title: Incidence and aetiology of acute injuries during competitive road cycling.
abstract: BACKGROUND
  Despite the ever-increasing popularity of bicycle racing, the high perceived risk of acute injuries and the recent media attention, studies of acute injuries in road cyclists are rather scarce. The goal of this study is to evaluate the incidence, aetiology and patterns of acute injuries in non-professional competitive road cyclists during cycling races in Flanders.
  
  
  METHODS
  All acute injuries that occurred during competition in Flanders in 2002 and 2012, collected in the injury registry, were analysed. The incidence, injury rate, diagnosis, circumstances and level of performance were evaluated.
  
  
  RESULTS
  A total of 777 documented reports of accidents (1230 injuries) were retrieved for the years 2002 and 2012. There was no significant difference between incidence and injury rate between 2002 and 2012. There was a strong significant difference in the incidence between the different levels of performance in both seasons. Severe injuries were seen in 29.5% in 2002 and in 30.1% in 2012. The most common location of a severe injury was the hand. Collision with another rider was the most common cause of injury.
  
  
  CONCLUSIONS
  Almost 1 out of 6 non-professional competitive road cyclists had an accident during cycling races in 2002 and 2012 in Flanders and collision with other riders was the most important cause of a crash. The most common lesion was abrasion, but almost one out of three riders had a severe injury.
authors.affiliation: Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Decock
authors.affiliation: Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
authors.forename: Lieven
authors.initials: L
authors.lastname: De Wilde
authors.affiliation: Physical and Rehabilitation Medicine, Sports Medicine Centre, Ghent University Hospital, Belgium.
authors.forename: Luc
authors.initials: L
authors.lastname: Vanden Bossche
authors.affiliation: Physical and Rehabilitation Medicine, Sports Medicine Centre, Ghent University Hospital, Belgium.
authors.forename: Adelheid
authors.initials: A
authors.lastname: Steyaert
authors.affiliation: Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
authors.forename: Alexander
authors.initials: A
authors.lastname: Van Tongel
mesh_terms: D056352:Athletes; D001265:Athletic Injuries / Q000453:epidemiology* / Q000209:etiology*; D001530:Belgium / Q000453:epidemiology; D001642:Bicycling / Q000293:injuries*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male
keywords: Cycling; Epidemiology; Injury; Sporting injuries; Trauma