title: Bicycle-spoke injuries: a prospective study.
abstract: A prospective study of bicycle-spoke injuries was undertaken to assess the severity of soft tissue damage and the incidence of skeletal injuries. During a 12 month period, 59 children with spoke injuries were examined. Soft tissue damage was divided into three categories: bruising without laceration (four), bruising and superficial abrasions (49) and full thickness skin defects (six). Seventeen children had skeletal injuries: nine tibial fractures (five greenstick fractures and four spiral fractures) and eight epiphyseal injuries of the distal fibula. All fractures were treated non-operatively. The mean time for soft tissue healing was 16.5 days and the mean time for regaining full weight-bearing was 8.5 days. Soft tissue damage is the most important prognostic factor in the healing of a bicycle-spoke injury.
authors.affiliation: Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands.
authors.forename: M J
authors.initials: MJ
authors.lastname: Segers
authors.forename: D
authors.initials: D
authors.lastname: Wink
authors.forename: G J
authors.initials: GJ
authors.lastname: Clevers
mesh_terms: D016512:Ankle Injuries / Q000209:etiology* / Q000628:therapy; D001642:Bicycling / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005360:Fibula / Q000293:injuries; D050723:Fractures, Bone / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D009017:Morbidity; D011446:Prospective Studies; D017695:Soft Tissue Injuries / Q000209:etiology* / Q000628:therapy; D013978:Tibial Fractures / Q000209:etiology / Q000628:therapy; D014945:Wound Healing