Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study

Cho, Min Jeng; Kim, Ji-Hoon; Kim, Sung Jeep; Kyoung, Kyu Hyouck; Keum, Min Ae; Park, Sung Kyun

doi:10.3345/kjp.2018.06814

Cited by 6 publications

(5 citation statements)

References 25 publications

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“…Sixty-nine studies were duplicates, leaving 87 studies for review of titles and abstracts. Of these, 16 articles [10,11,[16][17][18][19][20][21][22][23][24][25][26][27][28][29] were relevant and the full papers were retrieved.…”

Section: Resultsmentioning

confidence: 99%

“…Seventy-one studies were deleted under exclusion criteria; 3, 14, 6, 5, 37 and 6 studies were other intervention, no outcomes, biomechanics, review, other injuries and no English language, respectively. Sixteen studies were included for the analysis of trampoline-related injury; 14 studies [16][17][18][19][20][21][22][23][24][25][26][27][28][29] were retrospective cohort and 2 studies [10,11] were comparative cohort studies. All 14 studies reported conservative and surgical management.…”

Section: Resultsmentioning

confidence: 99%

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Comparative surgical risk between type of trampoline (size and place) and type of patients (age and sex) in trampoline related injury: a systematic review and indirect meta-analysis

Muljadi¹,

Chaijenkij

Arirachakaran

et al. 2020

BMC Sports Sci Med Rehabil

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Background Despite its high risk of injury, many people are still favor trampolining. However, currently there is no consensus as to which type of trampoline and which type of participant is more likely to have a trampoline related injury that will require surgical management. Methods This systematic review and meta-analysis aims to assess and compare the factors that cause trampoline injuries requiring surgical treatment. These include the place of the trampoline (park versus home), size of the trampoline (full versus mini), the age of the participant (child versus adult) and the sex of the participant (male versus female). The clinical outcomes measured are surgical management after trampoline injury. This systematic review was conducted according to the PRISMA guidelines. Results Relevant studies that reported surgery after trampoline injury of either group were identified from Medline and Scopus from inception to May 14, 2019. Sixteen studies were included for the analysis of surgery after trampoline injury; a total of 4491 and 1121 patients were treated conservatively and surgically. The total surgery rate per patient was 31% (95% CI: 16, 46%) in all patients. The surgery rate was 0.3 (95% CI: 0.03, 0.58) and 0.06 (95% CI: 0.04, 0.09) in the full and mini size trampoline groups. There were 0.36 (95% CI: 0.06, 0.67) and 0.11 (95% CI: 0.0, 0.22) in the park and home trampoline groups. The surgery rates were 0.33 (95% CI: 0.14, 0.53), 0.24 (95% CI: 0.07, 0.11), 0.49 (95% CI: 0.47, 0.51) and 0.38 (95% CI: 0.22, 0.53) in children, adults, females and males respectively. Indirect meta-analysis shows that full size trampolines provided a 6.0 times higher risk of surgery (95% CI: 3.7, 9.7) when compared to mini size trampolines. Park trampolines had a higher risk of surgery of 2.17 (95% CI: 1.70, 2.78) when compared to home trampolines. In terms of age and sex of participants, there value was significantly higher at 1.65 (95% CI: 1.35, 2.01) and 1.54 (95% CI: 1.36, 1.74) in children compared to adults and females compared to males. From all the statistical data we summarized that the full size trampoline injuries have a 6 times higher risk of requiring surgery when compared to mini size trampoline injuries. Park trampoline use carries a 2 times higher risk of requiring surgery when compared to home trampoline use. In terms of age and sex of the participant, there is a 1.5 times significantly higher risk of injury in children compared to adults, and females when compared to males. Conclusion In trampoline related injuries, full size, park trampoline, children and females had higher surgery rates when compared to mini size, home trampoline, adult and male majority in indirect meta-analysis methods.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Comparative surgical risk between type of trampoline (size and place) and type of patients (age and sex) in trampoline related injury: a systematic review and indirect meta-analysis

Muljadi¹,

Chaijenkij

Arirachakaran

et al. 2020

BMC Sports Sci Med Rehabil

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“…4,9 Trampolines have become an increasingly popular activity over the past decade with many reports citing an increase in trampoline related injuries globally. [10][11][12] To determine whether there has been a change in children's activities from previous studies with trampoline related injuries causing a large proportion of flexion-type supracondylar fractures, a multi-hospital study with larger sample size is recommended.…”

Section: Discussionmentioning

confidence: 99%

Incidence of flexion‐type supracondylar fractures at a single Australian level one Paediatric Trauma Centre

