Pediatric hand friction burn injuries secondary to treadmills

Jason Marshall1, Gary M Lourie

  • 1Department of Orthopaedic Surgery, Atlanta Medical Center, Hand Treatment Center, Children's Healthcare of Atlanta at Scottish Rite Hospital, 980 Johnson Ferry Road, Atlanta, GA 30342, USA.

Insights

Pediatric patients can sustain hand friction burns from treadmill fitness machines. This review examines injury details and treatment outcomes to suggest preventative measures for these common burns.

Area of Science:

  • Pediatric burn injuries
  • Dermatology
  • Sports medicine

Background:

  • Treadmill fitness machines can cause characteristic hand friction burns.
  • Fourteen pediatric cases were identified with this specific injury pattern.

Purpose of the Study:

  • To review the mechanism of injury in pediatric hand friction burns from treadmills.
  • To analyze treatment strategies and their impact on patient outcomes.
  • To provide recommendations for preventing long-term complications.

Main Methods:

  • Retrospective review of fourteen pediatric patients with hand friction burns.
  • Analysis of injury mechanism, digits affected, burn depth, and initial management.
  • Evaluation of referral timing, definitive treatment, and final results.

Main Results:

  • Detailed analysis of injury characteristics and treatment pathways.
  • Assessment of the correlation between treatment timing and outcomes.
  • Identification of factors influencing the need for and success of definitive treatments.

Conclusions:

  • Understanding the specific mechanisms of treadmill-related hand burns is crucial.
  • Timely and appropriate treatment, including potential surgical intervention, impacts outcomes.
  • Recommendations are proposed to mitigate sequelae and prevent future injuries.

Related Concept Videos

Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...
Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...