2008, Number 6
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ABSTRACTBackground: Bicycling is popular among children; 80 to 90% of school-age children own bicycles. Unfortunately, bicycle crashes result in ~600 deaths each year in the U.S. Additionally, direct impact handlebar injuries to the liver, spleen, pancreas, duodenum, intestine, kidneys, urethra and major vessels have all been reported. The purpose of our study was to outline the mechanism of serious bicycle handlebar-related injuries and emphasize the role of abdominal abrasion as a sign of acute abdomen.
Methods: Medical records for patients discharged for contusion of the skin with and without visceral lesion due to handlebar injury were compared with 112 bicycle falls.
Results: Six patients had abdominal contusion with imprints and visceral lesion and another six patients had contusion without any imprints or visceral lesion. Stastistical anlysis showed p ‹0.0001.
Conclusions: Abdominal handlebar injuries associated with abdominal imprints demonstrated peritonitis risk.
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