Bicycle Related Injuries
Injuries associated with failure or malfunction of bicycle parts
October 1994
Disclaimer:
This report was written in response to a specific inquiry from one of
NISU's clients. It makes use of available data and should not be viewed as a
detailed piece of research. NISU releases this information in the interest of
ensuring that work done for one client can inform others. The report must not
be quoted or cited without the written permission of NISU.
Introduction
The information contained in this report has been derived from the
Injury Surveillance Information System (ISIS). ISIS is an injury database
maintained by the National Injury Surveillance Unit. It contains records of
emergency department attendances drawn from a sample of approximately 50
Australian hospitals since 1986. The ISIS system is well suited for
characterising the circumstances of individual and similar groups of cases. It
is not, however, amenable to accurately describing the incidence of particular
types of injury in the population due to biases arising from the mix of
participating hospitals.
There was a total of 1,083 cases of injury in the database in which a bicycle
part was reported to have failed or malfunctioned. In order to determine which
parts were problematic, it was necessary to scutinise the individual case
descriptions - a random sample of 229 cases (22 per cent) was selected for this
purpose, being a sufficient number to allow description of the major problems.
The following account is based on the sample of 229 cases.
It should be borne in mind that information is reported by the injured person
or their reprentative at the time of attendance in the emergency department.
Thus, reports of failure or malfunction have not been objectively validated.
Nonetheless, the information obtained is useful in that it reveals the types of
problems and difficulties that can arise. Some of these may indeed be examples
of genuine product failure, while others may indicate opportunities to improve
product designs.
Age and sex of injured persons
As might be expected, children are at greatest risk of being injured. The most
common age-group reporting injury in this sample of cases was the 10-14 years
group (Table 1). This age-group is known to be the highest risk group for
bicycle related injury. The excess risk probably attributed to an increase in
exposure to bicycling at this age, in combination with a relative inexperience
of handling unfamiliar situations. This latter factor may be particularly
important for some of the problems that will be described below. For example,
coping with a chain coming off a bike may be beyond the capabilities of an
inexperienced rider whereas it poses little difficulty for a more experienced
rider.
CHILD CASES (0 TO 14 YEARS)
| Age group | Number | Per cent |
| 0-4 | 4 | 2.3 |
| 5-9 | 37 | 21.4 |
| 10-14 | 132 | 76.3 |
| Total | 173 | 100.0 |
ADULT CASES (15 OR MORE YEARS)
| Age group | Number | Per cent |
| 15-29 | 49 | 87.5 |
| 30-44 | 4 | 7.1 |
| 45-59 | 2 | 3.6 |
| 60-74 | 1 | 1.8 |
| Total | 56 | 100.0 |
For both child (0 to 14 years) and adult (15 or more years) cases, the sex
distributions were identical: eighty-two per cent male, 18 per cent female.
Location of injury
Most of the injuries took place on public roads (72 per cent), where there is
great potential for conflict with motor vehicles and other road users. Around
five per cent of cases occurred on footpaths and a further five per cent in a
private yard or garden.
Severity and type of injury
An indication of the severity of these injuries is given by the level of
treatment that was obtained at hospital. The disposal patterns for child and
adult cases were fairly similar, although there was an indication that child
cases more frequently required significant treatments and admission.
| Level of treatment | % of child cases | % of adult cases |
| None | 3 | 4 |
| Minor | 31 | 38 |
| Significant | 49 | 44 |
| Admission | 17 | 14 |
| Total | 100 | 100 |
Cuts and lacerations were the most commonly reported injury (22 per cent of
cases), followed by fractures (21 per cent), bruising (17 per cent), abrasions
(17 per cent), dislocations (7 per cent) and concussion (7 per cent). The upper
extremities were the most frequently injured body part (58 per cent of cases),
then came the head (33 per cent), lower extremities (32 per cent) and trunk (8
per cent).
Part associated with failure
The descriptions of the events leading to the injury were scanned and
classified according to the part of the bike that was reported to have
malfunctioned or failed. The distribution of these parts is presented below:
| Part of bicycle | N | Per cent |
| Chains / gears | 78 | 34.1 |
| Brakes | 72 | 31.4 |
| Wheels | 41 | 17.9 |
| Handlebars | 14 | 6.1 |
| Pedals / cranks | 7 | 3.1 |
| Saddle | 1 | 0.4 |
| Other | 16 | 7.0 |
| Total | 229 | 100.0 |
Chains
The most common mishap involving chains was them coming off while the bicycle
was in use. Chain breakage was also reported. These events often led to a loss
of control of the bicycle with subsequent collisions with other objects. The
frequency of this mishap suggests that attention to the design of chains and
gear mechanisms to lessen the occurrence of slippage is warranted. It may be
that children's bicycles need more scrutiny in this regard than adult bicycles.
Brakes
While many of the cases that reported brake failure seemed to involve
events such as brakes locking up and drastic application of front brakes
causing the rider to fall forwards and off the bike, and therefore are not
strictly cases of failure, there is an obvious concern that children are having
difficulty in correctly operating the brake mechanisms fitted to their bikes.
Further research is necessary to establish the most appropriate braking
mechanisms for children's bicycles - this may for example involve only fitting
rear wheel brakes. More attention is needed in properly educating young
cyclists on the correct application of brakes, as is attention to proper
maintenance of brake pads and cables. Brake cables were reported to get snagged
in the front wheel and this situation may be able to be rectified by improved
product design.
Wheels
Wheels often fell off bicycles, most frequently the front wheel. This problem
may require careful investigation of the assembly of bicycles, particularly the
structural integrity of frame joints and bearings. The fitting of after-market
parts such as forks, headstems, and handle-bars may affect the safety of
bicycles, and the safety of these products should also be considered.
Handlebars
The problems here were several: breakage of handlebars; loosening of handlebar
assemblies; and handle grips falling off. As with all the other parts
considered above, failure can have very severe consequences due to loss of
control of the bicycle in traffic streams. Consideration of safety standards
for each of these situations may be required.
Pedals and cranks
There were a number of instances of structural failure of these parts,
suggesting that attention be given to the material strength of these parts.
Summary
The various problems identified in this report with chain assemblies,
brakes, wheels, handlebars and grips, and pedals all pose significant safety
hazards to young bicycle riders. The severity of the threat is important
because loss of control of the bicycle can lead to collisions with other motor
vehicles, as well as high speed collisions with the ground and other objects.
Further research is needed to investigate the mechanisms underlying these
apparent product failures and malfunctions. For example, the extent to which
these problems apply to new bicycles as opposed to older bicycles, and the
relative contribution of inadequate maintenance cannot be determined unless
in-depth investigations are undertaken.
Summary descriptions of the events leading to injury are available here.
These are grouped according to the part which reportedly malfunctioned or
failed:
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