The general pattern of injury sustained by a sample of 211 pedestrians struck by the fronts of cars or light goods vehicles is described. Particular attention is paid to the nature, cause and severity of the pelvic and leg injuries sustained The effect of bumper height and bumper lead on the location and incidence of fractures caused by the bumper is examined. The potential for improvement in vehicle front structure design is examined by comparing the overall severity of the injuries actually sustained, with the overall severity of injury that would have been sustained had there been no vehicle induced leg injuries.