Mountain biking injuries in rural England

Background-Off road mountain biking is now an extremely popular recreation and a potent cause of serious injury. Aim-To establish the morbidity associated with this sport. Methods-Data were collected prospectively over one year on all patients pre senting with an injury caused by either recreational or competitive off roa d mountain biking. Results-Eighty four patients were identified, 70 males and 14 females, with a mean age of 22.5 years (range 8-71). Most accidents occurred during the summer months, most commonly in August. Each patient had an average of 1.6 injuries (n 133) and these were divided into 15 categories, ranging from mi nor soft tissue to potentially life threatening. Operative intervention was indicated for 19 patients (23%) and several required multiple procedures. The commonest injuries were clavicle fractures (13%), shoulder injuries (12 %), and distal radial fractures (11%). However, of a more sinister nature, one patient had a C2/3 dislocation requiring urgent stabilisation, one requ ired a chest drain for a haemopneumothorax, and another required an emergen cy and life saving nephrectomy. Conclusion-This sport has recently experienced an explosion in popularity, and, as it carries a significant risk of potentially life threatening injur y across all levels of participation, the use of protective equipment to re duce this significant morbidity may be advisable.