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.
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.
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...
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...
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.
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...
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 ...
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.
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...
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...
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...
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...
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.
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...
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 ...
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...
The Journal of traumaFebruary 1, 1993
Volume 34, Issue 2 227-232 doi: 10.1097/00005373-199302000-00008
Hamilton MG, Tranmer BI.A review of 156 horseback-riding accidents that occurred in southern Alberta over a 6-year period and resulted in nervous system trauma, including 11 deaths, is presented. The majority (81%) of accidents occurred during recreational activity and 81% were associated with falling or being thrown from a horse. Head injury occurred in 92% of patients and accounted for all of the 11 deaths. Spinal injury occurred in 13% of the patients and was associated with head injury in 40%. One peripheral nerve injury was identified. Helmets were used by only two victims. The 11 deaths that occurred as a conse...
Condie C, Rivara FP, Bergman AB.Although the risk of serious head injury for horse riders is higher than for most other sports, few equestrians regularly wear protective headgear. This study indicates that riders are well informed about the need for helmets and that the main reason for nonuse is inadequate helmet design. In particular, riders perceive that existing helmets are uncomfortable, expensive, and inappropriate for some riding styles. Based on these findings, the authors developed strategies to increase usage and incorporated them into a successful program. These strategies included working with manufacturers to dev...
Bixby-Hammett DM.Using data from four sources, horse-related injuries are summarized for persons younger than 25 years of age. Head injury caused 57% of deaths. The upper extremity was the most common area injured, with the next most frequent areas the lower extremity (National Park Service data) and the head (United States Pony Clubs [USPC] data). Injured females outnumbered injured males and had a greater percentage of participants injured (USPC data). Injuries occurred at home in 41% (National Electronic Injury Surveillance System data). USPC figures suggest that greater knowledge may reduce the severity of...
In the United States, an estimated 30 million persons ride horses each year (1). Total injury-related morbidity and mortality associated with horseback riding in the United States is unknown; however, during 1976-1987, 205 such fatalities occurred in 27 states (2). Even though alcohol use is a risk behavior for many types of injury, its role in horseback-riding-associated deaths has not yet been established. This report summarizes a study by the North Carolina Office of the Chief Medical Examiner (OCME) to characterize all horseback-riding-associated deaths during 1979-1989 and to determine wh...
Nelson DE, Bixby-Hammett D.We reviewed the English language scientific literature about equestrian injuries among children and young adults. All studies showed that more females than males were injured, with falls from horses being the most common cause of injury. Fractures were common, and head injuries were associated with the vast majority of deaths (72% to 78%) and hospitalizations (55% to 100%). Although the overall injury rate was low, equestrian athletes are at risk for serious injuries. Pediatricians should know the medical contraindications for participation in equestrian sports and encourage riders to obtain h...
Mohammed HO, Hill T, Lowe J.A case-control study was conducted on Thoroughbred horses to identify factors associated with the risk of breakdown on racetracks. A total of 310 cases (breakdowns) were identified from the Horse Identification Department records kept by the chief examining veterinarian of New York Racing Association. For each case, two control horses were selected randomly from the Daily Racing Form Inc. records. Multiple logistic regression analysis was used to identify and quantify the risk of factors associated with breakdown, while simultaneously controlling for the effect of other putative factors. Facto...
Heinrich B.This research article corrects a common misconception about the energy metabolism in horses during short sprinting and long-distance running events, emphasizing that short sprints are primarily powered by anaerobic activity, […]
Björnstig U, Eriksson A, Ornehult L.Injuries caused by animals and treated at the University Hospital of Umeå were analysed. Dogs caused nearly one-half of the injuries, while horses caused one-third of the injuries and the highest number of fractures. The 'cost' of treatment and sickness benefit was fairly evenly distributed between horse-, cattle-, and dog-related injuries. The average 'cost' per injured person was, however, highest in those injured in cattle accidents and moose-car collisions. The impact of animal-related injuries on the health care and social security systems was similar to occupational accidents and car ac...
Regan PJ, Roberts JO, Feldberg L, Roberts AH.An estimated 3.5 million people ride horses in the United Kingdom (Cannon, 1989). Injuries consequent to falls are common (Edixhoven et al., 1981), but those sustained while leading horses are less well recognized. In eight cases inappropriate grip of the reins or halter rope while leading a horse or pony resulted in an avulsion injury to a finger or thumb. It is suggested that people at risk be informed of such injuries.
Dittmer H.Injuries are relatively rare in horse riding compared to other sports, but when they occur they are rather severe and dangerous: about 40% of the injured suffer from fractures, for instance and only 15% from sprains. About 20% have to be admitted to the hospital. Roughly 30% of the injuries involve the arm and 7.5%-10% the spine. The head is injured in 20%, the brain in 8% and the lower extremity in only about 20%. That means that the majority of injuries involve the upper half of the body. One quarter of all lethal sport injuries are caused by horse riding.
Braza ME, Girotto JA.A 4-year-old female with prior cranial vault remodeling for nonsyndromic bilateral coronal craniosynostosis sustained a severe traumatic brain injury with open skull fractures from a horse kick. Her post-traumatic course was complicated by persistently elevated intracranial pressure despite neurosurgical decompressions, maximum medical therapy, and trial of multiple pressure monitoring devices. She eventually had improvement in her intracranial pressures and made a full neurologic recovery. This case highlights the potential severity of horse kick injuries, the possible etiology of persistent ...
