Changes in the etiology of orbital fractures over 2011–2022: the role of age and electric bicycles
Year: 2025
Type: article
Study design: Observational Study
Abstract: PURPOSE: Traffic accidents are a common cause of orbital fractures. In The Netherlands, the number of traffic accidents as well as the use of electronic bicycles (e-bikes) is increasing. The aim of this study was to investigate changes in the etiology of orbital fractures, especially the role of e-bikes and population ageing. METHODS: A retrospective cohort study at the Leiden University Medical Center (LUMC) was performed to identify the causes of orbital fractures in a single center. Medical records of patients presenting with periorbital trauma in the period 2011-2022 were reviewed to identify patients with orbital fracture. For each year and for different age categories the number of fractures, and causes per year were analyzed. RESULTS: From 1099 patient records, 495 patients with orbital fracture were identified. We found a statistically significant increase of orbital fractures: 35 in 2012 and 82 in 2022. Most orbital fractures were caused by bicycle accidents (men 31%, women 44%). The highest increase in orbital fractures due to e-bikes was in patients aged between 50 and 75 years. CONCLUSION: The number of orbital fractures is increasing, especially orbital fractures due to e-bike accidents and mostly in patients aged 50 years and older.
Source: Orbit
Authors: Stijn W. van der Meeren, Larice S. Brand, Amir Zamanipoor Najafabadi, Rachel Kalmann, Luc van Vugt, Lou Brink, Irene C. Notting
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4411411658