title: Dirt bikes injuries in children.
abstract: BACKGROUND
  Dirt bike riding is becoming a more popular recreational activity among children. Injuries associated with this recreational activity did not gain attention in the medical literature. The purpose of this study is to assess orthopedic injuries associated with dirt bike riding.
  
  
  METHODS
  We retrospectively studied injuries occurring in children less than 18 years old, while riding dirt bikes, that required admission to the trauma department in our level one trauma center during the period 2000-2010.
  
  
  RESULTS
  There were 24 admissions (23 patients). The mean age was 13. Fourteen patients had brain injuries. Six patients had abdominal injuries. One patient died shortly after arriving to the emergency department. Fourteen patients had face and neck injuries. The average injury severity score was 8.5. Thirteen patients' admissions (54 %) had orthopedic fractures. Five of 13 patients (38 %) suffered more than one fracture. Eight patients needed orthopedic intervention (seven of these were in operating room under general anesthesia and one in the emergency department under conscious sedation). Femur fracture was the most common cause for performing surgery in this group of patients.
  
  
  CONCLUSIONS
  Riding dirt bikes is not a safe recreational activity. Orthopedic injuries constitute a major component of the injuries affecting children riding dirt bikes. Orthopedic surgeons (being responsible for treating most of these children) have the obligation to warn the community against the possible dangers facing children who ride dirt bikes.
authors.affiliation: Department of Orthopedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, 4801 Alberta Ave, El Paso, TX, 79905, USA, amratef@doctor.com.
authors.forename: A A
authors.initials: AA
authors.lastname: Abdelgawad
authors.forename: D
authors.initials: D
authors.lastname: Maxfield
authors.forename: S
authors.initials: S
authors.lastname: Tran
authors.forename: S
authors.initials: S
authors.lastname: Mclean
authors.forename: E M
authors.initials: EM
authors.lastname: Kanlic
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000453:epidemiology* / Q000601:surgery; D001930:Brain Injuries / Q000453:epidemiology / Q000209:etiology; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D006260:Head Protective Devices / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D015541:Off-Road Motor Vehicles; D011859:Radiography; D012189:Retrospective Studies; D013781:Texas / Q000453:epidemiology; D014193:Trauma Centers / Q000706:statistics & numerical data; D015599:Trauma Severity Indices
references.citation: Am J Orthop (Belle Mead NJ). 2011 Jan;40(1):40-4
references.pmid: 21720586
references.citation: J Neurotrauma. 2011 Oct;28(10):2061-8
references.pmid: 21644811
references.citation: Pediatrics. 2000 Jun;105(6):1352-4
references.pmid: 10835081
references.citation: Pediatrics. 2005 Mar;115(3):704-9
references.pmid: 15741375
references.citation: J Pediatr Orthop. 2009 Dec;29(8):847-50
references.pmid: 19934696
references.citation: Neurosurgery. 2010 Oct;67(4):993-7; discussion 997
references.pmid: 20802355
references.citation: Neurosurgery. 2011 Jun;68(6):E1743-8; discussion E1748-9
references.pmid: 21389890
references.citation: Am J Sports Med. 2011 Apr;39(4):843-50
references.pmid: 21335347
references.citation: Can J Neurol Sci. 2010 May;37(3):301
references.pmid: 20481259
references.citation: Pediatr Emerg Care. 2011 May;27(5):409-10
references.pmid: 21546803
references.citation: J Trauma. 2010 Dec;69(6):1338-43
references.pmid: 21150516
references.citation: J Pediatr Surg. 2002 Mar;37(3):375-80
references.pmid: 11877651
references.citation: Med Sport Sci. 2012;58:158-72
references.pmid: 22824845
references.citation: J Rural Health. 2011 Summer;27(3):255-62
references.pmid: 21729152
references.citation: J Agric Saf Health. 2011 Apr;17(2):147-55
references.pmid: 21675284
references.citation: J Sports Med Phys Fitness. 1989 Jun;29(2):199-201
references.pmid: 2593661
references.citation: MMWR Morb Mortal Wkly Rep. 2006 Jun 9;55(22):621-4
references.pmid: 16760889
references.citation: Can J Neurol Sci. 2010 May;37(3):343-9
references.pmid: 20481268
references.citation: J Trauma. 2010 Dec;69(6):1344-9
references.pmid: 20962681