Epidemiology of Pediatric Nonballistic Firearm Injuries to the Upper Extremity in the United States From 2000 to 2017

Background: This study aimed to describe the epidemiology of pediatric upper extremity injury secondary to nonballistic firearms in the United States. Methods: The National Electronic Injury Surveillance Survey (NEISS) database was queried between 2000 and 2017 for injuries to the upper extremity from nonballistic firearms in patients aged ≤18 years. In total, 1502 unique cases were identified. Using input parameters intrinsic to the NEISS database, national weighted estimates were derived using Stata/IC 15.1 statistical software (StataCorp LLC, College Station, Texas), which yielded an estimate of 52 118 cases of nonballistic firearm trauma to the upper extremity who presented to US emergency departments over the study period. Descriptive statistics were performed using NEISS parameters. Results: An average of 2895 annual pediatric upper extremity nonballistic firearm injuries were identified between 2000 and 2017. Over 91% were sustained by men, and adolescents aged 12 to 18 were the most commonly injured (69.8%). Only 3.5% of all injuries required inpatient admission, and the most common sites of injury were the hand (41.1%), followed by fingers (35.9%). Conclusions: We conclude that nonballistic firearm injuries represent a significant burden of disease to adolescent men in the United States.

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Epidemiology of Upper Extremity Firearm Injuries among Major Trauma Hospitals in the United States

Plastic & Reconstructive Surgery ◽

10.1097/prs.0000000000008220 ◽

2021 ◽

Vol 148 (3) ◽

pp. 571-579

Author(s):

Rachel C. Hooper ◽

Melissa J. Shauver ◽

Ching-Han Chou ◽

Jung-Shen Chen ◽

Kevin C. Chung

Keyword(s):

United States ◽

Upper Extremity ◽

Major Trauma ◽

The United States ◽

Firearm Injuries

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Lumbopelvic Control and the Development of Upper Extremity Injury in Professional Baseball Pitchers

The American Journal of Sports Medicine ◽

10.1177/0363546520988122 ◽

2021 ◽

pp. 036354652098812

Author(s):

Kevin Laudner ◽

Regan Wong ◽

Daniel Evans ◽

Keith Meister

Keyword(s):

Upper Extremity ◽

Lower Limbs ◽

Group Differences ◽

Professional Baseball ◽

Extremity Injury ◽

Level Of Evidence ◽

Balance Task ◽

Upper Extremity Injury ◽

Baseball Pitchers ◽

Extremity Injuries

Background: The baseball-throwing motion requires a sequential order of motions and forces initiating in the lower limbs and transferring through the trunk and ultimately to the upper extremity. Any disruption in this sequence can increase the forces placed on subsequent segments. No research has examined if baseball pitchers with less lumbopelvic control are more likely to develop upper extremity injury than pitchers with more control. Purpose: To determine if baseball pitchers who sustain a chronic upper extremity injury have less lumbopelvic control before their injury compared with a group of pitchers who do not sustain an injury. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 49 asymptomatic, professional baseball pitchers from a single Major League Baseball organization participated. Lumbopelvic control was measured using an iPod-based digital level secured to a Velcro belt around each player’s waist to measure anteroposterior (AP) and mediolateral (ML) deviations (degrees) during single-leg balance with movement and static bridge maneuvers. During a competitive season, 22 of these pitchers developed upper extremity injuries, while the remaining 27 sustained no injuries. Separate 2-tailed t-tests were run to determine if there were significant differences in lumbopelvic control between groups ( P < .05). Results: There were no significant between-group differences for the stride leg (nondominant) during the bridge test in either the AP ( P = .79) or the ML ( P = .42) directions, or either direction during the drive leg bridge test ( P > .68). However, the injured group had significantly less lumbopelvic control than the noninjured group during stride leg balance in both the AP ( P = .03) and the ML ( P = .001) directions and for drive leg balance in both the AP ( P = .01) and the ML ( P = .04) directions. Conclusion: These results demonstrate that baseball pitchers with diminished lumbopelvic control, particularly during stride leg and drive leg single-leg balance with movement, had more upper extremity injuries than those with more control. Clinicians should consider evaluating lumbopelvic control in injury prevention protocols and provide appropriate exercises for restoring lumbopelvic control before returning athletes to competition after injury. Specific attention should be given to testing and exercises that mimic a single-limb balance task.

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Management of Upper Extremity Injury in Divers

Hand Clinics ◽

10.1016/j.hcl.2016.08.017 ◽

2017 ◽

Vol 33 (1) ◽

pp. 73-80 ◽

Cited By ~ 4

Author(s):

Steven C. Haase

Keyword(s):

Upper Extremity ◽

Extremity Injury ◽

Upper Extremity Injury

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Firearm Injuries Affecting the Pediatric Population

PEDIATRICS ◽

10.1542/peds.89.4.788 ◽

1992 ◽

Vol 89 (4) ◽

pp. 788-790

Author(s):

Keyword(s):

United States ◽

Children And Adolescents ◽

Pediatric Population ◽

Age Groups ◽

Unintentional Injury ◽

The United States ◽

Male Adolescents ◽

Firearm Injuries ◽

Group 2 ◽

Developed Nations

In the United States approximately 30 000 people die from firearm injuries each year. Many more are wounded. In the mid 1980s, more than 3000 of the dead were children and adolescents aged 1 to 19 years.1 In 1989 nearly 4000 firearm deaths were among children 1 to 19 years of age, accounting for 12% of all deaths in that age group.2 All of these deaths or injuries affect other children because the victims who are killed or wounded are frequently relatives, neighbors, or friends. Comparison data for childhood age groups demonstrate that in 1987, 203 children aged 1 to 9 years, 484 children aged 10 to 14 years, and 2705 adolescents aged 15 to 19 years died as a result of firearm injuries.1 Firearm deaths include unintentional injuries, homicides, and suicides. Among the 1- to 9-year-olds, half of the deaths were homicides and half were unintentional. Among the 10- to 14-year-olds, one third of the deaths were homicides, one third were suicides, and one third were unintentional. Among the 15- to 19-year-olds, 48% were homicides, 42% were suicides, and 8% were unintentional.1 Firearm homicides are the leading cause of death for some US subpopulations, such as urban black male adolescents and young adults.3 Table 1 indicates how firearms contributed to the deaths of children and adolescents (homicides, suicides, and all causes) in 1987. Table 2 illustrates the unusual scale of firearm violence affecting young people in the United States compared with other developed nations.4 Firearm injuries are the fourth leading cause of unintentional injury deaths to children younger than 15 years of age in the US.5

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A Balanced Literacy Initiative for One Suburban School District in the United States

Education Research International ◽

10.1155/2012/609271 ◽

2012 ◽

Vol 2012 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Donita Shaw ◽

Karen Hurst

Keyword(s):

United States ◽

School District ◽

Quantitative Data ◽

Balanced Literacy ◽

The United States ◽

Descriptive Statistics ◽

Chi Square ◽

Survey Question ◽

Suburban School District ◽

Pearson Correlations

The purpose of this study was to investigate how the teachers employed by this suburban USA school district implemented balanced literacy instruction. The 111 teachers who taught grades K-6 completed surveys and were observed. Quantitative data from the surveys and observations were analyzed through descriptive statistics, nonparametric chi-square tests, and Pearson correlations. One open-ended survey question was analyzed qualitatively. Findings show that the majority of teachers had an acceptable understanding of balanced literacy. There were differences among teachers’ instruction on literacy components and structures across grades. Weak correlations among self-reported and observed practices were found. Implications are discussed as the data are being used for research-informed improvements in the district.

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