Kim Peter T W, Jangra Dalbhir, Ritchie Alec H, Lower Mary Ellen, Kasic Sharon, Brown D Ross, Baldwin Greg A, Simons Richard K
Trauma Services, Department of Surgery, University of British Columbia.
J Trauma. 2006 Feb;60(2):312-8. doi: 10.1097/01.ta.0000202714.31780.5f.
Mountain biking has become an increasingly popular recreational and competitive sport with increasingly recognized risks. The purpose of this study was to review a population based approach to serious injuries requiring trauma center admission related to mountain biking, identify trends and develop directions for related injury prevention programs.
Three trauma centers in the Greater Vancouver area exclusively serve a major mountain bike park and the North Shore Mountains biking trails. The Trauma Registries and the patient charts were reviewed for mountain bike injuries from 1992 to 2002. The data were analyzed according to demographics, distribution, and severity of injuries, and need for operative intervention. Findings were reviewed with injury prevention experts and regional and national mountain-biking stakeholders to provide direction to injury prevention programs.
A total of 1,037 patients were identified as having bicycling-related injuries. Of these, 399 patients sustained 1,092 injuries while mountain biking. There was a threefold increase in the incidence of mountain biking injuries over a 10-year period. Young males were most commonly affected. Orthopedic injuries were most common (46.5%) followed by head (12.2%), spine (12%), chest (10.3%), facial (10.2%), abdominal (5.4%), genitourinary (2.2%), and neck injuries (1%). High operative rate was observed: 38% of injuries and 66% of patients required surgery. One patient died from his injuries. Injury prevention programs were developed and successfully engaged the target population.
Mountain biking is a growing cause of serious injuries. Young males are principally at risk and serious injuries result from intended activity and despite protective equipment. Injury prevention programs were developed to address these concerns.
山地自行车运动已成为一项越来越受欢迎的休闲和竞技运动，其风险也日益受到认可。本研究的目的是回顾一种基于人群的方法，以了解与山地自行车运动相关的需要创伤中心收治的严重损伤情况，确定趋势并为相关损伤预防项目制定方向。
大温哥华地区的三个创伤中心专门服务于一个主要的山地自行车公园和北岸山脉的自行车道。对1992年至2002年期间山地自行车损伤的创伤登记和患者病历进行了回顾。根据人口统计学、损伤分布和严重程度以及手术干预需求对数据进行了分析。研究结果与损伤预防专家以及地区和国家山地自行车利益相关者进行了讨论，以为损伤预防项目提供指导。
共确定1037例患者有与骑自行车相关的损伤。其中，399例患者在山地自行车运动时遭受了1092处损伤。在10年期间，山地自行车损伤的发生率增加了两倍。年轻男性受影响最为常见。骨科损伤最为常见（46.5%），其次是头部（12.2%）、脊柱（12%）、胸部（10.3%）、面部（10.2%）、腹部（5.4%）、泌尿生殖系统（2.2%）和颈部损伤（1%）。观察到手术率较高：38%的损伤和66%的患者需要手术。1例患者因伤死亡。制定了损伤预防项目并成功吸引了目标人群。
山地自行车运动是严重损伤日益增加的一个原因。年轻男性主要面临风险，严重损伤是由有意进行的活动导致的，尽管使用了防护装备。已制定损伤预防项目以解决这些问题。
