The objectives of this study were to describe bicycle-related injuries
in relation to injury patterns, age, gender and medical treatment in
a defined Swedish population and to identify factors contributing to i
njury. The study group comprised all patients living in the county of
Vastmanland, Sweden, visiting a physician or dentist because of bicycl
e-related injury during one year (November 1989-October 1990). Cyclist
s were mostly injured on pavements, pedestrian malls and cycle tracks.
Twenty percent of the events occurred on public roads in urban areas;
most frequently, the injured were in the age range 0-24. The most com
mon bicycle injury event involved no other party. The events were ofte
n caused by environmental factors, in combination with behaviour such
as excessive speed, lack of attention, breach of traffic regulations o
r a co-ordination problem. Head injuries, including oral injuries, wer
e the most common, in particular among children and adolescents. One i
n four children in the age range 0-9 sustained an oral injury. (C) 199
7 Elsevier Science Ltd.