A hidden danger of childhood trauma: Bicycle handlebar injuries
Surgery Today, cilt.39, sa.7, ss.572-574, 2009 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 7
- Basım Tarihi: 2009
- Doi Numarası: 10.1007/s00595-008-3931-3
- Dergi Adı: Surgery Today
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.572-574
- Anahtar Kelimeler: Bicycle handlebar injury, Gastrointestinal perforation, Traumatic abdominal wall hernia, Trauma, Splenic trauma
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To evaluate childhood bicycle handlebar injuries. Methods: We evaluated retrospectively 14 patients who presented with bicycle handlebar injuries within a 3-year period. Bicycle injuries not caused by the handlebar were excluded. Results: The mean age of the patients was 8.8 ± 2 years (range, 5-12 years) and 79% were boys. The injuries comprised gastrointestinal perforation in 21%, traumatic abdominal hernia in 21%, and spleen laceration in 14%. The three children with intestinal perforation and the one with a penetrating abdominal injury underwent surgery, whereas the others were treated medically. An isolated traumatic abdominal hernia resolved spontaneously. There was no mortality. Conclusions: Although bicycle handlebar injuries occur at relatively low speeds, the transfer of energy from the end of the handlebar, with a small cross-sectional area, to a small field leads to intra-abdominal injuries that are more severe than predicted. Thus, bicycle handlebar injuries should be considered as a serious intraabdominal injury until proven otherwise. © 2009 Springer.