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Updated: May 5, 2026

Induction and Assessment of Exertional Skeletal Muscle Damage in Humans
Published on: December 11, 2016
Unique obstacle race injuries at an extreme sports event: a case series
Marna Rayl Greenberg1, Pamela H Kim1, Robert T Duprey1
1Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, PA.
Abstract:
Obstacle course endurance events are becoming more common. Appropriate preparedness for the volume and unique types of injury patterns, as well as the effect on public health these events may cause, has yet to be reported in emergency literature. We describe 5 patients who presented with diverse injuries to illustrate the variety of injuries sustained in this competitive event. In particular, 4 of the patients had a history of contact with electrical discharge, an obstacle distinctive to the Tough Mudder experience.
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