title: Pediatric musculoskeletal injuries associated with recreational motorized vehicle use: do more wheels mean a safer ride?
abstract: This study will identify differences in musculoskeletal injury between pediatric riders of four-wheel all-terrain and motorized two-wheel (motorbike) vehicles who were presented to a pediatric trauma center from 2005 to 2011. Musculoskeletal injuries, protective equipment use, and associated injuries were compared. The rate of orthopedic injury in children with all-terrain vehicle-related emergency department visits was 42% (153 injuries/334 patients) versus 72% (123/170) for motorbike-related trauma (P<0.001). Motorbike riders were more likely to use protective equipment (P<0.0001); however, they sustained a higher number of lower extremity fractures (P=0.0003), wrist fractures (P=0.03), and tibia/fibula shaft fractures (P=0.03).
authors.affiliation: Department of Orthopaedics, Childrens Medical Center, Texas Scottish Rite Hospital for Children, Dallas, Texas, USA.
authors.forename: Grant D
authors.initials: GD
authors.lastname: Hogue
authors.forename: Ryan
authors.initials: R
authors.lastname: Rose
authors.forename: Robert L
authors.initials: RL
authors.lastname: Wimberly
authors.forename: Anthony I
authors.initials: AI
authors.lastname: Riccio
mesh_terms: D000059:Accidents / Q000706:statistics & numerical data*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009049:Motorcycles / Q000706:statistics & numerical data*; D009140:Musculoskeletal Diseases / Q000453:epidemiology* / Q000209:etiology; D015541:Off-Road Motor Vehicles / Q000706:statistics & numerical data*; D000067393:Personal Protective Equipment / Q000706:statistics & numerical data; D011998:Recreation; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology