Both motorcyclists and cyclists can sustain spoke injuries if not wearing the proper footwear. Bicyclists get more spoke injuries than motorcyclists because two riders will often ride on a vehicle meant for one person. The rider on a motorcyclist is also at risk for spoke injuries if he or she is riding behind the driver.
The heel is the part of the body most injured in spoke injuries. In one study, 42 patients who had sustained a spoke injury received a heel flap to repair their spoke injury. These were selected from among 216 patients, all who sustained some type of lower extremity injury. The researchers graded the injuries from Class l-lll, depending on the extent of the injury and on its severity. The classification of the injury determined the treatment.