• Ulus Travma Acil Cer · Mar 2018

    Spiked railing penetration that causes injuries in the upper extremities of children.

    • Egemen Ayhan, Kadir Çevik, Melih Bağır, Mehmet Çolak, and Metin Manouchehr Eskandari.
    • Department of Orthopaedics and Traumatology and Hand Surgery, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara-Turkey. egemenay@yahoo.com.
    • Ulus Travma Acil Cer. 2018 Mar 1; 24 (2): 145-148.

    BackgroundChildren have a curiosity for climbing walls, stairs, and railings and have an increased risk of falling. Here, we report our experience with railings causing injuries by penetrating the upper extremities, and aim to call attention to spiked railing injuries in children.MethodsWe report on five children with a mean age of 8.8. All of the children were male. The penetrating railing parts were removed in a surgical room.ResultsThe injured structures repaired immediately were as follows: flexor digitorum profundus tendon, A4 pulley, volar plate of the distal interphalangeal joint, radial digital nerve, ulnar digital artery, and radial digital artery.ConclusionSpiked railings can lead to significant injury that requires further exploration. Boys particularly are at risk, and parents should be alert regarding these type of injuries. We recommend a standard regulation for fence erection, and we wish to warn owners of this type of fence regarding probable legal sanctions.

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