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The burden of cycling-related trauma to the orthopaedic and trauma department of a level 1 trauma hospital in Adelaide, South Australia

Journal of orthopaedic surgery and research, 2021-02, Vol.16 (1), p.127-127, Article 127 [Peer Reviewed Journal]

COPYRIGHT 2021 BioMed Central Ltd. ;2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2021 ;ISSN: 1749-799X ;EISSN: 1749-799X ;DOI: 10.1186/s13018-021-02242-7 ;PMID: 33568171

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  • Title:
    The burden of cycling-related trauma to the orthopaedic and trauma department of a level 1 trauma hospital in Adelaide, South Australia
  • Author: Abrahams, John M ; Sagar, Christopher ; Rickman, Mark
  • Subjects: Bicycle ; Bicycling ; Central business districts ; Cycling ; Cyclists ; Demography ; Emergency medical care ; Fatalities ; Injuries ; Level one trauma ; Medical research ; Medicine, Experimental ; Morbidity ; Orthopaedic surgery ; Orthopedics ; Patients ; Personal protective equipment ; Population density ; Public safety ; Questionnaires ; Roads & highways ; Sports injuries ; Trauma
  • Is Part Of: Journal of orthopaedic surgery and research, 2021-02, Vol.16 (1), p.127-127, Article 127
  • Description: With the fourth largest metropolitan population density, motor vehicle drivers in Adelaide, South Australia, record the most number of motor vehicle insurance claims in Australia. Previous studies have shown a rise in cycling-related emergency department presentations from 2005 to 2010. There is no specific data available specifically related to South Australia. Our institution is the largest level 1 trauma centre in South Australia and Northern Territory and has a local geographic pool of the central metropolitan region of Adelaide. The aims of this study were to establish the demographics of cycling-related presentations to our institution that involved the admission of a patient under the Orthopaedic and Trauma service. Secondary aims were to investigate whether there were any common variables among these presentations that could be modified to prevent or reduce the morbidity of cycling-related trauma. A prospective study was performed at our institution from 1 March 2018 until 31 December 2019 of all inpatient admissions under the Orthopaedics and Trauma department, where the patient was injured as a cyclist. We collated patient-reported information about the accident and their cycling habits. One hundred and ten patients were included in the study. One hundred and thirty-one injuries were recorded, requiring 89 surgical procedures. Eighty were upper limb injuries (61%), 49 were lower limb (37%), and 2 injuries occurred in either the spine or ribs. The most common reason for the accident was excessive cyclist speed. The majority of cyclists admitted to our unit with orthopaedic injuries were male patients who assessed themselves as experienced riders, and yet still were involved in accidents that resulted predominantly from episodes of poor judgement. Speed is a common and avoidable factor involved in the presentation of orthopaedic-related trauma to the public system. Involvement of other vehicles was relatively uncommon, as was poor weather; upper limb injuries predominate in this group.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1749-799X
    EISSN: 1749-799X
    DOI: 10.1186/s13018-021-02242-7
    PMID: 33568171
  • Source: GFMER Free Medical Journals
    PubMed Central
    Directory of Open Access Journals
    Springer Nature OA/Free Journals
    Coronavirus Research Database
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
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