title: Mountain biking injuries in rural England.
abstract: BACKGROUND
  Off road mountain biking is now an extremely popular recreation and a potent cause of serious injury.
  
  
  OBJECTIVE
  To establish the morbidity associated with this sport.
  
  
  METHODS
  Data were collected prospectively over one year on all patients presenting with an injury caused by either recreational or competitive off road 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 minor 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 required a chest drain for a haemopneumothorax, and another required an emergency and life saving nephrectomy.
  
  
  CONCLUSIONS
  This sport has recently experienced an explosion in popularity, and, as it carries a significant risk of potentially life threatening injury across all levels of participation, the use of protective equipment to reduce this significant morbidity may be advisable.
authors.affiliation: Trauma Unit, Orthopaedic Surgery Department, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, UK. lee.jeys@btclick.com
authors.forename: L M
authors.initials: LM
authors.lastname: Jeys
authors.forename: G
authors.initials: G
authors.lastname: Cribb
authors.forename: A D
authors.initials: AD
authors.lastname: Toms
authors.forename: S M
authors.initials: SM
authors.lastname: Hay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001642:Bicycling / Q000293:injuries*; D002648:Child; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012423:Rural Health / Q000706:statistics & numerical data*; D019876:Sports Equipment