ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2015
Abdominal injuries involving bicycle handlebars in 219 children: results of 8-year follow-up.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 23 citations in OpenAlex.
- Predictors of organ injury in pediatric bicycle handlebar trauma: a single-center retrospective study.Pediatric surgery international · 2026Article
- Occult Grade 5 Splenic Injury in a Haemodynamically Stable Child Following Bicycle Handlebar Injury: A Case Report.Cureus · 2025Article
- External validation of a pediatric decision rule for blunt abdominal trauma.Journal of the American College of Emergency Physicians open · 2022Article
- Isolated Pancreatic Tail Injury in Paediatrics; A Case Report and Literature Review.Bulletin of emergency and trauma · 2020Article
- Bicycle handlebar injury in a child resulting in complex liver laceration with massive bleeding and bile leakage: A case report.International journal of surgery case reports · 2020Article
- Degloving injury to groin, scrotum and penis due to low-velocity handlebar injury.BMJ case reports · 2019Article
- Analysis of the use of upright abdominal radiography for evaluating intestinal perforations in handlebar traumas: Three case reports.Medicine · 2019Article
- Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines.World journal of emergency surgery : WJES · 2019Review
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Authors and funding
8 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesHandlebar injuries are one of the most common causes of abdominal injuries in children. We aim to investigate the epidemiology of bicycle handlebar injuries and to emphasize the severity of the injuries.
methodsA retrospective analysis of children admitted to our hospital with abdominal injury related to bicycle handlebars was performed.
resultsA total of 219 children (187 males and 32 females) younger than 17 years were hospitalized for abdominal handlebar injuries between 2005 and 2013. The age range of the patients was 4-17 (mean 10.93 ± 3.68) years. Most patients had an imprint of the handlebar edge on their abdomen. The most common abdominal organ injury was liver laceration. 33 patients had pancreas injury and 13 patients had hollow organ injury. Most patients were treated conservatively. Surgery was performed in 24 patients. Hospital stay was 4-60 (mean 9.63 ± 13.37) days.
conclusionsTrend of bicycle handlebar trauma over this time period was related to the local floating population and economy. The most common abdominal organ injury was liver. Hollow organ injury required emergency exploratory laparotomy and the Roux-y anastomosis applied well in cases whose gastrointestinal tract damaged seriously. Pancreatic injury usually led to secondary pseudocyst. The percutaneous ultrasound-guided drainage of pancreatic pseudocyst was really an effective way. The trend in the amylase and lipase levels could reflect the pancreatic injury condition and predict prognosis. Early diagnosis and optimal care without delay may help to reduce the morbidity of injuries to the internal organs. Children with abdominal handlebar injuries should be treated with great care.
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