Bicycle spoke injuries.
From our experience in the Emergency Room, we noticed that a relatively large number of children 2 to 4 years old were injuried while sitting behind their parent riding a bicycle. Their ankles got caught in the spokes of the bicycle's wheel, resulting in a variety of injuries such as skin laceration in the mild cases, but large hematomata and fracture of the distal tibia and fibula in the serious ones. After the initial treatment, a close followup was carried out until full recovery was achieved. In this paper we describe the mechanism of the injury and suggest a device to prevent it, and emphasize the long-term disability after this presumed "minor trauma."
D016512:Ankle Injuries; D002675:Child, Preschool; D002921:Cicatrix; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000209:etiology; D006801:Humans; D007869:Leg Injuries / Q000209:etiology*; D011482:Protective Devices; D014950:Wounds, Penetrating / Q000209:etiology*