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Topic:Equestrian Injuries
Equestrian injuries refer to physical harm sustained by individuals involved in horse-related activities, such as riding or handling horses. These injuries can vary in severity and type, including fractures, concussions, and soft tissue damage. The nature of equestrian activities, which often involve high speeds and large animals, contributes to the risk of injury. Factors influencing the occurrence of injuries include rider experience, safety equipment usage, and the behavior of the horse. This page aggregates peer-reviewed research studies and scholarly articles that explore the incidence, causes, prevention, and management of equestrian injuries, providing insights into safety practices and injury mitigation strategies in equine sports and activities.
Equine-related injuries in rural Oklahoma: a 10-year experience emphasizing genitourinary trauma. Equine-related injuries are a significant yet under-researched cause of trauma in rural areas, particularly in high-equine-density states like Oklahoma. This study describes patterns, severity, and outcomes of equine-related injuries over a 10-year period at a Level II trauma center, with emphasis on genitourinary (GU) trauma. Methods: This retrospective cohort study included all patients admitted with equine-related injuries from May 2015 to December 2025 (n = 259). Data were abstracted from the trauma registry, including demographics, injury mechanisms, anatomic locations (with GU injuri...
A 12-year review of equestrian related injuries at a major trauma centre in South Africa. Few studies on equestrian-related injuries have specifically focused on patients in South Africa. The aim of this study was to review the spectrum of injuries and of patients treated at state-funded trauma centres in South Africa. Methods: A retrospective study was conducted over a 12-year period from July 2012 to February 2025 on all patients treated for equestrian-related injuries. Results: A total of 82 patients were included (83% male, median age: 17 years, median injury severity score (ISS): 9). The most common mechanism of injury was a fall ( = 41), followed by a kick ( = 38). Two were t...
Severe Macular Commotio Retinae Following a Fall from a Horse in a Pediatric Patient. Background and Clinical Significance: Blunt ocular trauma is a significant but often underestimated cause of visual impairment, particularly among adolescents involved in high-risk activities such as horseback riding. While most equestrian injuries affect the head and extremities, ocular trauma, especially commotio retinae, can result in severe visual complications. Case Presentation: We report the case of a 15-year-old girl who sustained blunt ocular trauma to the left eye following a fall from a horse and presented with decreased visual acuity. Multimodal imaging revealed outer retinal abnor...
Characteristics of horse riding-related falls in patients presenting to emergency departments in manche department, france: a multicenter retrospective analysis. Horse riding-related falls are a frequent cause of emergency department (ED) presentations; however, their regional epidemiology in France is poorly described. We aimed to quantify the incidence of ED visits after falling from a horse in the Manche Department and characterize the injury patterns, resource use, and short-term outcomes. Methods: We conducted a multicenter retrospective study across six hospitals in Manche (France), including all patients presenting to the ED after a fall from a horse between May 1, 2021, and October 31, 2024. Demographics, initial clinical status, imaging findin...
Rider education at Swedish riding schools: Comparing teachers’ and pupils’ perspectives. Previous research has highlighted a gap between scientific evidence and its application in equestrian practice, leading to concerns about horse welfare and human safety. Riding schools present an important platform for promoting science-based practices, as they bring together riders of all ages and levels and serve as sites for equestrian education and for shaping attitudes toward horse welfare. Yet, the teaching in riding schools is often rooted in traditional practices. Therefore, mapping current educational methods and exploring how teaching and learning are perceived by both riding school ...
Joint dislocations due to equestrian activity: what can a sports physician anticipate? Horse riding is a common sport, but no study specifically addresses joint dislocations. The purpose of this study is to describe joint dislocations due to equines using a national emergency department (ED) database. Such data can be helpful in injury prevention strategies. Unassigned: The National Electronic Injury Surveillance System (NEISS) database for the years 2000-2023 was used. The NEISS database is a statistically representative sample of injuries seen in EDs across the US giving national estimates. Mechanism of injury was tabulated into groups: 1) did the patient fall from the horse 2...
