“…Our data corroborates those found in prior studies in that the majority of patients are young women who were thrown from, fell off, or directly injured by the horse, and sustained concussions and orthopedic injuries 1,4,6–15,17,20,22. While the prevalence of equestrian injuries is dwarfed by other reasons for emergency room visits,1,26 the rate of injuries is thought to be higher than that of other activities, including motorcycle riding and automobile racing 1,4,6,20,21. This is despite the lower velocity and lower impact nature of the sport, and advocates the need for more outreach and education on proper safety; higher velocity activities often have state or federal regulations to establish minimum safety guidelines for the participants (e.g.…”