All children's bicycles sold in the UK to have handlebar plugs fitted.

Bicycle handlebar trauma has been well documented in children. Spleen, liver, pancreatic lacerations and renal injuries are the most commonly traumatized sites. Other reported injuries are traumatic abdominal wall hernias and ruptures, aortic rupture, transection of the common bile duct, traumatic arterial occlusion, and groin injuries Presumably, the handlebar of a typical child's bicycle acts as a spear, concentrating what may be a relatively small amount of energy into a focal point of injury.