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December 1987, Vol 141, No. 12 >
Article | December 1987

BMX Bicycle Injuries in Hemophiliacs FREE

David James Perry, MRCP(UK), MRCPath; Alan MacWhannell, MRCP(UK), MRCPath; Marian Gregory, RSCN
Am J Dis Child. 1987;141(12):1249. doi:10.1001/archpedi.1987.04460120011001.
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Sir.—We read with interest the recent editorials1,2 and article3 on bicycle injuries in children. We report an additional complication of this pursuit seen in hemophiliac patients attending the Birmingham Children's Hospital in England.

Patient Reports.—Over the 12 months preceding this report, four patients with severe hemophilia (VIII:C, <0.01 U/mL) presented with obscure perineal or adductor compartment hematomas. All four patients had recently acquired BMX bicycles as Christmas or birthday presents, and their "spontaneous" bleeds were associated with BMX bicycle usage. There was no other history of trauma. Restriction of BMX bicycle activities prevented recurrence of the lesions. Many of our hemophiliac patients have bicycles, but this particular injury is rare and has been seen only in BMX riders. This may be due in part to the design of the saddle and in part to the athletic nature of BMX bicycle riding.

Comment.—We would like

REFERENCES

1 +
Weiss BD:  Childhood bicycle injuries: What can we do? AJDC 1987;;141:135-136.
2 +
Allen CE, Borland SW:  Bicycle safety . AJDC 1987;;141:136-137.
3 +
Selbst SM, Alexander D, Ruddy R:  Bicycle-related injuries . AJDC 1987;;141:140-144.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Weiss BD:  Childhood bicycle injuries: What can we do? AJDC 1987;;141:135-136.
2 +
Allen CE, Borland SW:  Bicycle safety . AJDC 1987;;141:136-137.
3 +
Selbst SM, Alexander D, Ruddy R:  Bicycle-related injuries . AJDC 1987;;141:140-144.

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