National Centre for Pelvic & Acetabular Surgery, Tallaght University Hospital, Dublin, Ireland.
Ir J Med Sci. 2019 Aug;188(3):855-859. doi: 10.1007/s11845-018-1926-7. Epub 2018 Nov 11.
Popularity in cycling continues to grow. In Ireland, in the last 5 years, 42% more people now use it to travel to work. This has been mirrored by a rise in cycling-related trauma and deaths. The popularity amongst men has led to the term middle-aged men in Lycra (MAMIL) being coined.
The purpose of our study was to quantify cycling-related pelvic and acetabular fracture referrals in Ireland and determine injury patterns, cost and functional outcomes following these injuries.
A retrospective cohort study was conducted of all referrals to our institution, the National Centre for Pelvis and Acetabular Fracture Management, in 2016 and 2017. Demographic, mechanism of injury, concomitant trauma and treatment data were analysed. Patients were contacted to assess return to work, sport and quality of life (EQ-5D-3L).
Cycling injury referrals increased by 90% between 2016 and 2017 with a greater number of cycling than motorbike injury referrals. Twenty-nine patients sustained a pelvic and acetabular (PA) injury while cycling. The mean patient age was 51.7 years of which 86.2% were male with 41% suffering a concomitant injury. Fourteen patients (48.3%) required surgery of which 60% have returned to cycling. Mean cost of treatment was €11,757. The median EQVAS was 80.
The rise in popularity of cycling has been mirrored by an increase in PA injuries and deaths. These injuries are associated with significant costs to the patient, hospital and society. Greater investment in safety and awareness is needed to protect this vulnerable group.
骑自行车的普及程度持续上升。在爱尔兰，过去 5 年中，现在有 42%的人骑车上班。这与自行车相关创伤和死亡人数的增加相吻合。男性的普及导致了“中年男人穿莱卡（MAMIL）”一词的出现。
我们的研究目的是量化爱尔兰与自行车相关的骨盆和髋臼骨折转诊情况，并确定这些损伤的损伤模式、成本和功能结果。
对我们机构（国家骨盆和髋臼骨折管理中心）2016 年和 2017 年所有转诊患者进行了回顾性队列研究。分析了人口统计学、损伤机制、伴随创伤和治疗数据。联系患者评估重返工作、运动和生活质量（EQ-5D-3L）。
2016 年至 2017 年，自行车损伤转诊增加了 90%，自行车损伤转诊多于摩托车损伤转诊。29 名患者在骑自行车时发生骨盆和髋臼（PA）损伤。患者平均年龄为 51.7 岁，其中 86.2%为男性，41%伴有伴随损伤。14 名患者（48.3%）需要手术治疗，其中 60%已恢复骑自行车。治疗费用的平均为 11757 欧元。平均 EQVAS 为 80。
骑自行车的普及程度上升，与 PA 损伤和死亡人数的增加相吻合。这些损伤给患者、医院和社会带来了巨大的成本。需要加大安全和意识方面的投资，以保护这一脆弱群体。
