Mountain biking injuries in children and adolescents

Sports Medicine

Volumn 40, Issue 1, 2010, Pages 77-90

  Aleman, Kylee B ^a   Meyers, Michael C ^a,b  

^a WEST TEXAS A AND M UNIVERSITY   (United States)

^b MONTANA STATE UNIVERSITY   (United States)

Author keywords

Adolescents; Children; Cycling; Sports injuries

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ARM INJURY; CONTUSION; ENVIRONMENTAL FACTOR; EQUIPMENT; FATIGUE; FITNESS; FRACTURE DISLOCATION; HEAD AND NECK INJURY; HEALTH EDUCATION; HIP INJURY; HUMAN; LEG INJURY; MALADJUSTMENT; MEDICAL CARE; MEDICAL DOCUMENTATION; MOUNTAIN BIKING IJURY; MUSCLE STRAIN; REPETITIVE STRAIN INJURY; REVIEW; RISK FACTOR; SKIN ABRASION; SPORT INJURY; TRAINING; VELOCITY;

ADOLESCENT; ATHLETIC INJURIES; BICYCLING; CHILD; FEMALE; HUMANS; INCIDENCE; MALE; UNITED STATES; WOUNDS AND INJURIES;

EID: 72849109033     PISSN: 01121642     EISSN: 11792035     Source Type: Journal    
DOI: 10.2165/11319640-000000000-00000     Document Type: Review

References (101)

