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Motor cycle spoke wheel injuries in children: A preventable accident
Fatima Naumeri1, Bilal Qayyum1, Nadeem Ilahi Cheema1
1Department of Paediatric Surgery, King Edward Medical University, Lahore-Pakistan.
Insights
Motorcycle spoke wheel injuries are increasing, affecting children primarily in the hindfoot. While severe injuries occurred, surgical management led to satisfactory outcomes, highlighting the need for safety protocols.
Area of Science:
- Pediatric Surgery
- Trauma Care
- Biomechanics
Background:
- Motorcycle-related spoke wheel injuries are a growing concern.
- Injuries vary from minor lacerations to severe crush injuries.
Purpose of the Study:
- To evaluate the incidence, mechanism, characteristics, and management of motorcycle-induced spoke wheel injuries in children.
- To assess patient outcomes following treatment.
Main Methods:
- Retrospective analysis of pediatric patients admitted with spoke wheel injuries from January 2014 to December 2017.
- Data collected included injury incidence, mechanism, characteristics, management, and follow-up outcomes.
Main Results:
- 120 patients analyzed, with an injury incidence of 21.7%. Mean age was 8 years; 101 were male.
- Most injuries involved the hindfoot, with Grade 2 and Grade 3 injuries each accounting for 45.8%.
- 22.5% of patients required flap surgery; all patients achieved mobility at follow-up.
Conclusions:
- Despite a rising incidence of these entrapment injuries, various management techniques yielded satisfactory outcomes.
- Implementation of safety protocols is recommended to prevent severe spoke wheel injuries.
Background:
The incidence of motorcycle-induced spoke wheel injury is on the rise in our set up. These injuries range from minor soft tissue laceration to extensive crush injuries. This study aimed to evaluate the mechanism, characteristics, incidence and management of wheel spoke injuries.
Methods:
Data of all children admitted to Pediatric Surgery Emergency from January 2014 to December 2017, presenting with wheel spoke injuries were analyzed. Incidence, mechanism and characteristics of injury, along with management plan, were noted. The outcomes were assessed by evaluating patients in follow up.
Results:
Total study patients were 120, with an incidence of 21.7%. Mean age was 8.03±2.28 years. There were 101male patients and nine female patients. All patients were passengers and were sitting astride. Most of the patients were wearing shoes, and hindfoot area of the right foot was mainly involved. Grade 2 injury was seen in 55 (45.8%) and Grade 3 in 55 (45.8%) patients. Flap was needed in 27(22.5%) patients. All patients were mobile at the time of the follow-up.
Conclusion:
We noted the rising incidence of entrapment injuries; however, we had a satisfactory outcome in our patients using different management techniques. We recommend the implementation of safety protocols to avoid such catastrophic injuries.
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