Head Injuries in the Wild West: A Comparison of Head Injuries in English and Western Collegiate Equestrian Athletes. Compare incidence of head injury, number of falls, and helmet use between English and Western riders. Methods: Cross-sectional study. Methods: Online flyers. Methods: Competitive college equestrian athletes. Methods: This study assesses the difference in risk of head injury between the English and Western disciplines of riding. Methods: The difference in risk of head injury between the English and Western disciplines of riding. Results: Three hundred fifty-seven equestrian athletes between 18 and 24 years of age who ride competitively for their college or university's team participated in this...
Factors influencing equestrian helmet use, purchase and safety perceptions: A cross-sectional study. Helmets play a critical role in preventing and reducing the severity of head injuries in high-risk sports. Understanding the factors influencing equestrian helmet use and safety perceptions is needed to optimise injury prevention strategies. Methods: In this cross-sectional study of 596 equestrian participants aged ≥12 years, we assessed helmet use, factors influencing helmet purchase decisions, and perceptions of helmet safety. Chi square tests and regression models examined differences by age, professional status, jumping versus non-jumping disciplines and concussion history. Results: Helm...
Horse-racing injuries in children before and after the introduction of safety regulations in Mongolia. The aim of this study was to assess the effectiveness of safety regulations governing traditional Mongolian horse racing on the frequency and severity of injuries among child jockeys. Regulations introduced in 2019 mandate the wearing of helmets and protective clothing, prohibit the participation of jockeys aged < 7 years, and ban horse racing during the cold season (November-April). National injury surveillance data were used to compare the profile of injuries that occurred among children aged < 15 years in the 4-year periods before and after the introduction of the regulations (2015-2018 ...
Traumatic injuries in polo players. To determine the frequency of traumatic injuries in polo players in England. Methods: The survey included data on body location and reason for injury derived from accident reports using a retrospective cohort design from 26 participating English polo clubs between the years 2018 and 2024. Results: The study population included injuries in 236 polo players. The most common injury site was the limb (arm, hand, leg, wrist, shoulder) 47.9% (95% CI: 41.4-54.5), and face or head 38.6% (95% CI: 32.3-45.1), of which 12.1% (95% CI: 6.2-20.6) affected the eyes. The most common reason to require hospital...
Radiological assessment of equestrian-related trauma: A retrospective cohort study. Equestrian sports have been found to cause high rates of injuries. In clinical practise after such injuries, polytrauma protocol workups usually include whole-body computed tomography (WBCT), CT of the chest, abdomen and pelvis with intravenous iodine contrast medium, and CT of the cervical spine and brain without contrast. The purpose was to investigate the use of WBCT in equestrian-related accidents, to analyse demographics, mechanism of injury (MOI), therapy and severity of equine-related accidents, radiology, and the use of protecting equipment. Methods: This is a retrospective study inclu...
The effect of repeated shocks on the low back during horse riding. Repeated shocks, such as those occurring during horse riding, may result in a risk of overloading the low back. This study investigated accelerations and angular changes in the low back during horse riding, using Inertial measurement units (IMUs) on the pelvis, and L4, L1, and T11 spine levels during 30 min of walking and 10 min of cantering in twelve female participants. The root mean squared (RMS) linear acceleration of each IMU and the transmission (signal transfer) between each pair of IMUs were calculated from the measured accelerations. Additionally, angular motions between IMU's were ...
Prevalence of Low Back Pain in Competitive Dressage Riders: A Cross-Sectional Study. The purpose of this study was to identify the point and lifetime prevalence of low back pain (LBP) among dressage riders and identify riding-related variables that may precipitate LBP. Unassigned: A cross-sectional, exploratory, quantitative study was conducted using an online questionnaire. One hundred dressage riders competing at preliminary and higher levels were recruited at the South African Equestrian Federation's registered shows. Frequencies and descriptive statistics were performed on each question in addition to cross-tabulations for associations between variables or differences betw...
