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Topic:Trauma
Trauma in horses encompasses physical injuries resulting from accidents, falls, or other external forces. These injuries can range from minor cuts and bruises to severe fractures and internal damage. Trauma can affect various systems within the horse, including the musculoskeletal, respiratory, and gastrointestinal systems. The response to trauma involves complex physiological processes, including inflammation and tissue repair. Veterinary assessment and management of equine trauma often require a multidisciplinary approach to address immediate care and long-term recovery. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, effects, and treatment strategies for trauma in horses, providing insights into diagnostic techniques, therapeutic interventions, and rehabilitation practices.
Improving agricultural injury surveillance: a comparison of incidence and type of injury event among three data sources. 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...
Penetrating metallic foreign bodies as a cause of peritonitis in 3 horses. Three cases of penetrating metallic foreign bodies causing peritonitis in horses are reported. These cases were presented with varying clinical complaints and duration of clinical signs. Entry of foreign bodies into the abdominal cavity through the skin and body wall is reported for the first time. Corps étrangers métalliques pénétrants comme cause de péritonite chez 3 chevaux. Trois cas de corps étrangers métalliques pénétrants ayant causé une péritonite chez des chevaux sont signalés. Ces cas ont été présentés avec des plaintes cliniques différentes et une durée variable de...
Digital sheath synovial ganglion cysts in horses. To report the clinical features of horses with fluid-filled masses associated with the digital flexor tendon sheath (DFTS) and outcome after surgery. Methods: Case series. Methods: Horses (n=10) Methods: Medical records of horses with fluid-filled masses associated with the DFTS were reviewed and the clinical features, diagnostic methods, treatment, histopathology, and outcome reported. Results: Masses were unilateral (7 hind limb, 3 front limb) and in 8 horses were associated with lameness. In 6 horses, lameness improved by >50% with intrathecal DTFS anesthesia, whereas 2 were less positiv...
Posterior segment diseases. Diseases of the vitreous, fundus and optic nerve are described and illustrated according to their ophthalmological appearance. Vitreal alterations are commonly of developmental, degenerative, age related, traumatic or inflammatory origin and of minor clinical relevance. In contrast, those affecting the fundus, may be accompanied by visual deficits or blindness. Fundic lesions of inflammatory (multifocal or peripapillary chorioretinitis, haemorrhage, retinal detachment) and traumatic origin have to be differentiated from congenital (congenital stationary night blindness, colobomatous defects, r...
Bilateral internal carotid and vertebral artery dissection after a horse-riding injury. 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
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. 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...
Fatal left ventricular rupture and pericardial tamponade following a horse kick to the chest. Horse kicks are rare incidents-especially, if they end in fatality. In this case, a 13-year-old girl collapsed 3 minutes after sustaining a kick to the chest from a pony. Resuscitation attempts were unsuccessful. Postmortem computed tomography and magnetic resonance imaging were performed before autopsy.Imaging revealed a 3-cm long laceration of the left ventricle and a large pericardial effusion. Using segmentation techniques, the amount of blood inside the pericardium was determined. These findings correlated well with the autopsy findings. Pericardial tamponade was determined at autopsy to ...
Finite element modelling of equestrian helmet impacts exposes the need to address rotational kinematics in future helmet designs. Jockey head injuries, especially concussions, are common in horse racing. Current helmets do help to reduce the severity and incidences of head injury, but the high concussion incidence rates suggest that there may be scope to improve the performance of equestrian helmets. Finite element simulations in ABAQUS/Explicit were used to model a realistic helmet model during standard helmeted rigid headform impacts and helmeted head model University College Dublin Brain Trauma Model (UCDBTM) impacts. Current helmet standards for impact determine helmet performance based solely on linear acceleration....