1. Carmont MR. Mountain biking injuries: a review. Br Med Bull 2008; 85: 101-112
2. Frauscher F, Klauser A, Hobisch A, et al. Subclinical microtraumatisation of the scrotal contents in extreme mountain biking. Lancet 2000; 356 (9239): 1414 (Pubitemid 30800217)
3. Chow TK, Kronisch RL. Mechanisms of injury in competitive off-road bicycling. Wilderness Environ Med 2002; 13: 27-30
4. Kim PTW, Jangra D, Ritchie AH, et al. Mountain biking injuries requiring trauma centre admission. J Trauma 2006; 60: 312-318
5. Jeys LM, Cribb G, Toms AD, et al. Mountain biking injuries in rural England. Br J Sports Med 2001; 35: 197-199
6. Nehoda H, Hochleitner K, Hourmont K, et al. Central liver hematomas caused by mountain-bike crashes. Injury 2001; 32 (4): 285-287
7. Bicycle Wholesale Distributors Association. Sales report. Washington, DC: Bicycle Federation of America, 1990
8. Impellizzeri FM, Marcora SM. The physiology of mountain biking. Sports Med 2007; 37 (1): 59-71
9. Chow T, Bracker M, Patrick P. Acute injuries from mountain biking. West J Med 1993; 156 (2): 145-148
10. Meyers MC, Laurent Jr CM, Higgins RW, et al. Downhill ski injuries in children and adolescents. Sports Med 2007; 37 (6): 485-99 USA Cycling. Colorado Springs (CO): USA Cycling, 2001
11. Fountain JL, Meyers MC. Skateboarding injuries. Sports Med 1996; 22 (6): 360-366
12. Rivara FP, Thompson DC, Thompson RD, et al. Injuries involving off-road cycling. J Fam Pract 1997; 44 (5): 481-485
13. Kronisch RL, Pfeffier RP, Chow TK, et al. Gender differences in acute mountain bike racing injuries. Clin J Sport Med 2002; 12 (3): 158-164
14. Gaulrapp H, Weber A, Rosemeyer B. Injuries in mountain biking. Knee Surg Sports Traumatol Arthrosc 2001; 9: 48-53
15. Mitterberger M, Pinggera GM, Neuwirt H, et al. Do mountain bikers have a higher risk of scrotal disorders than on-road cyclists? Clin J Sport Med 2008; 18 (1): 49-54
16. Kronisch RL, Pfeiffer RP. Mountain biking injuries: an update. Sports Med 2002; 32: 523-527
17. Pfeiffer RP. Off-road bicycle racing injuries: the NORBA pro/elite category. Clin Sports Med 1994; 13 (1): 201-217
18. Kronisch RL, Pfeiffer RP, Chow TK. Acute injuries in cross country and downhill off-road bicycle racing. Med Sci Sports Exerc 1996; 28 (11): 1351-1355
19. Pfeiffer RP, Kronisch RL. Off-road cycling injuries: an overview. Sports Med 1995; 19 (5): 311-325
20. International Olympic Committee. The Games of the XXXVIII Olympiad mountain bike official results book. Lausanne: International Olympic Committee, 2000
21. Van Mechelen W, Hlobil H, Kemper HCG. Incidence, severity, aetiology and prevention of sports injuries: a review of concepts. Sports Med 1992; 14 (2): 82-99
22. Walter SD, Sutton JR, McIntosh JM, et al. The aetiology of sports injuries: a review of methodologies. Sports Med 1985; 2 (1): 47-58
23. Wilkins KE, Aroojis AJ. The present status of children's fractures. In: Beaty JH, Kasser JR, editors. Rockwood and Wilkins' fractures in children. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 13-15
24. Kronisch RL, Rubin AL. Traumatic injuries in off-road bicycling. Clin J Sport Med 1994; 4: 240-244
25. Acton CHC, Thomas S, Nixon JW, et al. Children and bicycles: what is really happening? Studies of fatal and non-fatal bicycle injury. Inj Prev 1995; 1 (2): 86-91
26. Jacobson GA, Blizzard L, Dwyer T. Bicycle injuries: road trauma is not the only concern. Aust NZ J Public Health 1998; 22 (4): 451-455
27. Frauscher F, Klauser A, Stenzl A, et al. US findings in the scrotum of extreme mountain bikers. Radiology 2001; 219 (2): 427-431
28. Cushman R, Down J, MacMillan N, et al. Bicycle-related injuries: a survey in pediatric emergency department. Can Med Assoc J 1990; 143 (2): 108-112
29. Bentley T, Macky K, Edwards J. Injuries to New Zealanders participating in adventure tourism and adventure sports: an analysis of Accident Compensation Corporation (ACC) claims. NZ Med J 2006; 119 (1247): U2359
30. Sacks JJ, Holmgreen P, Smith SM, et al. Bicycle-associated head injuries and deaths in the United States from 1984 through 1988: how many are preventable? JAMA 1991; 266: 3016-3018
31. Rajapaske BN, Horn G, Devane P. Forearm and wrist fractures in mountain bike riders. N Z Med J 1996; 109 (1020): 147-148
32. Kelly KD, Lissel HL, Rowe BH, et al. Sport and recreationrelated head injuries treated in the emergency department. Clin J Sports Med 2001; 11 (2): 77-81
33. Ivan LP, Choo SH, Ventureyra EC. Head injuries in childhood: a 2-year survey. Can Med Assoc J 1983; 128: 281-284
34. Chow TK, Corbett S, Farstad D. Do conventional helmets provide adequate protection in mountain biking? Wilderness Environ Med 1995; 6: 385-390
