@article{ref1,
title="Pediatric hand injuries due to exercise bicycles",
journal="Journal of trauma",
year="1997",
author="Osterman, A. L. and Lee, Brian and Partington, M. T. and Bozentka, D. J. and Lehrer, M. S.",
volume="43",
number="1",
pages="100-102",
abstract="METHODS: This is a 5-year retrospective review of hand injuries caused by exercise bicycles among 34 children. RESULTS: Mean age was 3 years and 5 months. Accidents were caused most commonly by impingement of the fingers between the chain and sprocket wheel (77%), but injuries caused by spinning wheel spokes (23%) were generally more severe. Injuries were usually of the avulsion type and ranged in severity from lacerations (43%) to fractures (19%) to amputations (38%). The central digits (87%) were involved more frequently than the border digits (13%). Replantation was possible for 33% of the amputated digits, with 50% of the fingers surviving. CONCLUSION: The avulsive nature of these injuries should be taken into consideration when attempting replantation. Increased community awareness and equipment safety modifications are needed to eliminate this preventable problem.",
language="",
issn="0022-5282",
doi="",
url="http://dx.doi.org/"
}