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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 trauma: injury patterns vary among age groups.
The American surgeon    June 3, 2014   Volume 80, Issue 4 396-402 
Bilaniuk JW, Adams JM, DiFazio LT, Siegel BK, Allegra JR, Luján JJ, Durling-Grover R, Pawar J, Rolandelli RH, Németh ZH.Patients with equestrian injuries were identified in the trauma registry from 2004 to 2007. We a priori divided patients into three groups: 0 to 18 years, 19 to 49 years, and 50 years old or older. There were 284 patients identified with equestrian-related trauma. Injury Severity Score for the three major age categories 0 to 18 years, 19 to 49 years, and 50 years or older, were 3.47, 5.09, and 6.27, respectively. The most common body region injured among all patients was the head (26.1%). The most common injuries by age group were: 0 to 18 years, upper extremity fractures; 19 to 49 year olds, ...
A description of the severity of equestrian-related injuries (ERIs) using clinical parameters and patient-reported outcomes.
Injury    May 2, 2014   Volume 45, Issue 9 1484-1487 doi: 10.1016/j.injury.2014.04.017
Papachristos A, Edwards E, Dowrick A, Gosling C.Despite a number of injury prevention campaigns and interventions, horse riding continues to be a dangerous activity, resulting in more accidents per hour than motorcycling, skiing and football. Injuries are often serious, with one in four patients requiring admission to hospital. This study aims to describe the severity of equestrian-related injuries (ERIs) using both clinical parameters and patient-reported outcomes. Methods: A retrospective study of all patients aged ≥18 years admitted to The Alfred Hospital between January 2003 and January 2008 with an ERI was performed. Specific clinica...
Straight from the horse’s mouth: neurological injury in equestrian sports.
Neurological research    April 13, 2014   Volume 36, Issue 10 873-877 doi: 10.1179/1743132814Y.0000000373
Srinivasan V, Pierre C, Plog B, Srinivasan K, Petraglia AL, Huang JH.Equestrian sports can result in a variety of injuries to the nervous system due to many factors. We describe our series of 80 patients with injuries sustained during participation in equestrian sports. Results: All patients seen at the regional trauma center with injuries associated with equestrian sports between 2003 and 2011 were reviewed; 80 patients were identified. Fifty-four per cent were female and the average age was 37 years (2·2-79·3). The mean injury severity score (ISS) was 9·9 ± 0·7. Only two patients had documented helmet use. Glasgow coma score (GCS) was 15 in 93% of patien...
On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians.
Injury    April 1, 2014   Volume 45, Issue 9 1479-1483 doi: 10.1016/j.injury.2014.03.016
Carmichael SP, Davenport DL, Kearney PA, Bernard AC.The purpose of this study is to determine whether discrepant patterns of horse-related trauma exist in mounted vs. unmounted equestrians from a single Level I trauma center to guide awareness of injury prevention. Methods: Retrospective data were collected from the University of Kentucky Trauma Registry for patients admitted with horse-related injuries between January 2003 and December 2007 (n=284). Injuries incurred while mounted were compared with those incurred while unmounted. Results: Of 284 patients, 145 (51%) subjects were male with an average age of 37.2 years (S.D. 17.2). Most injurie...
Helicopter emergency medical services response to equestrian accidents.
European journal of emergency medicine : official journal of the European Society for Emergency Medicine    January 5, 2014   Volume 22, Issue 2 103-106 doi: 10.1097/MEJ.0000000000000105
Lyon RM, Macauley B, Richardson S, de Coverly R, Russell M.Horse riding is a common leisure activity associated with a significant rate of injury. Helicopter emergency medical services (HEMS) may be called to equestrian accidents. Accurate HEMS tasking is important to ensure appropriate use of this valuable medical resource. We sought to review HEMS response to equestrian accidents and identify factors associated with the need for HEMS intervention or transport of the patient to a major trauma centre. Methods: Retrospective case review of all missions flown by Kent, Surrey & Sussex Air Ambulance Trust over a 1-year period (1 July 2011 to 1 July 20...
The epidemiology of horse-related injuries for different horse exposures, activities, and age groups in Queensland, Australia.
