{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:27:11Z","timestamp":1788546431462,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Bicycle utilization continues to increase annually, and this trend was recently accelerated by the\u00a0coronavirus disease of 2019\u00a0pandemic. There is limited epidemiologic data, however, regarding the prevalence and nature of bicycle\u2010related injuries. Therefore, the purpose of this study is to characterize trends in bicycle\u2010related injuries. The National Electronic Injury Surveillance System was queried for bicycle\u2010related injuries from 2012 to 2021. Patient demographic and injury data were collected and analyzed to describe trends in incidence, patient demographics, and injury patterns associated with an emergency department encounter for a bicycle\u2010related injury. There were an estimated 4,666,491 (95% confidence interval: 4,661,472\u20134,671,510) bicycle\u2010related injuries from 2012 to 2021. The incidence of these injuries has significantly decreased over time (\n                    <jats:italic>R<\/jats:italic>\n                    \u2009=\u2009\u22120.983,\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.967,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). However, the rate of injury in elderly patients increased over time. Injuries occurred most often during summer months (36%) and on weekend days (31.9%). Males and younger patients were more commonly injured. Head injuries were the most commonly affected body part among all age groups. Fractures were the most common injury type overall. Upper extremity injuries were more common than the lower extremity. Despite increased public bicycle utilization, there is a significant downtrend in bicycle\u2010related injuries over the last decade. Injuries among elderly patients are becoming more common, who demonstrate a high rate of fracture and head injury. Fractures and head injuries were the most common injuries among all age groups, highlighting the importance of bicycle safety initiatives and helmet\u2010wearing regardless of age.\n                  <\/jats:p>","DOI":"10.1002\/jor.25489","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T03:02:23Z","timestamp":1671591743000},"page":"1464-1470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["National incidence and trends of bicycle injury"],"prefix":"10.1002","volume":"41","author":[{"given":"Charles A.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0338-9923","authenticated-orcid":false,"given":"William N.","family":"Newton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"LaRochelle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Daly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine Medical University of South Carolina  Charleston South Carolina USA"},{"name":"Ralph H. Johnson VA Medical Center USA Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckq145"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tra.2004.04.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.11.1621"},{"key":"e_1_2_9_5_1","unstructured":"McLeodK. Where we ride: analysis of bicycle commuting in American cities.Trid.trb.org. 2022. Accessed June 7 2022.https:\/\/trid.trb.org\/view\/1371985"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.8295"},{"key":"e_1_2_9_7_1","unstructured":"Thinking of buying a bike? Get ready for a very long wait.Nytimes.com. 2022.\u00a0Accessed June 7 2022.\u00a0https:\/\/www.nytimes.com\/2020\/05\/18\/nyregion\/bike-shortage-coronavirus.html"},{"key":"e_1_2_9_8_1","unstructured":"NPD Group. Sporting goods home fitness and cycling sales surge in the U.S. reports the NPD group.The NPD Group. 2022.\u00a0Accessed June 7 2022.https:\/\/www.npd.com\/news\/press-releases\/2020\/sporting-goods-home-fitness-and-cycling-sales-surge-in-the-us-reports-the-npd-group\/"},{"key":"e_1_2_9_9_1","unstructured":"Peloton headwinds stiffen as people break pandemic routines.AP NEWS. 2020.\u00a0Accessed June 7 2022.\u00a0https:\/\/apnews.com\/article\/covid-health-business-new-york-city-c231399cecdc461f05ca97410622b1d8"},{"key":"e_1_2_9_10_1","unstructured":"National Income and Product Accounts.Apps.bea.gov. 2022. Accessed June 7 2022.https:\/\/apps.bea.gov\/iTable\/iTable.cfm?1921=underlying%26isuri=1%26reqid=19%26step=2#1921=underlying%26isuri=1%26reqid=19%26step=2"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12146"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-018-1033-5"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.11.092"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.01.025"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.13031\/jash.11889"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.05.017"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.03.049"},{"key":"e_1_2_9_18_1","unstructured":"National Electronic Injury Surveillance System (NEISS).\u00a0Accessed June 1 2022.\u00a0https:\/\/www.cpsc.gov\/Research-Statistics\/NEISS-Injury-Data"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.09.036"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-11-12"},{"key":"e_1_2_9_21_1","unstructured":"NHTSA. 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