2024 ARRS ANNUAL MEETING - ABSTRACTS

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E5289. Navigating Pediatric Trampoline Injuries: A Pictorial Guide from Head to Toe
Authors
  1. Neetika Gupta; Children's Hospital of Eastern Ottawa
  2. Hirva Manek; Children's Hospital of Eastern Ottawa
  3. Gali Shapira; Children's Hospital of Eastern Ottawa
  4. Keri Highmore; Children's Hospital of Eastern Ottawa
  5. Elka Miller; Sickkids
  6. J. Herman Kan; Texas Children's Hospital
Background
Trampoline-related injuries among children are an escalating concern due to the popularity of personal trampolines and recreational trampoline parks. A surge of trampoline-related injuries prompted the Canadian Pediatric Society to discourage recreational trampoline use at home. However, a 2017 study highlights that trampoline-related injuries remain a notable portion of pediatric injuries in the Canadian population. The escalating influx of children to emergency departments with diverse trampoline-related injuries has posed distinctive challenges. The well-documented classic trampoline fracture involves the proximal tibial metaphysis. Additionally, the literature describes intricate craniocervical injuries, spinal injuries, marrow contusions, and nonosseous injuries within this context. Although orthopedic surgeons, sports medicine experts, and radiologists have extensively discussed and documented these injuries, there remains a gap in the comprehensive discussion of head-to-toe imaging presentation in the pediatric population.

Educational Goals / Teaching Points
Illustrate the spectrum of head-to-toe, skeletal, and nonskeletal trampoline-related injuries in children through comprehensive image analysis. Briefly delve into the pathomechanism that underlies these imaging findings contributing to timely and accurate recognition of trampoline-related injuries in pediatric patients.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Our presentation focused on cases with positive imaging findings in pediatric trampoline-related trauma, encompassing injuries from head to toe. The range of injuries included those affecting the head and neck, chest, abdomen, and musculoskeletal system including neurovascular injuries. While limb fractures were the most observed injuries, spinal and facial bone injuries as well as nonskeletal soft tissue injuries are also seen and will be illustrated.

Conclusion
As the frequency of children presenting with trampoline-related injuries to emergency departments and imaging facilities continues to rise, it becomes imperative to familiarize ourselves with the full spectrum of potential injuries. Prompt recognition of these injuries, particularly neurovascular injuries are vital, requiring immediate attention and intervention. This pictorial presentation aims to provide a comprehensive visual insight into the spectrum of trampoline-related injury in children, navigating head to toe imaging findings. By showcasing these diverse injuries, we aim to enhance understanding, recognition, and management of trampoline-related trauma in the pediatric population.