The journal of trauma and acute care surgery    December 26, 2013   Volume 76, Issue 1 205-212 doi: 10.1097/TA.0b013e3182a9007e
Lang J, Sathivelu M, Tetsworth K, Pollard C, Harvey K, Bellamy N.The dangers associated with horse riding, a popular activity throughout Australia, are well documented; yet, few studies have comprehensively described injuries caused by horses to nonriders. This study aimed to facilitate targeted injury prevention strategies and appropriate trauma management by describing all horse-related injuries, for both riders and nonriders, in Queensland, and identifying those at greatest risk. Methods: Horse-related injury data from 2005 to 2009 were extracted from the Queensland Trauma Registry. Descriptive comparisons were undertaken for demographic, injury, and acu...
Occupational injuries on thoroughbred horse farms: a description of Latino and non-Latino workers’ experiences.
International journal of environmental research and public health    November 29, 2013   Volume 10, Issue 12 6500-6516 doi: 10.3390/ijerph10126500
Swanberg JE, Clouser JM, Westneat SC, Marsh MW, Reed DB.Animal production is a dangerous industry and increasingly reliant on a Latino workforce. Within animal production, little is known about the risks or the occupational hazards of working on farms involved in various aspects of thoroughbred horse breeding. Extant research suggests that horse workers are at risk of musculoskeletal and respiratory symptoms, kicks, and other injuries. However, limited known research has examined the experiences of the industry's workers, including immigrant workers, despite their prominence and increased vulnerability. Using data collected from thoroughbred farm r...
Equine-related injuries in pediatric and adolescent age: analysis and outcomes in a level 1 pediatric trauma center in Austria.
Pediatric emergency care    November 10, 2013   Volume 29, Issue 9 1053-1054 doi: 10.1097/01.pec.0000434939.82050.c6
Zoetsch S, Saxena AK.No abstract available
Equine-associated maxillofacial injuries: retrospective 5-year analysis.
The British journal of oral & maxillofacial surgery    October 26, 2013   Volume 52, Issue 2 124-127 doi: 10.1016/j.bjoms.2013.09.019
Islam S, Gupta B, Taylor CJ, Chow J, Hoffman GR.We explored the relation between the causes of facial injuries in equestrians and the presence or absence of associated injuries. Over a 5-year period we retrospectively reviewed all patients who presented to the John Hunter Hospital, New South Wales, with facial injuries that had resulted from activity with horses. We analysed the rates of hard and soft tissue injuries, and of associated injuries by sex and mechanism. A total of 85 patients were included (50 female and 35 male) with an age range of 2-88 years. There was a significant difference in the rate of maxillofacial and associated inju...
Hospitalization due to horse-related injuries: has anything changed? A 25 year survey.
The Israel Medical Association journal : IMAJ    June 21, 2013   Volume 15, Issue 4 169-172 
Abu-Kishk I, Klin B, Gilady-Doron N, Jeroukhimov I, Eshel G.Horse riding and horse handling are dangerous. There is a lack of knowledge concerning the incidence of hospitalization due to horse-related injuries and types of injuries in Israel. During the last two decades we have observed an increasing incidence of hospitalizations due to horse-related injuries at our medical center as well as the frequent involvement of pediatric patients. Objective: To investigate these injuries with respect to type, incidence and modes of prevention. Methods: We conducted a retrospective study of medical records for all patients admitted to Assaf Harofeh Medical Cente...
Injuries associated with recreational horse riding and changes over the last 20 years: a review.
JRSM short reports    April 22, 2013   Volume 4, Issue 5 2042533313476688 doi: 10.1177/2042533313476688
Sandiford N, Buckle C, Alao U, Davidson J, Ritchie J.To assess the incidence and distribution of recreational equestrian injuries seen in the Kent and Sussex region and review the available literature on this subject. Methods: This is a retrospective case series with historical controls. Methods: Kent and Sussex region, England. Methods: Injuries related to horses in the recreational setting. Methods: Subjects were selected from our acute injury database. Notes of all patients presenting with horse riding-related injuries between January and December 2010 were reviewed. Skeletal injuries were confirmed using our Picture Archiving and Communicati...
Equestrian injury is costly, disabling, and frequently preventable: the imperative for improved safety awareness.
