Pediatric Hand Friction Burn Injuries Secondary to Treadmills

Marshall, Jason; Lourie, Gary M.

doi:10.1097/01241398-200305000-00026

Cited by 16 publications

(21 citation statements)

References 3 publications

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“…10 However, relatively little research has been performed to investigate pediatric traumatic amputations. Previous studies have generally focused on a single type of product such as lawn mowers 4,8,[10][11][12][13][14][15][16][17][18][19][20][21] and exercise equipment [22][23][24][25][26][27][28][29][30][31] ; a single body part such as the finger 9,[32][33][34] ; or a specific treatment strategy for these injuries. 6,26,[35][36][37][38][39] Only a small number of larger epidemiological studies included children, and those that did grouped them into categories as broad as 0 to 14 years, which prevents meaningful comparisons by age or developmental stage.…”

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confidence: 99%

Characteristics of Pediatric Traumatic Amputations Treated in Hospital Emergency Departments: United States, 1990–2002

et al. 2005

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ABSTRACT. Objective. To examine the characteristics of children with traumatic amputations and the products associated with these injuries.Methods. Data regarding amputation injuries to children younger than 18 years treated in US emergency departments from 1990 to 2002 were obtained from the National Electronic Injury Surveillance System. Data included demographics, product involved, and body region injured.Results. An estimated 111 600 children younger than 18 years with amputation injuries were treated in US emergency departments from 1990 to 2002. The average age was 6.18 years (median: 4 years; mode: 1 year old). Males experienced 65.5% of these injuries. Finger amputations accounted for 91.6% of all amputations, ranging from 95.2% among 0-to 2-year-olds to 87.9% among 13-to 17-year-olds. Complete amputations accounted for 70.2% of all amputations among 13-to 17-year-olds compared with 52.6% of amputations among 0-to 2-year-olds. Adolescents also had the highest proportion of amputations resulting in hospital admission (26.6% for 13-to 17-yearolds compared with 11.9% for 0-to 2-year-olds). Adolescents had the highest proportion of amputation injuries involving lawn mowers (14.1% for 13-to 17-year-olds compared with 1.4% for 0-to 2-year-olds) and the highest proportion of amputations involving tools (29.3% for 13-to 17-year-olds compared with 2.5% for 0-to 2-year-olds). The percentage of amputations involving doors peaked in the youngest age group and decreased as age increased (65.8% of all amputations for 0-to 2-year-olds compared with 14.1% for 13-to 17-year-olds).Conclusions. To our knowledge, this is the first study to use a nationally representative sample to broadly investigate amputation injuries among children. The majority of traumatic amputation injuries occur to young children, to males, and to fingers and the majority involve doors. Adolescents experience a higher proportion of more serious amputation injuries. Effective interventions exist but are inadequately used to prevent many of these injuries, including door stops and modifications, bicycle-chain and spoke guards, wearing closed-toe footwear while bicycling, a no-mow-in-reverse default feature on ride-on lawnmowers with the override switch located behind the mower operator, and a SawStop system on power saws. Use of these technical countermeasures and changes in relevant product standards to promote their implementation and use could lead to a decrease in pediatric traumatic amputations. Pediatrics 2005;116:e667-e674. URL: www.pediatrics.org/cgi

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confidence: 99%

Characteristics of Pediatric Traumatic Amputations Treated in Hospital Emergency Departments: United States, 1990–2002

et al. 2005

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“…Another five patients required surgery for contractures or delayed healing. Other studies seem to correspond to the Carman and Chang study in terms of scope and surgical rate, with patients requiring surgery 21-50% of the time [3,4,8,9]. In the current study, there were no patients that underwent acute excision and grafting, either because the burns had healed before arriving at our clinic, or because it was judged that they would heal with conservative measures.…”

Section: Discussionmentioning

confidence: 71%

“…Others have seen acute burns that merited excision and grafting, all of which were full-thickness burns at the time of presentation [3][4][5]8]. Marshall's study intentionally excluded full-thickness burns, and not surprisingly, there were no patients in that series that required acute or subacute excision and grafting [9]. Whereas ours is a small series and is not large enough to draw conclusions about the true incidence of this problem and the number of patients that will need surgical correction for post-injury problems, we do feel that the incidence and surgical rate of this series and others indicate a problem that deserves attention.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Hand Friction Burns from Treadmill Contact

Friedrich¹,

Muzaffar

Hanel

2007

Hand (New York, N,Y.)

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Background Treadmills have become relatively common in American homes. This machine can be dangerous for children because they can sustain friction burns to the hands when the moving treadmill is touched. With aggressive wound care and physical therapy, most of these burns will heal without surgery. However, some patients will require reconstructive surgery to release contractures. We report our experience with a series of patients who suffered friction burns to the hand from contact with a moving treadmill. The purpose of this study is to further understand the incidence and outcomes of this type of injury.

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“…Delaying the initiation of treatment has a direct, linear relation to the increased need for surgery so in case of having such injuries immediate treatment is necessary (1, 4, 5). For example, in a study done by Marshall et al, 14 patients were studied and 8 of them had came long after their injury, and had developed contraction scars (6).…”

Section: Nazerani S Et Al Management Of Treadmill Hand Injuriesmentioning

confidence: 99%

Management of Treadmill Hand Injuries Using Soft Tissue Distraction

Nazerani¹,

Motamedi²,

Keramati³

et al. 2012

traumamon

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Background:In the modern day cities, home treadmill usage is increasing. Toddlers are prone to a special injury by the treadmill, during workout the toddler tries to get on the belt and the roller action pulls the fingers under the belt and get caught between the belt and a metal rod under the machine and the belt scrapes the fingers. If untreated some of these injuries will lead to flexion contracture. The usual treatment is release of contracture and skin grafting, however, graft discoloration and recurrence of contracture are the complications of this method and the patients usually seek treatment for the brown discoloration of the grafts at a later age. Objectives: In this study we assess the results of Z-plasty in combination with soft tissue distraction without skin grafting with long term usage of splint as an alternative treatment for these patients. Materials and Methods: In this retrograde descriptive cross-sectional study, we evaluated the patients presented with treadmill hand injuries between the years 2006 and 2011. Demographic data including age and sex in addition to other information including location of trauma, severity of trauma, time elapsed between the trauma and treatment, type of treatment including wound care and surgical method and treatment outcomes were assessed. Results: A total of 8 patients (3 girls and 5 boys) following finger treadmill injury were assessed. 15 fingers in 7 patients had volar injury. The middle finger was the most commonly injured finger. In all patients a minimum of 2 fingers were injured and in just 1 patient 3 fingers were injured. In long-term follow-up all the patients had acceptable volar skin and complete ROM of the fingers. Conclusions: Due to discoloration of the skin graft and recurrence of contracture following skin graft as the sole treatment for the injury, application of Z-plasty with soft tissue distraction and long term splints seems to be a proper alternative treatment for these patients.

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Pediatric Hand Friction Burn Injuries Secondary to Treadmills

Cited by 16 publications

References 3 publications

Characteristics of Pediatric Traumatic Amputations Treated in Hospital Emergency Departments: United States, 1990–2002

Characteristics of Pediatric Traumatic Amputations Treated in Hospital Emergency Departments: United States, 1990–2002

Pediatric Hand Friction Burns from Treadmill Contact

Management of Treadmill Hand Injuries Using Soft Tissue Distraction

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