Based on a population of 122 severely injured patients the causes of p
aragliding accidents and the patterns of injury are analyzed. A questi
onnaire is used to establish a sport-specific profile for the paraglid
ing pilot. The lower limbs (55.7%) and the lower parts of the spine (4
5.9%) are the most frequently injured parts of the body. There is a hi
gh risk of multiple injuries after a single accident because of the tr
emendous axial power. The standard of equipment is good in over 90% of
the cases. Insufficient training and failure to take account of geogr
aphical and meteorological conditions are the main determinants of acc
idents sustained by paragliders, most of whom are young. Nevertheless,
80% of our patients want to continue paragliding. Finally some advice
is given on how to prevent paragliding accidents and injuries.