Lawnmower Injuries in the United States: 1996 to 2004

Costilla, Vanessa; Bishai, David

doi:10.1016/j.annemergmed.2006.02.020

Cited by 41 publications

(41 citation statements)

References 13 publications

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“…Lawn mowers constitute a significant injury threat to children and adults in the United States (Costilla & Bishai, 2006;AAP, 2001). Research regarding lawn mower injuries have typically focused on walk behind or push mowers or combined analyses with that of riding mowers and lawn tractors (Costilla & Bishai, 2006;AAP, 2001;Vollman & Smith, 2006;Lau, et al, 2006;Farley et al, 2000;Nguyen et al, 2008;Hostetler, Schwartz, Shields, Xiang & Smith, 2005) While many studies (Costilla & Bishai, 2006;AAP, 2001;Vollman & Smith, 2006;Lau, et al, 2006;Farley et al, 2000;Nguyen et al, 2008;Hostetler, et al, 2005) have examined the types of injuries and body part affected (e.g.…”

Section: Introductionmentioning

confidence: 99%

Injuries associated with the use of riding mowers in the United States, 2002-2007

Hammig

Childers

Jones

2009

Journal of Safety Research

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Section: Introductionmentioning

confidence: 99%

Injuries associated with the use of riding mowers in the United States, 2002-2007

Hammig

Childers

Jones

2009

Journal of Safety Research

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“…F lexor tendon injuries in the hand are common, especially in the young and working-age population, and they cause substantial disability and economic burden [1][2][3] . Direct repair immediately after flexor injury is standard clinical practice [4][5][6] , but flexor tendon reconstruction may be needed to restore tendon function if the primary repair has failed 7,8 .…”

mentioning

confidence: 99%

Surface Modification with Chemically Modified Synovial Fluid for Flexor Tendon Reconstruction in a Canine Model in Vivo

Reisdorf

Thoreson

et al. 2015

The Journal of Bone and Joint Surgery

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“…In addition, children should be kept indoors or far from the vicinity of a working mower. In reports from 2004, lawn mower injuries occurred most frequently in children younger than fifteen years of age and were mainly penetrating injuries caused by a projectile [6]. In this age group, it is evident that the injuries are not related to the operation of the mower itself, but rather to the child's presence in the vicinity of the mower.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports have demonstrated an increasing trend in the number of annual lawn mower injuries in this country [6]. The fact that these are preventable suggests that inadequate education exists regarding the potential dangers associated with lawn mower use and children.…”

Section: Discussionmentioning

confidence: 99%

“…Infection is a major potential complication in lawn mower-related injuries because of the multiple pathogenic organisms found in grass and soil. The common organisms responsible for wound infections in lawn mower injuries include Escherichia coli, Enterococcus faecalis and staphylococci [5,6]. There are also reports of invasive fungal wound infections and osteomyelitis after lawn mower injury involving the soilborne fungus Fusarium as well as other fungi that represent saprophytic soil flora [5].…”

Section: Discussionmentioning

confidence: 99%

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Lawn mower-related projectile injury

et al. 2009

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Lawn mower injuries are a potentially devastating, yet preventable cause of morbidity and mortality in the pediatric population. The sequelae to these injuries can become even worse if the initial presentation goes unsuspected by medical staff, leading to a delay in treatment. The authors report the case of a lawn mower-related penetrating missile injury, where the extent of injury was not appreciated by the patient until signs and symptoms of a soft-tissue infection developed, prompting the patient to seek medical attention the next day.Keywords Pediatric lawn mower injury Á Projectile Á Infection Á Retained foreign body Case reportA 13-year-old male was seen in the emergency department because of pain and redness of the skin overlying his sternum. One day before, he had been mowing the lawn when he felt a sudden and sharp pain in his chest. He was aware of the incident and thought he had been stung by a bee or a wasp. However, the next morning his mother noticed a large red area in the center of his chest. His medical history was otherwise unremarkable.On physical examination, a punctate entry wound was visible overlying the mid-sternum with surrounding erythema. The wound was tender to palpation, but otherwise there was no purulence, fluctuance, discharge, or crepitus noted. The remainder of the examination was normal. Roentgenography demonstrated a foreign body embedded in the subcutaneous tissue and the sternum (Fig. 1).The patient was taken to the operating room for removal of the foreign body. A metal pin, 5 cm in length and 3 mm in diameter, was found embedded in the sternum. Surrounding the pin, there was purulent fluid and gas within the soft-tissue. A sample of the fluid was obtained for gram stain and cultures. The entry tract was debrided and the wound was irrigated and packed with half-inch packing tape (Fig. 2).Postoperative wound care consisted of dressing changes and whirlpool therapy along with intravenous antibiotics. Operative cultures demonstrated Enterobacter and Clostridium species susceptible to trimethoprim/sulfamethoxazole. After the placement of a peripherally inserted central catheter (PICC line), he was discharged home on postoperative day 5 and instructed to continue with a week of intravenous trimethoprim/sulfamethoxazole followed by a second week of the oral form per recommendations made by the infectious disease consultants. Follow-up examination on postoperative day 17 revealed the wound to be healing well and without any signs of infection. The PICC line was subsequently removed. DiscussionLawn mower injuries in children occur frequently, are preventable, and have the potential for devastating sequelae. There are approximately 77,800 lawn mower injuries treated in the USA every year, with 9,400 involving children [1]. About one-fourth of these injuries are to children younger than 5 years [2]. A majority of the injuries caused

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Lawnmower Injuries in the United States: 1996 to 2004

Cited by 41 publications

References 13 publications

Injuries associated with the use of riding mowers in the United States, 2002-2007

Injuries associated with the use of riding mowers in the United States, 2002-2007

Surface Modification with Chemically Modified Synovial Fluid for Flexor Tendon Reconstruction in a Canine Model in Vivo

Lawn mower-related projectile injury

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