Sir.—Because of the increasing popularity of physical fitness during the past several years, home exercise equipment has become standard in many households. The most popular type of equipment is the stationary exercise bicycle, with an estimated 3 million sold to Americans each year (Consumer Reports. November 1990: 746). A survey by Consumer Reports revealed that nearly half of its readers owned an exercise bicycle. Although generally a safe and efficient method of exercise, stationary bikes may present potential hazards, particularly to young children. It is estimated that injuries associated with exercise bicycles account for more than 2200 emergency department visits each year.1 Despite the frequency of these injuries, in our review of the medical literature, no references addressing this problem were found.
Within a recent 6-month period, we treated two children who had suffered finger amputations while playing with stationary exercise bicycles. In addition, we reviewed case reports