Sideswipe Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report
Vol 7 | Issue 2 | July-December 2021 | page: 12-14 | Devender Kasotya, Nishant Bhatia, Rajeev Yadav, Dhananjay Sabat
Author: Devender Kasotya , Nishant Bhatia , Rajeev Yadav , Dhananjay Sabat 
 Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
Address of Correspondence
Dr. Nishant Bhatia,
Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
Introduction: Sideswipe injury is often described as a complex elbow injury occurring when the elbow rests on a side bar of the window of a vehicle and is then impacted by another vehicle travelling in the same or opposite direction. Side swipe injury to the leg is uncommon. Although the term side swipe is mostly used for elbow injuries, we came across a case of open comminuted fibular fracture of right leg resulting from side swipe while travelling in a tricycle.
Case Presentation: A 27-year-old male presented to us after sustaining an injury to his right leg while he was travelling in a tricycle with his right leg protruding out. There was an open wound of size 20 cm x 10 cm on lateral aspect of the middle one-third of his right leg and x-rays revealed a comminuted fracture of mid shaft of fibula. He was managed with debridement, vacuum assisted closure (VAC) dressing, split thickness skin grafting and plaster immobilization. At one year follow-up, the patient had excellent function in the leg with no activity limitation and just a minor loss of power in eversion.
Conclusion: Sideswipe injury of the leg is an infrequently reported entity and can occur if the leg is protruding out while riding in a tricycle (autorickshaw).
Keywords: Leg, Sideswipe injury, Tricycle related injury.
1. Sharma M, Singh K, Kumar L, Kharbanda Y. Sideswipe injuries around the elbow: Management and functional evaluation. Indian J Orthop. 2013;47:382-387. https://doi.org/10.4103/0019-5413.114923.
2. Highsmith LS, Phalen GS. Sideswipe fractures. Arch Surg. 1946;52:513-522. https://doi.org/10.1001/archsurg.1946.01230050521001. 3. Bain GI. A review of complex trauma to the elbow. Aust N Z J Surg. 1999;69:578-581. https://doi.org/10.1046/j.1440-1622.1999.01635.x.
4. Simpson NS, Jupiter JB. Complex fracture patterns of the upper extremity. Clin Orthop Relat Res. 1995;318:43-53.
5. Schmucker U, Dandona R, Kumar GA, Dandona L. Crashes involving motorized rickshaws in Urban India: Characteristics and injury patterns. Injury. 2011;42:104-111. https://doi.org/10.1016/j.injury.2009.10.049.
6. Oyewole OA, Oladiran AB, Ogunrewo TO, Omoyeni RA. Sideswipe injury of the knee: The new face of an old foe? Niger Med J. 2020;61:288-290. https://doi.org/10.4103/nmj.nmj_156_19.
7. Jalihal SA, Reddy TS. CNG: An alternative fuel for public transport. J Sci Ind Res. 2006;65(5):426-431.
8. Majumdar D, Jash T. Merits and challenges of e-rickshaw as an alternative form of public road transport system: a case study in the state of West Bengal in India. Energy Procedia. 2015;79:307-314. https://doi.org/10.1016/j.egypro.2015.11.492.
9. Dandona R, Mishra A. Deaths due to road traffic crashed in Hyderabad city in India: Need for strengthening surveillance. Natl Med J India. 2004;17:67-72.
10. Dandona R, Kumar GA, Dandona L. Traffic law enforcement in Hyderabad, India. Int J Inj Contr Saf Promot. 2005;12(3):167-176. https://doi.org/10.1080/17457300500088840.
|How to Cite this article: Kasotya D, Bhatia N, Yadav R, Sabat D Side Swipe | Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report | July-December 2021; 7(2): 12-14.|