Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The physician needs to maintain a high level of suspicion for growth plate injuries because if unrecognized, these may result in growth arrest. Although the vast majority of pediatric upper-extremity fractures will heal rapidly with minimal intervention, physicians should be aware of the complications that can arise from these injuries.

Introduction: Bicycling is a common recreational activity amongst American children. Bicycles are associated with more childhood injuries than any other consumer product except the automobile. Case Report: We present a case of a 10-year-old girl sustaining significant morbidity secondary to penetrating handlebar injury and give a review of literature on common handlebar injuries. Conclusion: We present a very unusual type of bicycle related injury but more importantly we hope to focus the attention to an often overlooked injury associated with bicycles, i.e., the handlebars.

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