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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.
Equestrian injuries in the paediatric age group: a two centre study. Campbell-Hewson GL, Robinson SM, Egleston CV.This study's objective was to examine the nature, cause and frequency of injury resulting from equestrian sport in paediatric patients attending two accident and emergency departments. We recorded the attendances of patients aged less than 16 years with equestrian-related trauma in 1 year. Demographic details, injury, mechanism of injury, rider experience and use of protective equipment were noted. There were 41 attendances (39 female, two male, median age 12 years). Thirty-one were injured while mounted, 10 while dismounted. The commonest group of injuries were soft tissue injuries of the low...
Rider injury rates and emergency medical services at equestrian events.
British journal of sports medicine    February 23, 1999   Volume 33, Issue 1 46-48 doi: 10.1136/bjsm.33.1.46
Paix BR.Horse riding is a hazardous pastime, with a number of studies documenting high rates of injury and death among horse riders in general. This study focuses on the injury experience of cross country event riders, a high risk subset of horse riders. Methods: Injury data were collected at a series of 35 equestrian events in South Australia from 1990 to 1998. Results: Injury rates were found to be especially high among event riders, with frequent falls, injuries, and even deaths. The highest injury rates were among the riders competing at the highest levels. Conclusions: There is a need for skilled...
[Traumatology and sports injuries in equestrian acrobatics in the adolescent].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    September 17, 1998   Volume 12, Issue 2 66-70 doi: 10.1055/s-2007-993340
Horstmann T, Heitkamp HC, Mayer F, Hermann M, Küsswetter HW, Dickhuth H.The objective of this study was to compile knowledge of athletic injuries and complaint patterns related specifically to equestrian acrobatics (e.a.). A 20-page standardized questionnaire was sent to 114 e.a. participants. The mean age of the participants in e.a. groups was 15 +/- 3 years, that of independent participants 21 +/- 3 years. A total of 489 injuries was reported, mainly to muscles and tendons (35%), skin (33%) and joints and ligaments (25%). Bone injuries (6%) and head injuries (2%) were infrequent. Analysis of the localization showed that the head-face-neck region was involved in ...
[Riding injuries and injuries due to handling horses in experienced riders].
Der Unfallchirurg    April 29, 1998   Volume 101, Issue 2 122-128 doi: 10.1007/s001130050244
Heitkamp HC, Horstmann T, Hillgeris D.A group of experienced riders who qualified for the German riding badge 9.5 years ago answered a questionnaire pertaining to injuries during jumping, dressage and cross-country riding, as well as handling the horse. During riding 69% of the persons had had 187 injuries and while handling the horse 52% had had 124 injuries. Fractures and contusions were the most-frequent injuries; most riding injuries were located in the upper extremities and shoulder while handling mainly in the hands and feet. The number of injuries was comparable in jumping, dressage or cross-country riding. The time engaged...
Recidivism in equestrian trauma.
The American surgeon    March 5, 1998   Volume 64, Issue 2 151-154 
Frankel HL, Haskell R, Digiacomo JC, Rotondo M.A 3-year chart survey and questionnaire was conducted of equestrian-injured patients at a regional trauma center to determine patterns and consequences of injury and rate of recidivism. Ninety-two patients (95 encounters) were treated; most were young (mean age, 27 +/- 11 years) women (84%) riders sustaining falls (80%). Most injuries were orthopedic (47%); 19 per cent of patients required hospital admission. There was one death. Helmet use was documented in only 34 per cent. Eighty-one per cent of patients responded to a follow-up telephone survey; 36 per cent recounted additional accidents (...
Pelvic injuries in equestrians on buck-jumping horses.
The Journal of trauma    December 9, 1997   Volume 43, Issue 5 867-868 doi: 10.1097/00005373-199711000-00024
van Nieuwenhoven AL, van Laarhoven CJ, Van der Werken C.No abstract available
Fatal and non-fatal farm injuries to children and adolescents in the United States, 1990-3.
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention    October 27, 1997   Volume 3, Issue 3 190-194 doi: 10.1136/ip.3.3.190
Rivara FP.Examine the current magnitude of the injury problem to children and adolescents on farms, and to compare these data to that from 1978-83. Methods: US National Center for Health Statistics Mortality Multiple Cause of Death Tapes for the years 1991-3, and the US Consumer Product Safety Commission National Electronic Injury Surveillance System for data on emergency department visits for 1990-3. Methods: Children and adolescents 19 years and younger injured on farms. Results: There were an average of 104 deaths per year due to injuries occurring on farms. The rate of 8.0 deaths per 100,000 child f...
