title: Rope swing injuries resulting in vulvar trauma.
abstract: BACKGROUND
  River tree rope swings are popular for recreation along inland lakes and rivers, but not without hazard. In a comprehensive review of injuries related to rope swings, genital injuries accounted for nearly 3 percent.
  
  
  METHODS
  We describe significant genital injuries, with laceration and avulsion of the labia and a large vulvar hematoma in 2 young women as a consequence of rope swing use.
  
  
  CONCLUSIONS
  Visitors to inland waterways need to be cognizant of the hazards of rope swings and health care professionals should consider this mechanism of injury when confronted with vulvar trauma.
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO.
authors.forename: Holly R
authors.initials: HR
authors.lastname: Hoefgen
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO. Electronic address: merritd@wustl.edu.
authors.forename: Diane F
authors.initials: DF
authors.lastname: Merritt
mesh_terms: D000293:Adolescent; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D022125:Lacerations / Q000209:etiology*; D010988:Play and Playthings / Q000293:injuries*; D014844:Vulva / Q000293:injuries*; D014845:Vulvar Diseases / Q000209:etiology*
keywords: Female injuries; Genitalia; Hematoma; Rope swing; Vulva