49
CPSC NEISS Data 2005–2024

Bicycles And Accessories, (excl.mountain Or All-terrain)

Twenty years of CPSC NEISS emergency-room records for this consumer product category, combined with demographic breakdowns, multi-year injury trends, and matching recall notices.

Swimming, Water & Beach Equipment · CPSC Code 5040

Down 11% over 5 years

The verdict

Bicycles And Accessories, (excl.mountain Or All-terrain) carry a danger score of 49/100 (moderate risk), driven by roughly 466,870 ER-treated injuries a year that are declining by about 11% over the last five years.

49/100
danger score (moderate risk)
466,870
ER visits per year (avg)
8.7%
end in hospital admission
5-14
most-injured age group

Every figure is rendered from the CPSC NEISS record for product code 5040 - last data year 2024.

PlainSafety danger score

0/100100/10049/100
PlainSafety danger score

Source: CPSC NEISS danger-score model As of 2024

How this 49/100 score is built

The score is computed from four CPSC-derived factors for bicycles and accessories, (excl.mountain or all-terrain) - no opinion, no editorializing:

  • Injury volume466,870 ER visits/yr
  • Severity (hospitalization rate)8.7%
  • Fatality rate0.10%
  • 5-year trend-11%

See the full methodology for the exact weighting of each factor.

What the CPSC Data Shows

Bicycles And Accessories, (excl.mountain Or All-terrain) (CPSC product code 5040, in the Swimming, Water & Beach Equipment category) generate an estimated 466,870 emergency-room visits every year in the United States, adding up to roughly 9.3M ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 49/100 for this category (moderate risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are declining by about 11% over the last five years, with the busiest year on record being 2012 (547,499 estimated ER visits) and the quietest 2021 (362,334 estimated visits).

The single most common ER diagnosis for bicycles and accessories, (excl.mountain or all-terrain) is internal injury to the head, accounting for approximately 841,739 visits across the 20-year NEISS window, followed by laceration to the face (547,352 cases). The 5-14 age group absorbs the largest share of injuries, about 3.2M cases over the NEISS window, and males appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 8.7% of ER visits involving this product end in hospital admission or transfer, and a small fraction (0.10%) result in fatality.

Beyond the hospital-sampled NEISS projections, this page also aggregates 534 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how bicycles and accessories, (excl.mountain or all-terrain) fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.

466,870
Injuries / Year
8.7%
Hospitalization Rate
0.10%
Fatality Rate

Annual Injury Estimates (2005–2024)

350K400K450K500K550K600K 20052008201120142017202020232024 419K
Estimated annual emergency-room visits for Bicycles And Accessories, (excl.mountain Or All-terrain), CPSC NEISS

Source: CPSC NEISS national injury estimates As of 2024

Source: CPSC NEISS national estimates CPSC NEISS national estimates Injuries represent ER-treated cases only

Who Gets Injured?

Age Group Male Female Total
0-4 283,725 141,100 424,928
5-14 2.2M 967,155 3.2M
15-24 1.2M 301,826 1.5M
25-34 744,128 248,761 993,175
35-44 651,185 211,775 863,160
45-54 705,133 249,270 954,431
55-64 547,460 217,213 764,790
65-74 295,164 150,136 445,300
75+ 155,869 53,696 209,565

Most Common Injuries

Body Part Diagnosis Est. Injuries
Head Internal Injury 841,739
Face Laceration 547,352
Knee Contusions, Abr. 308,671
Wrist Fracture 302,707
Shoulder Fracture 296,381
Lower Arm Fracture 294,095
Face Contusions, Abr. 264,911
Head Concussion 240,700
Upper Trunk Contusions, Abr. 227,547
Lower Trunk Contusions, Abr. 208,445
Elbow Contusions, Abr. 200,262
Ankle Strain, Sprain 182,033
Wrist Strain, Sprain 180,557
Shoulder Contusions, Abr. 163,224
Head Laceration 156,687

Severity Breakdown

Treated/examined And Released 89.3% (8.3M)
Treated And Admitted/hospitalized 7.1% (663,464)
Left Without Being Seen 1.7% (162,414)
Treated And Transferred 1.3% (117,878)
Held For Observation 0.5% (44,336)
Fatality Incl. Doa, Died In Er 0.1% (8,501)
Unknown, Not Stated 0.0% (285)

ER Visit Narratives

Real anonymized emergency room reports from the CPSC NEISS database.