The American surgeon    January 16, 2013   Volume 79, Issue 1 76-83 
Guyton K, Houchen-Wise E, Peck E, Mayberry J.Horse-related injury can be severe and disabling. We investigated the causes, severity, and costs of equestrian injury with the goal of injury prevention. A retrospective review of horse-related injuries from 2001 to 2008 identified 231 patients with a mean age of 38 years and a mean Injury Severity Score of 11 (range, 1 to 45). Mean length of stay was 5.5 days. Fifty-nine patients (25%) required 84 surgeries. Helmet use was 20 per cent and of the 172 patients not wearing a helmet while mounted, 38 per cent received potentially preventable head injuries. There were three deaths of which two we...
[Causes, injuries, therapy and possibilities of prevention of equine-related accidents. Results of a 2-center-study].
Der Unfallchirurg    January 12, 2013   Volume 117, Issue 2 123-127 doi: 10.1007/s00113-012-2275-z
Hessler C, Eckert V, Meiners J, Jürgens C, Reicke B, Matthes G, Ekkernkamp A, Püschel K.Horse riding is associated with a high rate of injuries. The possibilities of prevention are limited because of deficient knowledge about the causes and mechanisms of equine-related accidents. In the present study 198 equine-related accidents were analyzed and based on these data risk groups were identified and guidelines to improve safety in horse riding were formulated. Methods: In this 2-center study the accidents of 169 riders over a period of 12 months were analyzed. Data on equine-related patterns of injury and the resulting treatment were collated from the clinical records. Additionally...
Where does it hurt?
Equine veterinary journal    October 31, 2012   Volume 44, Issue 6 627-628 doi: 10.1111/j.2042-3306.2012.00661.x
Barr AR.No abstract available
Effectiveness of safety vests in pediatric horseback riding.
Klinische Padiatrie    October 15, 2012   Volume 224, Issue 7 443-447 doi: 10.1055/s-0032-1327621
Hessler C, Eckert V, Vettorazzi E, Meenen N, Jürgens C, Schult M, Flamme C, Herberhold HJ, Madert J, Ekkernkamp A, Lockemann U, Püschel K, Pohlenz P.Despite the benefit of safety vests to the reduction of torso injuries in children and adolescents is unclear, its' use is recommended. The aim of the present study is to determine the effectiveness of safety vests actually used in pediatric equestrian activities. Methods: In this case-control-study, we analyzed the accidents of 92 riders aged 18 or younger who fell off a horse onto his/her torso during a period of 18 months. Data were gathered from the clinical records. Additionally, a questionnaire was administered on the day of trauma by the patients and/or their parents. Results: The cases...
[Epidemiology of equestrian injuries in children].
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie    September 13, 2012   Volume 19, Issue 10 1053-1057 doi: 10.1016/j.arcped.2012.07.010
Laurent R, Uhring J, Bentahar M, Constantinou B, de Billy B, Langlais J.Children increasingly participate in horseback riding, especially young girls, with more and more accidents during this activity. The severity of the injuries caused by horses seems to be higher than in other sports. Methods: In a retrospective study, we reviewed 303 accidents of children younger than 15 years of age during the past 13 years. Our study only investigated children who were hospitalized after their accident. Results: Eighty-two percent of the injured children were girls, but there was no difference between girls and boys in terms of severity. In most cases, children were hurt by ...
[The question of safety in horse-riding sports].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    July 11, 2012   Volume 26, Issue 3 159-163 doi: 10.1055/s-0032-1313006
Püschel V, Michaelsen U, Giensch M, Lockemann U, Meenen NM, Hessler C.To reduce the number of equine-related injuries, knowledge about causes of accidents is of great importance. In the present study the causes of equine-related accidents were evaluated by a questionnaire survey. Based on our results options for prevention of equine-related accidents were formulated. Methods: The working-group "safer riding, Hamburg" and the "German riding association (FN)" created a questionnaire to evaluate causes of equine-related accidents. This questionnaire was published in the print media "Cavallo" and "St. Georg" as well as on the online portal www.hamburger-ag-reitersic...
Only falls and horses: accidents and injuries in racehorse training.
