+ 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

Consequences of Underestimating Impalement Bicycle Handlebar Injuries in Children



Consequences of Underestimating Impalement Bicycle Handlebar Injuries in Children



Journal of Trauma Nursing 24(1): 25-29



Impalement bicycle handlebar trauma injuries are rare; however, on initial assessment, they have the potential of being underestimated. We reviewed our prospective trauma database of 3,894 patients for all bicycle injuries from January 2010 to May 2015. Isolated pedal bike injuries were reported in 2.6% (N = 101) of the patients who were admitted to the trauma service. Fifteen patients suffered direct handlebar trauma. Patients were grouped into blunt trauma (n = 12) and impalement trauma (n = 3). We examined gender, age, injury severity score (ISS), Glasgow Coma Scale score, use of protective devices, need for surgical intervention, need for intensive care (ICU), and hospital length of stay. Mean age was 9.6 years. All children with penetrating injuries were males. Mean ISS was less than 9 in both groups. None of the children were wearing bicycle helmets. Three patients who sustained blunt injuries required ICU care due to associated injuries. All of the children with impalement injuries required several surgical interventions. These injuries included a traumatic direct inguinal hernia, a medial groin and thigh laceration with resultant femoral hernia, and a lateral deep thigh laceration. Impalement bicycle handlebar injuries must be thoroughly evaluated, with a similar importance given to blunt injuries. A high index of suspicion must be maintained when examining children with handlebar impalement injuries, as they are at risk for missed or underestimation of their injuries.

Please choose payment method:






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

Accession: 059543544

Download citation: RISBibTeXText

PMID: 28033138

DOI: 10.1097/jtn.0000000000000258


Related references

Bicycle handlebar injuries in children. Journal of Pediatric Surgery 21(2): 118-119, 1986

A hidden danger of childhood trauma: bicycle handlebar injuries. Surgery Today 39(7): 572-574, 2009

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

Bicycle handlebar injuries in Western Australia: from imprints to abdominal wall hernias. Medical Journal of Australia 189(5): 295, 2008

Bicycle spoke injuries in children: accident details and consequences. Nederlands Tijdschrift Voor Geneeskunde 146(36): 1691-1696, 2002

Diagnostic double strike in the emergency room - two cases of complete pancreatic ruptures due to bicycle handlebar injuries on two consecutive days. Journal of Medical Case Reports 12(1): 85, 2018

Traumatic bicycle handlebar hernia in children: a systematic review. Danish Medical Journal 65(1):, 2018

A custom bicycle handlebar adaptation for children with below elbow amputations. Journal of Hand Therapy 27(3): 258-260, 2015

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, 2015

Bicycle-related injuries to children and parental attitudes regarding bicycle safety. Clinical Pediatrics 43(3): 251-259, 2004

Handlebar injuries in children. Pediatric Surgery International 29(3): 269-273, 2013

School based bicycle safety education and bicycle injuries in children: a case-control study. Injury Prevention 4(1): 22-27, 1998

Prevention of bicycle-related injuries in children and youth: a systematic review of bicycle skills training interventions. Injury Prevention 20(3): 191-195, 2014

The high morbidity associated with handlebar injuries in children. Journal of Trauma 58(6): 1171-1174, 2005

Handlebar injuries in children: should we raise the bar of suspicion?. American Surgeon 73(8): 807-810, 2007