Water tubing (the pulling of an inner tube behind a power boat) is gro
wing in popularity and unfortunately is becoming an increasing source
of pediatric trauma. This is related to the lack of control of either
the driver or the rider in directing the inner tube away from objects
in the water or along the shore. Because of the severe trauma from thi
s increasingly popular sport, we thought it appropriate to review our
experience at a major pediatric trauma center to draw attention to thi
s increasing cause of injury in children and to develop guidelines to
reduce such injuries. A retrospective review of children ad mitted ove
r a 10-year period revealed eight children who required admission to h
ospital for injuries sustained in water tubing. Five patients sustaine
d fractures, one a splenic contusion, and two atlantoaxial rotatory su
bluxation. A set of safety guidelines for water tubing has been develo
ped in an attempt to minimize the dangers to children who wish to purs
ue this sport.