Head, face, and neck trauma from large animal injury in New Mexico.
The Journal of trauma    October 6, 1997   Volume 43, Issue 3 492-495 doi: 10.1097/00005373-199709000-00017
Temes RT, White JH, Ketai LH, Deis JL, Pett SB, Osler TM, Wernly JA.Head, face, and neck injuries (HFNI) occur during animal-related trauma. We compared patients with HFNI and without HFNI after animal-related injuries to determine the significance of these injuries. Methods: Retrospective review of admissions for animal injuries between January 1, 1990, and December 31, 1995, by age, gender, mechanism, animal, Glasgow Coma Scale (GCS) score, Injury Severity Score (ISS), Abbreviated Injury Severity score for head and neck (AIS Head/Neck), AIS score for face (AIS Face), intensive care unit stay, hospitalization length, morbidity, and mortality. Results: There w...
Major pelvic injuries in equestrian sports.
British journal of sports medicine    September 23, 1997   Volume 31, Issue 3 249-251 doi: 10.1136/bjsm.31.3.249
O'Farrell DA, Irshad F, Thorns BS, McElwain JP.A series of pelvic and acetabular injuries caused by horse riding accidents is reported. The importance of wearing appropriate protective clothing when riding is emphasised.
Equine-related neurosurgical trauma: a prospective series of 30 patients.
The Journal of trauma    July 1, 1997   Volume 43, Issue 1 97-99 doi: 10.1097/00005373-199707000-00022
Kriss TC, Kriss VM.Thirty million Americans ride horses; 50,000 of these riders are treated in emergency rooms annually. Equestrian activities are uniquely dangerous because the participant is unrestrained, often helmetless, and riding large, unpredictable animals capable of 40-mph speeds and kicking with up to 1 ton of force. Neurologic injuries in equestrians constitute the majority of severe injuries and fatalities. We prospectively studied all patients admitted to the University of Kentucky Medical Center with equine-related neurosurgical trauma from July 1992 to January 1996. Eighteen of 30 patients were ma...
Intracranial hematoma in experienced teenage equestrians.
Pediatric neurology    October 1, 1996   Volume 15, Issue 3 235-236 doi: 10.1016/s0887-8994(96)00162-2
McAbee GN, Ciminera PF.Intracranial hematoma in pediatric equestrians is rare, notwithstanding the lack of uniform standards and requirements for the use of protective headgear during equestrian events. We report two teenage helmeted equestrians who sustained severe head trauma with intracranial hematoma due to falls during equestrian events. Current recommendations for the use of equestrian headgear are reviewed.
Preventing equestrian injuries. Locking the stable door.
Sports medicine (Auckland, N.Z.)    September 1, 1996   Volume 22, Issue 3 187-197 doi: 10.2165/00007256-199622030-00005
Watt GM, Finch CF.The medical and sports literature databases were searched for equestrian sports-related injury published in English since 1980, together with conference abstracts and discussions with equestrian sporting bodies. This literature was critically reviewed, with emphasis on measures to prevent or control injury i.e. countermeasures. While there is considerable literature available on the epidemiology of injury incurred in most equestrian sports, there is little on the prevention of these injuries. Case-control or other studies evaluating the effectiveness of the countermeasures suggested by authors...
Horseback-riding-associated traumatic brain injuries–Oklahoma, 1992-1994. From the Centers for Disease Control and Prevention.
JAMA    April 10, 1996   Volume 275, Issue 14 1072 
No abstract available
[Expert opinions about a case of injury which by a failure of a restraining device caused a life-threatening injury to a breeding stallion].
Tierarztliche Praxis    April 1, 1996   Volume 24, Issue 2 113-116 
Merkt H.A stallion got fatal injuries by kicks of a maiden mare because a so called "panic hook" untied spontaneously. The use of such hooks to secure mares during mating should therefore not be recommended.
Horseback-riding-associated traumatic brain injuries–Oklahoma, 1992-1994.
MMWR. Morbidity and mortality weekly report    March 15, 1996   Volume 45, Issue 10 209-211 
Each year, traumatic brain injury (TBI) is associated with 52,000 deaths and accounts for one third of all injury deaths in the United States; in addition approximately 80,000 persons who survive TBI incur some loss of function, residual disability, and increased medical-care needs because of these injuries. Major causes of TBI are motor-vehicle crashes, falls, assaults, and sports and recreational activities. During 1992-1993 in Oklahoma, horseback riding was the leading cause of sports-related TBI. To further characterize horseback-riding-associated TBIs, the Oklahoma State Department of Hea...
