TY - JOUR
T1 - Bicycle-related shoulder injuries
T2 - Etiology and the need for protective gear
AU - Goldstein, Yariv
AU - Dolkart, Oleg
AU - Kaufman, Ehud
AU - Amar, Eyal
AU - Sharfman, Zachary T.
AU - Rath, Ehud
AU - Mozes, Gavriel
AU - Maman, Eran
N1 - Publisher Copyright:
© 2016 Israel Medical Association.
PY - 2016/1
Y1 - 2016/1
N2 - Background: The popularity of bicycle riding for recreation, exercise and transportation has grown enormously in recent years, which has led to an increased incidence of bicyclerelated injuries. While these injuries involve mainly the musculoskeletal system, data on shoulder-specific injuries incurred while bike riding are lacking. Classifying these shoulder injuries may provide insight and assistance in the creation and implementation of effective protective gear and measures. Objectives: To investigate the types and mechanisms of shoulder injuries among cyclists. Methods: This study retrospectively examined all cyclists who incurred shoulder injuries while riding and were admitted to the emergency department and shoulder clinic between January 2008 and November 2013. The study included 157 subjects with various bicycle-related shoulder injuries treated with either conservative or surgical measures. Results: Eighty-four percent of injuries were caused by a direct blow to the shoulder, 7% by falling on an outstretched hand, 6% were traction injuries, and 3% were due to hyperabduction. Nine different clinical types of injury were observed; the most common injuries were clavicle fractures (32%), followed by acromioclavicular joint dislocations (22%), rotator cuff tears (22%), and humeral fractures (8%). Fifty-one percent of subjects were managed with conservative care and the remaining patients required surgical interventions. Conclusions: Shoulder injuries incurred while riding a bicycle span the entire spectrum of shoulder injuries and often result in debilitating conditions. Although the use of helmets is increasing, there is currently no effective protective gear or measures to prevent riders from suffering shoulder injuries.
AB - Background: The popularity of bicycle riding for recreation, exercise and transportation has grown enormously in recent years, which has led to an increased incidence of bicyclerelated injuries. While these injuries involve mainly the musculoskeletal system, data on shoulder-specific injuries incurred while bike riding are lacking. Classifying these shoulder injuries may provide insight and assistance in the creation and implementation of effective protective gear and measures. Objectives: To investigate the types and mechanisms of shoulder injuries among cyclists. Methods: This study retrospectively examined all cyclists who incurred shoulder injuries while riding and were admitted to the emergency department and shoulder clinic between January 2008 and November 2013. The study included 157 subjects with various bicycle-related shoulder injuries treated with either conservative or surgical measures. Results: Eighty-four percent of injuries were caused by a direct blow to the shoulder, 7% by falling on an outstretched hand, 6% were traction injuries, and 3% were due to hyperabduction. Nine different clinical types of injury were observed; the most common injuries were clavicle fractures (32%), followed by acromioclavicular joint dislocations (22%), rotator cuff tears (22%), and humeral fractures (8%). Fifty-one percent of subjects were managed with conservative care and the remaining patients required surgical interventions. Conclusions: Shoulder injuries incurred while riding a bicycle span the entire spectrum of shoulder injuries and often result in debilitating conditions. Although the use of helmets is increasing, there is currently no effective protective gear or measures to prevent riders from suffering shoulder injuries.
KW - Bicycle
KW - Clavicle fractures
KW - Protective gear
KW - Shoulder injuries
UR - http://www.scopus.com/inward/record.url?scp=84956934699&partnerID=8YFLogxK
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C2 - 26964275
AN - SCOPUS:84956934699
SN - 1565-1088
VL - 18
SP - 23
EP - 26
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 1
ER -