Handlebar injuries in children: Should we raise the bar of suspicion?

James J. Mezhir, Loretto Glynn, Donald C. Liu, Mindy B. Statter

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Injury prevention strategies for child bicyclists have focused on helmet use to prevent head trauma. Handlebars are another source of injury. A retrospective review from 2005 identified 385 admissions to a Level 1 pediatric trauma center of which 23 (5.9%) were pedal cyclists. Four cases (<1.0%) of handlebar injuries were identified. Three children (two bicyclists, one riding a scooter) sustained handlebar impact to the neck. All children with neck injuries had subcutaneous emphysema. Two of the children had pneumomediastinum, which after work-up was managed nonoperatively. One child had a tracheal injury requiring operative intervention. Another child was struck in the upper abdomen resulting in a traumatic abdominal wall hernia requiring emergent exploration and hernia repair. Discordance exists between the apparently minor circumstances of handlebar trauma and the severity of injury sustained by bicyclists. Recognizing the mechanism of handlebar-related injuries and maintaining a high index of suspicion for visceral injuries aids in the diagnosis. The incidence of these injuries is underestimated due to insufficient documentation of the circumstances of injury events and a lack of applicable E-codes specific for handlebar injury.

Original languageEnglish (US)
Pages (from-to)807-810
Number of pages4
JournalAmerican Surgeon
Volume73
Issue number8
StatePublished - Aug 2007
Externally publishedYes

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Wounds and Injuries
Abdominal Hernia
Neck Injuries
Subcutaneous Emphysema
Mediastinal Emphysema
Head Protective Devices
Trauma Centers
Herniorrhaphy
Abdominal Wall
Craniocerebral Trauma
Documentation
Abdomen
Foot
Neck
Pediatrics
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Handlebar injuries in children : Should we raise the bar of suspicion? / Mezhir, James J.; Glynn, Loretto; Liu, Donald C.; Statter, Mindy B.

In: American Surgeon, Vol. 73, No. 8, 08.2007, p. 807-810.

Research output: Contribution to journalArticle

Mezhir, JJ, Glynn, L, Liu, DC & Statter, MB 2007, 'Handlebar injuries in children: Should we raise the bar of suspicion?', American Surgeon, vol. 73, no. 8, pp. 807-810.
Mezhir, James J. ; Glynn, Loretto ; Liu, Donald C. ; Statter, Mindy B. / Handlebar injuries in children : Should we raise the bar of suspicion?. In: American Surgeon. 2007 ; Vol. 73, No. 8. pp. 807-810.
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