Accidents with horses: what has changed in 20 years?
Injury    March 1, 1996   Volume 27, Issue 2 103-105 doi: 10.1016/0020-1383(95)00176-x
Chitnavis JP, Gibbons CL, Hirigoyen M, Lloyd Parry J, Simpson AH.Horse riding is a dangerous pastime with more accidents occurring per hour than during motor-cycling. Since a prospective survey of horse-related injuries conducted at a major centre in 1971-1972, equestrian groups and the medical profession have encouraged improvements in training and protective riding wear. By conducting a similar study at the same centre 20 years later we hoped to assess the effects of these measures on the pattern of injuries resulting from contact with horses. Patient and injury details were recorded prospectively for all those presenting to the Accident Service at Oxford...
Partial excision of the clavicle for nonunion in National Hunt Jockeys.
The Journal of bone and joint surgery. British volume    September 1, 1995   Volume 77, Issue 5 778-780 
Middleton SB, Foley SJ, Foy MA.National Hunt jockeys suffer a disproportionate number of clavicular fractures and their return to riding may be considerably delayed by refracture and symptomatic nonunion, with obvious implications. We report six such cases in which excision of the clavicular fragment distal to the fracture was associated with an early return to work and no recurrent injury to the shoulder.
[Injuries in horseback riding–incidence and causes].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    September 1, 1995   Volume 9, Issue 3 77-83 doi: 10.1055/s-2007-993429
Rathfelder FJ, Klever P, Nachtkamp J, Paar O.This article presents the examination of 78 accidents in horseback riding, referring to their origin and kind of injury. It was found that 76% of all injuries did not occur during the active phase of riding, but in the time just before and right after it. Children without any experience in horseback riding were most susceptible to injuries. Referring to lesions occurring before and after the active phase, the longer extremity was predominantly involved (40%); furthermore, the skull was injured in 18% and the hand in 14% of all lesions. During the active phase of horseback riding, skull injurie...
Equestrian-related trauma.
The American journal of emergency medicine    July 1, 1995   Volume 13, Issue 4 485-487 doi: 10.1016/0735-6757(95)90148-5
Hughes KM, Falcone RE, Price J, Witkoff M.No abstract available
Traumatic carotid and vertebral artery dissection in a professional jockey: a cautionary tale.
British journal of sports medicine    June 1, 1995   Volume 29, Issue 2 143-144 doi: 10.1136/bjsm.29.2.143
Fletcher J, Davies PT, Lewis T, Campbell MJ.Jockeys accept bony fractures and soft tissue injuries as occupational hazards. An average National Hunt jockey falls once in ten races with an injury rate of 4.25%. Head injury is a common cause of morbidity and the benefit of helmets is well recognized. Neck injuries are also common and usually musculoskeletal. Although rare, trauma to the neck arteries may go unnoticed yet have catastrophic consequences. Internal tears can allow arterial blood to dissect the layers of the arterial wall and obstruct the lumen. Severe obstruction may lead to cerebral ischaemia and infarction. An appreciation ...
Oral protection for equestrians.
CDS review    June 1, 1995   Volume 88, Issue 5 28-30 
Douglas BL.Facial injuries are common among those who ride horses. However, the use of custom-made mouth guards is not promoted by those in the equestrian industry.
‘No hoof no horse?’.
Equine veterinary journal    May 1, 1995   Volume 27, Issue 3 166-168 doi: 10.1111/j.2042-3306.1995.tb03058.x
Reilly JD.No abstract available
Pediatric equestrian injuries: assessing the impact of helmet use.
Pediatrics    April 1, 1995   Volume 95, Issue 4 487-489 
Bond GR, Christoph RA, Rodgers BM.To assess the impact of helmet use on the pattern, and severity of pediatric equestrian injuries. Methods: A prospective observational study of all children less than 15 years of age who were brought to the University of Virginia children's Emergency Department with horse-related injuries. Results: During the two-year period of the study, 32 children were evaluated. Two children were injured when a horse stepped on them. Thirty children fell from or were thrown from a horse. Of these, 20 were wearing a helmet. Head injuries were more frequent in those patients not wearing helmets. The mean Mod...
[Equestrian accidents in children and adolescents].
