Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Injury. 2024 Dec;55(12):111907. doi: 10.1016/j.injury.2024.111907. Epub 2024 Oct 4.
HYPOTHESIS/PURPOSE: Mountain biking (MTB) is a quickly growing sport, with fractures being the most common injury among MTB athletes. Currently, there is a lack of analysis of MTB fractures based on emergency department (ED) data obtained on a national scale. It was hypothesized that the total number of fractures presenting to United States (US) EDs increased significantly over the last decade, and adult male riders experienced higher rates of fracture and fracture-related hospitalization than other demographics.
All data was extracted from the National Electronic Injury Surveillance System (NEISS), a public database representing approximately 100 US EDs. NEISS was queried for all MTB-related fractures from January 1st, 2013-December 31, 2022.
NEISS returned a national estimate (NE) of 35,260 MTB fractures visiting EDs between 2013 and 2022. Fracture injuries increased significantly over the study period, including a 247 % increase from 2019 to 2020. The mechanism of injury most likely resulting in fracture was being thrown from the bike (39.6 %, NE:5,436). The upper extremity was the most commonly fractured body region (32.8 %, NE:11,574), and trunk fractures had the highest rate of hospitalization (44.2 %, NE:3705). Males accounted for the majority of fractures (87.9 %, NE:30,996), and were more likely to be hospitalized than females (22.2 %>17.4 %). Adults (age≥40) were more likely to sustain a fracture (48.8 %) and be hospitalized because of it (25.8 %) than other age groups. Adults were also most likely to fracture their trunk (33.9 %).
MTB fractures increased significantly from 2013 to 2022, possibly due to the gaining popularity of MTB since COVID-19. The upper extremity was the most frequently fractured body region, and being thrown from the bike was the mechanism most likely to result in a fracture. Adult male riders are at a high risk for trunk fractures, demonstrating the importance of protective equipment such as chest and torso protectors for these athletes.
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假设/目的：山地自行车（MTB）是一项快速发展的运动，其运动损伤中骨折最为常见。目前，基于全国范围内急诊科（ED）数据的 MTB 骨折分析还比较缺乏。本研究假设，过去十年中，前往美国（US）ED 的骨折总数显著增加，成年男性骑手的骨折发生率和与骨折相关的住院率高于其他人群。
所有数据均从国家电子伤害监测系统（NEISS）中提取，该公共数据库代表了美国约 100 家 ED。从 2013 年 1 月 1 日至 2022 年 12 月 31 日，对所有与 MTB 相关的骨折进行了 NEISS 查询。
NEISS 得出 2013 年至 2022 年期间，有 35260 例 MTB 骨折患者前往 ED 就诊的全国估计值（NE）。在研究期间，骨折损伤显著增加，包括 2019 年至 2020 年增加了 247%。最有可能导致骨折的受伤机制是从自行车上摔下（39.6%，NE：5436）。上肢是最常见的骨折部位（32.8%，NE：11574），躯干骨折的住院率最高（44.2%，NE：3705）。男性占骨折的大多数（87.9%，NE：30996），且比女性更有可能住院（22.2%>17.4%）。成年人（年龄≥40 岁）发生骨折（48.8%）和骨折住院（25.8%）的可能性高于其他年龄段。成年人也最有可能发生躯干骨折（33.9%）。
自 COVID-19 以来，MTB 越来越受欢迎，可能导致 2013 年至 2022 年期间 MTB 骨折显著增加。上肢是最常见的骨折部位，从自行车上摔下是最有可能导致骨折的机制。成年男性骑手发生躯干骨折的风险较高，这表明这些运动员应使用胸和躯干保护器等防护设备。
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