Equestrian injuries: A five-year review

Hobbs, Gregory D.; Yealy, Donald M.; Rivas, J.G.

doi:10.1016/0736-4679(94)90690-4

Cited by 54 publications

(36 citation statements)

References 6 publications

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“…It might even reflect an increased use of safety equipment. Cuenca et al [[16]] find an admission rate of 43% which differs from the literature of 5-15% [[9],[17],[18]]. In our study we find an overall admittance of 63 patients (21%).…”

Section: Discussioncontrasting

confidence: 83%

Horse-related trauma in children and adults during a two year period

Altgärde

Redéen

Hilding³

et al. 2014

Scand J Trauma Resusc Emerg Med

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IntroductionHorse riding, with almost 200,000 participants, is the eighth most popular sport in Sweden. Severe injuries can occur with horse riding accidents which is well documented. This study was undertaken to investigate if injuries associated with horse riding are common, which type of injuries occur, what mechanisms are involved and to estimate the costs to the society.Material and methodsAll patients attending the emergency department at Linköping University Hospital, during the years 2003-2004, due to horse related trauma were prospectively recorded. The patients were divided into two groups according to age, 147 children and 141 adults. The medical records were retrospectively scrutinized.ResultsThe most common mechanism of injury was falling from the horse. Most commonly, minor sprains and soft tissue injuries were seen, but also minor head injuries and fractures, mainly located in the upper limb. In total 26 adults and 37 children were admitted. Of these 63 patients 19 were considered having a serious injury. In total, four patients needed treatment in intensive care units.The total cost in each group was 200,000 Euro/year.ConclusionHorse riding is a sport with well known risks. Our results corresponds to the literature, however we have not observed the same incidence of serious injuries. In contrast we find these to be fairly uncommon. The injuries are mainly minor, with a small risk of long term morbidity. Over time regulations and safety equipment seem to have decreased the number of serious accidents.

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Section: Discussioncontrasting

confidence: 83%

Horse-related trauma in children and adults during a two year period

Altgärde

Redéen

Hilding³

et al. 2014

Scand J Trauma Resusc Emerg Med

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show abstract

“…Overall in our series, more than 50% of the children required hospital admission for treatment. This finding is greater than the 5% to 15% reported in the literature [7][8][9]. We initially believed that our finding was attributable to our being a tertiary referral, level I trauma center.…”

Section: Discussioncontrasting

confidence: 72%

Equestrian injuries in children

Cuenca

Wiggins

Chen

et al. 2009

Journal of Pediatric Surgery

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“…6 The majority (57%) of deaths due to horse riding accidents are secondary to head injuries.7 8 In a report by Pounder,9 of 18 riding related deaths, 14 were caused by head injuries.…”

Section: Discussionmentioning

confidence: 99%

Major pelvic injuries in equestrian sports

O’Farrell¹,

Irshad²,

Thorns³

et al. 1997

Br J Sports Med

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A series of pelvic and acetabular injuries caused by horse riding accidents is reported. The importance ofwearing appropriate protective clothing when riding is emphasised. (BrJ_ Sports Med 1997;31:249-251) Keywords: horse riding; pelvis; acetabulum Horse riding accidents at both amateur and professional levels are associated with a wide variety of injuries. While most equestrian related injuries are of moderate severity, these accidents can also result in major lifethreatening fractures. This paper reports a series of pelvic and acetabular injuries caused by horse riding accidents and referred to this unit, which is a national referral centre for treatment of pelvic and acetabular fractures.Patients and methods Two hundred and five patients with pelvic and acetabular fractures were treated by operation at our unit between 1987 and 1995. Most of the injuries were caused by motor vehicle accidents or falls from a height. Nine patients sustained their injury while engaged in horse riding or horse racing activities over the past four years. All patients, except one who had died from a cause unrelated to his injury, responded to a questionnaire relating to their level of riding experience, the level of training of their horse, the circumstances of the accident, and the nature of protective riding equipment worn.fixation of the sacroiliac joint and pubic symphysis (fig 3) was then performed at 7-10 days. Two patients had fractures of the ilium without disruption of the pelvic ring, and two patients had fractures of the acetabulum, one of the posterior acetabular wall, and one of the anterior column, all of which were managed surgically with open reduction and internal fixation of the fracture within one week of the accident.The mean follow up time since pelvic surgery was 17 (range 1-40) months. The mean hospital stay was 24 (range 11-45) days. One patient was injured by an untrained horse which knocked her down in a stableyard; the remaining eight horses, all of which were mounted at the time of the accident, had been fully schooled. Two of the accidents occurred during a hunt and in both cases the riders were trained and experienced in hunting. All riders were familiar with the horse from which they fell. All riders wore a helmet with a retaining strap when they fell and none of the helmets was damaged by the fall. No riders wore body protectors which are currently recommended for horse riding.' None of the riders had consumed alcohol before their accident. Five patients have ridden horses since the accident while four feel they will not be able to ResultsOf a total of 205 pelvic and acetabular fractures requiring major pelvic internal fixation, nine injuries were sustained as the result of horse riding accidents. The mean age of the riders was 46 (range 18-75) years. Seven were men and two were women. Eight of the patients were very experienced amateur riders, with a mean riding experience of 30 (range 10-50) years, and one was a professional jockey. Six of the riders had previously been involved in ...

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Equestrian injuries: A five-year review

Cited by 54 publications

References 6 publications

Horse-related trauma in children and adults during a two year period

Horse-related trauma in children and adults during a two year period

Equestrian injuries in children

Major pelvic injuries in equestrian sports

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