Plain radiography in XXXX with spoke @entity130 : A retrospective cohort study.

@entity1 @entity174 @entity130
BACKGROUND AND PURPOSE: @entity130 ( @entity130 ) mostly occurs in @entity1 as a result of entrapment of the leg in the bicycle spokes. No guideline or protocol exists that defines what type of radiography is indicated to diagnose or rule out a @entity174 commonly associated with these injuries. The aim of this study was (1) to evaluate the type of radiographs that are obtained in @entity1 with @entity130 , (2) to assess in which anatomical regions @entity174 occur and (3) to evaluate on which radiographs a @entity174 can be detected in @entity1 with @entity130 . @entity1 AND METHODS: A retrospective cohort study was performed in paediatric @entity1 presenting at the Emergency Department (ED) of a university hospital with a paediatric surgery department between June 2008 and December 2013. RESULTS: In 99 of the 320 @entity1 (31.4%) evaluated with radiography following @entity130 a @entity174 was diagnosed. In almost two third of the @entity1 (63%) radiographic imaging of two or more anatomical regions was performed. In 98 @entity1 (99%) the @entity174 was located at the distal tibia or fibula. All @entity174 were diagnosed on a radiograph of the ankle or lower leg (including the ankle region). No @entity174 of the foot were diagnosed. CONCLUSION: We suggest that in @entity1 with a clinical suspicion of a @entity174 at the ankle region, in which no @entity174 is seen at the radiograph of the ankle, no additional radiographs are necessary.