Der Unfallchirurg    December 1, 1994   Volume 97, Issue 12 661-662 
Schmidt B, Mayr J, Fasching G, Nöres H.The rate of pediatric equestrian injuries is relatively low, but the severity of injuries is greater than in many other pediatric sport activities. In a 4-year period the charts of 109 patients up through the age of 15 years, who were admitted for equestrian-related injuries were reviewed. Falls from horses are the most frequent cause of injuries and responsible for their anatomic localization and type of injury. In our study the upper extremity was the most common (38%) area injured and head injuries comprised the second largest group with 36%. Forty percent of all injuries were fractures, 72...
Equestrian injuries: a five-year review.
The Journal of emergency medicine    March 1, 1994   Volume 12, Issue 2 143-145 doi: 10.1016/0736-4679(94)90690-4
Hobbs GD, Yealy DM, Rivas J.A retrospective chart review was conducted to define the demographic and injury patterns of patients presenting to the emergency department (ED). The setting is a rural/small urban tertiary care center with approximately 40,000 visits per year. All patients presenting to the ED from January 1986 through December 1990 with equestrian-related injuries were enrolled in the study. Measurements included age, sex, mechanism of injury, injury or injuries diagnosed, admission to the hospital, morbidity, and mortality. A total of 142 patients met the inclusion criteria. The majority of injuries occurre...
Helmets and horseback riders.
American journal of preventive medicine    January 1, 1994   Volume 10, Issue 1 15-19 
Nelson DE, Rivara FP, Condie C.To determine patterns of helmet use and attitudes toward helmets among horseback riders, we analyzed a subset of data (n = 1,834) from a cross-sectional mail survey of horseback riders conducted from July to December 1991. Riders were randomly selected from the mailing list of a national mail-order company that sells horseback-riding equipment. Of 900 English-style riders, 517 (57.5%) wore helmets on their last ride, compared with only 81 of 684 (11.8%) Western-style riders. Among 546 riders who did not own helmets, their most commonly cited reasons included believing that helmets were unneces...
Is horse riding a dangerous recreation for young girls? A study at emergency departments of Lahti City Hospital and Päijat-Häme Central Hospital, Lahti.
Annales chirurgiae et gynaecologiae    January 1, 1994   Volume 83, Issue 3 225-228 
Niskanen R, Lindahl J, Mokka R, Korkala O.Horse-related injuries form a notable part of sports and leisure time accidents. 54% of the injured were female riders under the age of 20 years. The most serious injuries were upper extremity ones. Over one third of the riders had suffered previously from horse-related injuries.
[Equestrian accidents in children].
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen    November 1, 1993   Volume 64, Issue 11 938-947 
Giebel G, Braun K, Mittelmeier W.In a retrospective study we reviewed 262 horse riding related injuries in children younger than 16 which were treated between 1975 and 1989 at the Section of Traumatology in the Department of Surgery, University Hospital Homburg/Saar. In 155 of these accidents, detailed information was gained via a questionnaire. The typical patient profile was that of young female equestrians with little experience and little weekly riding practice, without practicing falling-exercises and warming up often using different horses. At the time of the accident only 59% were wearing a head protection. Most accide...
Injuries due to falls from horses.
Australian journal of public health    September 1, 1993   Volume 17, Issue 3 269-271 
Buckley SM, Chalmers DJ, Langley JD.This study describes the epidemiology of injuries due to falls from horses in New Zealand. There were 54 fatalities from 1977 to 1986 (0.17 per 100,000 persons per year). There were 773 hospitalisations in 1987 (23.7 per 100,000 persons per year). Head injuries were predominant among both fatal and nonfatal injuries. The incidence of nonfatal head injury in the 10 to 19 age group was significantly higher than the incidence in all older groups (P = 0.003). Young people, particularly females, were the segment of the population most affected by the problem of falls from horses. Reference to data ...
Horse-related fatalities in the Province of Alberta, 1975-1990.
The American journal of forensic medicine and pathology    March 1, 1993   Volume 14, Issue 1 28-30 doi: 10.1097/00000433-199303000-00006
Aronson H, Tough SC.People use horses for work and recreational purposes on farms and ranches in Alberta, Canada. This retrospective descriptive review examines the records of all those people killed while around horses between 1975 and 1990. The intent is to ascertain features common to these injuries and to suggest prevention strategies. Records from the Office of the Chief Medical Examiner of Alberta revealed that 38 people were involved in horse-related fatalities between 1975 and 1990 and that 22 died of head injuries. All 38 deaths were classified as accidental. Some of these might have been prevented, or i...