Eur J Pediatr Surg 2018; 28(06): 529-533
DOI: 10.1055/s-0037-1608676
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Severe Trampoline Injuries: Incidence and Risk Factors in Children and Adolescents

Linda Korhonen
1  Department of Children and Adolescents Pediatric Surgery and Orthopedics, Oulu University Hospital, Oulu, Finland
,
Niina Salokorpi
2  Department of Neurosurgery, Oulu University Hospital, Oulu, Finland
,
Maria Suo-Palosaari
3  Department of Pediatric Radiology, Oulun Yliopistollinen Sairaala, Oulu, Finland
,
Juha Pesälä
4  Department of Orthopaedic and Traumatology, Oulu University Hospital, Oulu, Finland
,
Willy Serlo
1  Department of Children and Adolescents Pediatric Surgery and Orthopedics, Oulu University Hospital, Oulu, Finland
,
Juha-Jaakko Sinikumpu
1  Department of Children and Adolescents Pediatric Surgery and Orthopedics, Oulu University Hospital, Oulu, Finland
› Author Affiliations
Further Information

Publication History

31 August 2017

03 October 2017

Publication Date:
22 November 2017 (eFirst)

Abstract

Introduction Severe trampoline injuries in children and adolescents are rare; however, minor injuries are common and their incidence is increasing. Severe injuries are most commonly head and neck injuries. They may result in long-term morbidity. This study aimed to illustrate these severe injuries and to find out their incidence and risk factors.

Materials and Methods This is a population-based, prospective study in the Oulu region of Finland completed over 2 years (May 1, 2015 to April 31, 2017). All children (<16 years of age) with severe trampoline injuries were included. Cervical spine fractures, chest wall and skull fractures, lesions of internal organs, hip and knee dislocations, and permanent disorders of the peripheral veins or nerves were in prior defined as severe. Multiple jumpers, stunts, younger age, previous injuries, insufficient use of safety equipment, and lack of supervision were hypothesized as risk factors.

Results There were 11 injured patients (10 boys). The annual incidence was 6.28/100,000 children <16 years of age. Mean age was 11.5 years. Severe injuries included five ligamentous cervical spine injuries and two sternal bone fractures. In addition, there were one lumbar spine ligament injury, two hip dislocations, and one severe axillary plexus nerve lesion. Eight out of 11 accidents were not seen by any adult and none of them happened under professional supervision. Most injuries (N = 8) happened by failed backflips.

Conclusion Most severe injuries happened in unsuccessful flips. Children should have an adult supervisor and flips should not be attempted.