A retrospective review of trampoline-related injuries presenting to a paediatric emergency department in Singapore

Lim, Francesca May Ting; James, Vigil; Lee, Khai Pin; Ganapathy, Sashikumar

doi:10.11622/smedj.2019168

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…14 Several studies in areas worldwide show similar trends in injury presentation from trampoline use, with extremity injuries being most prevalent. [11][12][13]15 These results indicate the danger of trampoline use in children and highlight the most frequent injuries seen in this population. The majority of patients in our cohort with trampoline injuries presented with injury to an extremity (84.1%), while the remaining 15.9% of patients had an injury classified as "other."…”

Section: Discussionmentioning

confidence: 85%

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Trampoline Injuries in a Statewide Trauma System

Sullivan

Morgan

Bradburn

et al. 2021

The American Surgeon

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Introduction It is well known that trampolines can be a particular source of danger, especially in children. We sought to examine the profile of those patients with trampoline injuries. We hypothesized there would be certain injury patterns predicative of trampoline injuries. Methods All patients submitted to Pennsylvania Trauma Outcome Study database from 2016 to 2018 were analyzed. Trampoline injury was determined by ICD-10 activity code. Injury patterns in the form of abbreviated injury scale body regions were examined. Patient demographics and clinical variables were compared between those with trampoline injury vs those without. Results There were 107 patients with a trampoline injury. All of these patients were discharged alive and had a blunt mechanism of injury. The most common injury type was injury to the extremities (n=90,[84.1%]) with 54(50.5%) upper extremity injuries and 36(33.6%) lower extremity injuries. Ten (9.35%) patients had injury to the spine and five (4.67%) had head injury. Those with trampoline injuries were significantly younger (13y vs. 48.6y) and more likely to be white or of Hispanic ethnicity. Almost half of the patients injured (49.5%) were under 10 years. Patients with trampoline injuries had significantly lower Injury Severity Scores and significantly higher shock index. Discussion The majority of patients with trampoline injuries had injury to an extremity. These results help better understand the demographic, physiologic, and anatomic patterns surrounding trampoline injuries. Current government standards recommend that no child under age six should use a full-sized trampoline; however, based of this study, we advise that this age be increased to ten.

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Section: Discussionmentioning

confidence: 85%

“…Trampoline use is not unique to the United States of America; some of the locations in which trampoline-related injuries have been studied are Australia, 11 Singapore, 12 France, 13 and Austria. 14 Several studies in areas worldwide show similar trends in injury presentation from trampoline use, with extremity injuries being most prevalent.…”

Section: Discussionmentioning

confidence: 99%

Trampoline Injuries in a Statewide Trauma System

Sullivan

Morgan

Bradburn

et al. 2021

The American Surgeon

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“…Indeed, trampolining requires a combination of several components, such as strength, body stability, muscle coordination, and spatial integration [6], parameters which are negatively affected in older individuals [31][32][33]. Moreover, even though trampoline use has standard safety measures such as padded frames [14], inexperienced adult users may choose not to follow safety instructions-potentially leading to serious injury [14,17]. On the other hand, it has been clearly demonstrated that mini-trampoline exercise may improve dynamic stability and balance ability in older persons by increasing the strength of plantar flexor muscles and the ability to regain balance during forward falls [6].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, trampolining also has downsides, as shown by studies on trampolining accidents in children [3,4,[7][8][9][10][11][12][13]. Indeed, several studies demonstrate that there has been an increase in the incidence of trampoline-related injuries in children in recent decades [14]. Although the majority of injuries are minor, approximately 10% of all paediatric trampolineassociated injuries are severe [8], which can ultimately lead to major functional disability such as paraplegia and quadriplegia or even death [1,7,15,16].…”

Section: Introductionmentioning

confidence: 99%

Trampolining Accidents in an Adult Emergency Department: Analysis of Trampolining Evolution Regarding Severity and Occurrence of Injuries

