Treadmill Injuries in the Pediatric Population

Juang, David; Fike, Frankie B.; Laituri, Carrie A.; Mortellaro, Vincent E.; Peter, Shawn D. St.

doi:10.1016/j.jss.2011.02.015

Cited by 12 publications

(5 citation statements)

References 19 publications

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“…Almost all the injuries involved the upper limbs. 13 Likewise, a 2011 retrospective chart review spanning 6 years (2005–2010) by Juang et al 6 documented 19 children who required treatment for treadmill-related injuries, 21% of which required skin grafting and 21% having hypertrophic scarring. The hand was involved in 79% of burns.…”

Section: Discussionmentioning

confidence: 99%

“…The hand was involved in 79% of burns. 6 Most recently, Noffsinger et al 14 documented their experience at a regional level 1 pediatric burn center with patients injured by treadmill and contact hand burns. In their series, the authors noted that treadmill hand burns were more severe than contact hand burns, requiring more surgical intervention and greater length of medical care.…”

Section: Discussionmentioning

confidence: 99%

“…Grob et al 16 documented that vacuum cleaner injuries resulted in friction burns of a single digit, including the thumb. Juang et al 6 reported that the treadmill mechanism lead to injuries involving multiple digits, not including the thumb. Although never previously differentiated, these observations are consistent with the data presented from our institution.…”

Section: Discussionmentioning

confidence: 99%

“…From 2007 to 2011, there were an estimated 70,302 emergency department–treated injuries from mechanical home exercise equipment in the United States 5 In addition, the incidence of pediatric treadmill-related friction injuries has been increasing since the 1990s, rising from 45,942 in 2007 to 49,065 in 2009. 6 Friction burns may also be caused by vacuum cleaners. This particular mechanism of injury is less common, with few reports in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Upper extremity friction burn due to powered home equipment is a growing problem in the pediatric population. The purpose of this study was to review the etiology, presentation, characteristics, and treatment of this particular type of pediatric mechanism of injury.Methods:A retrospective chart review using International Classification of Diseases, version 9, codes for patients treated at a large tertiary care, free-standing children’s hospital was performed to identify all patients presenting with an upper extremity friction burn from 2003 to 2012.Results:Sixty-nine patients sustained upper extremity friction burns. The average age at the time of injury was 3.3 years (range, 0.7–10.6) with presentation to our center occurring 16.6 days (range, 0–365 days) following injury. Mean follow-up was 23.3 months (range, 2–104). Mechanism of injury included treadmills (n = 63) and vacuum cleaners (n = 6). Twenty-eight operations were performed on 21 patients (30%). All patients requiring a surgical intervention sustained injury via treadmill mechanism (P = 0.0001). Unlike treadmill burns, vacuum cleaner injuries affected the dorsal hand or a single digit (P = 0.00004). Scar hyperpigmentation was more prevalent in these patients compared with the treadmill group (P = 0.003). All vacuum-induced burn patients had full range of motion and function with conservative treatment alone, whereas only 55.6% of treadmill burn patients had full recovery of range of motion and 50.8% recovery of full hand function.Conclusions:Friction burns from vacuum cleaners are less prevalent, have different injury patterns, and can be treated conservatively with excellent functional outcomes. Treadmill friction burns result in more significant injury and risk for dysfunction, requiring surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…Injuries due to home exercise equipment, such as treadmills, have been widely reported in developed countries. 7 The incidence of pediatric treadmill friction burns has been increasing every year, 8 but there has been a less amount of increase in developing countries like China. Such burns are caused by friction due to a resistive force generated when two surfaces move against each another.…”

Section: Discussionmentioning

confidence: 99%

Early Wound Repair Versus Later Scar Repair in Children with Treadmill Hand Friction Burns

Zhou

Qiu

Xiao

et al. 2021

Journal of Burn Care &Amp; Research

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The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P>0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P<0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

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„Weil die Gefahr so oft verkannt, drum halte fern die Kinderhand …“

Lienert

Krohn

2018

Monatsschr Kinderheilkd

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Treadmill Injuries in the Pediatric Population

Cited by 12 publications

References 19 publications

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Early Wound Repair Versus Later Scar Repair in Children with Treadmill Hand Friction Burns

„Weil die Gefahr so oft verkannt, drum halte fern die Kinderhand …“

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