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2017, Number 1

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Ortho-tips 2017; 13 (1)

The never well assessed «bicycle foot»

Franzolini MF, Fernández NMN, Mussolini EM, Sinopoli MB, Vittone MB, Juanto M, Fernández E
Full text How to cite this article

Language: Spanish
References: 7
Page: 16-22
PDF size: 547.55 Kb.


Key words:

Feet, bicycle, injuries, soft tissue, fracture.

ABSTRACT

Introduction: Bicycle-borne injuries represent a common pathology in pediatric guards and often the importance of the case is diminished. Patients who present a fracture are not always the ones with the greatest soft tissue damage, an issue that is not well developed in the world literature. The objective of our study is to demonstrate the correlation between the type of soft tissue injury and the presence of fractures. Material and methods: Retrospective, descriptive study. 101 patients, 46 girls and 55 children with an average age of 4.3 years who entered VJVilela Children’s Hospital (2015-2016). Radiographs were performed and a treatment protocol was followed. We evaluated the soft tissue lesion with the Tscherne-Oestern classification By. Results: 12% had no soft tissue lesions, 59% had mild lesions and 24% had moderate lesions. 14% of the total had a fracture. Of these, 2 patients (14%) had no soft tissue lesion; 50% presented mild injury, 36% moderate and no serious injury. Conclusion: We could corroborate that less soft tissue damage is inversely proportional to the presence of fractures; this justifies the need to perform X-rays at the first attention and not to underestimate these lesions.


REFERENCES

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  2. Gómez J, Czerniztki T, Quagliarello A, Zabala J. Pie de bicicleta. Rev Asoc Arg Ortop Traumatol. 2006; 58 (3): 307-312.

  3. Di Pietro EL, Lozano R, Luján CM, Di Pietro CN. Lesiones más frecuentes en miembros inferiores por rayos de bicicleta. Revista de Postgrado de la VIa Cátedra de Medicina. 2007; 169 (1): 1-3.

  4. Green NE, Swiontkowski MF. Traumatismo esquelético en niños. 2ª ed. Buenos Aires: Editorial Médica Panamericana, 2000, pp. 11-15.

  5. Izant RJ, Rothman BF, Fránkel S. Bicycle spoke in-juries of the foot. J Ped Surg. 1968.

  6. Wood D, Hoffer MM. Tibial fracture in head-injured children. J Trauma. 1987; 27 (1): 65-68.

  7. Campbell: Cirugía Ortopédica. Fracturas y luxaciones en la infancia. Cap. 33, 3a ed. 2013.




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Ortho-tips. 2017;13