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Alpine skiing is a popular sport worldwide, with approximately >200 million participants per year.
High speeds, variable terrain, and weather conditions, combined with equipment, can create a significant opportunity for getting injured.
Equipment changes have changed the nature of injuries, but with more recent studies showing some decline in injury rates.
Lower extremity injuries are the most common, but upper extremity injuries are also frequent.
Head injuries and chest wall/abdominal trauma are also of great concern because these injuries can be life threatening.
Medical issues include cold exposure, sun exposure, altitude issues, and general travel-related problems.
Alpine ski racing at its highest level is governed by Fédération Internationale de Ski (FIS).
US Ski & Snowboard Association is the governing body in the United States.
The US national team is divided into four groups: A–D. Athletes are ranked according to skill, with elite skiers in the A team, down to the development team (D team).
Junior levels are divided by age groups (U21, U19, U16, U14, U12, U10, and U8).
Often, there is overlap between collegiate levels, high school levels, and junior race clubs.
Levels U12–U21 may compete locally, regionally, and nationally, with the best skiers competing internationally. U10 and younger usually compete locally and occasionally regionally.
Recreational skiers can compete in the National Standard Race (NASTAR). The NASTAR is a program wherein recreational skiers of all ages and abilities can test their skills on courses set up at resorts across the country. Times and scores are compared under a universal handicapping system similar to that used in golf.
Slalom is the most technical of events and involves short arc turns around single turning poles, which are set 7–11 m apart, rather than gates.
Giant slalom involves a course with technical turns marked by gates set 15–27 m apart.
Downhill is the fastest event, with speeds reaching 90 mph and is the only event that allows on course training runs. All other events allow only course inspection.
Super G combines downhill with giant slalom with gates that are farther apart, 25–45 m than those in the giant slalom, at speeds are slightly less than those in downhill.
Classic combined races usually involve one downhill run and a slalom run; occasionally, they may combine a single slalom with a Super G race.
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