Age 6 · Male · Shoulder · Fracture · 2024

6YOM WAS RIDING HIS BIKE WHEN HE LOST CONTROL AND FELL OFF THE BIKE. HAS ABRASIONS TO LEFT SHOULDER, ABDOMEN AND SIDE. ALSO COMPLAINS OF LIMITED RANGE OF MOTION OF LEFT ARM AND SHOULDER. DX: CLOSED FRACTURE OF LEFT CLAVICLE

Age 27 · Male · Lower Leg · Laceration · 2024

27 YOM REDNESS, WARMTH AND SWELLING TO LT TIBIA, ONSET X 1 WEEK AFTER HE HIT HIS LEG ON HIS BIKE PEDAL. DX: WOUND INFECTION; CELLULITIS OF LEG

Age 8 · Male · Head · Internal Injury · 2024

^8YOM RIDING HIS BICYCLE AT HOME, RAN INTO A CAR.DX: MINOR CLOSED HEAD INJURY. SUPERFICIAL LAC. FOREHEAD.

Age 64 · Male · Head · Internal Injury · 2024

64YOM WAS RIDER OF BICYCLE WHEN HE FELL OFF STRIKING HIS HEAD DX:CLOSED HEAD INJURY

Age 31 · Male · Face · Contusions, Abr. · 2024

31 YOM ACCIDENTALLY FALLING OFF OF HIS BIKE. PATIENT STATES HE WAS CYCLING TODAY WHEN HE SPOKE BROKE AND HE WENT OVER THE HANDLEBARS. PATIENT SUSTAINED A LACERATION TO HIS RIGHT CHEEK AND HAS MULTIPLE ABRASIONS TO BOTH HANDS. DX CONTUSION FACE, SCALP, AND NECK, LACERATION FACE, MINOR HEAD INJURY WITHOUT LOC, ABRASION HAND

Age 10 · Male · Wrist · Fracture · 2024

10YOM WAS RIDING HIS BIKE AND FELL LANDING ON AN OUTSTRETCHED HAND INJURING HIS RIGHT WRIST DX: BUCKLE FRACTURE OF DISTAL END OF RIGHT RADIUS

Age 62 · Female · Upper Trunk · Other · 2024

62YOF WAS RIDING HER BICYCLE WHEN SHE FELT PAIN IN HER CHEST DX:CHEST PAIN

Age 12 · Male · Knee · Strain, Sprain · 2024

12YOM WITH KNEE PAIN AFTER COMING FROM *** ON BIKE AND TRIPPED AND FELL OFF BIKE ONTO CONCRETE WITH KNEE HITTING THE ROAD. DX; SPRAIN OF LEFT KNEE

Age 14 · Male · Shoulder · Other · 2024

14YOM FELL OFF OF HIS BICYCLE LANDING ONTO LEFT SHOULDER DX INJURY SHOULDER

Age 60 · Male · Knee · Other · 2024

60YOM TO ER FOR RIGHT KNEE PAIN X 2 WEEKS AFTER PT WAS HIT BY A CAR WHILE RIDING HIS PEDAL BIKE, DENIES HEAD INJURY , LOC OR THINNERS DX PAIN RIGHT KNEE

Age 8 · Male · Foot · Strain, Sprain · 2024

8YOM FELL OFF HIS BICYCLE TWISTING LEFT FOOT DX: STRAINED FOOT

Age 14 · Male · Lower Arm · Fracture · 2024

14YOM FELL OFF OF HIS BICYCLE DX: FRACTURED LEFT FOREARM

Consumer Incident Reports

Reports filed by consumers on SaferProducts.gov.

9/9/2025 · Incident, No Injury · Shimano Inc · Chile

Se me quebr el pedal derecho shimano dura Ace con potencimetro hace un tiempo, reclam pero nunca me respondieron por el pedal, nunca se hicieron responsables y eso que casi me atropeyan cuando entrenaba. ---Translated from Spanish--- My right Shimano Dura-Ace pedal with power meter broke a while ago, I claimed it but they never responded about the pedal, they never took responsibility and I was almost run over when I was training.

9/9/2012 · Injury, First Aid Received by Non-Medical Professional · LOOK CYCLE USA · Washington

Riding my road bike when my right KéO Bicycle Pedal sheared off and causing me to wreck on the road. No head injury noted but right hip had road rash and tail bone area bruised. [REDACTED] bike substain to nicks on right rear triangle and dent in left shifter.

9/8/2023 · Incident, No Injury · FSA · United States

Bicycle crank's adhesive failed and the crank was on the verge of separating from the bike.

9/8/2021 · Incident, No Injury · Stopaflat USA · Colorado

I purchased and used Stop-A-Flat Puncture Proof Thorn-resistant No-flat Bicycle Tube. I bought them on Amazon so I don't know the manufacturer. These inserts do not allow the same cushion as air inflated tires. This results on all the energy of impact to be focused on one area. This results in the rim of the wheel to be come bent, cracked, and damaged beyond repair. This can cause a catastrophic collapse of the wheel and user injury.

