The Men's Madison event at the 2010 South American Games was held on March 21.
Medalists edit
| Gold | Silver | Bronze |
| Carlos Quishpe Bayron de la Cruz  Ecuador
|
Sebastian Donadio Walter Pérez  Argentina
|
Carlos Ospina Weimar Roldán  Colombia
|
Results edit
Distance: 140 laps (35 km) with 7 sprint
Elapsed time: 43:20.170
Average Speed: 48.458 km/h
| Rank | Rider | Sprint | Finish | Total | Laps Down | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | |||||
|
Ecuador Carlos Quishpe Bayron de la Cruz |
5 | 0 | ||||||||
|
Argentina Sebastian Donadio Walter Pérez |
5 | 3 | 2 | 5 | 5 | 1 | 20 | –1 | ||
|
Colombia Carlos Ospina Weimar Roldán |
3 | 3 | 5 | 1 | 2 | 2 | 3 | 2 | 19 | –1 |
| 4 |  VenezuelaMaximo Rojas Yosvangs Rojas |
2 | 2 | 1 | 3 | 5 | 3 | 2 | 3 | 18 | –1 |
| 5 |  ChileLuis Sepulveda Villar Gonzalo Figueroa |
5 | 1 | 2 | 3 | 1 | 1 | 4 | 13 | –1 | |
| 6 |  UruguayEdgard Nicolas Palma Milton Wynants |
5 | 5 | –1 | |||||||
| 7 |  BrazilThiago Nardin Marcos Novello |
1 | 1 | 2 | –1 | ||||||