To the Editor.—
The article in the Archives (32:130, 1975) by Eckman et al, "Ulnar Neuropathy in Bicycle Riders," was very interesting.However, the authors' contention that this entity in bicycle riders has not been reported previously is in error. This is a well-documented problem among serious cyclists, and it has been described by several authors. The first report of this complication of cycling was published in 1895.1 Bicycles were only a few years old, but ulnar nerve compression was recognized in some of the competitors of the first cycling classic, Paris-Brest-Paris. Since that time, the problem has been reported in both racing and touring cyclists.2,3Eckman and his coauthors discuss the treatment of this neuropathy, but fail to stress that this problem can be prevented by very specific alterations in the bicycle. (I have detailed this in several bicycle publications [Bike World 1:24, 1972; Bike Book Quarterly
Hoyt CS. Ulnar Neuropathy in Bicycle Riders. Arch Neurol. 1976;33(5):372. doi:10.1001/archneur.1976.00500050058012
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