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Distinct features of trampoline-related orthopedic injuries in children aged under 6 years
Eun Seok Choi1, Jin Heon Hong1, Jae Ang Sim1
1Department of Orthopaedic Surgery, Gachon University Gil Hospital, Incheon, South Korea.
Insights
Young children under 6 experience different trampoline injuries than older kids. Younger children often sustain knee fractures, while older children have more ankle fractures, with most injuries occurring at trampoline parks.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Public Health
Background:
- Growing concern over trampoline-related injuries in young children.
- Existing policy statements recommend against trampoline use for children under 6.
- Limited research on specific injury patterns in this age group.
Purpose of the Study:
- To identify distinct features of trampoline-related orthopedic injuries in children younger than 6 years.
- Compare injury characteristics between preschool-aged children and school-aged children.
Main Methods:
- Retrospective review of medical records (2012-2015) of pediatric patients with trampoline orthopedic injuries.
- Categorization into preschool (0-5 years) and school (6-16 years) groups.
- Comparison of injury types and anatomical locations between groups.
Main Results:
- 66% of 208 patients were in the preschool group (mean age 5.4 years).
- Fractures occurred in 46% of patients; proximal tibia fractures were more common in preschoolers (34% vs. 6%).
- Distal tibia fractures were more prevalent in school-aged children (44% vs. 13%); 82% of injuries occurred at trampoline parks.
Conclusions:
- Significant differences in anatomical injury locations between age groups.
- Younger children (preschool) are more prone to knee-area fractures.
- Older children (school-aged) are more likely to sustain ankle fractures.
Introduction:
Concern has been growing about trampoline-related injuries among young children. Several published policy statements have repeatedly recommended that children younger than 6 years should not use trampolines. However, few studies have investigated the injuries caused by trampoline-related accidents among young children. This study aimed to identify the distinct features of trampoline-related orthopedic injuries in children younger than 6 years.
Methods:
We retrospectively reviewed the medical records of pediatric patients aged between 0 and 16 years who visited our regional emergency center due to trampoline-related orthopedic injuries between 2012 and 2015. Patients were divided into two groups: a preschool group (younger than 6 years) and a school group (older than 6 years). We compared the features of the injuries in the two groups.
Results:
Among 208 patients, 108 (52%) were male and 100 (48%) were female. The mean age was 5.4 years. The preschool group accounted for 66%. There were no seasonal variations. Fractures were sustained in 96 patients (46%). The anatomical locations of injuries differed significantly between the two age groups. Proximal tibia fractures were more frequent in the preschool group than the school group (34% and 6%, respectively). Distal tibia fractures were more prevalent in the school group than the preschool group (44% vs. 13%, respectively). Surgical treatment was needed more frequently in the school group (p = 0.035, hazard ratio 2.52, 95% confidence interval: 1.03-6.17). Most of the injuries (82%) occurred at trampoline parks.
Conclusions:
The anatomical locations of trampoline-related orthopedic injuries differed significantly between age groups. Fractures were more common around the knee in younger children and the ankle in older children.
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