"It can be hard shopping with your children in the grocery store, but most parents don't understand taht shopping carts are made differently and can be unstable and result in injury," Susan Fabry said.

Fabry says a recent study showed more than 24,000 children were treated in hospitals and emergency rooms for shopping cart related injuries. More than 93% of these of those injuries were to children under the age of five. Most of these injuries were head and neck injuries, fractures and lacerations.

"The causes of shopping cart related injuries occur when the shopping cart tips over, children fall out of the cart, children falling off the cart while riding on the ooutside or children getting hit by a shopping cart," Fabry said.

Fabry's tips:

1) Never allow a child to stand up in the cart, ride in the front basket or ride on the outside the cart.

2) If using an infant carrier, don't place your infant carrier on top of the cart as it may make the cart more likely to tip over.

3) Wipe down the carts with disinfectant wipes before putting the child in the seat of the cart.