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. 1993 Aug;159(2):145–148.

Acute injuries from mountain biking.

T K Chow 1, M D Bracker 1, K Patrick 1
PMCID: PMC1022220  PMID: 8212679

Abstract

We questioned members of 2 southern California off-road bicycling organizations about injuries associated with the use of all-terrain bicycles. Cyclists were asked about riding and safety habits, the kind(s) of injury sustained with their most recent accident and whether they sought medical treatment, and the circumstances of the accident. Of 459 mailed surveys, 268 (58.4%) were returned. Respondents (82.8% of whom were male) ranged in age from 14 to 68 years. Of these, 225 (84%) had been injured while riding all-terrain bicycles, 51% in the past year. Although most injuries were characterized as minor, 26% required professional medical care, and 4.4% of those injured were admitted to hospital. Extremity injuries--abrasions, lacerations, contusions--occurred in 201 (90%) cyclists with 27 (12%) sustaining a fracture or dislocation. High levels of helmet use (88%) may explain the low occurrence of head and neck trauma (12%). Frequent riding and riding on paved terrain were associated with increased severity of injury, although most accidents--197 (87.6%)--occurred off paved roads. These results suggest that, compared with regular bicyclists, all-terrain cyclists have more, but not necessarily more severe, injuries. Clinicians and emergency medical personnel should be aware that the increasing popularity of off-road cycling may change the frequency and nature of bicycling injuries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Belongia E., Weiss H., Bowman M., Rattanassiri P. Severity and types of head trauma among adult bicycle riders. Wis Med J. 1988 Jan;87(1):11–14. [PubMed] [Google Scholar]
  2. Cushman R., Down J., MacMillan N., Waclawik H. Bicycle-related injuries: a survey in a pediatric emergency department. CMAJ. 1990 Jul 15;143(2):108–112. [PMC free article] [PubMed] [Google Scholar]
  3. DiGuiseppi C. G., Rivara F. P., Koepsell T. D., Polissar L. Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989 Oct 27;262(16):2256–2261. [PubMed] [Google Scholar]
  4. Fife D., Davis J., Tate L., Wells J. K., Mohan D., Williams A. Fatal injuries to bicyclists: the experience of Dade County, Florida. J Trauma. 1983 Aug;23(8):745–755. [PubMed] [Google Scholar]
  5. Fullerton L., Becker T. Moving targets: bicycle-related injuries and helmet use among university students. J Am Coll Health. 1991 Mar;39(5):213–217. doi: 10.1080/07448481.1991.9936237. [DOI] [PubMed] [Google Scholar]
  6. Guichon D. M., Myles S. T. Bicycle injuries: one-year sample in Calgary. J Trauma. 1975 Jun;15(6):504–506. [PubMed] [Google Scholar]
  7. Kiburz D., Jacobs R., Reckling F., Mason J. Bicycle accidents and injuries among adult cyclists. Am J Sports Med. 1986 Sep-Oct;14(5):416–419. doi: 10.1177/036354658601400516. [DOI] [PubMed] [Google Scholar]
  8. Kraus J. F., Fife D., Conroy C. Incidence, severity, and outcomes of brain injuries involving bicycles. Am J Public Health. 1987 Jan;77(1):76–78. doi: 10.2105/ajph.77.1.76. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kruse D. L., McBeath A. A. Bicycle accidents and injuries. A random survey of a college population. Am J Sports Med. 1980 Sep-Oct;8(5):342–344. doi: 10.1177/036354658000800509. [DOI] [PubMed] [Google Scholar]
  10. Maring W., van Schagen I. Age dependence of attitudes and knowledge in cyclists. Accid Anal Prev. 1990 Apr;22(2):127–136. doi: 10.1016/0001-4575(90)90064-r. [DOI] [PubMed] [Google Scholar]
  11. O'Rourke N. A., Costello F., Yelland J. D., Stuart G. G. Head injuries to children riding bicycles. Med J Aust. 1987 Jun 15;146(12):619–621. doi: 10.5694/j.1326-5377.1987.tb120439.x. [DOI] [PubMed] [Google Scholar]
  12. Sgaglione N. A., Suljaga-Petchel K., Frankel V. H. Bicycle-related accidents and injuries in a population of urban cyclists. Bull Hosp Jt Dis Orthop Inst. 1982 Spring;42(1):80–91. [PubMed] [Google Scholar]
  13. Thompson R. S., Rivara F. P., Thompson D. C. A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989 May 25;320(21):1361–1367. doi: 10.1056/NEJM198905253202101. [DOI] [PubMed] [Google Scholar]
  14. Tucci J. J., Barone J. E. A study of urban bicycling accidents. Am J Sports Med. 1988 Mar-Apr;16(2):181–184. doi: 10.1177/036354658801600216. [DOI] [PubMed] [Google Scholar]
  15. Wasserman R. C., Buccini R. V. Helmet protection from head injuries among recreational bicyclists. Am J Sports Med. 1990 Jan-Feb;18(1):96–97. doi: 10.1177/036354659001800116. [DOI] [PubMed] [Google Scholar]
  16. Wasserman R. C., Waller J. A., Monty M. J., Emery A. B., Robinson D. R. Bicyclists, helmets and head injuries: a rider-based study of helmet use and effectiveness. Am J Public Health. 1988 Sep;78(9):1220–1221. doi: 10.2105/ajph.78.9.1220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Worrell J. BMX bicycles: accident comparison with other models. Arch Emerg Med. 1985 Dec;2(4):209–213. doi: 10.1136/emj.2.4.209. [DOI] [PMC free article] [PubMed] [Google Scholar]

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