castle (17 male, 13 female; five aged 0-4, 12 aged 5-9, 12 aged 10-14, and one aged 22). Parts of the body commonly injured were the foot, ankle, or toe (10 cases) and the arm, elbow, wrist, or hand (eight cases). Most injuries were minor bruising, cuts, or swelling (20 cases), but there were six fractures and three sprains or strains. Two children required admission for fractures to the arm or elbow. The locations of the bouncy castles varied: six were at fairgrounds and five at indoor sports centres. Seventy five people were injured on the castle itself (31 male, 44 female; eight aged 0-4, 33 aged 5-9, 27 aged 10-14, and seven adults). Thirty two fell over and 14 were struck by another child, usually after the patient had fallen over. The arm, elbow, wrist, or hand (27 cases), the face and neck (nine cases), and the ankle or foot (15 cases) were commonly injured. Fifty injuries were minor, with nine fractures, 10 sprains and strains, and two dislocations. Fairgrounds (10 cases) were the most common site for the castle. The youngest child injured was 2 and the oldest adult 41. Only one adult was not actually playing on the castle at the time of injury. The severity of injuries resulting from people falling off bouncy castles could be reduced by surrounding the castles with impact absorbing matting. The frequency of other injuries could be reduced by controlling the number of children playing on the castle at any time. Adults were injured by doing somersaults, diving over the castles, and throwing one another around; they should contain their exuberance when playing on these castles.
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