Context:: Alpine skiing is a popular sport worldwide but has significant risk for injury. The epidemiology of skiing-related injuries has been described, which has led to the identification of risk factors for specific types of injuries.
Evidence acquisition:: Pertinent literature from peer-reviewed publications was reviewed.
Study design:: Clinical review.
Level of evidence:: Level 5.
Results:: The adoption of international standards for ski-boot-binding systems has changed the profile of skiing-related injuries over time, as has the widespread use of helmets. An understanding of mechanisms of injury, risk factors, and preventative measures may decrease the incidence of skiing-related injuries.
Conclusion:: Advances in standards for skiing equipment have been effective at decreasing both the frequency and severity of skiing-related injuries, but additional efforts are required to improve the safety of the sport.
Keywords: alpine skiing; anterior cruciate ligament (ACL); epidemiology; head injury; injury.