Motorized Mobility Mishaps Increasing on College Campuses

The abundance and popularity of motorized vehicles, like Bird Rides and LimeBikes, on college campuses are changing transportation norms faster than the development of new safety guidelines and regulations. [1] As a result, the number of accidents and injuries related to motorized mobility scooters (MMS) are on the rise.

Students can pick up scooters wherever they’re left and head to class or meet up with friends – with bookbag and cellphone in hand, though without a helmet or operating instructions.  The scooters have no designated travel lane, and buzz alongside pedestrians, cyclists and motorists at a speed of 15 miles per hour. Additionally, the short wheel base and small wheel size of the scooter makes it more unstable than a bicycle and vulnerable to debris or uneven pavement.

And if that combination doesn’t raise the hazard flag up the pole fast enough, these young MMS operators are often distracted by their cell phone as well – continuing to text and check messages while in route…

According to a recently published study, ‘low-energy as well as high-energy crashes involving the motorized mobility scooters may result in serious injuries and sometimes death.’ The study suggests that “awareness by multidisciplinary treatment teams may help to avoid underestimation of injury severity. MMS drivers need to improve their driving skills in order to reduce the number of MMS crashes.” [2]

Orthopedic specialists are seeing an increase in hand and wrist fractures, which include distal radius fractures and boxer’s fracture as well as severe lacerations, concussions and neck injuries – resulting in some undergoing repair surgery over this past winter break before returning for spring semester. [3]

Following a study conducted by the Journal of the American Planning Association on pedestrian and cycling traffic, three specific “danger zones” involving more serious crashes and injuries were identified – campus activity hubs, campus access hubs and through traffic hubs. [4]

Recommendations to reduce risk of accident and injury for this population may also prove effective in reducing risks to the growing MMS operating population.

Students are encouraged to avoid distraction while using an MMS and recognize that its speed and instability can increase risk of injury if safety precautions are not taken.

References

  1. A Flock of electric scooters suddenly descended on Austin. Now the city is scrambling to regulate them.  Reported in the Texas Tribune (May 1, 2018).  Located online:https://www.texastribune.org/2018/05/01/flock-electric-scooters-suddenly-descended-austin-now-city-scrambling-/.
  2. Leijdesdorff HA, van Dijck JT, Krijnen P, Schipper I. Accidents involving a motorized mobility scooter: a growing problem. Ned Tijdschr Geneeskd. 2014;158:A7858.
  3. That electric scooter might be fun. It also might be deadly.  Reported on CNN online (October 1, 2018).  Located online: https://www.cnn.com/2018/09/29/health/scooter-injuries/index.html.
  4. Loukaitou-Sideris A, Medury A, Fink C, Grembek O, Shafizadeh K, Wong N. Crashes on and near college campuses:  A comparative analysis of pedestrian and bicyclist safety. Journal of the American Planning Association. 2014;80(3):198-217.  https://doi.org/10.1080/01944363.2014.978354.

 

 

Playing with an Injury

When is it Okay to Return to Play?

As fall sports heat up, we begin to see a lot of injuries.  The first question players ask after we confirm their injury is, “how soon before I can play again?

Whether it’s a junior high schooler, college athlete or professional player, this question is asked with the same passion and underlying conviction to do whatever it takes to get back in as soon as possible.  This is their sport and their heart is all in – despite the injured limb and challenge it now presents.

Kinkaid Team Captain and outside linebacker, Harris Green, not slowed by forearm fracture

As an orthopedic physician who wants to ensure the best outcome in their recovery and a team doctor who understands this drive distinct in athletes, it’s important to develop the right treatment plan – some of which might entail permission for immediate return to play.

Green back in the game as fracture heals

While this may seem counterintuitive, certain hand and upper extremity fractures once stabilized and placed in a cast are fine for an immediate resumption of play.  This is particularly true of the younger athlete.  Some of the types of fractures allowing athletes to return quickly back to the game despite their cast or splint include certain finger and distal radius fractures and ligament sprains.

While the position on a team will impact the enthusiasm in our recommendation to allow such return to play – linemen with the capability to restrict their hands in a cast verses a receiver or running back more fully engaging their injured limb – many are as capable to play their position with their injury as they were before.

The type of injury is also a determination – stabilized fractures are more likely to be considered for immediate return to play than ligament or tendon tears.

Now, there are some risks for further damage if the injured limb is hit in such a way and the inflexibility of the cast places other vulnerabilities on the uncasted portion of the limb.  Other risks include refracture, retear of a tendon or displacement of a fracture.

But, the only way to truly avoid further injury is to sit out of the game until the injury is completely healed. And this is rarely an option for an athlete.

So, we ensure that our patients know everything upfront.  And we give them the tools to keep their injured limb as strong as possible – regardless of the decision they make.   Continuing to keep the injured limb strong by exercising the muscles and joints around the injury, in conjunction with cardiovascular exercise for overall physical well-being….is key.  We remain very involved and ready to make any readjustments we need to the treatment.