E-bikes are booming — over 1.1 million were sold in the U.S. in 2022, with a projected 10% annual growth rate — but the injury toll is rising just as fast. A 2025 study found 45,845 nationally estimated e-bike-related injuries between 2013 and 2022, with fractures being the most common, followed by concussions. Older riders face higher risks for fragility fractures, while younger riders and men are disproportionately affected by concussions and motor vehicle collisions.

Experts stress that e-biking itself hasn't necessarily gotten more dangerous — there are simply far more people riding. But that surge in use demands a policy response. Orthopedic surgeons are urging standardized helmet laws, speed limits for e-bikes, clearer traffic rules, and better-designed urban infrastructure like protected bike lanes.

By the Numbers:

• 45,845 estimated e-bike injuries in the U.S. between 2013–2022
• 90.9% increase in injury frequency from 2019 to 2022
• ~25–33% of injured riders required hospitalization
• ~30% of injuries involved a collision with a motor vehicle

Why it matters: As e-bikes become a mainstream transportation option, the healthcare system is absorbing a growing wave of preventable injuries. Without updated safety regulations and infrastructure, that trend is only going to accelerate.