Juul SM.During the period from 1.1. to 31.12.1988, 104 patients with injuries resulting from riding or other forms of direct contact with horses were examined and treated in a casualty department in the County of Vejle. Antecedent data from these patients were collected. The majority of injuries occurred on falling from the horse and involved particularly the upper part of the body. The commonest injuries were bruises which did not require special treatment. The relationships between concussion, fracture of the humerus and fracture of the clavicle and riding were investigated by odds ratio. Much fewer...
Gimsing S.Occupational injuries are notifiable in Denmark. Hitherto, occupational injuries caused by riding and horse handling have not been reported. Methods: This retrospective study comprises all cases reported to the National Working Environment Authority during the period 1992-1999. Results: There were 634 occupational accidents, and 43% of the victims were below the age of 25 years with a four-in-one female preponderance. In contrast, there were only three cases of occupational disease. Conclusions: Occupational diseases ought to be much more common than suggested by these few reported cases. Resp...
Craven JA, Schutz JK.An emergency department audit of horse-related injury presentations alerted researchers to a hitherto uninvestigated source of childhood harm: non-equine horses. A search for the term "horse" in the database of the South Australian Injury Surveillance and Control Unit was performed for presentations of horse-related injuries to a paediatric emergency department of an Australian tertiary teaching hospital over a 5-year period. After all equine-related episodes were extracted, the remaining presentations were herded together and conclusions were jumped to. When legitimate science and research te...
White A, Cullen P, Hinchion J.A stablehand in his 20s presented with increasing dyspnoea on exertion and chest pain months after being kicked directly in the chest by a horse. Further investigations revealed severe isolated, primary tricuspid regurgitation due to partial avulsion of the anterior leaflet. Open surgical repair was successfully performed from which he recovered uneventfully with resolution of his symptoms and minimal residual tricuspid regurgitation. Although uncommon, blunt force trauma to the chest is becoming increasingly recognised as a rare cause of tricuspid regurgitation. Symptoms may be insidious, and...
Tremelling AM, Marley RA, Marley MB, Woofter CM, Docherty C, Salvator AE, Muakkassa FF.Many Americans sustain large animal-related injuries (LARIs) from blunt trauma. We compare the injuries and management of LARI in our region of the United States with those of motor vehicle crashes (MVCs). Methods: A 15-year retrospective study of trauma patients with LARI matched to MVC controls by Injury Severity Score (ISS), age, and sex was conducted. Values were statistically compared, and differences were considered statistically significant at P < .05. Results: There were 156 LARI cases, of which 87% were related to horses, 8% to bulls, and the remainder to deer, mules, bison, cows, ...
Gimsing S.A previous estimate has indicated that horse activities in Denmark account for about 5750 non-fatal and 1-2 fatal accidents every year. Many are preventable, as they are caused by carelessness. A description of the accident pattern is important. Methods: The European Home and Leisure Accident Surveillance System (EHLASS) has included data on horse-related accidents since 1989. All 8662 accidents in the period, 1989-1999, were studied. Death certificates from 11 fatal cases during the same period were obtained from the National Board of Health. Results: The annual total number of riding acciden...
Schicho A, Einwag D, Eickhoff A, Richter PH, Riepl C.Injuries to the spinal cord are not only dreaded because of the high risks existing during the acute phase, but also because of their potential long-term sequelae. Horseback riding also poses a high risk of spinal injuries. We therefore evaluated the most frequent characteristics of accidents leading to long-term sequelae, the primary long-term discomfort resulting from such injuries caused by horseback riding accidents and the way injured persons changed their behaviour after the accidents. Methods: Our study included all cases of horseback riding injuries registered in the Department of Trau...
Koljonen V, Söderlund T, Mäkisalo H, Gissler M.Contacts between humans and animals inevitably involve encounters possibly resulting in the human being injured. During the period of 2000 to 2014 almost 90 people died in this kind of conflict in Finland. Of these deaths, one third were associated with horses. In addition, over the same period 85 people died in traffic accidents in which an animal was hit by a car. Accidents requiring hospitalization occurred for approx. 8 000 people.
French jockeys suffer more severe injuries when they fall off their horses than their British counterparts. While it has been shown that jockeys suffer high rates of fatal and non-fatal injuries, little is known about differences in injury rates between countries. To investigate this, researchers from Australia, France and the UK used prospectively collected data on the rates of fatal and non-fatal injuries in flat and jump jockeys in France and compared them with data from the UK.
Merkt H, Klug E.In the Federal Republic of Germany a lethal accident occurred recently during the semen collection from a stallion and it would be advisable to observe the safety rules of which there are three sections: hobbeling and if necessary twitching of the mare, security in the manner in which the stallion is led, precautions to be observed by the operator.
Schröter C, Bielefeld M, Bielefeld D, Macke C, Winkelmann C, Mommsen P, Krettek C, Zeckey C.The upper limb is one of the most frequently injured body regions in equestrian sports, but it is unclear which injuries are involved, and there are no data on the associated accident mechanism. The present study is aimed at evaluating the accident mechanisms, injuries of the upper limbs, and the circumstances of the accident in equestrian sports. We included 218 patients who were all treated between 2006 and 2014 at the level I trauma center at the Medical University in Hannover because of equestrian-related accidents. The most frequent injuries were fractures and bruising in the shoulder ...
Hochart É, Fournier Y.Equestrian sports are widely practiced in Switzerland as hobbies. Horses are imposing and unpredictable. As a result, traumatisms associated with horseback riding are common and cause serious injuries. Cranial traumatisms are among the most frequently encountered injuries and are associated with high rates of hospitalization and mortality. Helmet use decreases the severity of intracranial lesions. Close contact with horses can lead to the development of infectious diseases and respiratory allergies. Although infrequent in Europe, these infections occur sporadically and should be known by gener...