{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:31:59Z","timestamp":1786116719134,"version":"build-2736575974"},"reference-count":20,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2024,9,25]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Femoral shaft fractures tend to be rare among children; however, these injuries are the most common major paediatric injuries treated by orthopaedic surgeons. The purpose of this study is to characterise the demographics and mechanisms of femoral injury associated with consumer products in the age group treated with spica casting, children 6 months to 6 years, to identify areas for injury prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 2012 to 2021 were obtained from the National Electronic Injury Surveillance System maintained by the Consumer Products Safety Commission, documenting emergency department visits for unintentional injuries associated with consumer products. Narrative descriptions were analysed to identify common factors in the injury events such as location, products and mechanisms of action.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2012 to 2021, the estimated incidence of femur fractures was 23.5 cases per 100 000 children with no significant difference in yearly frequency. The most common mechanism of injury was a fall with the most frequent fracture sources being bed\/bunk beds (16.1%), floor (slips\/falls, 9.7%) and trampolines (9.7%). Most fractures occurred at the patient\u2019s home (58.4%). The incidence of injury outside of the home and frequency of fractures involving play structures\/trampolines increased with age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence and demographic characteristics of paediatric femur fractures associated with consumer products have remained consistent over the past 10 years. As home was the most common location of fracture, prevention of femur fractures should focus on caregiver education around high-risk sources of fracture (bed, stairs and trampolines) and manufacturers should consider design alternatives that discourage potential misuse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2024-045278","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T13:25:17Z","timestamp":1730294717000},"page":"432-437","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA"],"prefix":"10.1136","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1402-5890","authenticated-orcid":false,"given":"Andrew","family":"Peace","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, McLaren Flint Hospital, Flint, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddartha","family":"Dandamudi","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, East Lansing, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevil","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, East Lansing, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Ostrander","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, McLaren Flint Hospital, Flint, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Kettering University, Flint, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"2026080605200762000_32.3.432.1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182032075"},{"key":"2026080605200762000_32.3.432.2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002752"},{"key":"2026080605200762000_32.3.432.3","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002087"},{"key":"2026080605200762000_32.3.432.4","unstructured":"Beaty JH , Kasser JR . Rockwood and Wilkins. Fractures in Children. Philadelphia PA: Walter Klower\/Lippincott, William and Wilkins, 2010:769\u201396."},{"key":"2026080605200762000_32.3.432.5","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199501000-00008"},{"key":"2026080605200762000_32.3.432.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000192294.47047.99"},{"key":"2026080605200762000_32.3.432.7","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1097\/00003086-200007000-00015","article-title":"Immediate hip spica casting for femur fractures in pediatric patients. A review of 175 patients","volume":"PMID","author":"Infante","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"2026080605200762000_32.3.432.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.08.039"},{"key":"2026080605200762000_32.3.432.9","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010353"},{"key":"2026080605200762000_32.3.432.10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1064"},{"key":"2026080605200762000_32.3.432.11","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199904000-00007"},{"key":"2026080605200762000_32.3.432.12","unstructured":"Schroeder T , Ault K . The neiss sample (design and implementation) 1997 to present. Division of Hazard and Injury Data Systems U.S. Consumer Product Safety Commission. Available: https:\/\/www.cpsc.gov\/s3fs-public\/pdfs\/blk_media_2001d011-6b6.pdf [Accessed 8 Jan 2024]."},{"key":"2026080605200762000_32.3.432.13","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000230335.19029.ab"},{"key":"2026080605200762000_32.3.432.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-020-03796-z","article-title":"Epidemiology of pediatric femur fractures in children: the Swedish Fracture Register","volume":"21","author":"Engstr\u00f6m","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"2026080605200762000_32.3.432.15","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2021-052138","article-title":"Evidence-Informed Milestones for Developmental Surveillance Tools","volume":"149","author":"Zubler","year":"2022","journal-title":"Pediatrics"},{"key":"2026080605200762000_32.3.432.16","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000002222"},{"key":"2026080605200762000_32.3.432.17","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000002194"},{"key":"2026080605200762000_32.3.432.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2022.103289"},{"key":"2026080605200762000_32.3.432.19","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2019.00690","article-title":"Racial and Ethnic Differences in Emergency Department Utilization and Diagnosis for Sports-Related Head Injuries","volume":"10","author":"Lyons","year":"2019","journal-title":"Front Neurol"},{"key":"2026080605200762000_32.3.432.20","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31821f9027"}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip-2024-045278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T12:20:48Z","timestamp":1786018848000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip-2024-045278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":20,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,5,15]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/ip-2024-045278"],"URL":"https:\/\/doi.org\/10.1136\/ip-2024-045278","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"value":"1353-8047","type":"print"},{"value":"1475-5785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]}}}