{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T22:50:52Z","timestamp":1754261452631,"version":"3.41.2"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> 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.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> 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.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Forty-six patients were surveyed, with a mean age of 3.5 \u00b1 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 \u00b1 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.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> 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 \u201cTime-Space-Person\u201d was summarized according to its epidemiological characteristics, may help to decrease the incidence of this specific type of injury theoretically.<\/jats:p>","DOI":"10.3389\/fped.2021.633091","type":"journal-article","created":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T21:34:18Z","timestamp":1613684058000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Treadmill Hand Injuries Among Children: A Retrospective Case Series From Hospitalized Patients"],"prefix":"10.3389","volume":"9","author":[{"given":"Yunxuan","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingang","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xionghui","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1097\/01241398-200305000-00026","article-title":"Pediatric hand friction burn injuries secondary to treadmills","volume":"23","author":"Marshall","year":"2003","journal-title":"J Pediatr Orthop"},{"key":"B2","first-page":"1839","article-title":"The treatment of contact burns of the palm in children","volume":"49","author":"Chait","year":"1975","journal-title":"S Afr Med J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/0305-4179(91)90146-8","article-title":"Friction burns of the hand caused by jogging machines: a potential hazard to children","volume":"17","author":"Attalla","year":"1991","journal-title":"Burns"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e2048","DOI":"10.1097\/GOX.0000000000002048","article-title":"Upper extremity friction burns in the pediatric patient: a 10-year review","volume":"6","author":"Marchalik","year":"2018","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1097\/SCS.0b013e3181abb1c6","article-title":"Evaluation and management of pediatric hand injuries resulting from exercise machines","volume":"20","author":"Vouis","year":"2009","journal-title":"J Craniofac Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1097\/00006534-200003000-00018","article-title":"The isolated burned palm in children: epidemiology and long-term sequence","volume":"105","author":"Barret","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/00000637-200107000-00003","article-title":"Treadmill injuries to the upper extremity in pediatric patients","volume":"47","author":"Carman","year":"2001","journal-title":"Ann Plast Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1097\/00001665-200307000-00017","article-title":"Pediatric hand treadmill injuries","volume":"14","author":"Banever","year":"2003","journal-title":"J Craniofac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1007\/s11552-007-9046-2","article-title":"Pediatric hand friction burns from treadmill contact","volume":"2","author":"Friedrich","year":"2007","journal-title":"Hand"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1016\/j.burns.2011.01.009","article-title":"Impact of pediatric burn camps on participants' self esteem and body image: an empirical study","volume":"37","author":"Bakker","year":"2011","journal-title":"Burns"},{"key":"B11","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1007\/s11552-009-9209-4","article-title":"Simplified negative pressure wound therapy in pediatric hand wounds","volume":"5","author":"Kasukurthi","year":"2010","journal-title":"Hand"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2019.1089","article-title":"Negative pressure wound therapy in pediatric burn patients: a systematic review","author":"Pedrazzi","year":"2020","journal-title":"Adv Wound Care."},{"key":"B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1742-481X.2009.00607.x","article-title":"V.A.C. 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