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Sports Medicine

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01-01-2006 | Review Article

Non-Traumatic Bicycle Injuries

A Review of the Literature

Authors: Nathan J. Dettori, Daniel C. Norvell

Published in: Sports Medicine | Issue 1/2006

Abstract

Bicycle riding is a popular form of recreation, fitness and transportation in many areas of the world. Traumatic injuries associated with bicycle riding have been documented and intervention strategies have been successful. This has not been the case for non-traumatic injuries. The prevalence of non-traumatic bicycle injuries can be as high as 85%. The most common sites for non-traumatic cycling-related injuries include the knee, neck/shoulder, hands, buttock and perineum. Two categories of injuries that may have the greatest impact on disability include ulnar and median nerve palsy, and erectile dysfunction. Injury prevention strategies have been proposed to reduce non-traumatic injuries but these strategies remain untested.

Paffenbarger RJ, Hyde R, Wing A, et al. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med 1986; 314: 605–613PubMedCrossRef

Paffenbarger RJ, Lee I. Physical activity and fitness for health and longevity. Res Q Exerc Sport 1996; 67 (3 Suppl.): S11–S28PubMed

Siscovick D, LaPorte R, Newman J. The disease-specific benefits and risks of physical activity and exercise. Public Health Rep 1985; 100: 180–188PubMed

Wenger H, Bell G. The interactions of intensity, frequency and duration of exercise training in altering cardiorespiratory fitness. Sports Med 1986; 3: 346–356PubMedCrossRef

Tucci JJ, Barone JE. A study of urban bicycling accidents. Am J Sports Med 1988; 16: 181–184PubMedCrossRef

Tinsworth DK, Polen C, Cassidy S. Bicycle-related injuries: injury, hazard, and risk patterns. Washington, DC: US Consumer Product Safety Commission, 1994 Jun

Baker S, Li G, Fowler C, et al. Injuries to bicyclists. Baltimore (MD): Johns Hopkins University Injury Prevention Center, 1993

Rivera FP, Thompson DC, Patterson MQ, et al. Prevention of bicycle-related injuries: helmets, education, and legislation. Annu Rev Public Health 1998; 19: 293–318CrossRef

Thompson DC, Rivara FP, Thompson RS. Effectiveness of bicycle helmets in preventing head injuries: a case-control study. JAMA 1996; 276: 1968–1973PubMedCrossRef

10.

Thompson DC, Nunn ME, Thompson RS. Effectiveness of bicycle safety helmets in preventing serious facial injury. JAMA 1996; 276: 1974–1975PubMedCrossRef

11.

Cohen G. Cycling injuries. Can Fam Physician 1993; 39: 628–632PubMed

12.

Hoyt CS. Ulnar neuropathy in bicycle riders. Arch Neurol 1976 May; 33: 372PubMedCrossRef

13.

Kulund DN, Brubaker CE. Injuries in the bikecentennial tour. Phys Sportsmed 1978; 6: 74–78

14.

Weiss BD. Nontraumatic injuries in amateur long distance bicyclists. Am J Sports Med 1985; 13 (3): 187–192PubMedCrossRef

15.

Wilber CA, Holland GJ, Madison RE, et al. An epidemiological analysis of overuse injuries among recreational cyclists. Int J Sports Med 1995; 16 (3): 201–206PubMedCrossRef

16.

Dannenberg AL, Needle S, Mullady D, et al. Predictors of injury among 1638 riders in a recreational long-distance bicycle tour: cycle across Maryland. Am J Sports Med 1996; 24 (6): 747–753PubMedCrossRef

17.

Andersen KV, Bovim G. Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand 1997; 95: 233–240PubMedCrossRef

18.

Salai M, Brosh T, Blankstein A, et al. Effect of changing the saddle angle on the incidence of low back pain in recreational bicyclists. Br J Sports Med 1999; 33 (6): 398–400PubMedCrossRef

19.

Sommer F, Konig D, Graft C, et al. Impotence and genital numbness in cyclists. Int J Sports Med 2001; 22 (6): 410–413PubMedCrossRef

20.

Patterson JM, Jaggars MM, Boyer MI, et al. Ulnar and median nerve palsy in long-distance cyclists: a prospective study. Am J Sports Med 2003; 31 (4): 585–589PubMed

21.

Dettori JR, Koepsell TD, Cummings P, et al. Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics. J Urol 2004; 172 (2): 637–641PubMedCrossRef

22.

Taylor III JA, Kao TC, Albertsen PC, et al. Bicycle riding and its relationship to the development of erectile dysfunction. J Urol 2004; 172 (3): 1028–1031PubMedCrossRef

23.

Simpson ET. A case of multiple neuritis due to a long bicycle ride. N Y Med J 1895; 672: 757

24.

Capitani D, Beer S. Handlebar palsy: a compression syndrome of the deep terminal (motor) branch of the ulnar nerve in biking. J Neurol 2002; 249 (10): 1441–1445PubMedCrossRef

25.