Occupational medicine (Oxford, England)    June 7, 2012   Volume 62, Issue 5 343-349 doi: 10.1093/occmed/kqs068
Filby M, Jackson C, Turner M.The horseracing training industry has largely been ignored in terms of active occupational health research. Objective: To provide baseline statistics on the specific nature and type of accidents that occurred in English horseracing stables during 2008. Methods: All 716 training yards/stables registered with the British Horseracing Authority were contacted in April/May 2009 to complete the Racing Injury Accident Statistical Survey. The survey asked respondents to detail all recorded accidents and injuries during 2008. Results: Two hundred and fifty-six yards (36%) provided usable responses. The...
[Traumatology and sport injuries in professional and amateur show-jumping competitors].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    December 12, 2011   Volume 25, Issue 4 222-226 doi: 10.1055/s-0031-1273483
Lechler P, Walt L, Grifka J, Waltl V, Renkawitz T.The objective of this study was to investigate the frequency, extent, and effective preventive measures of sport injuries in professional and amateur-show jumping competitors. In a retrospective study design, 264 show-jumping riders (105 professionals, 159 amateurs) were interviewed by means of a standardised questionnaire. In total, 636 injuries were reported in detail. Injuries were categorised into severity grade I (36.0 %) (not requiring medical attention), grade II (34.6 %) (single medical treatment), grade III (20.9 %) (several outpatient medical treatments) and grade IV (8.5 %) (req...
The equestrian sport-related injury workload of a regional doctor-led air ambulance unit.
Injury    October 19, 2011   Volume 43, Issue 12 2023-2025 doi: 10.1016/j.injury.2011.09.026
Bleetman D.The Great Western Ambulance Service Air Support Unit (ASU) was established in July 2007. The helicopter carries a doctor, providing a Helicopter Emergency Medical Service (HEMS) model of care. Equestrian sport-related injuries account for 6.8% of the unit's total attended case load. Horse riding has a higher rate of severe injury than motorcycle racing and 45% of patients admitted with equestrian injuries require surgical intervention. Orthopaedic injuries to the extremities are commonest, superseding head injuries since the introduction of protective headwear. The majority of equestrian sport...
Prevention of facial injuries in unmounted equestrians.
The British journal of oral & maxillofacial surgery    August 16, 2011   Volume 49, Issue 8 674 doi: 10.1016/j.bjoms.2011.07.017
Cousin GC.No abstract available
Equestrian injuries caused by horse kicks: first results of a prospective multicenter study.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine    June 23, 2011   Volume 21, Issue 4 353-355 doi: 10.1097/JSM.0b013e318221840f
Eckert V, Lockemann U, Püschel K, Meenen NM, Hessler C.To analyze horse-related accidents caused by hoof kicks. Methods: Prospective study to evaluate hoof kick-related accidents. Methods: Multicenter study, including 9 trauma centers in Hamburg, Germany. Methods: Patients who were treated as the result of a hoof kick between January 1, 2010, and May 1, 2010, were included in the study. Methods: Horse and rider qualifications, riders' use of protective equipment, location and activity at time of accident, mechanism of injury, injuries sustained, and treatment required for these injuries. Results: Twenty-four equestrians received hoof kicks. The av...
Investigation of the incidence and type of injuries associated with high-speed treadmill exercise testing.
Equine veterinary journal. Supplement    May 28, 2011   Issue 38 70-75 doi: 10.1111/j.2042-3306.2010.00234.x
Franklin SH, Barakzai SZ, Couroucé-Malblanc A, Dixon P, Nankervis KJ, Perkins JD, Roberts CA, Vanerck-Westergren E, Allen KJ.During the past 20 years, treadmill exercise testing has played an important role in both the study of equine exercise physiology and the investigation of poor athletic performance. However, it has been suggested that some trainers and veterinarians may be reluctant to refer horses for treadmill exercise testing because of fears that horses may be at increased risk of musculoskeletal injury during treadmill exercise. Objective: To investigate the incidence and types of injuries sustained by horses undergoing treadmill exercise. Methods: Data were collated from 9 centres in the UK, France and B...
