BACKGROUND & AIMS:
OBJECTIVE:To describe the mechanism, location and types of injury for all patients treated for trampoline-associated injuries at St Olav's University Hospital, Trondheim, Norway, from March 2001to October 2004.
MATERIALS AND METHODS:Patients were identified from a National Injury Surveillance System. All patients were asked to complete a standard questionnaire at their first visit at the hospital. Most data were recorded prospectively, but data on the mechanism of injury, the number of participants on the trampoline at the time of injury, adult supervision and whether the activity occurred at school or in another organised setting were collected retrospectively.
RESULTS:A total of 556 patients, 56% male and 44% female, were included. The mean age of patients was 11 (range 1-62) years. 77% of the injuries occurred on the body of the trampoline, including falls on to the mat, collisions with another jumper, falls on to the frame or the springs, and performing a somersault, whereas 22% of the people fell off the trampoline. In 74% of the cases, more than two people were on the trampoline, with as many as nine trampolinists noted at the time of injury. For children <11 years, 22% had adult supervision when the injury occurred. The most common types of injuries were fractures (36%) and injury to ligaments (36%). Injuries to the extremities predominated (79%), and the lower extremities were the most commonly injured part of the body (44%). A ligament injury in the ankle was the most often reported diagnosis (20%), followed by an overstretching of ligaments in the neck (8%) and a fracture of the elbow (7%). Regarding cervical injuries, two patients had cervical fractures and one patient had an atlantoaxial subluxation. Three patients with fractures in the elbow region reported an ulnar nerve neuropathy. 13% of the patients were hospitalised for a mean of 2.2 days.
CONCLUSION:Trampolining can cause serious injuries, especially in the neck and elbow areas of young children. The use of a trampoline is a high-risk activity. However, a ban is not supported. The importance of having safety guidelines for the use of trampolines is emphasised.
背景与目标:
目的:描述2001年3月至2004年10月在挪威特隆赫姆市圣奥拉夫大学医院接受蹦床相关伤害治疗的所有患者的机制,部位和类型。
材料与方法:从国家伤害监测系统中识别出患者。要求所有患者在医院首次就诊时填写一份标准问卷。多数数据是前瞻性记录的,但回顾性收集了有关伤害机理,受伤时蹦床上的参与者数量,成人监督以及活动是否在学校或其他有组织场所进行的数据。
结果:共纳入556例患者,其中男性56%,女性44%。患者的平均年龄为11岁(1-62岁)。 77%的伤害发生在蹦床上,包括跌落在垫子上,与另一个跳线碰撞,跌落到框架或弹簧上以及翻筋斗,而22%的人跌下了蹦床。在74%的案件中,有超过两个人在蹦床上,受伤时有多达9名蹦床专家被记录在案。对于11岁以下的儿童,受伤时有22%接受了成人监护。最常见的伤害类型是骨折(36%)和韧带损伤(36%)。四肢受伤占多数(79%),而下肢是最常见的身体受伤部位(44%)。踝关节韧带损伤是最常报告的诊断(20%),其次是颈部韧带过度伸展(8%)和肘部骨折(7%)。关于宫颈损伤,2例患者有颈椎骨折,1例患者有寰枢椎半脱位。三名肘部骨折的患者报告尺神经神经病变。 13%的患者平均住院2.2天。
结论:穿山甲可能会造成严重伤害,尤其是在幼儿的颈部和肘部。蹦床的使用是高风险的活动。但是,不支持禁止。强调了使用蹦床的安全准则的重要性。