35. O'Rourke NA, Costello F, Yelland JDN, et al. Head injuries to children riding bicycles. Med J Aust 1987; 146: 619-621
36. Gassner RJ, Jackl W, Tuli T, et al. Differential profile of facial injuries among mountainbikers compared with bicyclists. J Trauma 1999; 47 (1): 50-54
37. Revuelta R, Sandor GKB. Degloving injury of the mandibular mucosa following an extreme sport accident: a case report. J Dent Child 2005; 72 (3): 104-106
38. Dula DJ, Leicht MJ, Moothart WE. Degloving injury of the mandible. Ann Emerg Med 1984; 13: 630-632
39. Shockledge R, Mackie I. Oral soft tissue trauma: gingival degloving. Endod Dent Traumatol 1996; 12 (2): 109-111
40. Allen Jr BL, Ferguson RL, Lehmann TR, et al. A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine 1982; 7 (1): 1-27
41. Frobose I, Lucker B, Wittman K. Overuse symptoms in mountainbikers: a study with an empirical questionnaire [in German]. Dtsch Z Sportmed 2001; 52 (11): 311-315
42. Dingerkus ML, Martinek V, Kolzow I, et al. Mountainbike related injuries and overuse syndromes [in German]. Dtsch Z Sportmed 1998; 49 (8): 242-244
43. Baker A. Cycling. In: Garrett Jr WE, Kirkendall DT, Squire DL, editors. Principles and practice of primary care in sports medicine. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 453-470
44. Aspingi S, Dussa CU, Soni BM. Acute cervical spine injuries in mountain biking. Am J Sports Med 2006; 34: 487-489
45. Jaffe D, Wesson D. Emergency management of blunt trauma in children. N Engl J Med 1991; 243 (21): 1477-1482
46. Kewalaramani LS, Kraus JF, Sterling HM. Acute spinal cord lesions in a pediatric population: epidemiological and clinical features. Paraplegia 1980; 18 (3): 206-219
47. Hubbard DD. Injuries of the spine in children and adolescents. Clin Orthop 1974; 100: 56-65
48. Chang CJ, Lin HC, Pryde JA. Abdominal injuries. In: Garrett Jr WE, Kirkendall DT, Squire DL, editors. Principles and practice of primary care in sports medicine. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 353-372
49. Acton CH, Thomas S, Clark R, et al. Bicycle accidents in children: abdominal trauma and handlebars. Med J Aust 1994; 160: 344-346
50. Clarnette TD, Beasely SW. Handlebar injuries in children: patterns and prevention. Aust NZ J Surg 1997; 67: 338-339
51. Winston FK, Shaw KN, Kreshak AA, et al. Hidden spears: handlebars as injury hazards to children. Pediatrics 1998; 102 (3): 596-601
52. Maffulli N, Baxter-Jones AD. Common skeletal injuries in young athletes. Sports Med 1995; 19 (2): 137-149
53. Applegate KE, Speigel PK. Ulnar artery occlusion in mountain bikers. J Sports Med Phys Fit 1995; 35: 232-234
54. Potter JJ, Sauer JL, Weisshaar CL, et al. Gender difference in bicycle saddle pressure distribution during seated cycling. Med Sci Sports Exerc 2008; 40 (6): 1126-1134
55. Humphries D. Unilateral vulval hypertrophy in competitive female cyclists. Br J Sports Med 2002; 36: 463-464
56. Nichols AW. Genital injuries in sports. In: Garrett Jr WE, Kirkendall DT, Squire DL, editors. Principles and practice of primary care in sports medicine. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 373-380
57. Oberpenning F, Roth S, Leusmann DB, et al. The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol 1994; 151: 423-425
58. Barnett B. More on mountain biking [letter]. West J Med 1993; 159 (6): 708
59. Korsten-Reck U, Rocker K, Schmidt-Trucksass A, et al. External iliac artery occlusion in a young female cyclist. J Sports Med Phys Fit 2007; 47: 91-95
60. Habernek H, Schmid L, Frauenschuh E. Sport related proximal femur fracture: a retrospective review of 31 cases treated in an eight year period. Br J Sports Med 2000; 34: 54-58
61. Hughston JC, Walsh WM, Puddu G. Patellar subluxation and dislocation. Philadelphia (PA): WB Saunders, 1984
62. Mellion MD. Common cycling injuries: management and preventions. Sports Med 1991; 11 (1): 52-70
63. Nattiv A, Arendt EA, Hecht SS. The female athlete. In: Garrett Jr WE, Kirkendall DT, Squire DL, editors. Principles and practice of primary care in sports medicine. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 93-113
64. Whiting WC, Zernicke RF, editors. Biomechanics of musculoskeletal injury. Champaign (IL): Human Kinetics, 2008
65. McDermott FT. The effectiveness of bicyclists' helmets: a study of 1710 casualties. J Trauma 1993; 34 (6): 834-845
66. Natri A, Johnson RJ. Skiing. In: Garrett Jr WE, Kirkendall DT, Squire DL, editors. Principles and practice of primary care in sports medicine. Philadelphia (PA): Lippincott, Williams and Wilkins, 2001: 553-561
