Types and anatomical locations of injuries among mountain bikers and hikers: A systematic review.

PLoS One

Prehospital Resuscitation and Emergency Care Research Unit, Curtin School of Nursing, Curtin University, Bentley, Western Australia.

Published: September 2023

Background: Mountain biking and hiking continue to grow in popularity. With new participants to these sports, it is likely the number of injuries will increase. To assist medical personnel in the management of these patients we attempted to quantify the types and locations of injuries sustained by mountain bikers and hikers. Objective The objective of this systematic review is to identify the type and anatomical location of injuries for both mountain bikers and hikers.

Methods: A systematic search was undertaken using CINAHL, Cochrane, ProQuest, PubMed and Scopus databases. Reviewers assessed the eligibility of articles by a title/abstract review and final full-text review. Studies were included if the types of injuries were reported by medical personnel and contained anatomical locations. Studies were excluded if it did not take place on a trail or if the injuries were self-reported. Risk of bias was assessed utilising the Joanna Briggs Institute (JBI) checklists for study quality. No meta-analysis or comparison between mountain bikers and hikers was possible due to the high heterogeneity of the definition of injury.

Results: A total of 24 studies met the inclusion criteria, 17 covering mountain biking and 7 hiking. This represented 220,935 injured mountain bikers and 17,757 injured hikers. The most common type of injuries sustained by mountain bikers included contusions, abrasions and minor lacerations, which made up between 45-74% of reported injuries in studies on competitive racing and 8-67% in non-competitive studies. Fractures represented between 1.5-43% of all reported injuries. The most injured region was the upper limbs reported in 10 of 17 studies. For hikers the most common injuries included blisters and ankle sprains with blisters representing 8-33% of all reported injuries. The most common body location to be injured by hikers was a lower limb in all 7 studies.

Conclusions: This is the first systematic review to report on the injury epidemiology of the two most common trail users; mountain bikers and hikers. For participants in both activities the majority of injuries were of minor severity. Despite this, the high proportions of upper limb fractures in mountain bikers and ankle sprains in hikers cannot be ignored.

Trial Registration: Registration: This systematic review was prospectively registered with the University of York PROSPERO database on the 12/4/2021 (CRD42021229623) https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021229623.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468092PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0285614PLOS

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Article Synopsis
  • Mountain biking (MTB) injuries, especially fractures, have become a growing concern, particularly among adult males, with a significant increase in reported cases over the last decade.
  • Data from the National Electronic Injury Surveillance System (NEISS) indicates that there were an estimated 35,260 MTB-related fractures in U.S. emergency departments from 2013 to 2022, showing a notable spike in injuries in recent years, notably a 247% rise from 2019 to 2020.
  • Upper extremity fractures were the most common, while adult males accounted for nearly 88% of all fractures, having a greater likelihood of hospitalization compared to females, highlighting the increased risk among older riders.
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