January 1990

Three-Wheeled Vehicle Injuries in Children

Author Affiliations

From the Departments of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia (Dr Selbst), and the New York Medical College, Valhalla (Dr Ruddy).

Am J Dis Child. 1990;144(1):71-73. doi:10.1001/archpedi.1990.02150250081037

• Injuries associated with nonmotorized three-wheeled vehicles were prospectively evaluated through a standard questionnaire during the summer months at the emergency department of the Children's Hospital of Philadelphia, Pa. Forty-four children, including 32 boys, with a mean age of 3.77 years, reported such injuries. Most fell (36.4%), but a second vehicle was often involved. Most children (33 of 44) were on low-slung Big Wheels. Head, neck, and dental injuries accounted for the majority. Most injuries were not serious. Two patients were admitted; both had fractures, one of them had a concussion. Data from the US Consumer Product Safety Commission corroborate the epidemiology of these injuries. Recommendations of safety precautions with nonmotorized three-wheeled vehicles are reviewed.

(AJDC. 1990;144:71-73)