Horsing Around: A Retrospective Study of Equestrian Related Eye Injuries in the Emergency Department. Equestrian activities pose significant risks for ocular and ocular adnexal injuries, particularly from horse kicks and falls from horse riding. Objective: This study characterizes the spectrum of horse-related ocular trauma, analyzes outcomes, and provides recommendations for management of these injuries. Methods: A retrospective review was conducted at a large academic medical institution in the southeastern U.S. using ICD codes to identify horse-related ocular trauma cases. Demographics, injury mechanisms, clinical presentation, treatment, and long-term sequelae were analyzed. Results: Fifty...
Factors Influencing the Intra-Oral Movement of the Bit: A Cadaveric Study. Bit-related trauma is a welfare issue in equestrian sports; therefore, a proper understanding of how the bit behaves inside the mouth is of importance. The objective of this study is to investigate the influence of bit design (snaffle bits/single/double-jointed; ring/eggbutt and curb bits), size, rein tension, and rein angle on the intra-oral movement of the bit in ex vivo specimens. The lateral and posterior movement of different bits was measured on cadaver heads under different circumstances. This ex vivo model, while not fully replicating natural conditions, provided insight into potential...
Youth horse-related injuries (2014-2024): a scoping review of epidemiological and disciplinary insights. Although horse riding is hazardous and injuries are common, young riders regularly engage in horse-related activities. To our knowledge, there have been no syntheses on youth horse-related injuries published during the past decade that employ a multi- and interdisciplinary research agenda (M-IDR) and that incorporate both quantitative and qualitative methods. Therefore, this scoping review aimed to (1) review studies on horse-related injuries among children and adolescents and (2) identify methodological and paradigmatic trends according to M-IDR. Using the Preferred Reporting Items for System...
Major trauma in equestrian activities in New South Wales, Australia: An eleven-year review. Equestrian activities are popular in Australia for both work and recreation. However, these activities are associated with high rates of injury [including major trauma] when compared to other physical activities and sports. Research assessing equestrian-related major trauma is limited. This study analyses the characteristics of equestrian-related major trauma in New South Wales, Australia, to guide injury prevention initiatives. Methods: A retrospective analysis was conducted using data from the New South Wales Trauma Registry on equestrian-related major trauma cases over an 11-year period fro...
Amputations and Avulsion Injuries due to Human/Equine Interaction. IntroductionAmputations and avulsion injuries due to horse-associated activity are rare, yet they can result in significant impairment. The purpose of this study was to further investigate such injuries using a national emergency department database.MethodsThe US National Electronic Injury Surveillance System (NEISS) was used to identify horse-associated amputation and avulsion injuries occurring between 2000-2023. Demographic data of age, sex, and injury details were collected.ResultsThere were 34,091 emergency department visits for equine-associated injuries, with 120 (0.35%) due to amputati...
Equestrian-related maxillofacial injuries-a five-year retrospective review. Equestrian-related activities inherently involve the risk of serious injury. There are few reports of maxillofacial injury patterns and management arising from equestrian activities in the literature. Objective: To investigate maxillofacial fracture presentations at a tertiary trauma centre to identify injury profiles of patients who have sustained equine-based injuries over 5 years. Methods: This work involved a retrospective review of all trauma presentations to our unit over 5 years. The data collected included patient demographics, injury mechanisms and patterns, and management of fractu...
Spinal Injuries from Equestrian Activity: A US Nationwide Study. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Magnetic resonance Imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: Insights, advances and future directions. Deep digital flexor (DDF) tendinopathy is a significant cause of lameness and poor performance in equine athletes with substantial implications for their return to athletic performance. Magnetic resonance imaging (MRI) is increasingly integrated into the diagnostic workup of horses with foot pain and has revolutionised the diagnosis and management of these injuries. This review discusses the principles of MRI in the context of deep digital flexor tendon (DDFT) injury, comparing high-field and low-field systems and highlighting the clinical relevance of technical parameters, including field str...
