Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients
Background: With the progress of modernization, treadmill hand injury in pediatric population is taking on a global trend in recent years. The purpose of this study was to investigate the epidemiology and clinical features in a developing country, thereby providing some experience in the treatment a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-02-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.633091/full |
| _version_ | 1831552380196356096 |
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| author | Yunxuan Zhang Yunxuan Zhang Yunxuan Zhang Yan Liu Yan Liu Yan Liu Xingang Yuan Xingang Yuan Xingang Yuan Jun Xiao Jun Xiao Jun Xiao Xionghui Ding Xionghui Ding Xionghui Ding Qiang Chen Qiang Chen Qiang Chen Lin Qiu Lin Qiu Lin Qiu |
| author_facet | Yunxuan Zhang Yunxuan Zhang Yunxuan Zhang Yan Liu Yan Liu Yan Liu Xingang Yuan Xingang Yuan Xingang Yuan Jun Xiao Jun Xiao Jun Xiao Xionghui Ding Xionghui Ding Xionghui Ding Qiang Chen Qiang Chen Qiang Chen Lin Qiu Lin Qiu Lin Qiu |
| author_sort | Yunxuan Zhang |
| collection | DOAJ |
| description | Background: With the progress of modernization, treadmill hand injury in pediatric population is taking on a global trend in recent years. The purpose of this study was to investigate the epidemiology and clinical features in a developing country, thereby providing some experience in the treatment and prevention of this particular type of injury.Methods: A 5-year retrospective review of patients with treadmill hand injury in Burn and Plastic Surgery ward at Children' Hospital of Chongqing Medical University was conducted. Demographics, injury details, therapy performed, length of hospital stay, complications, and outcome were analyzed.Results: Forty-six patients were surveyed, with a mean age of 3.5 ± 2.0 years old, including 24 males and 22 females. Injuries (77.8%) occurred between dinner to bedtime, and 95.7% happened indoors. Fingers were the most vulnerable part, of which the middle finger, ring finger, and index finger were the top three ones. The mean body surface area (BSA%) was 0.3 ± 0.2, but at least in deep dermal. Dressing changes, full-thickness skin grafts (FTSG), and Negative Pleasure Wound Therapy (NPWT) assisted FTSG were performed. The scar contracture, as the most severe complication, occurred in 26 patients, of which 22 originally received dressing changes at the time of injury.Conclusion: Treadmill hand injury in children should be highly regarded. Compared with conservative dressing changes, surgical intervention from a professional team may achieve more satisfactory prognosis and fewer complications. A prevention strategy based on “Time-Space-Person” was summarized according to its epidemiological characteristics, may help to decrease the incidence of this specific type of injury theoretically. |
| first_indexed | 2024-12-17T03:26:37Z |
| format | Article |
| id | doaj.art-d5e986733d144d40b709788a098a254d |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-17T03:26:37Z |
| publishDate | 2021-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-d5e986733d144d40b709788a098a254d2022-12-21T22:05:23ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-02-01910.3389/fped.2021.633091633091Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized PatientsYunxuan Zhang0Yunxuan Zhang1Yunxuan Zhang2Yan Liu3Yan Liu4Yan Liu5Xingang Yuan6Xingang Yuan7Xingang Yuan8Jun Xiao9Jun Xiao10Jun Xiao11Xionghui Ding12Xionghui Ding13Xionghui Ding14Qiang Chen15Qiang Chen16Qiang Chen17Lin Qiu18Lin Qiu19Lin Qiu20Burn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBurn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, ChinaChongqing Key Laboratory of Pediatrics, Chongqing, ChinaBackground: With the progress of modernization, treadmill hand injury in pediatric population is taking on a global trend in recent years. The purpose of this study was to investigate the epidemiology and clinical features in a developing country, thereby providing some experience in the treatment and prevention of this particular type of injury.Methods: A 5-year retrospective review of patients with treadmill hand injury in Burn and Plastic Surgery ward at Children' Hospital of Chongqing Medical University was conducted. Demographics, injury details, therapy performed, length of hospital stay, complications, and outcome were analyzed.Results: Forty-six patients were surveyed, with a mean age of 3.5 ± 2.0 years old, including 24 males and 22 females. Injuries (77.8%) occurred between dinner to bedtime, and 95.7% happened indoors. Fingers were the most vulnerable part, of which the middle finger, ring finger, and index finger were the top three ones. The mean body surface area (BSA%) was 0.3 ± 0.2, but at least in deep dermal. Dressing changes, full-thickness skin grafts (FTSG), and Negative Pleasure Wound Therapy (NPWT) assisted FTSG were performed. The scar contracture, as the most severe complication, occurred in 26 patients, of which 22 originally received dressing changes at the time of injury.Conclusion: Treadmill hand injury in children should be highly regarded. Compared with conservative dressing changes, surgical intervention from a professional team may achieve more satisfactory prognosis and fewer complications. A prevention strategy based on “Time-Space-Person” was summarized according to its epidemiological characteristics, may help to decrease the incidence of this specific type of injury theoretically.https://www.frontiersin.org/articles/10.3389/fped.2021.633091/fullhand injurypediatric/childtreadmillepidemiologytreatment |
| spellingShingle | Yunxuan Zhang Yunxuan Zhang Yunxuan Zhang Yan Liu Yan Liu Yan Liu Xingang Yuan Xingang Yuan Xingang Yuan Jun Xiao Jun Xiao Jun Xiao Xionghui Ding Xionghui Ding Xionghui Ding Qiang Chen Qiang Chen Qiang Chen Lin Qiu Lin Qiu Lin Qiu Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients Frontiers in Pediatrics hand injury pediatric/child treadmill epidemiology treatment |
| title | Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients |
| title_full | Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients |
| title_fullStr | Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients |
| title_full_unstemmed | Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients |
| title_short | Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients |
| title_sort | treadmill hand injuries among children a retrospective case series from hospitalized patients |
| topic | hand injury pediatric/child treadmill epidemiology treatment |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.633091/full |
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