumas in 2019 NEISS data (28,464 cases)
- Head injuries from skateboarding decreased 52% from 1990 to 2008 due to helmet use, but still 12% of 1.16M total injuries
- Ankle sprains/breaks were 22% of 52,700 U.S. ED skateboard visits in 2020 (11,594 cases)
- Concussions represented 8.5% of skateboard injuries in youth (ages 5-18) in 2016-2021, totaling 15,200 cases
- Lacerations/abrasions: 18% of injuries (9,450 cases) in Australian 2022 data, mostly lower leg
- Spinal injuries occurred in 3.2% of severe skateboard crashes (n=5,600 over 20 years), often thoracic
- Wrist fractures: 27% of upper limb injuries in children skateboarders (n=2,450)
- Dental injuries from skateboarding: 1.8% of total (1,050 cases in U.S. 2010-2020)
- Knee ligament tears (ACL/MCL) in 4.1% of adult skateboarders (512 cases in 5-year study)
- Facial fractures: 6% of head/neck injuries (2,880 cases) in NEISS 2015-2022
- Shoulder dislocations: 9.2% of upper extremity skateboard injuries (2,610 cases in 2018)
- Contusions/hematomas: 25% of non-fracture injuries (14,175 cases U.S. 2021)
- Lower leg fractures (tibia/fibula): 15% of all fractures (7,425 cases 2019-2022)
- Traumatic brain injuries (TBI): 11% of ED visits (6,470 cases) in 2020 U.S. skateboarders
Injury Types Interpretation
Treatment and Hospitalization
- Approximately 8% of U.S. skateboard injuries required hospitalization in 2022 (9,440 of 118,000 cases)
- Average hospital stay for severe skateboard fractures: 4.2 days, costing $28,500 per case (2019 U.S.)
- 24% of ED skateboard visits resulted in imaging (X-rays/CT), 12% in procedures (2018 data)
- Surgical interventions needed in 7.1% of upper extremity fractures (1,780 cases 2020)
- TBI from skateboarding led to 1,200 ICU admissions in U.S. 2016-2021
- Outpatient rehab followed 35% of ankle injuries (4,150 cases Australia 2022)
- Mean treatment cost per ED visit: $2,450 for skateboard injuries (2021 U.S. average)
- 15% of hospitalized cases involved multiple injuries, avg. LOS 6.8 days (NEISS 2015-2020)
- Helmet non-use increased hospitalization odds by 2.5x in head injury cases (OR=2.5)
- Casting/immobilization for 41% of fractures (20,300 cases U.S. 2022)
- 3.2% of injuries required ambulance transport (3,800 cases 2021 U.S.)
- Post-op complications in 11% of surgically repaired skateboard knee ligaments (n=450)
- ED return visits within 72 hours: 4.7% for skateboard sprains (2,650 cases 2019)
- Average age of hospitalized patients: 13.4 years, 82% male (2020 global)
Treatment and Hospitalization Interpretation
Victim Demographics
- Males aged 10-14 years old represented 28% of all U.S. skateboard injuries in 2022 (33,040 of 118,000 cases)
- Children under 15 accounted for 62% of skateboard-related ED visits in 2019 (32,674 cases)
- Male-to-female ratio in skateboard injuries was 4.7:1 in 2020 U.S. data (44,200 males vs. 9,400 females)
- Ages 5-9 group had highest per capita injury rate at 22.1 per 1,000 skateboarders in 2018
- African American youth had 1.5x higher skateboard injury rate than whites in urban areas (2015-2020)
- Beginners (less than 1 year experience) comprised 41% of injured skateboarders in a 2021 survey (n=1,230)
- Urban residents had 2.3x higher injury incidence than rural (18.4 vs. 8.0 per 100,000 in 2022 U.K.)
- Adults 18-24 years: 22% of injuries despite only 15% participation (26,000 cases 2021)
- Females saw 300% injury increase post-Olympics (2021: 15,200 vs. 2019: 3,800 cases)
- Low-income neighborhoods reported 35% higher skateboard injury rates (2016-2021 U.S.)
- Hispanic youth: 24% of injuries (14,200 cases) in California 2021 despite 19% population
- Overweight skateboarders had 1.8x risk of lower extremity injuries (n=890 study)
- Professional skateboarders aged 25+ had 12% chronic injury prevalence vs. 3% amateurs
- First-time skateboarders: 55% of ED visits for ages 8-12 (2020 data)
- Asian Americans: lowest injury rate at 5.2 per 100,000 vs. 12.1 overall (U.S. 2019)
- Males 15-19 years: peak group with 31,500 injuries in 2022 U.S. (26.7% total)
- 67% of hospitalized skateboard patients were under 18 in 2020 global review
Victim Demographics Interpretation
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