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Acute injuries from mountain biking

T K Chow1, M D Bracker, K Patrick

  • 1Department of Emergency Medicine, Loma Linda University Medical Center, CA 92354.

The Western Journal of Medicine
|August 1, 1993
PubMed
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All-terrain bicycle riders experience frequent injuries, often to extremities, but head trauma is low due to high helmet use. Off-road cycling may lead to more injuries than regular cycling.

Area of Science:

  • Sports Medicine
  • Trauma Research
  • Public Health

Background:

  • All-terrain bicycles (ATBs) are increasingly popular for off-road recreation.
  • Understanding injury patterns in ATB use is crucial for safety interventions.
  • Previous research has not fully characterized ATB-specific injury profiles.

Purpose of the Study:

  • To investigate the incidence, types, and circumstances of injuries sustained by ATB riders.
  • To compare injury rates and severity between ATB users and regular bicyclists.
  • To identify factors associated with increased injury severity in ATB use.

Main Methods:

  • A survey was administered to members of two Southern California off-road bicycling organizations.
  • Data collected included riding habits, safety practices, injury details, and accident circumstances.

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  • 268 surveys (58.4% response rate) were analyzed from ATB cyclists aged 14-68.

    • Main Results:

    • 84% of respondents reported ATB-related injuries, with 51% injured in the past year.
    • Extremity injuries (abrasions, lacerations, fractures) were most common (90%).
    • High helmet use (88%) correlated with low head/neck trauma (12%); frequent riding on paved surfaces increased injury severity.

    Conclusions:

    • ATB cyclists sustain more frequent injuries than regular bicyclists, though not necessarily more severe.
    • High helmet usage is associated with reduced head and neck injuries.
    • Clinicians should anticipate changes in bicycling injury patterns due to ATB popularity.