+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The risk of pediatric bicycle handlebar injury compared with non-handlebar injury: a retrospective multicenter study in Osaka, Japan



The risk of pediatric bicycle handlebar injury compared with non-handlebar injury: a retrospective multicenter study in Osaka, Japan



Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 23: 66



Bicycle accidents are one of the major causes of unintentional traumatic injury in childhood. The purpose of this study was to examine characteristics and risks of handlebar injury in childhood. We conducted a more than 5-year retrospective survey of patients under 15 years of age with bicycle-related injuries admitted to eight urban tertiary emergency centers in Osaka, Japan. Patients were divided into the direct-impact handlebar injury (HI) group and the non-handlebar injury (NHI) group. The HI group included 18 patients and the NHI group included 308 patients. Median Injury Severity Score (ISS) in the HI group was 9. Injury sites included the chest, 2 (chest bruise, 1; tracheal injury, 1) and abdomen, 16 (hepatic injury, 6; pancreatic injury, 2; duodenal injury, 1; splenic injury, 1; small intestinal injury, 1; retroperitoneal hemorrhage, 1; renal injury, 1; abdominal wall musculature injury, 2; bladder injury, 1; and perineal laceration, 1). There were no significant differences in age, sex, ISS, and prognosis between the two groups. However, significant differences were seen in the abdominal median Abbreviated Injury Scale (AIS) score, which was higher in the HI group (3 vs 0, p < 0.01), and in the head median AIS score, which was higher in the NHI group (0 vs 2, p < 0.01). As mechanisms of injury, falling while riding a bicycle occurred significantly more frequently in the HI group (17 [94.4 %] vs 65 [21.1 %], p < 0.01). Direct transportation from the scene of the accident occurred significantly more often in the NHI group (5 [27.8 %] vs 255 [82.8 %], p < 0.01), whereas transfer from another hospital occurred significantly more frequently in the HI group (11 [61.1 %] vs 45 [14.6 %], p < 0.01). Handlebar injuries in children have significant potential to cause severe damage to visceral organs, especially those in the abdomen.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059101584

Download citation: RISBibTeXText

PMID: 26382735

DOI: 10.1186/s13049-015-0146-7


Related references

Postural Comparison Between A Conventional Bicycle Handlebar And An Elliptical Handlebar. Revista Brasileira de Medicina do Esporte 25(3): 187-190, 2019

Bicycle handlebar injury. Journal of Emergency Medicine 24(2): 215-216, 2003

Adult bicycle handlebar injury. American Journal of Emergency Medicine 24(5): 624-625, 2006

Bilateral fractures of the hook of the hamate: a bicycle handlebar injury. Journal of Hand Surgery European Volume 39(7): 788-789, 2014

Unrecognized fatal liver injury caused by a bicycle handlebar. American Journal of Emergency Medicine 17(3): 244, 1999

Laparoscopic omentectomy for omental infarction after bicycle handlebar injury. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 18(2): 327-329, 2008

Common femoral artery injury secondary to bicycle handlebar trauma. Journal of Vascular Surgery 35(3): 589-591, 2002

Traumatic abdominal wall hernia: an unusual bicycle handlebar injury. Pediatric Surgery International 19(11): 746-747, 2003

Open iliac wing fracture caused by penetrating injury from a bicycle handlebar. Journal of Orthopaedic Trauma 16(4): 277-279, 2002

Bicycle handlebar injury in a nine-year old causing a common hepatic duct tear. European Journal of Emergency Medicine 13(3): 180-181, 2006

Isolated jejunal perforation following bicycle handlebar injury in adults: a case report. Case Reports in Emergency Medicine 2013: 678678, 2013

Isolated complete transection of common bile duct following blunt bicycle handlebar injury. Journal of Pediatric Surgery 22(11): 1029-1030, 1987

Pediatric handlebar injury. Journal of Trauma and Acute Care Surgery 82(6): 1184-1185, 2017

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report. Surgical Case Reports 5(1): 64, 2019

Sigmoid perforation and bucket-handle tear of the mesocolon after bicycle handlebar injury: a case report and review of the literature. Journal of Pediatric Surgery 46(12): E33-E35, 2011