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Splenic Laceration from In-Line Skating

In-line skating, also called rollerblading, was introduced in 1980. Since then, in-line skating has proven to be one of the fastest-growing sports with the estimated number of in-line skaters increasing from 6.2 million in 1991 to 22.5 million in 1995.1,2 This rapid increase in participation has driven a corresponding steep increase in in-line skating injuries. By 1996, skating injuries accounted for 20% of all sports injuries.3 While the majority of injuries are not serious, approximately 2.5% of injured in-line skaters require hospitalization.4 Previous reports demonstrate that the majority of in-line skating injuries involve the extremities, with fractures and/or dislocations of the wrist being the most common type and location of injury.4 Head injuries are known to occur as well, accounting for 5% of in-line skating injuries.4 In this report, we describe a severe splenic injury that resulted from a fall during inline skating. To our knowledge, only one severe intra-abdominal injury has been previously reported with this sport.5