Department of Trauma and Orthopaedics, Ninewells Hospital, James Arrott Dr, Dundee, DD2 1SG, UK.
Department of Trauma and Orthopaedics, Aberdeen Royal Infirmary, Foresterhill Rd, Aberdeen, AB25 2ZN, UK.
Surgeon. 2022 Aug;20(4):252-257. doi: 10.1016/j.surge.2021.05.003. Epub 2021 Jun 26.
The COVID-19 lockdown resulted in decreased vehicle use and an increased uptake in cycling. This study investigated the trends in cycling-related injuries requiring orthopaedic intervention during the COVID-19 lockdown period compared with similar time periods in 2018 and 2019.
Data were collected prospectively for patients in 2020 and collected retrospectively for 2019 and 2018, from hospitals within four NHS Scotland Health Boards encompassing three major trauma centres. All patients who sustained an injury as a result of cycling requiring orthopaedic intervention were included. Patient age, sex, mechanism of injury, diagnosis and treatment outcome from electronic patient records.
Number of injuries requiring surgery 2020: 77 (mean age/years - 42.7); 2019: 47 (mean age/years - 42.7); 2018: 32 (mean age/years - 31.3). Overall incidence of cycling injuries 2020: 6.7%; 2019: 3.0%; 2018: 2.1%. Commonest mechanism of injury: fall from bike 2020 n = 54 (70.1%); 2019 n = 41 (65.1%); 2018 n = 25 (67.6%). Commonest injury type: fracture 2020 n = 68 (79.1%); 2019 n = 33 (70.2%); 2018 n = 20 (62.5%). Commonest areas affected: Upper extremity: 2020 n = 45 (58.5%); 2019 n = 25 (53.2%); 2018 n = 25 (78.1%). Lower extremity: 2020 n = 23 (29.9%); 2019 n = 14 (29.7%); 2018 n = 7 (21.8%).
A significant increase in the number of cycling related injuries requiring orthopaedic intervention, a greater proportion of female cyclists and an older mean age of patients affected was observed during the COVID-19 lockdown period compared with previous years. The most common types of injury were fractures followed by lacerations and fracture-dislocations. The upper extremity was the commonest area affected.
COVID-19 封锁导致车辆使用减少，骑自行车的人数增加。本研究调查了与 2018 年和 2019 年同期相比，COVID-19 封锁期间需要骨科干预的与自行车相关的伤害趋势。
从苏格兰四个 NHS 健康委员会的 3 个主要创伤中心的医院前瞻性地收集 2020 年患者的数据，并回顾性地收集 2019 年和 2018 年的数据。所有因骑自行车受伤需要骨科干预的患者均被纳入。从电子病历中获取患者年龄、性别、损伤机制、诊断和治疗结果。
需要手术的损伤数量 2020 年：77 例（平均年龄/岁-42.7）；2019 年：47 例（平均年龄/岁-42.7）；2018 年：32 例（平均年龄/岁-31.3）。2020 年自行车损伤的总体发生率：6.7%；2019 年：3.0%；2018 年：2.1%。最常见的损伤机制：从自行车上摔下 2020 年 n=54（70.1%）；2019 年 n=41（65.1%）；2018 年 n=25（67.6%）。最常见的损伤类型：骨折 2020 年 n=68（79.1%）；2019 年 n=33（70.2%）；2018 年 n=20（62.5%）。最常见的受伤部位：上肢：2020 年 n=45（58.5%）；2019 年 n=25（53.2%）；2018 年 n=25（78.1%）。下肢：2020 年 n=23（29.9%）；2019 年 n=14（29.7%）；2018 年 n=7（21.8%）。
与前几年相比，COVID-19 封锁期间需要骨科干预的自行车相关损伤数量显著增加，女性自行车手的比例增加，受影响患者的平均年龄增加。最常见的损伤类型是骨折，其次是裂伤和骨折脱位。上肢是最常见的受伤部位。
