Introduction:
The scalp is considered a mechanical barrier that prevents bruising and
provides an important aesthetic appearance. Scalp ruptures are uncommon
but serious. Severe traumatic injuries like dog bites, high-speed road
collusions, or industrial accidents can damage hair-bearing units and
may result in an avulsion of the whole layers of the scalp [1].
It is important to conduct a comprehensive examination of the body
before starting treatment. Some injuries will be fatal if left untreated
such as pleural effusion, pneumothorax, and intracranial haemorrhages.
Hypovolemic shock may be seen in such injuries and must be detected and
managed early by both blood and fluid administration [2].
Ruptures of the scalp are painful and difficult to treat. The most
successful and available therapeutic option is surgical replantation.
However, failure of this process leads to undesirable results such as
thermal wounds, infection, prolonged hospitalization period, and bad
cosmetic outcomes [3].
In this paper, we present a 10-year-old female that had her scalp
ruptured due to an electric bicycle accident. This rupture extended to
involve other structures. Such extended injury with its management and
outcome is a rare encounter in the literature.