Abstract
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.
Highlights
The improvement of health consciousness in China society has increased the popularity of exercise equipment, especially the treadmill
A single-center retrospective review was conducted for pediatric patients with treadmill hand injuries who were admitted to the Burn and Plastic Surgery ward at Children’ Hospital of Chongqing Medical University from January 1, 2015 to December 31, 2019
Inclusion criteria were the following: [1] children aged 0–18 years old; [2] inpatients with treadmill hand injuries or other treadmill-related hand diseases; and [3] both the children and their guardians consented to participate in the survey
Summary
The improvement of health consciousness in China society has increased the popularity of exercise equipment, especially the treadmill. A treadmill, with a rubberized belt driven by an electromotor, can cause harm to children by hand contact [1]. Curiosity drives children to contact the treadmill with their hands. We have observed an increase of pediatric treadmill hand injuries in Chongqing, a city in the southeast of China. It seems that this type of injury is taking on a global trend. 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
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