Fig. 2

Mechanism of scarf injury and clinical presentation. (A) Visual presentation of the traditional scarf worn by a female. The red circles visualize the ends of the scarf that can slide into the gap in the easy bike and cause strangulation (B) Visualization of the Easy Bike. A red box delineates the gap between the passenger and driver seats where the scarf is caught and pulled into the driveshaft. (C) Ligature mark, present in 90% of scarf injury patients, from the forceful pull. (D) X-ray of the head and neck. A case with complete lesion (i.e., severing of the spinal cord) is pictured