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

• Published in: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Vol. 24; no. 2; pp. 145 - 148
• Main Authors: Ayhan, Egemen, Çevik, Kadir, Bağır, Melih, Çolak, Mehmet, Eskandari, Metin Manouchehr
• Format: Journal Article
• Language: English
• Published: Turkey 01.03.2018
• ISSN: 1306-696X
• DOI: 10.5505/tjtes.2017.85349

Children 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. We 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. The 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. Spiked 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.