E2080. Taken for a Ride: A Review of Mechanisms and Types of Bicycle Related Injuries
  1. Jennifer Wu; Westchester Medical Center
  2. Michael Frohlinger; New York Medical College
  3. Edison Tsui; New York Medical College
  4. Perry Gerard; New York Medical College
  5. Pierre Yves Sonke; New York Medical College
Cycling is both a popular recreational activity and a competitive sport in the United States for most age groups. However, bicycle riding can result in significant injuries and at times mortality. The combined medical and productivity related costs related to fatal and non-fatal crashes were calculated to be approximately ten-billion dollars, and with nearly 1000 deaths in the United States alone.

Educational Goals / Teaching Points
It is important for radiologists to recognize the type of injuries that can occur with cycling related accidents, the mechanism of such injuries, and the associated radiographic characteristics. We present an educational case review for a series of cycling-related trauma cases at our level 1 trauma center.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
There are two main types of traumatic crashes related to cycling, the most common include falling off the bicycle, to more serious injuries involving other motorized vehicles. High-velocity trauma can lead to fractures involving the skull, face, extremities and pelvis. Additionally, more life-threatening injuries including intracranial hemorrhage, or visceral trauma involving the spleen, liver and bowel are also observed.

Recognizing the patterns and mechanisms of bicycle injuries can help greatly with the diagnostic workup and address potential follow complications associated with these injuries.