Mountain bike trauma attending a rural emergency department

George Ramsay, David Sedgwick

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: Mountain-biking is increasing significantly in popularity worldwide. It occurs in remote regions, and so trauma resulting from this sport more commonly presents to rural emergency departments. We aim to report the range of injuries suffered from mountainbike accidents presenting to a rural hospital situated in close vicinity to an internationally renowned mountain bike centre.

Method: All patients presenting mountain biking injuries from 01/01/10-01/08/10 were included. A retrospective review of these cases was undertaken. Data was extracted from Emergency Department notes, Radiology reports and Operation notes.

Results: Of 119 patients, 70 (58.8%) were male, median age was 25 (9-60). Mechanism of injury showed 44 (37%) right sided falls, 37 left sided falls (31.1%) and 37 over the handlebars incidents (31.1%). 43 fractures (36.1%) occurred. 2 patients had intra-abdominal bleeding, one managed conservatively and one by open nephrectomy. 39 patients (36.4%) had injuries warranting further fracture clinic follow up. 5 (4.2%) patients required transfer to an orthopaedic centre for operative management.

Conclusions: Initial management of mountain bike injuries tends to occur in rural hospitals. Despite high frequency of fractures and other significant injuries, with consultant led care, this rural hospital has low transfer rates to tertiary centres resulting from this sport.
Original languageEnglish
Article number0448
Pages (from-to)536
Number of pages1
JournalInternational Journal of Surgery
Volume9
Issue number7
Early online date3 Oct 2011
DOIs
Publication statusPublished - 2011
Externally publishedYes
Event2011 Meeting of the Association of Surgeons in Training - Sheffield, United Kingdom
Duration: 15 Apr 201117 Apr 2011

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