Lower leg injuries resulting from motorcycle accidents have been well documented over the years in the medical literature and recognized as one of the more frequent injuries resulting from an accident involving motorcycles on the roads worldwide. While many of the previous reports have studied these injuries in depth, few have carefully analyzed the exact mechanism by which the injuries occur. This study has carefully reviewed over 125 motorcycle accidents in which there was an injury to the lower leg. Of the cases reviewed, 58 were selected to do a static reconstruction of the accident, using exemplar vehicles and occupants in order to determine the vehicle dynamics and occupant kinematics of the operator/rider. The accident scenario for each case consisted of a car to motorcycle collision and all were less than 35 mph in speed. The predominant accident configuration was that of a left turning automobile in front of a motorcycle. The major injury was a fracture of the tibia and fibula and underlying soft tissue damage. Transverse fractures of the femur often result from loading of the distal end of the femur and rarely are the result of a direct impact. Fracture of the patella and dislocation of the hip are not a common occurrence in motorcycle accidents. It is quite apparent from the static reconstruction of the accidents that much of the soft tissue injury occurs after the initial impact with the opposing vehicle, and is not the result of the leg being crushed between the vehicles. In fact, the true crushing injury as is often described, is not in our opinion a correct description of the lower leg injuries in motorcycle accidents.