Bicycle impalement: A case series of penetrating handlebar injuries

While rare, prompt recognition, evaluation and treatment of penetrating handlebar injuries in the pediatric population is imperative to improving clinical outcomes. Immediate evaluation includes patient's immunization status, decision to obtain imaging and operative intervention when indicated. Post-operative prophylactic antibiotics are not mandatory in cases of complete foreign body removal. Review of a larger number of penetrating handlebar cases could be pursued to further delineate best-practice protocols for this population.