Radiographic appearance and clinical significance of fidget spinner ingestions
According to anecdotal press reports, there have been medically significant ingestions of fidget spinner toys, including ingestions that required endoscopic intervention. Fidget spinners have been marketed to improve attention and have been suggested as a therapeutic alternative to medications in children with attention deficit hyperactivity disorder (ADHD).
To describe the radiographic appearance and features of ingested fidget spinner components. To evaluate clinical significance via rates of endoscopic intervention, incidence in patients on ADHD medications, and mean age compared to other accidental foreign body ingestions.
Materials and methods
A nested retrospective case control study analyzed pediatric accidental foreign body ingestions identified via electronic medical record search between March 1, 2017, and Feb. 28, 2018. Radiographic identifiability, component type and maximum diameter of ingested fidget spinner components were described. A nested cohort of non-fidget spinner ingestions between May 1 and Aug. 31, 2017, was compared with the fidget spinner ingestions for rates of endoscopic intervention (a), concomitant use of ADHD medication (b) and mean age (c) using the Fisher exact test (a and b) and independent samples t-test (c).
There were 1,095 unintentional foreign body ingestions. Ten were ingested fidget spinner component ingestions. Eight of the 10 ingested components were radiographically identifiable. Compared with the nested cohort of non-fidget spinner ingestions, fidget spinner ingestions were more likely to undergo endoscopic intervention (P=0.009, 5/10 fidget spinner ingestions vs. 54/383 other ingestions). Fidget spinner patients were more likely to be on ADHD medication (P=0.011, 2/10 fidget spinners vs. 5/383 other). Fidget spinner mean patient age was significantly older than other ingestions (P=0.015, mean: 7.1 years fidget spinner ingestions vs. 4.0 years for other ingestions).
Compared with other foreign body ingestions, patients who ingested fidget spinner components were more likely to undergo endoscopic intervention, had a higher rate of ADHD medication use and were older. Familiarity with the radiographic appearance of ingested fidget spinner components is important for patient management.
KeywordsAttention deficit hyperactivity disorder Children Endoscopy Fidget spinner Foreign body Ingestion
Compliance with ethical standards
Conflicts of interest
- 1.Google Trends. https://trends.google.com/trends/explore?q=fidget%20spinner. Accessed 7 December 2017
- 2.Holland K (2017) Are fidget spinners healthy for kids? Healthline. https://www.healthline.com/health-news/are-fidget-spinners-healthy-for-kids#4. Accessed 7 December 2017
- 6.Zimmer A (2017) Schools ban fidget spinner toy, except for therapy use, as craze sweeps NYC. DNAinfo. https://www.dnainfo.com/new-york/20170505/carroll-gardens/fidget-spinners-nyc-schools. Accessed 7 December 2017
- 7.Strauss V (2017) Schools are banning fidget spinners, calling them nuisances and even dangerous. The Washington Post. https://www.washingtonpost.com/news/answer-sheet/wp/2017/06/01/schools-are-banning-fidget-spinners-calling-them-nuisances-and-even-dangerous/?utm_term=.9d9d89744339. Accessed 7 December 2017
- 8.Method for identifying toys and other articles intended for use by children under 3 years of age which present choking, aspiration, or ingestion hazards because of small parts. 16 Code of Federal Regulations § 1501 (2018)Google Scholar
- 13.R Core Team (2017) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. http://www.R-project.org
- 20.Buerkle AM (2017) Statement from acting chairman Ann Marie Buerkle regarding fidget spinners. United States Consumer Product Safety Commission. https://www.cpsc.gov/about-cpsc/chairman/ann-marie-buerkle/statements/statement-from-acting-chairman-ann-marie-buerkle-1. Accessed 7 December 2017
- 21.Fidget Spinner Business Guidance. United States Consumer Product Safety Commission. https://www.cpsc.gov/Business--Manufacturing/Business-Education/Business-Guidance/Fidget-Spinners. Accessed 7 December 2017