Unterschiedliche Hauptverletzungszonen des schwerverletzten Zweiradfahrers@@@Different injury regions of severely injured bicyclists and motorcyclists

The incidence of severely injured bicyclists and motorcyclists is nearly the same; however the pattern of injuries seems to vary. The aim of this retrospective study was to differentiate the pattern of injuries in these two collectives of severely injured two-wheeled drivers.Over a period of 80 months, we recorded all injuries of severely injured bicyclists and motorcyclists (Injury Severity Score [ISS] a parts per thousand yenaEuro parts per thousand 16) after admission in our emergency room. Documentation was performed after diagnostics were completed. Prior to beginning the study, we defined injury regions to which the individual injuries were assigned.There were 33 bicyclists with a mean ISS of 30.8 +/- 14.5 and 202 injuries compared to 19 motorcyclists with a mean ISS of 33.4 +/- 17.3 and 96 injuries. Injuries of the head were significantly more common in bicyclists (p < 0.001). Especially injuries of the brain led to this difference. In motorcyclists, fractures led to significant differences in the regions of the upper and lower extremities (p < 0.001). Injuries of the thorax, spine, abdomen, pelvis and other injury consequences were not significantly different.The most relevant injury region of severely injured bicyclists was the head, whereas extremity injuries were the most frequent reason for classification as "severely injured" (ISS a parts per thousand yenaEuro parts per thousand 16) in severely injured motorcyclists.