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Trampoline related injuries in children: risk factors and radiographic findings

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Abstract

Background

Backyard trampolines are immensely popular among children, but are associated with an increase of trampoline-related injuries. The aim of this study was to evaluate radiographs of children with trampoline related injuries and to determine the risk factors.

Methods

Between 2003 and 2009, 286 children under the age of 16 with backyard trampoline injuries were included in the study. The number of injuries increased from 13 patients in 2003 to 86 in 2009. The median age of the 286 patients was 7 years (range: 1–15 years). Totally 140 (49%) patients were males, and 146 (51%) females. Medical records and all available diagnostic imaging were reviewed. A questionnaire was sent to the parents to evaluate the circumstances of each injury, the type of trampoline, the protection equipment and the experience of the children using the trampoline. The study was approved by the Institutional Ethics Committee of the University Hospital of Bern.

Results

The questionnaires and radiographs of the 104 patients were available for evaluation. A fracture was sustained in 51 of the 104 patients. More than 75% of all patients sustaining injuries and in 90% of patients with fractures were jumping on the trampoline with other children at the time of the accident. The most common fractures were supracondylar humeral fractures (29%) and forearm fractures (25%). Fractures of the proximal tibia occurred especially in younger children between 2–5 years of age.

Conclusions

Children younger than 5 years old are at risk for specific proximal tibia fractures (“Trampoline Fracture”). A child jumping simultaneously with other children has a higher risk of suffering from a fracture.

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References

  1. American Academy of Pediatrics. Committee on Injury and Poison Prevention and Committee on Sports Medicine and Fitness. Trampolines at home, school, and recreational centers. Pediatrics 1999;103:1053–1056.

    Article  Google Scholar 

  2. Trampoline use in homes and playgrounds. Paediatr Child Health 2007;12:501–511.

    Google Scholar 

  3. Bhangal KK, Neen D, Dodds R. Incidence of trampoline related pediatric large district general hospital in the United Kingdom: lessons to be learnt. Inj Prev 2006;12:133–134.

    Article  PubMed  CAS  Google Scholar 

  4. Chalmers DJ, Hume PA, Wilson BD. Trampolines in New Zealand: a decade of injuries. Br J Sports Med 1994;28:234–238.

    Article  PubMed  CAS  Google Scholar 

  5. Esposito PW, Esposito LM. The reemergence of the trampoline as a recreational activity and competitive sport. Curr Sports Med Rep 2009;8:273–277.

    PubMed  Google Scholar 

  6. Furnival RA, Street KA, Schunk JE. Too many pediatric trampoline injuries. Pediatrics 1999;103:e57.

    Article  PubMed  CAS  Google Scholar 

  7. Hartmann KE, Calikoglu MG. Trampoline-related injuries to children. Pediatrics 1999;103:1311–1312; author reply 1312–1313.

    Article  PubMed  CAS  Google Scholar 

  8. Larson BJ, Davis JW. Trampoline-related injuries. J Bone Joint Surg Am 1995;77:1174–1178.

    PubMed  CAS  Google Scholar 

  9. Loken-Dahle L. Trampoline-related injuries in children. Pediatrics 1999;103:1312; author reply 1312–1313.

    PubMed  CAS  Google Scholar 

  10. Smith GA. Injuries to children in the United States related to trampolines, 1990-1995: a national epidemic. Pediatrics 1998;101:406–412.

    Article  PubMed  CAS  Google Scholar 

  11. Woodward GA, Furnival R, Schunk JE. Trampolines revisited: a review of 114 pediatric recreational trampoline injuries. Pediatrics 1992;89:849–854.

    PubMed  CAS  Google Scholar 

  12. Wootton M, Harris D. Trampolining injuries presenting to a children’s emergency department. Emerg Med J 2009;26:728–731.

    Article  PubMed  CAS  Google Scholar 

  13. Rapp GF. II. Safety suggestions for trampoline use. Pediatr Ann 1978;7:730–731.

    PubMed  CAS  Google Scholar 

  14. Rattya J, Serlo W. Using a safety net and following the safety instructions could prevent half the paediatric trampoline injuries. Eur J Pediatr Surg 2008;18:261–265.

    Article  PubMed  CAS  Google Scholar 

  15. Torg JS, Das M. Trampoline-related quadriplegia: review of the literature and reflections on the American Academy of Pediatrics’ position statement. Pediatrics 1984;74:804–812.

    PubMed  CAS  Google Scholar 

  16. Black GB, Amadeo R. Orthopedic injuries associated with backyard trampoline use in children. Can J Surg 2003;46:199–201.

