Washington County Sheriff's deputies responded to Longmeadow Road on Monday evening where a pickup truck and an all-terrain vehicle collided, deputies said.
The driver of the ATV was flown to Washington County Hospital with a head injury, according to rescue officials. He was later listed in fair condition, a hospital spokeswoman said.
The ATV was lodged beneath the passenger side of the truck after the 6 p.m. collision, reports said.
A neighbor said the ATV rider appeared to be pinned under the truck.
The wreck occurred near the intersection with Leitersburg Pike, reports said.