The standard door is a safety hazard for young children often resulting in crush injuries, nail avulsions, fractures, lacerations, and amputations. This type of injury occurs mostly in households and may sometimes happen to adults, although this is less common. The simplicity of the door’s design has continually become a concern mostly due to its potential to cause injury. The purpose of this study is to redesign the door to reduce the risk of finger injuries in children. A safety door was designed and a model of it was constructed for study. Its two major features utilize silicone rubber fins at the pinch points and a “piano” hinge running the entire door length (instead of the conventional two or three separate hinges) to eliminate the space between the hinges. Ten door closures using five finger models (beef stick, green beans, string cheese, crayons, red licorice twists) were performed to observe and assess the resulting injuries from the safety door compared to a standard door. The severity of the resulting injuries was scored using a 0 – 8 numerical score. The collected data were recorded in a computer spreadsheet for statistical analysis. The safety door resulted in 1 amputation (0.7%) compared to 120 amputations (out of 200 door closures) in the standard door (60%, p<0.0001) and had significantly lower numerical injury scores (0.2 vs 4.8, p=0.0001). The safety door is less injurious than the conventional door and re-designing the door will likely lower the risk of finger injuries in young children.
| Published in | American Journal of Pediatrics (Volume 7, Issue 1) |
| DOI | 10.11648/j.ajp.20210701.18 |
| Page(s) | 34-38 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Door Injuries, Finger Injuries, Injury Prevention, Door Re-design
| [1] | Doraiswamy NV. (1999). Childhood finger injuries and safeguards. Inj Prev 1999; 5: 298-300. doi: 10.1136/ip.5.4.298. |
| [2] | King PA. Trapped Finger Injury. Med J Australia 1979; 2 (11): 580-582. doi: 10.5694/j.1326-5377.1979.tb127193.x. |
| [3] | Liu WH, Lok J, Lau MS, et al. Mechanism and epidemiology of paediatric finger injuries at Prince Wales Hospital in Hong Kong. Hong Kong Med J 2015; 21 (3): 237-242. |
| [4] | Hohendorff B, Weidermann C, Burkhart KJ, et al. Lengths, girths, and diameters of children’s fingers from 3 to 10 years of age. Ann Anat – Anatomischer Anzieger, 2010: 192 (3): 156-161. doi: 10.1016/j.aanat.2010.03.002. |
| [5] | Smith, G. (2012). Children Treated in United States Emergency Departments for Door-Related Injuries, 1999-2008. Clinical Pediatrics., 51 (3), 226–232. https://doi.org/10.1177/0009922811423308. |
| [6] | Venkatesh, A., Khajuria, A., & Greig, A. (2020). Management of pediatric distal fingertip injuries: a systematic literature review. Plastic and Reconstructive Surgery Global Open, 8 (1). |
| [7] | Routley, V., & Valuri, J. (1993). Home injuries. |
| [8] | Satku, M., Puhaindran, M. E., & Chong, A. K. S. (2015). Characteristics of fingertip injuries in children in Singapore. Hand surgery, 20 (03), 410-414. |
| [9] | Fetter-Zarzeka, A., & Joseph, M. M. (2002). Hand and fingertip injuries in children. Pediatric Emergency Care, 18 (5), 341-345. |
| [10] | Weir, Y. (2021). Fingertip injuries in children: a review of the literature. Emergency nurse, 29 (2). |
| [11] | McGhee, S., Gonzales, J., Nadeau, C., & Ortega, J. (2021). Mallet Finger Injuries: the signs, symptoms, diagnosis and management. Emergency Nurse, 29 (2). |
| [12] | Reid, D. B., Shah, K. N., Eltorai, A. E., Got, C. C., & Daniels, A. H. (2019). Epidemiology of finger amputations in the united states from 1997 to 2016. Journal of Hand Surgery Global Online, 1 (2), 45-51. |
| [13] | Haehnel, O., Plancq, M. C., Deroussen, F., Salon, A., Gouron, R., & Klein, C. (2019). Long-term outcomes of Atasoy flap in children with distal finger trauma. The Journal of hand surgery, 44 (12), 1097-e1. |
| [14] | Hou, S. S., & Kuo, P. L. (1999). Function and performance of silicone copolymers, 3. Synthesis and properties of a novel siliconized acrylic monomer containing three reactive sites. Macromolecular Chemistry and Physics, 200 (11), 2501-2507. |
| [15] | Xu, J., Razeeb, K. M., & Roy, S. (2008). Thermal properties of single walled carbon nanotube-silicone nanocomposites. Journal of Polymer Science Part B: Polymer Physics, 46 (17), 1845-1852. |
APA Style
