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Mountain Biking Injuries Requiring Trauma Center Admission: A 10-year Regional Trauma System Experience

Kim, Peter T. W. MD; Jangra, Dalbhir MD; Ritchie, Alec H. MD, CCFP(EM); Lower, Mary Ellen BFPA; Kasic, Sharon CCHRA(C); Brown, D Ross MD, FRCSC, FACS; Baldwin, Greg A. MD, FRCPC; Simons, Richard K. MB, BChir, FRCSC, FACS

The Journal of Trauma: Injury, Infection, and Critical Care: February 2006 - Volume 60 - Issue 2 - p 312-318
doi: 10.1097/01.ta.0000202714.31780.5f
Original Articles

Background: Mountain biking has become an increasingly popular recreational and competitive sport with increasingly recognized risks. The purpose of this study was to review a population based approach to serious injuries requiring trauma center admission related to mountain biking, identify trends and develop directions for related injury prevention programs.

Methods: Three trauma centers in the Greater Vancouver area exclusively serve a major mountain bike park and the North Shore Mountains biking trails. The Trauma Registries and the patient charts were reviewed for mountain bike injuries from 1992 to 2002. The data were analyzed according to demographics, distribution, and severity of injuries, and need for operative intervention. Findings were reviewed with injury prevention experts and regional and national mountain-biking stakeholders to provide direction to injury prevention programs.

Results: A total of 1,037 patients were identified as having bicycling-related injuries. Of these, 399 patients sustained 1,092 injuries while mountain biking. There was a threefold increase in the incidence of mountain biking injuries over a 10-year period. Young males were most commonly affected. Orthopedic injuries were most common (46.5%) followed by head (12.2%), spine (12%), chest (10.3%), facial (10.2%), abdominal (5.4%), genitourinary (2.2%), and neck injuries (1%). High operative rate was observed: 38% of injuries and 66% of patients required surgery. One patient died from his injuries. Injury prevention programs were developed and successfully engaged the target population.

Conclusion: Mountain biking is a growing cause of serious injuries. Young males are principally at risk and serious injuries result from intended activity and despite protective equipment. Injury prevention programs were developed to address these concerns.

From the Trauma Services, Department of Surgery, University of British Columbia (P.T.W.K., D.J., D.R.B., R.K.S.); Departments of Emergency Medicine, Lion's Gate Hospital (A.H.R.) and BC Children's Hospital (G.A.B.), BC Injury Prevention Centre (M.E.L.); and BC Trauma Registry (S.K.).

Submitted for publication July 19, 2005.

Accepted for publication December 16, 2005.

Presented at the Annual Scientific Meeting of the Trauma Association of Canada, April 6–9, 2005, Whistler, British Columbia, Canada.

Address for Reprints: Dr. Richard K. Simons, Trauma Services, 855 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada; email:

© 2006 Lippincott Williams & Wilkins, Inc.