“…Other self‐induced mechanical injuries included increased activity (walking more than usual). In the category, puncture wounds, the external traumas identified were mainly stepping, either barefoot or in shoes, on sharp objects, for example, a toothpick, needle, metal nail, tack, screw, or piece of shell 54,67,71,74,76 . Unusual activities that led to trauma included prolonged walking during holidays, playing five softball games in 1 day, and a water ski binding rubbing on the foot 75,78,88 …”