Maimaris C, Zadeh HG. Ulnar nerve compression in the cyclist’s hand: two case reports and review of the literature. Br J Sports Med 1990; 24 (4): 245–246PubMedCrossRef

26.

Noth J, Dietz V, Mauritz KH. Cyclist’s palsy: neurological and EMG study in 4 cases with distal ulnar lesions. J Neurol Sci 1980; 47: 111–116PubMedCrossRef

27.

Hankey GJ, Gubbay SS. Compressive mononeuropathy of the deep palmar branch of the ulnar nerve in cyclists. J Neurol Neurosurg Psychiatry 1988; 51: 1588–1590PubMedCrossRef

28.

Eckman PB, Perlstein G, Altrocchi PH. Ulnar neuropathy in bicycle riders. Arch Neurol 1975; 32: 130–131PubMedCrossRef

29.

Brandsma JW. Manual muscle strength testing and dynamometry for bilateral ulnar neuropraxia in a surgeon. J Hand Ther 1995; 8: 191–194PubMedCrossRef

30.

Richmond DR. Handlebar problems in bicycling. Clin Sports Med 1994; 13 (1): 165–173PubMed

31.

Weiss BD. Clinical syndromes associated with bicycle seats. Clin Sports Med 1994; 13 (1): 175–186PubMed

32.

Goodson JD. Pudendal neuritis from biking [letter]. N Engl J Med 1981; 292: 702

33.

Desai KM, Gingell JC. Hazards of long distance cycling. BMJ 1989; 298: 1072–1073PubMedCrossRef

34.

Solomon S, Cappa KG. Impotence and bicycling: a seldom-reported connection. Postgrad Med 1987; 81: 99–100PubMed

35.

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 (2): 423–425PubMed

36.

Ricchiuti VS, Haas CA, Seftel AD, et al. Pudendal nerve injury associated with avid bicycling. J Urol 1999; 162 (6): 2099–2100PubMedCrossRef

37.

Bohlmann TJ. Injuries in competitive cycling. Phys Sportsmed 1981; 9 (5): 117–124

38.

Gregor RJ, Wheeler JB. Biomechanical factors associated with shoe/pedal interfaces: implications for injury. Sports Med 1994; 17 (2): 117–131PubMedCrossRef

39.

Holmes JC. Lower extremity overuse in bicycling. Clin Sports Med 1994; 13 (1): 187–203PubMed

40.

Farrell KC, Reisinger KD, Tillman MD. Force and repetition in cycling: possible implications for iliotibial band friction syndrome. Knee 2003; 10 (1): 103–109PubMedCrossRef

41.

Mellion MB. Neck and back pain in bicycling. Clin Sports Med 1994; 13 (1): 137–164PubMed

42.

Mellion MB. Common cycling injuries: management and prevention. Sports Med 1991; 11 (1): 52–70PubMedCrossRef

43.

Schwarzer U, Sommer F, Klotz T, et al. Cycling and penile oxygen pressure: the type of saddle matters. Eur Urol 2002; 41 (2): 139–143PubMedCrossRef

44.

Jeong SJ, Park K, Moon JD, et al. Bicycle saddle shape affects penile blood flow. Int J Impot Res 2002; 14 (6): 513–517PubMedCrossRef

45.

Dickson TBJ. Preventing overuse cycling injuries. Phys Sportsmed 1985; 13 (10): 116–123

46.

Sommer F, Schwarzer U, Klotz T, et al. Erectile dysfunction in cyclists: is there any difference in penile blood flow during cycling in an upright versus a reclining position? Eur Urol 2001; 39 (6): 720–723PubMedCrossRef

47.

Braithwaite IJ. Bilateral median nerve palsy in a cyclist. Br J Sports Med 1992; 26 (1): 260–261CrossRef

48.

Weiss BD. Skin creams for alleviating seat pain in amateur long-distance bicyclists. Sports Med Train Rehabil 1993; 4: 27–32CrossRef

49.

Andersson K, Wagner G. Physiology of penile erection. Physiol Rev 1995; 75: 191–236PubMed

50.

Sheets BS. Considerations in cycling for persons with low back pain. In: Hochschuler SH, editor. Spine: state of the art review — spinal injuries in sports. Philadelphia (PA): Hanley and Belfus, 1990: 359–365

51.

Rodgers GB. Part II. Bicycle and bicycle helmet use patterns in the united states: a description and analysis of national survey data. Washington, DC: US Consumer Product Safety Commission, 1992 [online]. Available from URL: http://www.cpsc.gov/CPSCPUB/PUBS/344.pdf [Accessed 2005 Apr 14]

Title: Non-Traumatic Bicycle Injuries
A Review of the Literature
Authors: Nathan J. Dettori
Daniel C. Norvell
Publication date: 01-01-2006
Publisher: Springer International Publishing
Published in: Sports Medicine / Issue 1/2006
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI: https://doi.org/10.2165/00007256-200636010-00002

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Springer Medicine

Non-Traumatic Bicycle Injuries

A Review of the Literature

Abstract

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Abstract

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