Bicycle and motorcycle wheel spoke injury in children.
J Orthop Surg (Hong Kong)
; 23(1): 56-8, 2015 Apr.
Article
en En
| MEDLINE
| ID: mdl-25920645
ABSTRACT
PURPOSE:
To review bicycle and motorcycle wheel spoke injuries around the foot and ankle in 24 children.METHODS:
Medical records of 12 boys and 12 girls aged 2 to 11 (mean, 5.3) years who presented with an isolated posterior heel injury caused by wheel spokes of a motorcycle (n=9) or bicycle (n=15) were reviewed.RESULTS:
All 9 motorcycle injury patients and 8 of 15 bicycle injury patients had lacerations. The remaining 7 bicycle injury patients had abrasions and developed skin necrosis and ulcerations, with 5 requiring debridement. The most common site of laceration was the posterolateral heel; 7 of these patients had deep soft tissue injury, and in 5 the Achilles tendon was partially cut or completely severed. The mean number of operations was 2.2 in the motorcycle group and 1.3 in the bicycle group. Seven patients with severe skin loss required skin grafting or flap surgery for wound coverage. The mean time from injury to definitive treatment was 8.2 days. The mean length of hospital stay was 18.4 days in the motorcycle group and 8.1 days in the bicycle group. Delayed definitive treatment was associated with more operations (r=0.499, p=0.013) and longer hospital stay (r=0.567, p=0.004).CONCLUSION:
Wheel spoke injuries may result in severe soft tissue damage and bony trauma. Poor prognostic factors included high-energy injury, contamination and infection, and delayed treatment.Palabras clave
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ciclismo
/
Motocicletas
/
Talón
/
Traumatismos del Tobillo
/
Traumatismos de los Pies
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Child
/
Child, preschool
/
Humans
Idioma:
En
Revista:
J Orthop Surg (Hong Kong)
Asunto de la revista:
ORTOPEDIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Hong Kong