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We are thinking about giving our grandchildren those new Heely shoes for their birthdays this year. I've heard a few people say they are dangerous. I've seen kids zipping around the grocery store and they seem harmless. What's the danger?

Heelys are shoes for children that have rolling wheels in the heels. They were first sold on the market during the 2000 Christmas season. They quickly caught on in the United States and even around the world. More than 4.5 million pairs have been sold in 60 different countries. The shoe glides along on wheels when the child lifts the toes up. This leaves just the heels in contact with the floor or ground surface. One foot is slightly in front of the other foot. Each shoe may have single or double wheels. The activity is called heeling. The incidence of injuries from heeling is quite small compared to other activities such as basketball, football, or soccer. Forward falls onto an outstretched hand can cause fractures of the shoulder, forearm, or wrist. That's one danger. But there's another danger -- and that's to the pocketbook. The associated costs can be quite large even with a simple fracture. Total cost of care adds up with the charge for the emergency department visit, X-rays, cast application, follow-up X-rays, and any cast changes needed over time. If surgery were needed, that could drive the cost up even more. Accidents are going to happen in active children. Heelys don't really put a child at greater risk of injury than other commonly enjoyed games and sports. However, safety is still a concern. Safety gear is always advised. Helmets can prevent head injuries. Protective pads for wrists, elbows, and knees may reduce the risk of arm or leg fractures. It's a simple and fairly inexpensive way to protect your child.

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