    PubMed  Google Scholar 

  17. Boyer RS, Jaffe RB, Nixon GW, Condon VR. Trampoline fracture of the proximal tibia in children. AJR Am J Roentgenol 1986;146:83–85.

    Article  PubMed  CAS  Google Scholar 

  18. Brown PG, Lee M. Trampoline injuries of the cervical spine. Pediatr Neurosurg 2000;32:170–175.

    Article  PubMed  CAS  Google Scholar 

  19. Eberl R, Schalamon J, Singer G, Huber SS, Spitzer P, Hölwarth ME. Trampoline-related injuries in childhood. Eur J Pediatr 2009;168:1171–1174.

    Article  PubMed  Google Scholar 

  20. Esposito PW. Trampoline injuries. Clin Orthop Relat Res 2003; (409):43–52.

    Google Scholar 

  21. Hammer A, Schwartzbach AL, Paulev PE. Trampoline training injuries — one hundred and ninety-five cases. Br J Sports Med 1981;15:151–158.

    Article  PubMed  CAS  Google Scholar 

  22. Hume PA, Chalmers DJ, Wilson BD. Trampoline injury in New Zealand: emergency care. Br J Sports Med 1996;30:327–330.

    Article  PubMed  CAS  Google Scholar 

  23. Kravitz H. Problems with the trampoline: I. Too many cases of permanent paralysis. Pediatr Ann 1978;7:728–729.

    PubMed  CAS  Google Scholar 

  24. McDermott C, Quinlan JF, Kelly IP. Trampoline injuries in children. J Bone Joint Surg Br 2006;88:796–798.

    PubMed  CAS  Google Scholar 

  25. Nysted M, Drogset JO. Trampoline injuries. Br J Sports Med 2006;40:984–987.

    Article  PubMed  CAS  Google Scholar 

  26. Rapp GF, Nicely PG. Trampoline injuries. Am J Sports Med 1978;6:260–271.

    Article  PubMed  CAS  Google Scholar 

  27. Shankar A, Williams K, Ryan M. Trampoline-related injury in children. Pediatr Emerg Care 2006;22:644–646.

    Article  PubMed  Google Scholar 

  28. Matter P, Buhler M. 35 years fracture documentation by the Working Group for Osteosynthesis Problems (AO). Swiss Surg 1995;57–60.

    Google Scholar 

  29. Hammer A, Schwartzbach AL, Paulev PE. Some risk factors in trampolining illustrated by six serious injuries. Br J Sports Med 1982;16:27–32.

    Article  PubMed  CAS  Google Scholar 

  30. Leonard H, Joffe AR. Children presenting to a Canadian hospital with trampoline-related cervical spine injuries. Paediatr Child Health 2009;14:84–88.

    PubMed  Google Scholar 

  31. Smith GA, Shields BJ. Trampoline-related injuries to children. Arch Pediatr Adolesc Med 1998;152:694–699.

    Article  PubMed  CAS  Google Scholar 

  32. Bogacz A, Paterson B, Babber A, Menelaws S, Drew T. Trampoline injuries. How to avoid injury. BMJ 2009;338:b2197.

    Article  PubMed  Google Scholar 

  33. Shields BJ, Fernandez SA, Smith GA. Comparison of minitrampoline- and full-sized trampoline-related injuries in the United States, 1990-2002. Pediatrics 2005;116:96–103.

    Article  PubMed  Google Scholar 

  34. Bloom E, Klein EJ, Shushan D, Feldman KW. Variable presentations of rickets in children in the emergency department. Pediatr Emerg Care 2004;20:126–130.

    Article  PubMed  Google Scholar 

  35. Chapman T, Sugar N, Done S, Marasigan J, Wambold N, Feldman K. Fractures in infants and toddlers with rickets. Pediatr Radiol 2010;40:1184–1189.

    Article  PubMed  Google Scholar 

  36. Clare PE. Trampoline injuries to the lower extremity. Two case reports. Am J Sports Med 1978;6:141–142.

    Article  PubMed  CAS  Google Scholar 

  37. Swischuk LE. Jumped off the trampoline: fell on knee: pain. Pediatr Emerg Care 2009;25:366–367.

    Article  PubMed  Google Scholar 

  38. Schoenholzer G. Trampoline jumping from a medical viewpoint. Schweiz Z Sportmed 1962;10:6–22.

    PubMed  CAS  Google Scholar 

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Correspondence to Peter Michael Klimek.

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Klimek, P.M., Juen, D., Stranzinger, E. et al. Trampoline related injuries in children: risk factors and radiographic findings. World J Pediatr 9, 169–174 (2013). https://doi.org/10.1007/s12519-013-0416-2

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  • DOI: https://doi.org/10.1007/s12519-013-0416-2

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