The Enduro motorcyclist's wrist and other overuse injuries in competitive Enduro motorcyclists: a prospective study

Abstract

According to public opinion, Enduro motorcycling is a dangerous sport. Little is known about overuse injuries in connection with this sport. The study consisted of two phases. Phase 1 was planned as a prospective feasibility study for phase 2. The latter was initiated as a prospective investigation, comprising a random sample of the participants of phase 1. Enduro motorcyclists were interviewed with a prepared questionnaire. Clinical examinations were performed immediately before, and after, a major Enduro race, including pain assessment in the hand/wrist and the forearm using the visual analog scale. The occurrence of Raynaud's syndrome carpal tunnel syndrome (CTS), and loss of grip strength in the forearm muscles were recorded in detail. Phase 1 showed that the predominant overused anatomical regions were the hand/wrist and forearms. Nearly 50% of all the riders complained of pain or paresthetic sensations. A significant increase in pain was registered after the race. After the second run 32.28% of all riders had CTS in the left hand and 43.31% in the right hand. More than one-half of the athletes complained of overuse injuries. Transient CTS is an overuse injury closely related to sports.

Overuse Injuries Correlated to the Mountain Bike`s Adjustment: A Prospective Field Study

“…In our collective, the incidence of carpal tunnel like syndromes was significantly increased after the race and significantly related to the saddle-pedal-distance. A significant occurrence of paraesthetic sensations in the area of the media nerve was reported by off road motorcyclists [3] The authors did not correlate their findings with the adjustment of the motorbike.…”

“…Due to vibrations and shocks it seems obvious that especially in the lumbar spine, in the hands, the knees and the feet, overuse injuries may occur in high numbers. In road cycle racing, overuse injuries are reported of the median nerve in the carpal tunnel [2], this is observed in off-road motorcyclists as well [3] the ulnar nerve in Guillon's Canal [2] the perineal nerve, the cervical [4] and lumbar spine and in the knees. Although recent studies have reported injuries in recreational and competitive off-road biking [5][6][7][8][9][10] little is known about overuse injuries in competitions [4,[8][9][10].…”

A case report of vibration-induced hand comorbidities in a postwoman

“…In the literature, the possible relationship between the use of motorcycles and the risk of developing CTS-like symptoms has been explored very little; two studies [10,15] indicate a correlation between the use of motorcycles and CTS-like symptoms. Sabeti-Aschraf et al[16] hypothesize that motorcycling is likely to affect the median nerve. The acceleration values measured in this case-report are comparable with those found in other studies, measured on various types of equipment.…”

Early elbow osteoarthritis in competitive enduro motorcyclist

“…Several lesions such as vertebral fractures leading to paralysis, permanent handicap, and lethal injuries have been described in connection with motocross accidents 2 . Few published data concerning overuse syndromes associated with off‐road motorcycles, such as carpal tunnel‐Raynaud‐like symptoms and reduced forearm muscle force, have already been described 3 . In this study, all painful body regions including the hand/wrist, forearm, elbow, shoulder, cervical and lumbar spine, knee and ankle joint were registered, and the pain was analyzed.…”