Musculoskeletal in injuries related playground, bouncy castle and trampoline trauma: Imaging Review

Congress:

ESSR 2017

Poster Number:

P-0315

Type:

Educational Poster

Keywords:

Bones, Musculoskeletal soft tissue, Trauma, Conventional radiography, CT, Ultrasound, Diagnostic procedure, Education, Socio-economic issues, Acute, Outcomes

Authors:

V. Maliakel¹, N. El Saeity², N. Ramesh¹; ¹Portlaoise/IE, ²Cheshire/UK

DOI:

10.1594/essr2017/P-0315

DOI-Link:

https://dx.doi.org/10.1594/essr2017/P-0315

Fig. 1: Types of playground and recreational items

Fig. 2: Percentage of injuries in girls and boys

Fig. 3: Percent of accidents by age group

Fig. 4: Percentage of injuries for upper and lower limbs

Learning objectives

The aim of this educational poster is to present the various types ofmusculoskeletal injuriesin children occurring while at playgrounds, bouncy castles and trampoline

Background

With the increased availability and use of trampolines and bouncy castles, the number of minor injuries is on the increase. Most involve children falling inside or out of the inflated play items, other mechanisms include collision between bouncing kids, falling awkwardly on the feet or hands. Slipping of the climbing/monkey bars, swings are other causes of injuries in children.. Younger the children more likely the falls, slipping and collison.

Imaging findings OR Procedure Details

Injuries are related to height of the equipment, the height of fall, age appropriate equipment, age of the person, surface related. Injuries are more common in boys {52%} as compared to girls { 48%}: Fig 2 Injuries are common with monkey bars and swings. Higher the bars or the climb more likely the injury; lack of hand rails or protective guards increases the chances of injury Injuries are more common whilst using trampolines and bouncy castles, either due to awkward fall, collision between children and...

Conclusion

Plain radiographs are usually enough for diagnosing fractures with dedicated views to visualise radial head or scaphoid fractures. Ultrasound is useful in assessing ligamental injuries Early diagnosis is important to prevent deformities, as some of the fractures in children can be subtle. Alternate modalities such as low dose CT or MRI may be required if symptoms persist. Although playing provides and improves physical, development and social skills, Safety restrictions should be adhered to at all playgrounds and whilst using trampolines and bouncy castles All playground...

References

1. Emergency Department visits secondary to amusement ride injuries in children: Loder RT, Feinberg JR; J of Ped Ortho, June 2008, Vol. 20, Issue 4-pp 423-426. Doi: 10.1097/BPO 0b013e318175ca9d 2. Paediatric Trampoline Injuries. Hurson C, Browne K, Fogarty E. J of Ped Ortho; Oct/Nov 2007. Issue 7-pp 729-732; doi: 10.1097/BPO.0b013e18155ab1. 3. Recreational injuries in children: Incidence and Prevention: Purvis JM, Burke RG: J Of Am Academy of Ortho Surg, Nov/Dec 2001: Vol 9-Issue 6- p365-374: doi: 10.1097/BPO.0b013e18155ab1 4. The demographics of playground equipment injuries in...

Personal Information

Venus Maliakel Nabil El Saiety Consultant Radiologist Nagabathula Ramesh Consultant Radiologist Midland Regional Hospital, Portlaoise Ireland