University of Colorado School of Medicine, Aurora, CO, USA.
Department of Orthopaedics, Denver Health Medical Center, Denver, CO, USA.
Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1905-1911. doi: 10.1007/s00590-022-03374-0. Epub 2022 Aug 27.
The purpose of this study was to compare patients with traumatic pelvic ring injuries sustained in road and mountain bicycling accidents to evaluate for differences in injury types and hospital courses.
A retrospective review of 60 patients presenting with pelvic ring injuries after road (n = 46) and mountain (n = 14) bicycling accidents was performed to compare patient/injury characteristics and hospital course.
LC1 injuries were the most common pelvic ring injury (n = 31, 51.7%), 38.7% (n = 12) of which were considered unstable, followed by isolated iliac wing (n = 11, 18.3%), pubic rami (n = 6, 10.0%), and sacral fractures (n = 6, 10.0%). Hospital admission was required for 41 (68.3%) patients. The median hospital LOS was 4 days (IQR 2-9) and 12 (20%) patients received operative treatment. Patients in road versus mountain bicycling accidents were more likely to be older tobacco users and were similar in sex, body mass index, and injury severity score. Road bicycling resulted in more LC1 injuries (58.7% vs 28.6%, p = 0.04), while mountain bicycling resulted in more iliac wing fractures (42.9% vs. 10.9%, p = 0.01). Road cycling injuries required more days in the hospital to clear PT (median difference 2, CI 0-4, p = 0.04) and had longer hospital stays (median difference 2, CI 0-6, p = 0.02) but had no difference in the rate of admission, operative intervention, or discharge to rehabilitation facilities.
The majority of pelvic ring injuries from road and mountain bicycling accidents were LC1 injuries that were frequently unstable and often required hospital admission and operative fixation.
本研究旨在比较道路和山地自行车事故中创伤性骨盆环损伤患者，以评估损伤类型和住院过程的差异。
回顾性分析 60 例道路（n=46）和山地（n=14）自行车事故后骨盆环损伤患者，比较患者/损伤特征和住院过程。
LC1 损伤是最常见的骨盆环损伤（n=31，51.7%），其中 38.7%（n=12）被认为不稳定，其次是孤立的髂骨翼（n=11，18.3%）、耻骨支（n=6，10.0%）和骶骨骨折（n=6，10.0%）。41 例（68.3%）患者需要住院治疗。中位住院 LOS 为 4 天（IQR 2-9），12 例（20%）患者接受手术治疗。道路自行车事故患者比山地自行车事故患者更可能为老年吸烟者，且在性别、体重指数和损伤严重程度评分方面相似。道路自行车事故导致更多的 LC1 损伤（58.7% vs. 28.6%，p=0.04），而山地自行车事故导致更多的髂骨翼骨折（42.9% vs. 10.9%，p=0.01）。道路自行车损伤需要更多的天数才能清除 PT（中位数差异 2，CI 0-4，p=0.04）和更长的住院时间（中位数差异 2，CI 0-6，p=0.02），但在入院率、手术干预或出院到康复设施方面没有差异。
道路和山地自行车事故中骨盆环损伤主要为 LC1 损伤，常不稳定，常需住院治疗和手术固定。
