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Abstract
A prospective study of bicycle-spoke injuries was undertaken to assess the severity
of soft tissue damage and the incidence of skeletal injuries. During a 12 month period,
59 children with spoke injuries were examined. Soft tissue damage was divided into
three categories: bruising without laceration (four), bruising and superficial abrasions
(49) and full thickness skin defects (six). Seventeen children had skeletal injuries:
nine tibial fractures (five greenstick fractures and four spiral fractures) and eight
epiphyseal injuries of the distal fibula. All fractures were treated non-operatively.
The mean time for soft tissue healing was 16.5 days and the mean time for regaining
full weight-bearing was 8.5 days. Soft tissue damage is the most important prognostic
factor in the healing of a bicycle-spoke injury.
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References
- Bicycle spoke injuries of the foot and ankle in children: an underestimated ‘minor’ injury.J Pediatr Surg. 1968; 4: 654
- Bicycle-spoke and ‘doubling’ injuries.Med J Aust. 1988; 149: 618
- Preventing injuries from bicycle spokes.Pediatr Ann. 1977; 6: 713
Article info
Publication history
Accepted:
January 30,
1997
Identification
Copyright
© 1997 Published by Elsevier Inc.
