Bicycle-Spoke Injuries of the Foot in Children

Agarwal, Anil; Pruthi, Manish

doi:10.1177/230949901001800316

Cited by 19 publications

(20 citation statements)

References 9 publications

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“…Severe injury to heel may lead to heel pad avulsion and often transaction of tendoachilles. 2,6 Results of our study were consistent with them. In literatures, it has been shown that bicycle spoke injuries have resulted in severe heel pad injury, transaction of tendo-achilles and warranted the need for flap surgeries to cover the wounds.…”

Section: Discussionsupporting

confidence: 90%

“…An ankle foot orthosis or a back splint is also recommended as it helps in good healing and exercise to be performed. 2 Various modifications in bicycle has been advised for preventing such injuries, like mesh cover, or plastic shield to bridge the gap between fork and horizontal upright of bicycle etc. 9 Making the people aware of the mode of injury and preventive measures explained at the costumer level of bicycle could decrease the incidence of these injuries.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 Children constitutes the largest group of victims of such injuries. 4 The purpose of this study was to assess the severity of soft tissue damage and and skeletal injuries in such injuries.…”

Section: Introductionmentioning

confidence: 99%

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Bicycle-spoke injuries of the foot and ankle: A prospective study

Gupta

Shrestha

2014

J Coll Med Sci-Nepal

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ObjectiveBicycle spoke wheel injuries can be as simple as minor abrasions and lacerations even to amputation of toes and heel injuries. The purpose of this study was to assess the severity of soft tissue damage and skeletal injuries in such injuries. MethodsThis prospective observational study included all the cases with spoke wheel injuries presenting ResultsA total of 50 cases were included in the study with 29 males ( 58%) and 21 females (42% ). Their age ranged from 6 yrs to 12 yrs (mean 9 yrs.). The mean interval from injury to presentation in hospital was 5 hrs (range 1-22 hrs). Majority had injury to right ankle and foot. Fore foot and mid foot injuries were more common when the feet got entrapped in front wheel. 36 cases had sustained injury while riding as pillion on the back seat and their injury was on posterior ankle (n=20) and posterolateral aspect of ankle and foot (n=16). Majority of cases were of grade 0 and 1 injury. Two patients had grade 3 injury, one with great toe amputation another with partial heel avulsion and exposed tendoachilles. All cases were managed with wound care, tetanus prophylaxis and splintage of the foot. ConclusionIn our study we found that these spoke wheel related injuries were more common in children and are important cause of temporary loss of daily activities. Although all injuries healed properly, risk of severe injuries like amputations and heel pad loss and tendoachilles transaction and fractures of foot and ankle still prevails where bicycle is a common mode of transportation.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Bicycle-spoke injuries of the foot and ankle: A prospective study

Gupta

Shrestha

2014

J Coll Med Sci-Nepal

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“…[2] The spectrum of spoke wheel injury ranges from minor soft tissue laceration to extensive crush injury with tendon and bony involvement to subtotal amputations, mainly involving heel and ankle sites. [2][3][4] Management of the spoke wheel injuries is often challenging and is based on the location and grade of injury. Oestern and torcycle.…”

Section: Introductionmentioning

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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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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Section: Monthunclassified

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

Zhu

Duan³

et al. 2016

Annals of Plastic Surgery

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Severe motorcycle spoke injuries of the heel lead to Achilles tendon defects, calcaneal tubercle exposure or loss, and overlying soft tissue defects, which are challenging to treat. Given the special physiological and developmental characteristics of children, severe spoke injuries of the heel in children are especially troublesome.We report details of 31 cases of severe motorcycle spoke injuries of the heel in children. The reconstruction timing depended on the time since injury, systematic conditions, and concurrent injuries. Eighteen cases were reconstructed at the time of emergency surgery, and 13 cases underwent delayed reconstruction. Appropriate flap transfer and Achilles tendon repair were conducted based on the defect size of the Achilles tendon, the main location of the soft tissue defect, and the distal residues of the Achilles tendon.Of the 31 cases, 16 cases were reconstructed with sliding gastrocnemius musculocutaneous flaps, 7 cases had saphenous neurocutaneous flaps, 4 cases had posterior tibial perforator flaps, 3 cases had sural neurocutaneous flaps, and 1 case was repaired with a peroneal artery perforator flap. All flaps healed uneventfully except for 3 cases of flap partial necrosis and 1 case of local infection of the Achilles tendon. During 6 months to 4 years of follow-up, dorsiflexion of the ankle was obviously limited at first but gradually recovered and enabled normal walking. However, due to the possibilities of calcaneal defects, epiphyseal injuries, and Achilles tendon problems, long-term follow-up is indicated.

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Bicycle-Spoke Injuries of the Foot in Children

Cited by 19 publications

References 9 publications

Bicycle-spoke injuries of the foot and ankle: A prospective study

Bicycle-spoke injuries of the foot and ankle: A prospective study

Motor cycle spoke wheel injuries in children: a preventable accident

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

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