title: Injuries among wheeled shoe users: A comparison with other nonmotorized wheeled activities.
abstract: OBJECTIVE
  Nonmotorized wheeled activities are popular among children. However, these activities can result in significant injury if effective injury prevention measures are not taken. Recently, nonmotorized wheeled shoes have become increasingly popular among children. Preliminary research shows that these activities also result in significant injury. The purpose of the present study was to compare the injury profiles of nonmotorized wheeled activities among Canadian children presenting to the emergency department.
  
  
  METHODS
  A two-year retrospective study was conducted using data from the Canadian Hospitals Injury Reporting and Prevention Program database, specific to the Alberta Children's Hospital, Calgary, Alberta. Data were analyzed using cross tabulations of the type and nature of injury, helmet use, age and sex, with type of nonmotorized wheeled activity.
  
  
  RESULTS
  The most common mechanism of injury for a nonmotorized wheeled activity was bicycling (66.9%), while wheeled shoe use produced the fewest injuries (2.7%). The upper extremity was the most frequently injured body region in all groups, comprising more than 75% of the injuries in wheeled shoe users and approximately 50% of the injuries in participants of other nonmotorized wheeled activities. Forearm fractures were the most common type of injury. Wheeled shoe users had the greatest proportion of forearm fractures. Helmet use was most prevalent in bicyclists (84.6%) and least prevalent in wheeled shoe users (4.7%).
  
  
  CONCLUSIONS
  Nonmotorized wheeled activities can result in significant morbidity. Results from the present study suggest that wheeled shoe and push scooter activities can result in upper extremity injuries. Protective equipment, particularly wrist guards and helmets, should be used when participating in these activities.
authors.affiliation: Department of Paediatrics, Faculty of Medicine, University of Calgary, Calgary;
authors.forename: Siddharth
authors.initials: S
authors.lastname: Thakore
authors.forename: Janna
authors.initials: J
authors.lastname: Tram
authors.forename: Brent E
authors.initials: BE
authors.lastname: Hagel
authors.forename: Tania
authors.initials: T
authors.lastname: Kyle
authors.forename: Trudi
authors.initials: T
authors.lastname: Senger
authors.forename: Francois
authors.initials: F
authors.lastname: Belanger