To study the causes and sequelae of playground accidents we analysed,
in a retrospective study, 374 playground accidents. Questionnaires wer
e sent to the parents and 103 parents (28%) provided detailed informat
ion on the playground accidents of their children. Thirty-one percent
of the children injured in playground accidents sustained fractures of
the extremities or concussion of the brain. Swings, slides, climbing
frames, metal bars and merry-go-round accidents accounted for 71% of t
he 338 playground equipment-related accidents, whereas 36 accidents (1
0%) occurred without the use of playground equipment. The majority of
these accidents were caused by children fighting. Rope-plank-type swin
gs were frequently involved in backward falling accidents and 86% of t
he slide accidents were fall accidents. Climbing frames should not be
taller than 1.6 m. Further efforts are mandatory to create and maintai
n playgrounds which help children develop their skills with a minimal
risk to injury.