Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Discipline of Orthopaedics and Trauma, Faculty of Health Sciences, Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.
J Orthop Surg Res. 2021 Feb 10;16(1):127. doi: 10.1186/s13018-021-02242-7.
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.
南澳大利亚州阿德莱德市的机动车驾驶员密度位居澳大利亚第四，其机动车保险索赔数量在全国位居榜首。此前的研究表明，2005 年至 2010 年期间，与骑行相关的急诊就诊人数有所增加。目前尚无专门针对南澳大利亚州的具体数据。我们机构是南澳大利亚州和北领地最大的一级创伤中心，服务范围覆盖阿德莱德市中心的大部分地区。本研究旨在确定我院骨科和创伤科收治的与骑行相关的患者人群特征，这些患者因骑行受伤入院。次要目标是调查这些患者中是否存在任何可改变的常见变量，以预防或减少与骑行相关的创伤的发病率。
对我院 2018 年 3 月 1 日至 2019 年 12 月 31 日期间骨科和创伤科所有住院患者进行了前瞻性研究，这些患者是因骑车受伤入院的。我们收集了患者报告的事故信息和骑行习惯。
研究共纳入 110 例患者，记录了 131 处损伤，需进行 89 例手术。上肢损伤 80 例（61%），下肢损伤 49 例（37%），脊柱或肋骨损伤 2 例。事故的最常见原因是骑车者速度过快。
我院骨科收治的大多数因骑行受伤的患者为男性，他们自认为是经验丰富的骑手，但仍因判断力不佳而发生事故。速度是导致公共系统中与骨科相关创伤的常见且可避免的因素。涉及其他车辆的情况相对较少，天气较差的情况也较少，该人群上肢损伤居多。
