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一系列与悬浮滑板相关的儿童西摩骨折病例:随着生活方式的改变呈上升趋势。

A case series of pediatric seymour fractures related to hoverboards: Increasing trend with changing lifestyle.

作者信息

Kattan A E, AlShomer F, Alhujayri A K, Alfowzan M, Murrad K A, Alsajjan H

机构信息

Plastic and Reconstructive Surgery, Surgery Department, King Khalid University Hospital, King Saud University, College of Medicine, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2017;38:57-60. doi: 10.1016/j.ijscr.2017.06.058. Epub 2017 Jul 10.

DOI:10.1016/j.ijscr.2017.06.058
PMID:28735119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5522954/
Abstract

BACKGROUND

Several recreational activities such as roller skating, skateboarding, and scooter riding create the risk for hand injuries, which are the fourth most commonly injured body part in relation to their use. Seymour first identified a specific pattern of digit injury as an open fracture affecting the distal phalangeal physis associated with nail avulsion from the eponychial fold. In this article, we report a series of Seymour fractures associated with misuse of the newly emerging recreational/transportation vehicle, the hoverboard.

METHOD

The study includes a retrospective chart review of patients who presented to a tertiary hospital between December 2015 and October 2016 with a Seymour fracture caused while operating a hoverboard.

RESULTS

A total of 13 patients were treated for Seymour fractures. The majority were male patients, and the group had a mean age of 10.3 years (±2.21). The affected digits were primarily the middle and ring fingers of the non-dominant hand. The injury mechanism reported by patients or families indicated that the child was operating the hoverboard in a sitting position with the hands grasping the wheel rim parts.

CONCLUSION

We report a case series of a fracture pattern resulting from the improper/unsafe use of a hoverboard. This type of fracture occurs with a tremendous load of energy. Although improper use was a factor, design fault also plays a role in causing the injury. Parent awareness and supervision are important to prevent such injuries.

摘要

背景

轮滑、滑板和骑滑板车等多项娱乐活动会造成手部受伤风险,手部是与这些活动相关的第四大最常受伤身体部位。西摩首次确定了一种特定的手指损伤模式,即开放性骨折累及远端指骨骨骺,并伴有甲皱襞处指甲撕脱。在本文中,我们报告了一系列与新兴娱乐/交通工具——悬浮滑板使用不当相关的西摩骨折。

方法

该研究包括对2015年12月至2016年10月期间因操作悬浮滑板导致西摩骨折而就诊于一家三级医院的患者进行回顾性病历审查。

结果

共有13例患者接受了西摩骨折治疗。大多数为男性患者,该组患者平均年龄为10.3岁(±2.21)。受影响的手指主要是非优势手的中指和环指。患者或家属报告的损伤机制表明,儿童以坐姿操作悬浮滑板,双手抓住轮辋部分。

结论

我们报告了一系列因悬浮滑板使用不当/不安全而导致的骨折病例。这种类型的骨折是在巨大能量负荷下发生的。虽然使用不当是一个因素,但设计缺陷在造成损伤方面也起到了作用。家长的意识和监督对于预防此类伤害很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/3d97badad7f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/6485bfa27928/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/5b0672522695/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/3d97badad7f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/6485bfa27928/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/5b0672522695/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b5/5522954/3d97badad7f2/gr3.jpg

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本文引用的文献

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Hoverboards: A new cause of pediatric morbidity.悬浮滑板:儿童发病的一个新原因。
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Preferred reporting of case series in surgery; the PROCESS guidelines.外科手术病例系列报告的首选方法:PROCESS 指南。
J Hand Microsurg. 2021 Jan;13(1):2-3. doi: 10.1055/s-0040-1718976. Epub 2020 Oct 29.
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Orthopedic Injuries Associated with Hoverboard Use in Children: A Multi-center Analysis.儿童使用悬浮滑板相关的骨科损伤:多中心分析
HSS J. 2020 Dec;16(Suppl 2):221-225. doi: 10.1007/s11420-019-09682-2. Epub 2019 May 21.
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The optimal management of Seymour fractures in children and adolescents: a systematic review protocol.儿童和青少年 Seymour 骨折的最佳处理方法:系统评价方案
Syst Rev. 2020 Jun 23;9(1):150. doi: 10.1186/s13643-020-01407-5.
Int J Surg. 2016 Dec;36(Pt A):319-323. doi: 10.1016/j.ijsu.2016.10.025. Epub 2016 Oct 19.
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Pediatric Hoverboard Injuries: A Need for Enhanced Safety Measures and Public Awareness.儿童电动滑板车伤害:加强安全措施和公众意识的必要性。
Clin Pediatr (Phila). 2016 Oct;55(11):1078-80. doi: 10.1177/0009922816664066.
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The SCARE Statement: Consensus-based surgical case report guidelines.SCARE 声明:基于共识的外科手术病例报告指南。
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