Ivan Yang, Loren Yamamoto. (2021). Redesigning the Door Reduces the Potential for Finger Injuries in Children. American Journal of Pediatrics, 7(1), 34-38. https://doi.org/10.11648/j.ajp.20210701.18
ACS Style
Ivan Yang; Loren Yamamoto. Redesigning the Door Reduces the Potential for Finger Injuries in Children. Am. J. Pediatr. 2021, 7(1), 34-38. doi: 10.11648/j.ajp.20210701.18
AMA Style
Ivan Yang, Loren Yamamoto. Redesigning the Door Reduces the Potential for Finger Injuries in Children. Am J Pediatr. 2021;7(1):34-38. doi: 10.11648/j.ajp.20210701.18
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajp.20210701.18,
author = {Ivan Yang and Loren Yamamoto},
title = {Redesigning the Door Reduces the Potential for Finger Injuries in Children},
journal = {American Journal of Pediatrics},
volume = {7},
number = {1},
pages = {34-38},
doi = {10.11648/j.ajp.20210701.18},
url = {https://doi.org/10.11648/j.ajp.20210701.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210701.18},
abstract = {The standard door is a safety hazard for young children often resulting in crush injuries, nail avulsions, fractures, lacerations, and amputations. This type of injury occurs mostly in households and may sometimes happen to adults, although this is less common. The simplicity of the door’s design has continually become a concern mostly due to its potential to cause injury. The purpose of this study is to redesign the door to reduce the risk of finger injuries in children. A safety door was designed and a model of it was constructed for study. Its two major features utilize silicone rubber fins at the pinch points and a “piano” hinge running the entire door length (instead of the conventional two or three separate hinges) to eliminate the space between the hinges. Ten door closures using five finger models (beef stick, green beans, string cheese, crayons, red licorice twists) were performed to observe and assess the resulting injuries from the safety door compared to a standard door. The severity of the resulting injuries was scored using a 0 – 8 numerical score. The collected data were recorded in a computer spreadsheet for statistical analysis. The safety door resulted in 1 amputation (0.7%) compared to 120 amputations (out of 200 door closures) in the standard door (60%, p<0.0001) and had significantly lower numerical injury scores (0.2 vs 4.8, p=0.0001). The safety door is less injurious than the conventional door and re-designing the door will likely lower the risk of finger injuries in young children.},
year = {2021}
}
TY - JOUR T1 - Redesigning the Door Reduces the Potential for Finger Injuries in Children AU - Ivan Yang AU - Loren Yamamoto Y1 - 2021/03/30 PY - 2021 N1 - https://doi.org/10.11648/j.ajp.20210701.18 DO - 10.11648/j.ajp.20210701.18 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 34 EP - 38 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20210701.18 AB - The standard door is a safety hazard for young children often resulting in crush injuries, nail avulsions, fractures, lacerations, and amputations. This type of injury occurs mostly in households and may sometimes happen to adults, although this is less common. The simplicity of the door’s design has continually become a concern mostly due to its potential to cause injury. The purpose of this study is to redesign the door to reduce the risk of finger injuries in children. A safety door was designed and a model of it was constructed for study. Its two major features utilize silicone rubber fins at the pinch points and a “piano” hinge running the entire door length (instead of the conventional two or three separate hinges) to eliminate the space between the hinges. Ten door closures using five finger models (beef stick, green beans, string cheese, crayons, red licorice twists) were performed to observe and assess the resulting injuries from the safety door compared to a standard door. The severity of the resulting injuries was scored using a 0 – 8 numerical score. The collected data were recorded in a computer spreadsheet for statistical analysis. The safety door resulted in 1 amputation (0.7%) compared to 120 amputations (out of 200 door closures) in the standard door (60%, p<0.0001) and had significantly lower numerical injury scores (0.2 vs 4.8, p=0.0001). The safety door is less injurious than the conventional door and re-designing the door will likely lower the risk of finger injuries in young children. VL - 7 IS - 1 ER -
Information
Email: