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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.
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...
A review of the equine suspensory ligament: Injury prone yet understudied. The suspensory ligament (SL) is a key component of the elaborate and highly adapted suspensory apparatus in the horse. In addition to contributing to stabilisation of the metacarpophalangeal joint, the SL has a spring like function to reduce the energetic cost of locomotion. Although the SL is highly prone to injury in horses of all ages and competing in a wide range of disciplines, knowledge regarding fundamental structure-function relationships in the SL is lacking, particularly compared with other injury-prone tendinous structures such as the superficial digital flexor tendon. In this revie...
Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study. Fractures often occur due to equestrian activities with injury patterns varying by age. The purpose of this study was to investigate in detail fracture patterns and associated demographics in children due to equine activities. Methods: The US National Electronic Injury Surveillance System was queried for all injuries with the consumer product code 1239 (horseback riding) from 2000 to 2023. Those <16 years old with fractures were extracted. Statistical analyses were performed with SUDAAN 11.0.01™ software to obtain national estimates. Results: There were an estimated 101,677 patients with a f...
Twelve-year review of horse-related trauma registry presentations to a regional Australian Emergency Department. The size, strength, and unpredictability of horses, makes any interaction a potential situation for minor to severe injury. Despite this, horses continue to be popular for work and recreational activities. There have been five recent Australian publications that have examined various aspects of horse-related trauma, but none have been conducted in regional New South Wales (NSW). This study aims to report on the pattern of horse-related trauma that met the Institute of Trauma Injury Management's (ITIM) Trauma Registry criteria for people who presented to the emergency department at a regional N...
Does Equestrian Helmet Type Affect Head Injury? A Study on Equestrian Helmet Use Among Collegiate Athletes. To characterize helmet use, head injury risk, and to examine rider-related factors that influence these variables. Methods: Cross-sectional study. Methods: The University of Alabama at Birmingham Equestrian Sports Medicine Collaborative. Methods: In total, 357 equestrians competing at the collegiate level participated in this study. Unassigned: χ 2 tests were used to evaluate potential associations between a rider's experience level, riding style, and use of helmet designed with MIPS with number of falls, past head injuries, and helmet use frequency. Methods: Data regarding helmet use and equ...
A threshold model to determine the association between race rides and fall risk for early career (apprentice) jockeys. To identify descriptors associated with success in apprentice jockeys and to determine optimum numbers of jockeys for safer race riding. Methods: Retrospective cohort study. Methods: Incidence-rates for jockey falls and success (wins per 1,000 race-starts), time and number of races spent at different apprentice levels were calculated for 807 apprentice and professional jockeys over 19 years of Thoroughbred flat racing in New Zealand (n = 524,551 race-starts). Survival analysis was used to compare career progression for jockeys that fell and those that did not, and individual seasonal fal...
Equestrian-associated injuries of the hand: a retrospective analysis of injury mechanisms and patterns. Hand injuries are frequently caused by sports and are associated with long periods of inability to work and high economic health costs. After ball sports and cycling, the most common cause of hand injuries is horseback riding. Therefore, measures should be taken to prevent these risks and increase safety in sports, however data characterizing equestrian sports-associated injuries are limited. Methods: A retrospective monocentric cohort study was performed including 39 patients (mean age: 35 ± 2.6 (range 9-65) years, female 89.7% who sustained an injury to the hand while practicing equestr...
Characteristics of equestrian accidents and injuries leading to permanent medical impairment. Equestrian sports, also referred to as equestrianism, is practiced all over the world and a popular leisure activity in Sweden. Equestrianism is the country's second-largest youth sport, and previous studies indicate that accidents are common in equestrianism. However, few previous studies have examined acute equestrian injuries leading to permanent medical impairment (PMI). Methods: By using nationwide insurance data comprising all injured equestrians registered in the Swedish Equestrian Federation, the aim was to analyse characteristics of equestrian accidents and particularly injuries leadi...
CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports. Equestrian sports continue to gain popularity in the United States and are associated with a high injury rate, especially involving the central nervous system and thorax. Due to this high rate of injury and the potential for long-term consequences associated with participation, an understanding of the unique risks of this sport is needed. Unassigned: To describe severe injury in equestrian sports and review the role that protective gear plays in injury mitigation. Unassigned: The PubMed Database was searched using the search terms "equestrian" and "horse" combined with "spinal cord injury," "h...
The efficacy of an eight-week exercise program for the management of chronic low back pain in the equestrian population. Equestrians (horse riders) are more susceptible to low back pain than the general population due to loads placed on their bodies during the activity. A specific eight-week exercise intervention program targeting the muscles used during horse riding was implemented for a group of equestrians with low back pain. Methods: Volunteers were invited to participate in the study through social media posts in Melbourne, Australia. The participants were required to complete an exercise screening test prior to enrolment in the study to ensure they were suitable to participate in the iteration program. Par...
