Open iliac wing fracture caused by penetrating injury from a bicycle handlebar

Journal of Orthopaedic Trauma
Sumant G Krishnan, Karl E Rathjen

Abstract

Bicycle accidents have been documented as one of the most common mechanisms of accidents in children. Several reports describe intra-abdominal injury secondary to bicycle handlebars. Reported injuries include liver and spleen trauma, bowel perforation, and pancreatitis. However, there are few reports of penetrating handlebar injuries. We report a case of a penetrating bicycle handlebar producing an open iliac wing fracture. A number of reports have stressed the dichotomy between the benign external appearance and the potential severity of the intra-abdominal injury after a bicycle handlebar injury. Thus, a high index of suspicion must be maintained when evaluating a child after such an injury. All patients with a significant mechanism should have a thorough and complete evaluation, including radiographs. As with all traumatic injuries, a multidisciplinary approach is often required to efficiently manage these injuries. Although uncommon, open pelvic injuries in children do occur. The principles of management are the same in children as they are in adults. All children with open pelvic fractures require emergent operative debridement and, if indicated, stabilization. Special attention should be given to ensure that the gastroint...Continue Reading

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Citations

May 9, 2006·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·James OrbellNicholas R F Lagattolla
Dec 30, 2016·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Carmen T Ramos-IrizarryMalvina Duncan
Jan 10, 2009·The Journal of Trauma·Sophie AbrassartRobin Peter
Jul 5, 2005·The Journal of Trauma·Evan P NadlerBarbara A Gaines

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