Severe Trampoline Injuries: Incidence and Risk Factors in Children and Adolescents

Korhonen, L. Kalevi; Salokorpi, Niina; Suo‐Palosaari, Maria; Pesälä, Juha; Serlo, Willy; Sinikumpu, Juha‐Jaakko

doi:10.1055/s-0037-1608676

Cited by 14 publications

(4 citation statements)

References 24 publications

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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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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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“…Finally, only fractures were considered, but trampolines are also associated with notable orthopaedic soft-tissue injuries 21 as well as nonorthopaedic injuries, including dental injury, vascular injury, and concussions. 21 , 33 34 35 36 These dimensions were beyond the scope of our study but should be taken into account when considering public health messaging around trampolines.…”

Section: Discussionmentioning

confidence: 99%

Trampolines Versus Playgrounds - A Comparative Assessment of Pediatric Fractures Sustained From Recreational Play

Malige,

Markiewitz,

Badrinath

et al. 2024

JAAOS Glob Res Rev

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Introduction: Using the Pediatric Health Information System, this study compared the relative severity of fractures sustained from trampolines with those from other playground equipment. Methods: Pediatric patients were identified in the Pediatric Health Information System with trampoline-related injuries (TRIs) or playground-related injuries (PRIs) diagnosed as fractures. Adjustments were made for hospital, year of injury, sex, age, race, median household income, and rurality through propensity score weighting. Four injury-related outcome measures were examined as a proxy for injury severity. Results: A total of 133,232 patients met inclusion criteria. In unadjusted univariate analyses, TRIs were associated with greater odds of severe fracture and lower odds of receiving surgical treatment (OR = 0.954) compared with PRIs. After adjustment, TRIs sustained in late childhood and adolescence were more likely to receive surgical management (OR = 1.092 and OR = 1.192, respectively) while TRIs sustained in younger children were less likely (OR = 0.607) than PRIs. Discussion: Youths in late childhood and adolescence are at increased odds of undergoing surgical management after trampoline fractures. Beyond underscoring the risks of trampoline play, our results highlight the importance of considering age in recreational injury epidemiology and the public health safety initiatives aimed at specific age groups.

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“…In one study in the United States, more than one million people visited hospital emergency departments (EDs) due to trampoline-related injuries over a 7-year period, and 288,876 (29.0%) of these injuries were identified as fractures [ 4 ]. A study from Finland showed that the annual incidence of severe trampoline injuries, such as cervical spine injury, in the pediatric population was 6.28 per 100,000 [ 5 ]. Based on these findings, recommendations and regulatory policies to prevent trampoline-related injuries are being made continuously [ 5 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…A study from Finland showed that the annual incidence of severe trampoline injuries, such as cervical spine injury, in the pediatric population was 6.28 per 100,000 [ 5 ]. Based on these findings, recommendations and regulatory policies to prevent trampoline-related injuries are being made continuously [ 5 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

Trampoline-related injuries in children: a nationwide cross-sectional study in South Korea

et al. 2020

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Objective Trampoline-related injuries have increased in South Korea. However, little research has been conducted on this topic. This study aimed to show the characteristics of pediatric trampoline-related injuries in South Korea and to investigate the factors associated with admission. Methods A retrospective, cross-sectional study was conducted using data from South Korea's Emergency Department-based Injury In-depth Surveillance registry for dates between January 2011 and December 2016. All patients under 18 years of age with trampoline-related injuries were included. We divided the patients into two groups based on whether they were admitted or discharged. Odds ratios with 95% confidence intervals were calculated to evaluate the factors associated with hospital admission for pediatric trampoline-related injuries. Results A total of 2,745 patients were enrolled and the incidence increased over time (P for trend < 0.01). The most common injury site was the lower extremity (45%). Fracture was the most frequent diagnosis (34.3%). Compared to the discharge group, the adjusted odds ratios (95% confidence intervals) for hospital admission were 3.53 (1.73-7.17) for the teenage group, 2.62 (1.82-3.77) for upper extremity injuries, 18.48 (7.95-42.95) for fractures, 2.28 (1.35-3.86) for falls, and 2.04 (1.15-3.60) for collisions. Conclusion Trampoline-related injuries in children have increased over time in South Korea. Most occur in children under the age of 12 years, but children between the ages of 13 and 18 years are at a higher risk for hospitalization. Also, injuries of the upper extremity, fracture, falling, and collision are risk factors for admission. Preventive strategies are needed to reduce trampoline-related injuries in children.

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Severe Trampoline Injuries: Incidence and Risk Factors in Children and Adolescents

Abstract: Most severe injuries happened in unsuccessful flips. Children should have an adult supervisor and flips should not be attempted.

Cited by 14 publications

References 24 publications

The incidence and treatment trends of pediatric proximal humerus fractures

The incidence and treatment trends of pediatric proximal humerus fractures

Trampolines Versus Playgrounds - A Comparative Assessment of Pediatric Fractures Sustained From Recreational Play

Trampoline-related injuries in children: a nationwide cross-sectional study in South Korea

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