9/8/2015 · Incident, No Injury · Cycling Sports Group Inc · Canada

My gt grade alloy tiagra road bike has incompatible parts. I purchased the bike 3 weeks ago brand new assembled from the store and have had it tuned up at the same store 3 times since purchase. I was riding the bike down hill and while braking I noticed the front wheel shaking violently and making loud metal noises. I went home to inspect the bike and noticed that there was hardly any clearance between the front wheel spokes and the brake caliper. In fact the spokes hit the caliper while spinning the wheel. I did some research and the problem is not uncommon. I contacted the brake manufacture (trp brakes) and showed them pictures. They said they were aware of the potential safety issues and that it only happens with their brakes in combination with specific hubs. When I told them I purchased the bike like this they were shocked (exact words were "yikes, you bought the bike like that" in reference to the hub and brake combination). Trp told me they sold spacers to fix this issue. My concern is that gt bicycles chose all these parts for this bike model and sells as is and that seems like a major oversight. I have stopped riding my bike and contacted gt bicycles in the mean time.

9/7/2021 · No Incident, No Injury · Shimano Inc · Washington

I had a chance to inspect FOUR bicycle helmets Lazer G1 Mips, and ALL had faults that are safety concerns. I first purchased the helmet Lazer G1 Mips (size M, black) from an online vendor ( biketiresdirect.com). The received helmet had a safety issue as there was a cut in the foam with no ability to see how deep the cut was. After seeing the pictures, Lazer customer support told me to exchange it. The second helmet that I received had the same cut in the foam. I decided to get a refund from the vendor and order from Lazer directly. The third helmet I received was even more unsafe as the tightening mechanism (on this helmet called the rollsys system) did not work. An inexperienced user would have not known that it is unsafe to wear a helmet that way. Lazer told me to destroy it and sent me another helmet, now the fourth one. This one was even worse in terms of safety because the inner plastic structure that goes around the head was not fully attached to the remaining parts of the helmet. Upon closer inspection it turned out that a plastic triangular actor point that is normally located in the foam was completely missing in one part of the helmet. In other words, 100% construction error. Again, an inexperienced rider would have not noticed and would have worn a very unsafe helmet where the foam and outer shell were not even fully attached to the system that goes around the rider's head. In case of a crash, this helmet would have been barely better than not wearing a helmet at all.

9/7/2021 · Injury, Emergency Department Treatment Received · TREK BICYCLE CORPORATION · Virginia

The handlebar on my bicycle suddenly snapped without warning and I crashed to the ground, dislocating two fingers.

9/7/2012 · Injury, Emergency Department Treatment Received · Easton Sports, Inc. · Maine

My daughter was cut off while riding her bike. The visor on her helmet partially broke off and stabbed her in the head, requiring a trip to the emergency room. If it had hit any lower it would have hit her in the eye.

Showing 8 of 534 reports.

Product Recalls

Search for active and past recalls related to bicycles and accessories, (excl.mountain or all-terrain) on the CPSC website.

Frequently Asked Questions

How dangerous are bicycles and accessories, (excl.mountain or all-terrain)?

Based on 20 years of CPSC data, bicycles and accessories, (excl.mountain or all-terrain) have a danger score of 49/100 (moderate risk). An estimated 466,870 ER-treated injuries occur annually in the U.S. related to this product category.

What are the most common injuries from bicycles and accessories, (excl.mountain or all-terrain)?

The most common injury is internal injury to the head, accounting for approximately 841,739 injuries over 20 years.

Are injuries from bicycles and accessories, (excl.mountain or all-terrain) increasing or decreasing?

Down 11% over 5 years.

Who is most at risk for bicycles and accessories, (excl.mountain or all-terrain) injuries?

The 5-14 age group accounts for the most injuries, with approximately 3.2M cases recorded over 20 years. Males are more frequently injured in this age group.

What happens when someone is injured by bicycles and accessories, (excl.mountain or all-terrain)?

Of all ER visits involving bicycles and accessories, (excl.mountain or all-terrain), approximately 8.7% result in hospital admission. The majority of patients (91.3%) are treated and released from the emergency department.

How can I report a safety problem with bicycles and accessories, (excl.mountain or all-terrain)?

You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.

Safety Guides

What this means for you

Treat the 49/100 score as relative risk between products, not your personal odds of injury.

  • See where this category ranks against every other tracked product. Full rankings
  • Injuries cluster in the 5-14 age group, take extra care if that describes your household.
  • Check for active recalls on this product before you assume it is safe. CPSC recalls

NEISS estimates ER-treated injuries from a national probability sample of hospitals; they do not capture injuries treated elsewhere or not treated at all.

Data: CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments. This page is for informational purposes only and is not affiliated with the CPSC.