Sasse

Ziaka²,

Brockhus

et al. 2022

IJERPH

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Purpose: Only a few studies have been conducted on trampoline-associated injuries in adults, especially in Switzerland. The aim of the present study was to describe the characteristics of trampoline-related injuries in patients older than 16 years of age and track their development over time by comparing two different time periods. Methods and Materials: Data were gathered from the emergency department (ED) of Bern University Hospital. A retrospective design was chosen to allow analysis of changes in trampolining accidents between 2003–2020. Results: A total of 144 patients were enrolled. The number of ED presentations due to trampoline-related injury rose significantly over time. The most common injuries were sprains to the extremities (age group 31–62: 58.4% and age group 16–30: 50.8%), followed by fractures (age group 31–62: 33.3% and age group 16–30: 32.5%). Lower extremities appeared to be the most frequently injured body region (age group 31–62: 20.8% and age group 16–30: 10.0%), although the differences were not statistically significant, p = 0.363. BMI was significantly higher for older than for younger patients (p = 0.004). Conclusion: Over the last two decades, trampoline-related injuries have become more common in patients older than 16 years of age. These are most common in the lower extremities. While most of the patients in the present study only suffered minor injuries, the occasional severe injury might result in long-term disability. As trampoline-related injuries in adults are becoming more common, prevention strategies in public education and safety instructions must be optimised.

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“…A vast majority of patients sustained the injury during recreational activities and among our recorded mechanisms of injury fall from trampolines and climbing frames were major contributing factors. Some previous literature has advocated the introduction of parent education, parental supervision, and safety measures such as use of rubber surfacing in playgrounds to reduce the incidence of such injuries [17][18][19][20]. Four percent patients had a neurological deficit as a result of the fracture, and all of these were neurapraxias that resolved with conservative management for the nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Lateral and Crossed K-wires for Paediatric Supracondylar Fractures: A Retrospective Cohort Study

Yawar¹,

Khan²,

Asim³

et al. 2022

Cureus

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BackgroundSupracondylar elbow fractures occur most frequently in children aged five to seven years and have equal incidence in both genders. They are classified as flexion or extension type injuries with extension type being more common. We aimed to ascertain radiological stability with lateral and crossed wires in this study. We also identified any complications after operative management of these injuries. MethodsAs part of this retrospective cohort study, we identified all patients who presented with this injury from January 1, 2020, until February 28, 2022. Basic demographic data and type of operation were noted. Baumann angle (BA) and lateral capitellohumeral angle (LCHA) were measured intra-operatively and x-rays were done at the final clinic appointment. The mean of these angles in lateral and crossed wire groups was compared using paired sample t-test. Unpaired t-test was used to compare the means of both groups with normal values for these angles based on previous studies (BA=71.5±6.2 degrees, LCHA= 50.8±6 degrees). ResultsFifty patients were admitted during this period. Thirty-three patients had lateral wires and 17 had crossed wires for fixation. No significant change was noted in the mean BA and mean LCHA in both groups on x-rays done intra-operatively and final clinic follow-up (no loss of reduction). No significant difference was noted between BA and LCHA noted for both groups at the final clinic follow-up with previous studies outlining normal values for these angles. No cases of iatrogenic neurovascular injury were identified. Four patients (8%) were referred to physiotherapy due to stiffness. ConclusionBoth lateral and crossed wire configurations led to achievement of good radiological stability with BA and LCHA within normal limits. No loss of reduction was noted with both techniques and no risk of iatrogenic nerve injuries was noted in experienced hands.

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A retrospective review of trampoline-related injuries presenting to a paediatric emergency department in Singapore

Cited by 9 publications

References 22 publications

Trampoline Injuries in a Statewide Trauma System

Trampoline Injuries in a Statewide Trauma System

Trampolining Accidents in an Adult Emergency Department: Analysis of Trampolining Evolution Regarding Severity and Occurrence of Injuries

Comparison of Lateral and Crossed K-wires for Paediatric Supracondylar Fractures: A Retrospective Cohort Study

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