Silva

Alder-Price

Allcock

2022

ANZ Journal of Surgery

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Background: Supracondylar fractures are the most common elbow fracture. There have been no studies published analysing flexion-type fractures in the Australian paediatric population. This paper aims to investigate flexion-type supracondylar fractures in an Australian paediatric population. Eight hundred and three paediatric supracondylar elbow fractures were retrospectively reviewed at one hospital over a 5 year time period. The focus was on flexion-type fractures. Methods: Supracondylar fractures that presented to the Women's and Children's Hospital Emergency Department between 2015 and 2020 were retrospectively reviewed. Fractures were classified on plain radiographs according to the Modified Gartland Classification System. Injury and treatment data were collected for flexion-type fractures.Results: Twenty-one (2.6%) of fractures were flexion-type. The average age of injury was 6.8 years old. Flexion-type fractures were more common in females (62%) and with high energy mechanisms (81%). Ulnar nerve palsies occurred in five cases (24%). Two ulna nerve palsies did completely resolve at 3 months follow up. One open fracture occurred. No vascular injuries occurred. Ten of the 21 flexion-type fractures (48%) were treated surgically. Conclusions: The authors conclude that: flexion fractures are uncommon, they occur more often after high energy mechanisms such as falls from monkey bars, swings, or trampolines. Flexion-type fractures occur more often in slightly older females. The ulnar nerve is most frequently injured and in the current study-exclusively injured. At 3 month follow up, spontaneous nerve recovery had occurred in three of the five cases (60%).

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“…Previously, the incidence of proximal tibial metaphyseal fractures was rare, but has increased as the trampoline has become more popular. [4][5][6] However, the proximal tibial metaphyseal fracture caused by TRI differs from that of non-TRI in both the initial angular deformities and the patient's recovery. In the past, proximal tibial metaphyseal fractures were reported to have clinical importance because of the possibility of tibial valgus deformity after trauma, 7,14 and angular deformity might progress after bone union.…”

Section: Angular Deformities On the Coronal Planementioning

confidence: 99%

“…Proximal tibial metaphyseal fracture was relatively rare in 1980s, but with the recent popularization of trampoline activities, its incidence as one of trampoline-related injuries (TRIs) has increased, especially among children aged under six years. [1][2][3][4][5][6] Some studies have reported that proximal tibial metaphyseal fracture has a risk of post-traumatic valgus deformity. 7,8 However, it is currently suggested that the degree of valgus deformity would be minimal or absent in patients with proximal metaphyseal fracture by TRI.…”

Section: Introductionmentioning

confidence: 99%

Initial angular deformity and its recovery of the proximal tibial metaphyseal fracture according to the cause: Trampoline-related injury versus other injuries

Bae

Jeon

Park

et al. 2020

Journal of Children's Orthopaedics

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Purpose This study investigated the initial angular deformity of proximal tibial metaphyseal fracture in children and its recovery during follow-up according to the cause of injury. Methods Prospective data about the patients with a proximal tibial metaphyseal fracture at the age less than six years and available follow-up data at two years post-trauma were retrospectively reviewed. They were grouped into trampoline-related injuries (TRI) and non-TRI groups based on the cause of injury. Proximal tibial valgus and recurvatum angles were measured to assess angular deformity on the coronal and sagittal planes, respectively. Results A total of 47 patients (33 TRI and 14 non-TRI) were included. Initially, the valgus angles were -1.5° in TRI and 1.6° in non-TRI groups (p < 0.001) and the recurvatum angles were 7.8° in TRI and 4.1° in non-TRI groups (p = 0.048). After two-year follow-up, the valgus angles were 0.2° in TRI and 0.9° in non-TRI groups (p = 0.070), and the recurvatum angles were 6.5° in TRI and 2.3° in non-TRI groups (p = 0.001). Conclusion For children with a proximal tibial metaphyseal fracture, the initial coronal deformity was different according to the injury cause (varus in TRI whereas valgus in non-TRI). Although there was a near complete recovery after approximately two years of follow-up in the coronal deformities, the sagittal deformity (genu recurvatum) seems to recover incompletely or tardily, especially for those caused by TRI. Level of Evidence III

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Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study

Cited by 6 publications

References 25 publications

Comparative surgical risk between type of trampoline (size and place) and type of patients (age and sex) in trampoline related injury: a systematic review and indirect meta-analysis

Comparative surgical risk between type of trampoline (size and place) and type of patients (age and sex) in trampoline related injury: a systematic review and indirect meta-analysis

Incidence of flexion‐type supracondylar fractures at a single Australian level one Paediatric Trauma Centre

Initial angular deformity and its recovery of the proximal tibial metaphyseal fracture according to the cause: Trampoline-related injury versus other injuries

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