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J Am Acad Orthop Surg, Vol 15, No 12, December 2007, 748-756.
© 2007 the American Academy of Orthopaedic Surgeons
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Cycling Injuries of the Lower Extremity

Tony Wanich, MD, Christopher Hodgkins, MD, Jean-Allain Columbier, MD, Erika Muraski, MSPT, MBA and John G. Kennedy, MD, FRCS(Orth)

Dr. Wanich is Orthopaedic Resident, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY. Dr. Hodgkins is Orthopedic Surgery Resident, University of Miami/Jackson Memorial Hospital, Miami, FL. Dr. Columbier is Orthopaedic Attending, Department of Orthopaedics and Traumatology, CHU Rangueil, Toulouse, France. Ms. Muraski is Director of Physical Therapy, ICE Sports Health Group, New York. Dr. Kennedy is Attending Orthopaedic Surgeon and Director of Research, Foot and Ankle Service, Hospital for Special Surgery.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Wanich, Dr. Hodgkins, Dr. Columbier, Ms. Muraski, and Dr. Kennedy.

Reprint requests: Dr. J.G. Kennedy, Department of Orthopedic Surgery, Hospital for Special Surgery, 523 East 72nd Street, New York, NY 10021.

Cycling is an increasingly popular recreational and competitive activity, and cycling-related injuries are becoming more common. Many common cycling injuries of the lower extremity are preventable. These include knee pain, patellar quadriceps tendinitis, iliotibial band syndrome, hip pain, medial tibial stress syndrome, stress fracture, compartment syndrome, numbness of the foot, and metatarsalgia. Injury is caused by a combination of inadequate preparation, inappropriate equipment, poor technique, and overuse. Nonsurgical management may include rest, nonsteroidal anti-inflammatory drugs, corticosteroid injection, ice, a reduction in training intensity, orthotics, night splints, and physical therapy. Injury prevention should be the focus, with particular attention to bicycle fit and alignment, appropriate equipment, proper rider position and pedaling mechanics, and appropriate training.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.