Despite still growing attraction mountain biking as a matter of sports trau
matology still lacks relevant data based on large cross-sectional surveys.
To obtain an overview of risk factors, types, and main body sites of injuri
es occurring in mountain biking we assessed the results of a questionnaire
answered by 3873 athletes. A total of 8133 single lesions were reported by
3474 athletes, 36% of whom regularly participated in competitions. The inci
dence of injuries in mountain biking is comparable to that in other outdoor
sports, the majority of injuries being minor. Mountain biking athletes wer
e found to have an overall injury risk rate of 0.6% per year and 1 injury p
er 1000 h of biking. The main risk factors included slippery road surface,
cyclist's poor judgement of the situation, and excessive speed, representin
g personal factors that could be altered by preventive measures. Of all inj
uries 14% were due to collision with some part of the bike, especially the
pedals and the handlebar. While 75% of the injuries were minor, such as ski
n wounds and simple contusions, 10% were so severe that hospitalization was
required. A breakdown of the injuries according to body site and frequency
of occurrence is presented.