Richards JA, et al. - Researchers conducted this first-in-kind study to analyze all-terrain vehicle (ATV)-related fracture rates, patterns, and associated risks across all ages nationwide. The queried the National Electronic Injury Surveillance System (NEISS) for ATV-related trauma for the years 2002-2015. They identified 1,862,342 emergency department visits for ATV-related injuries, of which 482,501 (25.9%) reported fractures (mean age, 27.5 years). Fracture-sustaining individuals comprised 75.7% males; these fractures led to hospital admission in 28.5%, occurred at home in 43.9%, and happened in 57.5% of unhelmeted individuals. Anatomically, the upper extremity was involved in 51.8% of injuries, the lower extremity was involved in 23.6%, the spine was involved in 6.4%, the skull/face was involved in 8.5%, and the ribs/sternum was involved in 9.7%. They observed the most frequent association of alcohol use with skull (13.2%) and cervical spine (13.0%) fractures. Patients with skull or facial fractures were unhelmeted 88% of the time, and brain injury was noted in 87% of skull fractures. In 2007, ATV-related fractures peaked at 44,283 but declined through 2014.