Hoewel mountainbiken minder blessures oplevert dan bijvoorbeeld voetbal, zijn de gevolgen van een blessure vaak ernstiger. De meeste acute blessures ontstaan door een val (94%), waarbij 2% te maken heeft met obstakels zoals takken, boomstronken of andere verkeersdeelnemers.
De meest voorkomende blessures bij mountainbiken zijn:
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