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. 2016 Jun 29;5(3):e30011.
doi: 10.5812/atr.30011. eCollection 2016 Sep.

Effectiveness of Bicycle Safety Helmets in Preventing Facial Injuries in Road Accidents

Rebecca Stier  1 , Dietmar Otte  2 , Christian Müller  3 , Maximilian Petri  3 , Ralph Gaulke  3 , Christian Krettek  3 , Stephan Brand  3
Affiliations

Effectiveness of Bicycle Safety Helmets in Preventing Facial Injuries in Road Accidents

Rebecca Stier et al. Arch Trauma Res. .

Abstract

Background: The effectiveness of bicycle safety helmets in preventing head injuries is well- documented. Recent studies differ regarding the effectiveness of bicycle helmets in preventing facial injuries, especially those of the mid-face and the mandible.

Objectives: The present study was conducted to determine the protective effect of a bicycle helmet in preventing mid-face and mandibular fractures.

Patients and methods: Data from an accident research unit were analyzed to collect technical collision details (relative collision speed, type of collision, collision partner, and use of a helmet) and clinical data (type of fracture).

Results: Between 1999 and 2011, 5,350 bicycle crashes were included in the study. Of these, 175 (3.3%) had fractures of the mid-face or mandible. In total, 228 mid-face or mandibular fractures were identified. A significant correlation was found between age and relative collision speed, and the incidence of a fracture. While no significant correlation was found between the use of a helmet and the incidence of mid-facial fractures, the use of a helmet was correlated with a significantly increased incidence of mandibular fractures.

Conclusions: Higher age of cyclists and increasing speed of the accident opponent significantly increase the likelihood of sustaining facial fractures. The use of bicycle helmets does not significantly reduce the incidence of mid-facial fractures, while being correlated with an even increased incidence of mandibular fractures.

Keywords: Bicycle Helmet; Bicyclist; Facial Injury; Mandibular Fracture; Mid-face Fracture.

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Figures

Figure 1.
Figure 1.. Rates of Frequent Bicycle Helmet Users from 2000 to 2011, Mean 9.8% (GIDAS)
Figure 2.
Figure 2.. Location of Fracture (%) of All 228 Facial Fractures Based on 175 Patients
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