Airbag Vests in Equestrian Sports: Is Use Associated with Harm? Airbag vests (AV) are increasingly popular in equestrian sports. The efficacy of AV in protecting against serious injury has not been adequately analyzed, nor have product testing standards been established. This study provides an overview of current research to understand AV efficacy and future areas of improvement. A systematic review applying the PRISMA framework, NIH Study Quality Assessment, and CEBM Level of Evidence was conducted. Employing variations of "equestrian sport," "powered two-wheeled vehicle," "thoracic injury," "chest deflection," "airbag vest," and "safety vest," 18 article...
A survey of general road transportation: How and why horses are transported in the U.S. Horses are regularly transported in the United States (U.S.); however, how, and why horses travel by road has not been explored. Consequently, an online nationwide survey was conducted to understand 1) the most common reasons for travel; 2) the types of journeys undertaken when being transported by road in the U.S. and 3) the general management practices when transporting for 3 hours or less. Responses were collected from 1294 participants with at least one response from every state in the continental U.S. The most common survey taker was a female (93.9%), adult amateur (81.2%), horse owner (6...
Craniofacial Trauma of Equestrian Origin. Horse riding is a popular yet dangerous sport, often resulting in facial traumas due to unpredictable horse reactions or falls. This retrospective study examines 20 patients. The aim of the study is to analyze maxillofacial traumas of equine origin and discuss prevention strategies. Conducted from 2004 to 2021 at our university hospital's emergency department in France, inclusion criteria encompassed patients with maxillofacial trauma admitted to the emergency department and referred to ENT and/or dentistry post-horse-related accidents. Patients were identified from the Health Data warehouse. ...
[Not Available]. Introduction Imaging experience made us suspect an overrepresentation of ponytails in riders admitted as polytrauma after falling from their horse. Methods In a single-centre case-control study conducted over three months, we reviewed the records of all admitted polytraumatised patients for trauma mechanism and presence of ponytail on CT. Cerebral CTs were reviewed in the three standard imaging planes using a bone or lung window. Ponytail was diagnosed if most or all of the hair on the head was gathered and secured at the back of the head with a hair tie. Data were analysed with Fisher's exact...
The Triple-E Model: Advancing Equestrian Research with Perspectives from One Health. Equestrian sport has various welfare issues and educational needs. To address these complex interactions, we propose an integrated approach called the Triple-E Model, which focuses on the equine, equestrian, and environmental triad. A literature review of existing models suggests that complexities of these interactions are overlooked, despite the significant impact of equine industries on economics, healthcare, and animal welfare. This paper discusses current models and theories used to evaluate equine-equestrian-environmental interactions and introduces the Triple-E Model to foster multidisci...
Audit of animal-related injuries at UK veterinary schools between 2009 and 2018. Animal-related injuries pose a significant risk to the veterinary profession. This study aimed to describe the incidence, demographics, context and consequences of animal-related injuries at UK veterinary schools. A multicentre audit of accident records (2009-2018) across five UK veterinary schools was performed. Injury rates were stratified by school, demographics and species. The context and cause of the injury were described. Multivariable logistic models explored factors associated with medical treatment, hospital visits and time off work. An annual rate of 2.60 (95% confidence interval 2....
Human Injuries Associated with the Transport of Horses by Road. There is an increased understanding of shared human-animal risk in terms of "one welfare", whereby when animals are at risk, so are people, so preventing injury to one species may also prevent injury to the other. Because transport-related injuries to horses are common, the authors considered this paradigm to study road equine transport-related injuries to humans in New Zealand. The aim was to determine their frequency and associated factors by distributing a survey to horse industry participants through industry organisations asking about their horse activities, road transport experiences, an...
Horse-riding hazards: an observational cohort study mapping equestrian related injuries at a Scandinavian trauma centre. Horse-riding is practiced on a regular basis by 500,000 people in Sweden. It is reputed to be one of the most dangerous sports. On average, there were 1756 acute injuries and three fatalities each year between 1997 and 2014 in Sweden related to horses. The primary aim of this study was to outline the injury spectrum related to equestrian activities cared for at a large Swedish trauma centre. The secondary aim was to identify trends in clinical outcomes and to investigate the association between age and such outcomes. Methods: The electronic medical records system at Karolinska University Hosp...
