Heel flap injuries in motorcycle accidents.

Thirteen cases of heel flap injuries following motorcycle spoke accidents have been analysed. The injuries have been graded into three Grades (I, II and III) depending upon the severity and extent of the injury to the foot. The different forms of management are outlined. Most of the injuries have been confined to the right side because of poor assembly of the rear wheel of the motorcycle. Inadequate footwear is a contributory factor. It is urged that protective footwear be made compulsory for both the driver and the pillion passenger. Changes should also be made in the design of the rear wheels of motorcycles.