Bicycle and Motorcycle Wheel Spoke Injury in Children

Tscherne classification (grade 0 to 3) is the most commonly used grading system to determine the extent of tissue damage. Management may involve multiple surgeries, including debridement of dead and devitalized tissues, repair of tendons, fracture fixation, skin grafting and flaps to salvage the limbs. [3,4] Our study objective was to evaluate the mechanism, characteristics, incidence and management of wheel spoke injuries. A previous study conducted in Pakistan in 2004 showed that children predominantly presented with spoke wheel injuries due to bicycles. [5] Our study shows the alarming trend of all children presenting after spoke wheel injuries due to the mo

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“…[9] Implementation of safety protocols, use of protective gear, guards on the wheel can help in prevention. [12,13]…”

Section: Discussionmentioning

confidence: 99%

Motor cycle spoke wheel injuries in children: a preventable accident

Naumeri

Qayyum

Cheema

et al. 2019

Ulus Travma Acil Cerrahi Derg

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“…The complicated defects of Achilles tendon and overlying region are common, mainly caused by systemic illness, trauma and iatrogenic complications. 1,4 The common complications of open operative treatment for Achilles tendon rupture are re-ruptured and infection (including superficial infection and deep infection). 7,25 The incidence of deep infection is 1% to 5%, while the rate of superficial infection is up to 20% resulting in delayed wound healing.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Bicycle and motorcycle wheel spoke injury often result in the complex defect at the Achilles tendon region, especially in children. 3,4 The Achilles tendon is the most easily ruptured tendon, and surgery is a commended solution. [5][6][7] Wound complications are common following the open Achilles tendon operation due to limited vascularity and insufficient soft tissue.…”

Section: Introductionmentioning

confidence: 99%

Composite sural neurocutaneous flap with gastrocnemius tendon for repairing defects of Achilles tendon and overlying soft tissue

Zhou

Wei

Tao

et al. 2020

J Orthop Surg (Hong Kong)

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Purpose: Defect of Achilles tendon and overlying soft tissue remains a surgical challenge due to its insufficient blood supply and high requirement of function. This study aims to report the clinical efficacy of the composite sural neurocutaneous composite flap with gastrocnemius tendon on the complicated defect of Achilles region. Methods: Seven cases of defects of Achilles tendon and overlying soft tissue were reconstructed by the composite sural neurocutaneous composite flaps with gastrocnemius tendons. It is important to keep the connection between gastrocnemius tendon and deep fascia of the composite flap during operation. The smallest and the largest areas of transferred skin flaps were 7.5 cm × 4.5 cm and 11 cm × 10 cm respectively. The size of gastrocnemius tendon ranged from 5 cm × 3 cm to 9 cm × 4 cm. Patients was evaluated by using the Arner-Lindholm scale at the last follow-up. Results: Six flaps survived completely with no complication. One flap developed wound dehiscence and went on to heal by daily dressing. With 12–60 months follow-up, all patients gained satisfactory appearance and function of ankle, without tendon re-rupture or recurrent infection. Based on Arner-Lindholm scale, six cases were noted to be excellent and one was good. Conclusion: The composite sural neurocutaneous flap with gastrocnemius tendon is a viable and practical method to salvage Achilles tendon defect and overlying soft tissue coverage, with minimal adhesion and satisfactory function.

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“…Accidents, and subsequent injuries obtained when cycling or motorbiking place individuals at risk for infection [112,113]. Skin flora such as Staphylococcus spp and Streptococcus spp are common causes of infections after accidents.…”

Section: Mountain Biking/cycling/motor-bikingmentioning

confidence: 99%

Infections associated with adventure travel: A systematic review

Gundacker

Rolfe

Rodríguez

2017

Travel Medicine and Infectious Disease

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a b s t r a c tAim: To review infections associated with adventure travel. Methods: The PubMed, Embase and Scopus databases were searched combining the words infection with the following keywords: rafting, whitewater, surfing, (surfer* or windsurf*), (caves or caving or spelunking), (triathlon or trekking) or (hiking or adventure race), bicycling, backpacking, (mountain climb* or bouldering), horseback riding, orienteering, trekking, and skiing. Results: Adventure travel is becoming much more common among travelers and it is associated with a subset of infectious diseases including: leptospirosis, schistosomiasis, viral hemorrhagic fevers, rickettsial diseases and endemic mycosis. Caving and whitewater rafting places individuals at particular risk of leptospirosis, schistosomiasis and endemic mycosis, while adventure races also place individuals at high risk of a variety of infections including campylobacter, norovirus and leptospirosis. Conclusion: Travel practitioners need to be aware of the risks associated with adventure travel and should educate individuals about the risks associated with various activities. Doxycycline prophylaxis should be considered for travelers who are susceptible to leptospirosis due to participation in high-risk sports such as whitewater rafting, caving or adventure races.

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Bicycle and Motorcycle Wheel Spoke Injury in Children

Abstract: 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.

Cited by 13 publications

References 4 publications

Motor cycle spoke wheel injuries in children: a preventable accident

Motor cycle spoke wheel injuries in children: a preventable accident

Composite sural neurocutaneous flap with gastrocnemius tendon for repairing defects of Achilles tendon and overlying soft tissue

Infections associated with adventure travel: A systematic review

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