Trampolinassoziierte Verletzungen im Kindesalter

Königshausen, Matthias; Gothner, Martin; Kruppa, Christiane; Dudda, Marcel; Godry, H.; Schildhauer, Thomas A.; Seybold, D.

doi:10.1055/s-0034-1366544

Cited by 13 publications

(7 citation statements)

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“…Our results compare well with some studies where described trampoline injuries most frequently involved the lower extremity [8, 9]. Other studies revealed a preponderance of upper extremity injuries [5, 6, 10].…”

Section: Discussionsupporting

confidence: 91%

MR imaging for detection of trampoline injuries in children

et al. 2017

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BackgroundThe recreational use of trampolines is an increasingly popular activity among children and adolescents. Several studies reported about radiological findings in trampoline related injuries in children. The following publication presents our experience with MRI for detection of trampoline injuries in children.Methods20 children (mean 9.2 years, range: 4–15 years) who had undergone an MRI study for detection of suspected trampoline injuries within one year were included. 9/20 (45%) children had a radiograph as the first imaging modality in conjunction with primary care. In 11/20 (55%) children MR imaging was performed as the first modality. MR imaging was performed on two 1.5 T scanners with 60 and 70 cm bore design respectively without sedation. In 9/20 (45%) children the injury mechanism was a collision with another child. 7/20 (35%) children experienced leg pain several hours to one day after using the trampoline without acute accident and 4/20 (20%) children described a fall from the trampoline to the ground.ResultsAll plain radiographs were performed in facilities outside the study centre and all were classified as having no pathological findings. In contrast, MR imaging detected injuries in 15/20 (75%) children. Lower extremity injuries were the most common findings, observed in 12/15 (80%) children. Amongst these, injuries of the ankle and foot were diagnosed in 7/15 (47%) patients. Fractures of the proximal tibial metaphysis were observed in 3/15 children. One child had developed a thoracic vertebral fracture. The two remaining children experienced injuries to the sacrum and a soft tissue injury of the thumb respectively. Seven children described clinical symptoms without an overt accident. Here, fractures of the proximal tibia were observed in 2 children, a hip joint effusion in another 2, and an injury of the ankle and foot in 1 child. There were no associated spinal cord injuries, no fracture dislocations, no vascular injuries and no head and neck injuries.ConclusionsIn the majority of children referred for MR imaging with pain after trampoline MR imaging detects injuries. These injuries are often not visible on plain radiographs. Therefore we recommend a generous use of MR imaging in these children after initial negative plain radiography.

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Section: Discussionsupporting

confidence: 91%

MR imaging for detection of trampoline injuries in children

et al. 2017

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“…Jumping on the trampoline (3.7%), gymnastics (1.9%), or skateboarding (1.2%) were pretty common too. In line with the study of Berger et al, we showed how trampoline accidents are becoming more common and often result in a fracture [27,28]. If we look more closely at the percentages of children with fractures in the present study, we find that the most dangerous sports, with over 40% of the cases presenting with a fracture, were climbing and bouldering (47.2% of the cases suffered a fracture), skiing and snowboarding (47.6%), track and field (44.2%), skateboarding (45.3%), and horse riding (41.0%).…”

Section: Discussionsupporting

confidence: 90%

Road Traffic Accidents, Climbing Frames, or Trampolines: What Harms Children in the 2020s?

Schuetze¹,

Pankratz²,

Schütze³

et al. 2023

Cureus

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BackgroundIn the modern Western world, activities and the daily routine of children have changed over time. Detailed analyses of the mechanisms of injuries and current fracture patterns in children are rare. The aim of the study was to elicit and investigate the most dangerous leisure and sporting activities leading to fractures in children today. Materials and methodsThis is a retrospective study focusing on children that were treated in a level-one trauma center in Germany between 2015 and 2020. All children who were 14 years of age or younger and suffered a traumatic injury treated in our emergency department were included in this study. From the database, mechanisms of injury, type of injury, age, and gender were analyzed. ResultsThe study included 12508 patients, including 7302 males and 5206 females. Among the 10 most common mechanisms of injury were collisions (8.6%), falls (7.7%), injuries while playing (6.1%) or while running or walking (5.9%), soccer (5.9%), bicycle accidents (3.8%), and trampoline falls (3.4%). Road traffic accidents involving passengers or pedestrians caused 3.3% of the injuries but were the most common cause of death. The most common mechanisms of injury causing a fracture were falls, playing soccer, and bicycle accidents. Sorting the mechanisms of injury by the percentage that caused a fracture, the most dangerous activities were falling from heights above 2 meters, skiing and snowboarding, climbing and bouldering, skateboarding, and horseback riding. In the five-year study period, four out of six children died due to road traffic accidents. ConclusionInjured children must be provided with the best quality of care 24/7 in orthopedic trauma departments and have to be kept as a focus in the training of orthopedic trauma surgeons. Road traffic accidents are still the main cause of death in children, but they are overall less common. Falls and sports activities are the most likely to cause a fracture.

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“…Greater trauma-energy may result more frequently in proximal humerus fractures than distal humerus or forearm fractures, which are usually caused by falling against the fully extended arm. From an epidemiological point of view, the number of backyard trampolines in the study area has increased since the beginning of 2000s [30, 31]; therefore, it is reasonable that trampoline related distal humerus injuries have increased [32]. However, any increase in horse riding or winter sports within the child population has not been reported in the area, to our knowledge.…”

Section: Discussionmentioning

confidence: 99%

The incidence and treatment trends of pediatric proximal humerus fractures

Hannonen

Hyvönen

Korhonen

et al. 2019

BMC Musculoskelet Disord

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BackgroundProximal humerus fractures comprise approximately 2% of all pediatric fractures. In general, upper extremity fractures have increased in children. However, recent trends of proximal humerus fractures are not analyzed yet. The aim was to study the incidence and treatment trends of proximal humerus fractures in children.MethodsAll 300 children, aged < 16 years, who suffered from a proximal humerus fracture in the catchment area of Oulu University Hospital, Finland, between 2005 and 2015, were included. Radiographs were reviewed, and patients, injuries, treatments, and outcomes were comprehensively studied. Annual incidence was based on the child population at risk, which changed between 84.500 and 88.100 in the study time.ResultsThe annual incidence of childhood proximal humerus fractures was mean 31.4/100,000 and no variation trend was found. The majority (92%) was treated nonoperatively, however, there was an increase of operative fixation from 0 to 16% during the study time (Difference 16, 95% CI 0.3 to 34.9%, P = 0.045). Bayonet displacement increased the risk of surgical fixation up to 16-fold (95% CI 4.8–51.4, P < 0.001) in a multivariate analysis when adjusted with other potential risk factors. Higher age was also associated with operative treatment (P = 0.002). The most usual recreational activities were horse riding, downhill skiing, snowboarding, and trampolining.ConclusionContrary to most upper extremity fractures in children, proximal humerus fractures did not increase during the long study period. However, their operative treatment increased compared to nonoperative treatment, but the evidence supporting that trend remains unclear.

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Trampolinassoziierte Verletzungen im Kindesalter

Cited by 13 publications

References 0 publications

MR imaging for detection of trampoline injuries in children

MR imaging for detection of trampoline injuries in children

Road Traffic Accidents, Climbing Frames, or Trampolines: What Harms Children in the 2020s?

The incidence and treatment trends of pediatric proximal humerus fractures

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