Pediatric hand injuries due to exercise bicycles

J Trauma. 1997 Jul;43(1):100-2. doi: 10.1097/00005373-199707000-00023.


Methods: This is a 5-year retrospective review of hand injuries caused by exercise bicycles among 34 children.

Results: Mean age was 3 years and 5 months. Accidents were caused most commonly by impingement of the fingers between the chain and sprocket wheel (77%), but injuries caused by spinning wheel spokes (23%) were generally more severe. Injuries were usually of the avulsion type and ranged in severity from lacerations (43%) to fractures (19%) to amputations (38%). The central digits (87%) were involved more frequently than the border digits (13%). Replantation was possible for 33% of the amputated digits, with 50% of the fingers surviving.

Conclusion: The avulsive nature of these injuries should be taken into consideration when attempting replantation. Increased community awareness and equipment safety modifications are needed to eliminate this preventable problem.

MeSH terms

  • Accidents, Home*
  • Amputation, Traumatic / etiology
  • Bicycling / injuries
  • Child
  • Child, Preschool
  • Female
  • Finger Injuries / etiology
  • Finger Injuries / pathology
  • Finger Injuries / surgery
  • Hand Injuries / etiology*
  • Hand Injuries / pathology
  • Hand Injuries / surgery
  • Humans
  • Infant
  • Male
  • Replantation
  • Retrospective Studies