Lea Matthew Alexander, Makaram Navnit, Srinivasan Makaram S
Orthopaedic Department , Royal Blackburn Hospital , Blackburn , UK.
Orthopaedic Department , NHS Tayside , Dundee , UK.
BMJ Open Sport Exerc Med. 2016 Jan 11;2(1):e000042. doi: 10.1136/bmjsem-2015-000042. eCollection 2016.
Mountain and road bike accidents are particularly common with the increased popularity of the sport. We reviewed the attendances in our emergency department over a 4-year period looking at cycling injuries to detect the level and grade of these injuries and their outcomes.
Royal Blackburn Hospital caters for a population of 550 000. A search through the Hospital information system revealed 104 patients with fractures following mountain bike injuries. These were looked at in more detail. We present a series of 5 severe shoulder girdle injuries following mountain bike accidents in this cohort, to highlight the serious level of injury sustained in this sport. We searched MEDLINE and EMBASE databases over the past 10 years using the keywords, mountain, biking and fracture. This yielded 7 papers. We compared our series with the literature.
104 fractures following mountain bike accidents between 2008 and 2011. Fractures of the upper limb were the most common (88.5%) with the clavicle being the most commonly fractured bone (28.8%).
Major scapular injuries with destruction or disruption of the four bar linkage of the shoulder girdle are very common following mountain accidents. Clavicular fractures are the commonest upper limb injury. It is easy to miss a disruption to the four-bar linkage associated with a clavicular injury. This paper highlights the severity of the injuries sustained in mountain bike accidents of the upper limb and requirement of adequate protection in this exhilarating sport.
随着山地自行车和公路自行车运动日益普及，此类事故也越发常见。我们回顾了四年间急诊科收治的自行车相关损伤病例，以确定这些损伤的程度、分级及其后果。
皇家布莱克本医院服务于55万人口。通过医院信息系统检索，发现104例山地自行车损伤后骨折患者，并对其进行更详细的研究。我们在此队列中呈现了5例山地自行车事故后严重的肩带损伤病例，以突出这项运动中所遭受损伤的严重程度。我们使用关键词“山地”“自行车”和“骨折”在过去10年的医学文献数据库（MEDLINE）和循证医学数据库（EMBASE）中进行检索，共找到7篇论文，并将我们的数据系列与文献进行比较。
2008年至2011年间发生104例山地自行车事故相关骨折。上肢骨折最为常见（88.5%），其中锁骨骨折最为多见（28.8%）。
山地自行车事故后常发生严重的肩胛骨损伤，伴有肩带四连杆结构破坏或中断。锁骨骨折是最常见的上肢损伤类型。与锁骨损伤相关的四连杆结构中断很容易被漏诊。本文强调了山地自行车事故中上肢损伤的严重性，以及在这项令人兴奋的运动中提供充分保护的必要性。