[Spine injuries due to horse riding accidents – an analysis of 30 cases].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    May 24, 2011   Volume 25, Issue 2 93-96 doi: 10.1055/s-0029-1245831
Hessler C, Namislo V, Kammler G, Lockemann U, Püschel K, Meenen NM.Horseback riding entails several risk factors that predispose the participant to injury. Especially craniocerebral as well as spinal trauma were common reasons for severe injuries. Hence, it is important to use effective protective gear during riding activities. However, the protective effect of actual safety vests and helmets in case of accident is still unknown. In the present study reasons, mechanisms and patterns of equine-related spine injuries were analyzed. Based on these data the effectiveness of used protective gear during accident was assessed. Methods: 30 equestrians took part in a ...
Improving agricultural injury surveillance: a comparison of incidence and type of injury event among three data sources.
American journal of industrial medicine    May 2, 2011   Volume 54, Issue 8 586-596 doi: 10.1002/ajim.20960
Earle-Richardson GB, Jenkins PL, Scott EE, May JJ.Agriculture ranks as one of the most hazardous industries in the nation. Ongoing injury surveillance is key to identifying and preventing major sources of injury. Objective: The objective of this study was to compare the total number and types of injuries identified from community reporting versus two newly available medical data systems. These new systems are important because they are less time consuming and expensive to maintain. Methods: Farm injury case records from 2007 were collected for 10 NY counties from the following sources: ambulance reports, hospital data, and community surveilla...
The hidden menace of non-equine horses.
The Medical journal of Australia    December 15, 2010   Volume 193, Issue 11-12 724-725 doi: 10.5694/j.1326-5377.2010.tb04122.x
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...
Bilateral internal carotid and vertebral artery dissection after a horse-riding injury.
Journal of vascular surgery    October 5, 2010   Volume 52, Issue 4 1052-1057 doi: 10.1016/j.jvs.2010.05.065
Keilani ZM, Berne JD, Agko M.Blunt cerebrovascular injuries, defined as blunt injuries to the internal carotid or vertebral arteries, are uncommon and usually occur in victims of high-speed deceleration motor vehicle crashes. A blunt cerebrovascular injury after an equestrian accident is an extremely unusual presentation. In recent years, advances in screening and treatment with pharmacologic anticoagulation before the onset of neurologic symptoms have improved outcomes for these patients. Endovascular stenting and embolization, although unproven, offer a new potential approach for these complex injuries. We present a uni...
[Risks in sport riding – a critical survey of safety standards in sport riding].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin    September 15, 2010   Volume 24, Issue 3 154-158 doi: 10.1055/s-0029-1245442
Hessler C, Schilling B, Meenen NM, Lockemann U, Püschel K.Equitation is associated with a high rate of injuries and lethal accidents. The head is the most frequently concerned body part. Hence in the majority of the cases deaths results from head injuries. In this study injuries as well as causes of deaths were analyzed in 21 cases. Actual safety standards in equitation were appraised and suggestions for improvement were formulated. Methods: Between 1996 and 2008 21 equestrians suffered from a fatal accident in the greater area of Hamburg. In a retrospective analysis, equestrians' records which bases on the documentation of the institute of forensic ...
Equestrian sport-related injuries: a review of current literature.
Current sports medicine reports    September 10, 2010   Volume 9, Issue 5 299-302 doi: 10.1249/JSR.0b013e3181f32056
Havlik HS.Equestrian sports continue to grow in popularity in the Unites States and abroad, with an estimated 30 million people riding horses annually in the United States alone. Approximately one in five of these riders will suffer a serious injury during their riding career, requiring medical care and potentially hospitalization. Riding carries with it an implicit risk of injury associated with the unpredictability of the animals, the rider's head being positioned approximately 9 feet off the ground, and traveling unrestrained at speeds up to 40 mph. This article reviews common equestrian injuries, ep...
Horse-related facial injuries: the perceptions and experiences of riding schools.
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention    August 30, 2010   Volume 17, Issue 1 55-57 doi: 10.1136/ip.2010.027177
Meredith L, Antoun JS.This study aimed to investigate the perceptions and experiences of New Zealand horse riding schools with regard to horse-related facial injuries. All the riding schools listed in the New Zealand electronic phonebook directory were surveyed by post. The survey questions covered riding schools' perceptions of rider profile, general and facial injury patterns and safety equipment used. The face was perceived to be the most common injury site by only 4% of respondents. Helmets were enforced in only 35% of the schools during unmounted activities. Nearly half the schools did not enforce any safety e...
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