Horse and Cattle-Related Trauma: A Retrospective Review of Injuries and Management in a Regional Queensland Hospital. Horse and cattle-related trauma is a common presentation to regional hospitals in Australia. We review local incidence and patterns of injuries relating to horse and cattle trauma over a three-year period at the Toowoomba Base Hospital within the Darling Downs region in Queensland, an area rich in cattle farming and equestrian recreation. Methods: We conducted a single-centre retrospective cohort study. The inclusion criteria were all patients presenting with injuries following cattle or horse-related incidents between January 2018 and April 2021. Primary outcomes were the mechanism of trauma,...
Horse-related injury patterns: a single center report. For ages, humankind and horses have been closely related to occupational and recreational activities. The dangers of engaging with horses have been previously reported. Among sporting activities, horse riding is well-known for its risks. Despite multiple recommendations to wear protective gear, horse-related activities still comprise the risk of severe injuries. This study aimed to examine: (1) if specific mechanisms are correlated to particular injury patterns and (2) if injury types are related to patient demographics. Methods: From one level I trauma center, between July 2019 and July 2022 ...
Fatal Animal Related Incidents on Australian Farms – a 20-Year Review. To assess demographic and causal factors of fatal farm incidents involving animals in Australia. Descriptive study of the National Coronial Information System for persons fatally injured by an animal on an Australian farm over the 2001-20 period. Data were analysed in relation to age, sex, state where incident occurred, work-relatedness and causal agents. There has been little change in the mean number of animal-related injury deaths across Australia in the 2001-20 period (mean 6.5), however this is a 35% reduction on an earlier 1989-92 assessment (mean 10). The majority of incidents (81%) ...
Horseback Riding-Related Injuries in Portugal and Prevention Strategies. Horse riding (HR) has gain popularity in Portugal, thereby increasing the number of related injuries. This study identifies frequently occurring injuries in Portuguese riders, the conditions under which they occur, and preventive measures. Methods: A retrospective cohort study. Methods: We included 216 Portuguese riders practicing HR at the time of the study with ≥1 year of experience. Data were obtained from a questionnaire that characterized first and second rider injuries; we opted for a systematic method to assess the riders' injuries, in a temporal order. Questions regarding demographi...
Characterization of Injuries Suffered by Mounted and Non-Mounted Police Officers. Mounted police officers are subject to unique occupational tasks which may lead to unique injuries. This study's aim was to describe policing injuries suffered by mounted police officers contextualized through comparison to non-mounted officers. Injury data from 01 July 2014 to 30 June 2020 were provided from a state policing agency's incident reporting database. The data reported the numbers and rates of injuries and classified the injuries by gender, cause, mechanism, nature, and hours worked. Of the 35,406 reported injuries, 35,255 (99.6%) injuries were reported by non-mounted police office...
[A Saddle-Horn Injury of the Pelvis]. A saddle-horn injury of the pelvis can be considered a separate category of injuries. They occur during horse riding, when a horse rider hits the horn of the saddle and suffers from anteroposterior compression of the pelvic ring. The hits can cause symphyseolysis or even sacroiliac joint injury, and thus also pelvic ring instability. So far, just a few articles have been published dealing with horse saddle-related injuries. Our report describes a rare case of abnormal haemorrhage in vascular anastomosis called corona mortis. The discussion part is then about appropriate treatment of such injur...
Incidence of concussions and helmet use in equestrians. Equestrians have a high risk of concussions per hospital records. However, most concussions occur in private settings where concussions are not tracked. We determined concussion incidence by self-report, expressed per 1000 h of exposure, and determined helmet usage and concussion knowledge. Methods: Descriptive epidemiological study. Methods: Equestrians were recruited using a snowball method of sampling in which enrolled participants recruited more equestrians. Participants completed a survey of equestrian experience and history of concussion, symptoms and provided estimates of hours spent ...
A retrospective study of helmet use and head injury in severe equestrian trauma. The aim of the study was to examine helmet use, incidence of injury, and patient outcomes in a rural cohort of equestrian accidents. Unassigned: EHR records of patients admitted to a Level II ACS trauma center in the North-west United States were reviewed for helmet use. Injuries were categorized according to International Classification of Diseases-9/10 code. Unassigned: Of 53 identified cases, helmets only reduced superficial injury (χ (1) = 4.837, = 0.028). Intracranial injury rates were not different between those with and without helmets ( > 0.05). Unassigned: In equine related injur...
Cars dent, horse riders break: Analysis of police-recorded injury incidents involving ridden horses on public roads in Great Britain. Police-recorded road injury data are frequently used to approximate injury risk for different road user groups but a detailed analysis of incidents involving ridden horses has not previously been conducted. This study aims to describe human injuries resulting from interactions between ridden horses and other road users on public roads in Great Britain and identify factors associated with severe to fatal injuries. Police-recorded road incident data involving ridden horses (2010-2019) were extracted from the Department for Transport (DfT) database and described. Multivariable mixed-effects logis...