Equestrian STAR: Development of an Experimental Methodology for Assessing the Biomechanical Performance of Equestrian Helmets. The current equestrian helmet standards set minimal requirements for passing helmets, highlighting the need for a rating system that differentiates helmets based on their impact performance. This study's objectives were to compare equestrian helmet impact response kinematics between linear-driven and oblique impact conditions and then to evaluate the effect of incorporating oblique drop tests into a previously established equestrian helmet rating system, Equestrian STAR. Methods: Oblique drop tests were conducted with 45 equestrian helmet models at two impact locations, front boss and rear bos...
Equestrian Trauma in an Urban Environment: A Retrospective Analysis in a Level I Trauma Center. Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
‘We just make do’: the use, comfort and functionality of personal protective equipment in the UK mounted police. Police officers wear personal protective equipment (PPE) to reduce their risk of injury while on duty. Despite the unique policing activity of riding a horse, little is known about the PPE used by mounted officers. The aim of this research was to assess the use, comfort, and functionality of mounted police PPE. Twenty officers from three UK Mounted Sections were recruited. Semi-structured interviews and range of movement assessments were conducted. Interview data was analysed using reflexive thematic analysis. Three main themes were generated: and Much of the PPE worn by mounted officers is ...
Lessons learnt from horse-related human fatalities: Accident analysis using HFACS-Equestrianism. Equestrianism has an opportunity to learn lessons relating to safer human-horse interactions from those who no longer have a voice, by drawing data from the investigation of horse-related human fatalities and participating in accident analysis. Many human-horse related injuries and fatalities are not examined in equestrianism for the purpose of developing safer future risk mitigation practice, often due to the philosophy that horse sport is simply dangerous. This study analysed data from the Australian National Coronial Information System (NCIS) relating to fatalities involving human-horse int...
Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records. Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Methods: This review of medical records utilised data from the Bri...
Equestrian Sports Safety: An Update on Safety Equipment and Event Medical Coverage. Equestrian sports are associated with high rates of major injury compared to collision and powered two-wheel sports. Advancements in rider and horse safety equipment and the implementation of comprehensive emergency action planning standards may help mitigate injuries, particularly in regard to the Olympic disciplines of dressage, show jumping, and three-day eventing covered in this review. Personal safety equipment to consider includes helmets, safety and air vests, and horse tack including safety stirrups, acoustic dampeners, and breakaway reins. Equestrian event medical coverage requires em...
Prevalence of Lower Back Pain and Risk Factors in Equestrians: A Systematic Review. This systematic review aimed to determine the prevalence of lower back pain (LBP) in equestrian athletes (EAs) and identify associated risk factors. Following the PRISMA guidelines, observational studies published between 2004 and 2024 in English, Portuguese, Spanish, and German were included. The review identified relevant studies through the Web of Science, EBSCO, MEDLINE, and SCOPUS (last search performed on 30 October 2024), yielding 14 studies with a total of 4527 participants. The question format for the included studies specified the population as equestrian athletes, the exposure as eq...
Traumatic Hemothorax With Rib Fixation in a Professional Jockey Following a Horse Stomping Incident. Traumatic hemothorax is a serious condition requiring immediate intervention. We present a case of a 48-year-old male professional jockey who suffered traumatic hemothorax, bilateral pulmonary contusions, and multiple rib fractures after being stomped by a horse. Management included intercostal drainage placement, costal fixation from the 5th to the 10th rib, and intensive care unit admission. Postoperative complications included, acute kidney injury, rhabdomyolysis, and severe acute respiratory distress syndrome. This case highlights the importance of a multidisciplinary approach in managing ...
Stakeholder Views on the Potential Benefits and Feasibility of an Equestrian Industry-Specific Health, Safety and Welfare Management System. With the growth of the equestrian industry, risk exposure and the obligation to maintain the health, safety, and welfare of humans and horses remain front and centre. As there has been no apparent reduction in non-fatal human horse-related injuries, we asked industry stakeholders to discuss their current management and risk mitigation practices and highlight potential barriers to improving these processes. Semi-structured interviews were conducted with 20 stakeholders from Australian equestrian work- ( = 9) and non-work- ( = 11) related organisations to determine the potential benefits and fea...
