ArticleOTA international : the open access journal of orthopaedic trauma2026
Pelvis and lower extremity fractures related to 4-wheeled off-road vehicles: trends from the national electronic injury surveillance system database.
Article in OTA international : the open access journal of orthopaedic trauma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This paper characterizes recent trends in pelvis and lower extremity orthopaedic injuries treated in US emergency departments from 2012 to 2021 associated with four-wheeled off-road vehicles (ORVs). Methods: The National Electronic Injury Surveillance System database was queried for ORV-related lower trunk and lower extremity injuries from 2012 to 2021. Injury totals and trends were analyzed descriptively, with a weighted analysis generalizing results to the US population. Results: A total of 1795 cases were analyzed, representing 71,506 lower extremity and pelvis injuries from 2012 to 2021. Adults (age ≥18) accounted for 47,342 injuries (45,036 fractures and 1643 dislocations), whereas pediatric (age <18) patients accounted for 24,164 (21,951 fractures and 1388 dislocations) injuries. Adult fractures most commonly involved the lower leg (14,560, 30.8%), ankle (9416, 19.9%), and pelvis/hip (7566, 16.0%). The commonest pediatric fractures were in the lower leg (7561, 31.2%), ankle (3498, 14.5%), and upper leg (3247, 13.4%). There was a notable increase in fractures after 2018, mainly because of rising ankle, knee, and pelvis fractures. From 2012 to 2021, there were 21,782 hospital admissions. Conclusion: ORV-related injuries are increasing in prevalence and severity as ORV use increases. Rates of lower extremity orthopaedic injuries, particularly ankle, knee, and pelvis fractures, have risen, especially since 2018. These data should inform the trauma community to promote awareness of ORV dangers and safety. Level of Evidence: IV.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.