67. Gissane C, White J, Kerr K, et al. An operational model to investigate contact sports injuries. Med Sci Sports Exerc 2001; 33 (12): 1999-2003
68. Meeuwisse WH. Assessing causation in sports injury: a multifactorial model. Clin J Sports Med 1994; 4: 166-170
69. Appell HJ, Soares JM, Duarte JA. Exercise, muscle damage, and fatigue. Sports Med 1992; 13: 108-115
70. Watson AWS. Sports injuries: incidence, causes, and prevention. Phys Ther Rev 1997; 27: 315-322
71. Haas JC, Meyers MC. Rock climbing injuries. Sports Med 1995; 20 (3): 199-205
72. Sparnon A, Ford W. Bicycle handlebars in children. J Pediatr Surg 1986; 21 (12): 118-119
73. Alvarez-Segui M, Castello-Ponce A, Verdu-Pascual F. A dangerous design for a mountain bike. Int J Legal Med 2001 Dec; 115: 165-166
74. Weiss B. Bicycle helmet use by children. Pediatrics 1986; 77 (5): 677-679
75. Wasserman RC, Ruccini RV. Helmet protection from head injuries among recreational bicyclists. Am J Sports Med 1990; 18: 96-97
76. Thompson DC, Nunn ME, Thompson RS, et al. Effectiveness of bicycle safety helmets in preventing serious facial injury. JAMA 1996; 276 (24): 1974-1975
77. Kozin SH. Fractures and dislocations along the pediatric thumb ray. Hand Clin 2006; 22 (1): 19-29
78. Daly RM, Stenevi-Lundgren S, Linden C, et al. Muscle determinants of bone mass, geometry and strength in pre-pubertal girls. Med Sci Sports Exerc 2008; 40 (6): 1135-1141
79. Kibler WB, Chandler TJ, Uhi T, et al. A musculoskeletal approach to the preparticipation physical examination. Am J Sports Med 1989; 17 (4): 525-531
80. Trafton Jr TA, Meyers MC, Skelly WA. Psychological characteristics of the telemark skier. J Sport Behav 1997; 20 (4): 465-476
81. Bhatt S, Dogra VS. Role of US in testicular and scrotal trauma. Radiographics 2008; 28 (6): 1616-1629
82. Pfeiffer RP. Injuries in NORBA pro/elite category off-road bicycle competitors. Cycling Sci 1993; 5 (1): 21-24
83. Noyes FR, Lindenfeld TN, Marshall MT. What determines an athletic injury (definition)? Who determines an injury (occurrence)? Am J Sports Med 1988; 16 Suppl. 1: S65-8
84. Harel Y, Overpeck MD, Jones D, et al. The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health 1994; 84: 599-605
85. Junge A, Dvorak J. Influence of definition and data collection on the incidence of injuries in football. Am J Sports Med 2000; 28 (5): S40-6
86. Pless CE, Pless IB. How well they remember: the accuracy of parental reports. Arch Pediatr Adolesc Med 1995; 149: 553-558
87. Baker SP, O'Neill B, Karpf R. The injury fact book. Toronto (ON): Lexington Books, 1984
88. Fife D, Davis J, Tate L, et al. Fatal injuries to bicyclists: the experience of Dade County, Florida. J Trauma 1983; 23 (8): 745-755
89. Howland J, Sargent J, Weltzman M, et al. Barriers to bicycle helmet use among children. Am J Dis Child 1989; 143: 741-744
90. Parkkari J, Kujala UM, Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med 2001; 31 (14): 985-995
91. Hagel BE, Meeuwisse W. Risk compensation: a side effect of sport injury prevention? Clin J Sports Med 2004; 14: 193-6 91-94
92. Shephard RJ. Is it time to retire the 'Central Governor'? Sports Med 2009; 39 (9): 709-721
93. Noakes TD, St Clair Gibson A, Lambert EV. From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans: summary and conclusions. Br J Sports Med 2006; 39: 120-124
94. St Clair Gibson A, Noakes TD. Evidence for complex system integration and dynamic neural regulation of skeletal muscle recruitment during exercise in humans. Br J Sports Med 2004; 38: 797-806
95. Lambert EV, St Clair Gibson A, Noakes TD. Complex systems model of fatigue: integrative homeostatic control of peripheral physiological systems during exercise in humans. Br J Sports Med 2005; 39: 52-62
96. Noakes TD, St Clair Gibson A, Lambert EV. From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans. Br J Sports Med 2004; 38: 511-514
97. Garland SJ, McComas A. Reflex inhibition of human soleus muscle during fatigue. J Physiol 1990; 429: 17-27
98. Micklewright D, Papadopoulou E, Swart J, et al. Previous experience influences pacing during 20-km time trial cycling. Br J Sports Med. Epub 2009 Apr 12
99. Craig AD. How do you feel? Interoception: the sense of the physiological condition of the body. Nature Neurosci 2002; 3: 655-666
100. Craig AD. A new view of pain as a homeostatic emotion. Trends Neuosci 2003; 26 (6): 303-310.
101. Amann M, Marcora SM, Nybo L, et al. Commentaries on viewpoint. Fatigue mechanisms determining exercise performance: integrative physiology is systems physiology. J App Physiol 2008; 104: 1543-1546