title: Nintendo related injuries and other problems: review.
abstract: OBJECTIVE
  To identify all reported cases of injury and other problems caused by using a Nintendo video gaming system.
  
  
  METHODS
  Review.
  
  
  METHODS
  Search of PubMed and Embase in June 2014 for reports on injuries and other problems caused by using a Nintendo gaming system.
  
  
  RESULTS
  Most of the 38 articles identified were case reports or case series. Injuries and problems ranged from neurological and psychological to surgical. Traditional controllers with buttons were associated with tendinitis of the extensor of the thumb. The joystick on the Nintendo 64 controller was linked to palmar ulceration. The motion sensitive Wii remote was associated with musculoskeletal problems and various traumas.
  
  
  CONCLUSIONS
  Most problems are mild and prevalence is low. The described injuries were related to the way the games are controlled, which varies according to the video game console.
authors.affiliation: Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, 9700 RB Groningen, Netherlands maartenjalink@hotmail.com.
authors.forename: Maarten B
authors.initials: MB
authors.lastname: Jalink
authors.affiliation: Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, 9700 RB Groningen, Netherlands.
authors.forename: Erik
authors.initials: E
authors.lastname: Heineman
authors.affiliation: Postgraduate School of Medicine, University Medical Center Groningen, Groningen, Netherlands Department of Surgery, Medical Centre Leeuwarden, Leeuwarden, Netherlands.
authors.forename: Jean-Pierre E N
authors.initials: JP
authors.lastname: Pierie
authors.affiliation: Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, 9700 RB Groningen, Netherlands Postgraduate School of Medicine, University Medical Center Groningen, Groningen, Netherlands.
authors.forename: Henk O
authors.initials: HO
authors.lastname: ten Cate Hoedemaker
mesh_terms: D004775:Enuresis / Q000209:etiology* / Q000523:psychology; D005242:Fecal Incontinence / Q000209:etiology* / Q000523:psychology; D006801:Humans; D011187:Posture; D015995:Prevalence; D012640:Seizures / Q000209:etiology*; D012720:Severity of Illness Index; D052256:Tendinopathy / Q000209:etiology*; D014456:Ulcer / Q000209:etiology*; D018910:Video Games / Q000009:adverse effects / Q000523:psychology; D014947:Wounds and Injuries / Q000209:etiology*