Blunt Handlebar Injury of the Common Femoral Artery: A Case Report

Hadeed, Josef; Albaugh, Gregory; Alexander, James B.; Ross, Steven E.; Ierardi, Ralph P.

doi:10.1007/s10016-005-0017-1

Cited by 14 publications

(14 citation statements)

References 19 publications

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“…To the best of our knowledge, in the past 20 years (1999–2018), there have been 38 similar reports of injuries of the EIA, CFA, or common iliac artery caused by blunt trauma [2–28]. The injuries were caused by handlebar trauma from bicycles [2, 3, 5–7, 11, 15, 20, 21, 24, 26], motorcycles [8, 18, 25], or all-terrain vehicles [13]; by other traffic accidents [5, 9, 10, 27]; by falling from a height [5, 22]; by being hit by a tennis ball [14]; and by blowing or compression of hard objects [5, 12, 19, 23, 28]. A rare case of CFA and vein avulsion from a hip hyperextension and abduction was also reported [17].…”

Section: Discussionmentioning

confidence: 99%

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Yoshimura

Hamamoto

2019

surg case rep

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Background Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment. Case presentation An 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident. Contrast computed tomography revealed an occlusion extending from the right external iliac artery to the common femoral artery. The right ankle–brachial index (ABI) was 0.50. We performed thrombectomy and femoral artery repair with a saphenous vein patch. The postoperative course was good, and the right ABI improved to 1.05. Conclusions Motor-scooter handlebar syndrome is a rare complication of traumatic injury. The presence of vascular injury should be considered in patients with groin or lower abdomen injuries following an impact with handlebars or similar hard objects. This injury often needs surgical treatment; therefore, prompt diagnosis is the key to successful treatment.

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Section: Discussionmentioning

confidence: 99%

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Yoshimura

Hamamoto

2019

surg case rep

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“…19 The most common mechanism of injury in this series was that of the motor-scooter-handlebar syndrome (MSHS). 5,6,[9][10][11][13][14][15][16][17][18][19] Originally described by Deutsch et al, 21 this syndrome is an intimal injury to the iliac/femoral artery caused by a direct blow from a motorcycle handlebar with subsequent arterial thrombosis and vascular compromise. The mechanism is that of blunt force over the iliac/femoral vessel as it is compressed on the bony pelvis.…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence of an isolated femoral vessel injury in the absence of bony fractures or polytrauma is extremely rare, as signified by scattered case reports in the literature (Table I). [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] We describe an unusual case with late presentation of a blunt hyperextension mechanism leading to complete avulsion of the femoral vessels.…”

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confidence: 99%

Complete Femoral Artery and Vein Avulsion from a Hyperextension Injury: A Case Report and Literature Review

Suliman¹,

Ali²,

Kansal³

et al. 2009

Annals of Vascular Surgery

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“…Studies in the sports-related literature describe cases of blunt trauma in the common iliac 61 , external iliac and common femoral arteries caused by the bicycle handlebar 61,62 . Although statistical data are not available to confirm the incidence of compression of the iliac artery secondary to cycling, Lim et al 11 reported that arterial insufficiency may be responsible for 10% to 20% of the symptoms of pain and cramps resulting from claudication in professional cyclists.…”

Section: Discussionmentioning

confidence: 99%

“…Tortuosity with kinking generated by hip hyperflexion 3,9,22,[27][28][29][30]36,39,62,71 (Figure 2a, b) and artery compression due to psoas muscle and inguinal ligament hypertrophy during pedaling 3,27,29,36,39,61,71,72 are, according to the literature, the factors responsible for blood flow reductions. For this reason, the excision of this ligament is common in patients with vascular compression (e.g., external iliac and common femoral arteries) in the inguinal region 9,49,57,58,60. According to Schep 63 , artery tortuosity may be measured with an …”

mentioning

confidence: 92%

Lower limb vascular dysfunction in cyclists

2013

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Sports-related vascular insufficiency affecting the lower limbs is uncommon, and early signs and symptoms can be confused with musculoskeletal injuries. This is also the case among professional cyclists, who are always at the threshold between endurance and excess training. The aim of this review was to analyze the occurrence of vascular disorders in the lower limbs of cyclists and to discuss possible etiologies. Eighty-five texts, including papers and books, published from 1950 to 2012, were used. According to the literature reviewed, some cyclists receive a late diagnosis of vascular dysfunction due to a lack of familiarity of the medical team with this type of dysfunction. Data revealed that a reduced blood flow in the external iliac artery, especially on the left, is much more common than in the femoral and popliteal arteries, and that vascular impairment is responsible for the occurrence of early fatigue and reduced performance in cycling.Keywords: cycling; peripheral arteriopathy; blood flow; stenosis. ResumoO desenvolvimento de insuficiência vascular em membros inferiores relacionada à prática esportiva é incomum e no início do surgimento dos sinais e sintomas frequentemente pode ser confundida com lesão musculoesquelética, a exemplo de casos relatados em ciclistas profissionais, por estarem sempre no limiar entre o treinamento em nível máximo e o excesso de treinamento. O objetivo desta revisão de literatura foi analisar a ocorrência de disfunções vasculares em membros inferiores em ciclistas e as possíveis etiologias. Oitenta e cinco textos, entre artigos e livros publicados de 1950 a 2012 foram utilizados. Segundo a literatura, alguns ciclistas têm o diagnóstico de disfunção vascular realizado tardiamente devido à falta da familiaridade da equipe médica com esta modalidade de disfunção. Os resultados da pesquisa revelaram que a redução do fluxo sanguíneo na artéria ilíaca externa, em especial a esquerda, é bem mais comum que a da artéria femoral e poplítea, e que o comprometimento vascular é responsável pela ocorrência de fadiga precoce e redução do desempenho no ciclismo.Palavras-chave: ciclismo; arteriopatia periférica; fluxo sanguíneo; estenose.

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Blunt Handlebar Injury of the Common Femoral Artery: A Case Report

Cited by 14 publications

References 19 publications

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Complete Femoral Artery and Vein Avulsion from a Hyperextension Injury: A Case Report and Literature Review

Lower limb vascular dysfunction in cyclists

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