Richards JA, et al. - In this study, researchers for the first time analyzed all-terrain vehicles (ATVs)-related fracture rates, patterns, and associated risks across all ages nationwide. They identified reports from 2002 to 2015 of over 1.8 million emergency department (ED) visits and 482,501 (25.9%) fractures for ATV-related injuries across the US after querying the National Electronic Injury Surveillance System (NEISS). Of these, 57.5% were not wearing a helmet and over 75% of patients had fractures involving the extremities, with upper extremity fractures accounting for over 50%. Patients suffering from skull or facial fractures were not wearing a helmet 88% of the time; 87% of skull fractures were correlated with brain injury. Those with fractures had a mean age of 27.5 years had an admission rate of 28.5%. This study emphasizes the necessity for ATV regulation advocacy, specifically helmet use.