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10.13 Bicycle Spoke Injury


Presentation

A small child, riding on the back of a friend's bike, gets his foot caught between the spinning spokes and the frame or fender supports. The skin over the lateral or medial aspect of the foot or ankle is crushed and abraded with underlying soft tissue swelling

What to do:

What not to do:

Discussion:

Bicycle spoke injuries are similar to, but not as serious as, wringer injuries. Fractures are not commonly associated with these injuries but often there is severe soft tissue injury. Consequences of his crush injury can be minimized by the use of compression ressings, elevation and early followup.

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