Vioreanu Mihai, Sheehan Eoin, Glynn Aaron, Casidy Noelle, Stephens Michael, McCormack Damian
Trauma and Orthopaedic Surgery Department, Temple Street Children's University Hospital, Dublin, Ireland.
Pediatrics. 2007 Jun;119(6):e1294-8. doi: 10.1542/peds.2006-2882.
Our goals were to highlight an increasing trend in orthopedic injuries in children as a result of "heeling" or "street gliding," to describe injuries sustained by children using Heelys (HSL, Carrollton, TX) and Street Gliders (Glowgadgets Ltd, Bristol, United Kingdom), and to increase public awareness and prevent such injuries.
We prospectively recorded the data of all roller shoes injuries referred to our department during the summer school holiday. Using a data-collection sheet, we recorded demographic data, type of injury, mechanism and place of injury, heeling or street-gliding experience, use of safety equipment, methods of treatment, and intention to continue heeling or street gliding after recovery from injury.
Over a 10-week period, 67 children suffered orthopedic injuries while using Heelys or Street Gliders. There were 56 girls and 11 boys with a mean age of 9.6 years. Upper limbs were the most common location of injury. Distal radius fractures were the most prevalent, followed by supracondylar fractures, elbow dislocations, and hand fractures. The majority of children suffered the injury while heeling or street gliding outdoors. Interestingly, 20% of the injuries happened while trying Heelys or Street Gliders for the first time, and 36% of the injuries occurred while learning (using 1-5 times) how to use them. None of the children used any sort of protective gear at the time of the injury. The majority of the injured children expressed their intention to continue heeling or street gliding after complete recovery from their injury.
Our study shows that the majority of children with injuries from heeling or street gliding are girls. We recommend close supervision of children using Heelys or Street Gliders during the steep learning curve and usage of protective gear at all times. These new types of injuries have a serious impact on child health and constitute a burden for the pediatric orthopedic service.
我们的目标是强调因“暴走鞋”或“街头滑板鞋”导致儿童骨科损伤呈上升趋势,描述使用暴走鞋(HSL,得克萨斯州卡罗尔顿)和街头滑板鞋(Glowgadgets有限公司,英国布里斯托尔)的儿童所遭受的损伤,并提高公众意识,预防此类损伤。
我们前瞻性地记录了暑期学校假期期间转诊至我科的所有轮滑鞋损伤数据。使用数据收集表,我们记录了人口统计学数据、损伤类型、损伤机制和地点、暴走或街头滑板经验、安全设备使用情况、治疗方法以及受伤恢复后继续暴走或街头滑板的意愿。
在为期10周的时间里,67名儿童在使用暴走鞋或街头滑板鞋时遭受了骨科损伤。其中有56名女孩和11名男孩,平均年龄为9.6岁。上肢是最常见的损伤部位。桡骨远端骨折最为普遍,其次是肱骨髁上骨折、肘关节脱位和手部骨折。大多数儿童在户外暴走或街头滑板时受伤。有趣的是,20%的损伤发生在首次尝试暴走鞋或街头滑板鞋时,36%的损伤发生在学习(使用1至5次)如何使用它们的过程中。受伤时没有儿童使用任何类型的防护装备。大多数受伤儿童表示在完全康复后打算继续暴走或街头滑板。
我们的研究表明,大多数因暴走或街头滑板受伤的儿童是女孩。我们建议在儿童处于陡峭的学习曲线阶段时,密切监督其使用暴走鞋或街头滑板鞋的情况,并始终使用防护装备。这些新型损伤对儿童健康有严重影响,给小儿骨科服务带来负担。