Maxillofacial fractures sustained by unmounted equestrians. Facial injuries caused by horses are relatively common among riding enthusiasts, but little is known about the nature of maxillofacial fractures sustained by those not mounted. We collected data on patients' characteristics, fractures sites, mechanisms of injury, and treatment of these fractures from the departmental records of the oral and maxillofacial unit at Christchurch Hospital, New Zealand between 1996 and 2008. Of 49 patients with equine-related facial fractures, 35 (mean (SD) age 35.8 (16.7) years) had sustained their injuries while unmounted (71%). Most of the fractures occurred in w...
Antimicrobial delivery by intrasynovial catheterisation with systemic administration for equine synovial trauma and sepsis. To present the technique for intra-articular catheter placement and report the clinical outcomes of 38 cases of equine synovial trauma and/or infection treated with broad-spectrum antimicrobials administered via an intrasynovial catheter (ISC). Methods: Retrospective study. Methods: Medical records of 38 horses treated for synovial trauma and sepsis with frequent antimicrobial administration through an ISC from 1995 to 2008 were reviewed. Follow-up information was obtained via clinical re-evaluation or telephone contact with the owners. Results: The majority of horses (84%) received amikacin a...
Modified tenoscopic method for carpal flexor retinaculum release in a horse. To report the use of a proximolateral endoscopic portal with a distolateral instrument portal for carpal retinaculum release in a horse clinically affected with carpal canal syndrome. Methods: Clinical report. Methods: A 4-year-old Thoroughbred female. Methods: Carpal canal syndrome secondary to traumatic suppurative tenosynovitis was treated by accessory carpal bone debridement and carpal retinaculum release using a tenoscopic approach to the carpal flexor synovial sheath through a proximolateral endoscope portal and a distolateral instrument portal. Results: Resolution of carpal sheath effus...
Computed tomography of temporal bone fractures and temporal region anatomy in horses. In people, specific classifications of temporal bone fractures are associated with clinical signs and prognosis. In horses, similar classifications have not been evaluated and might be useful establishing prognosis or understanding pathogenesis of certain types of trauma. Objective: We hypothesized associations between temporal bone fracture location and orientation in horses detected during computed tomography (CT) and frequency of facial nerve (CN7) deficit, vestibulocochlear nerve (CN8) deficit, or temporohyoid osteoarthropathy (THO). Complex temporal region anatomy may confound fracture id...
Surgical repair of an oesophageal stricture and prestenotic dilatation in a horse. Prestenotic oesophageal dilatation and stricture were diagnosed in a horse with a history of trauma in the cervical area and recurrent oesophageal obstruction. The diagnosis was established on the basis of the clinical examination, endoscopy, and positive contrast oesophagography. Conservative treatment was unsuccessful and surgical intervention was necessary. Oesophageal myectomy combined with myoplasty was performed, simultaneously relieving the dilatation and the stricture. No abnormalities were detected 8 weeks after surgery. The horse was on a normal diet and oesophageal obstruction did r...
Nuchal crest avulsion fracture in 2 horses: a cause of headshaking. The medical records of 2 Thoroughbred horses that developed headshaking after blunt trauma to the occipital region are reviewed. The history, signalment, clinical signs, diagnostic methods, diagnosis and treatment were recorded in each case. Both horses displayed headshaking, while one horse repeatedly lifted its upper lip and pawed excessively at the ground. In both horses, diagnostic imaging of the occipital region revealed avulsion fragments of the nuchal crest and a nuchal desmitis in association with hyperfibrinogenaemia. The presence of an avulsion fragment of the nuchal crest with assoc...
Post mortem evaluation of palmar osteochondral disease (traumatic osteochondrosis) of the metacarpo/metatarsophalangeal joint in Thoroughbred racehorses. Thoroughbred racehorses are commonly affected by subchondral bone injury, but the exact prevalence and the distribution of palmar/plantar osteochondral disease (POD) lesions are unknown. The relationship between pathologies has not been elucidated, although it is widely accepted that POD is a manifestation of traumatic overload arthrosis. Objective: There is an association between grade of POD and other pathologies affecting the third metacarpal and metatarsal (MC/MTIII) condyles (wear lines, cartilage loss, marginal remodelling, dorsal impact injuries and linear fissures). Objective: To evalu...
Fall and injury incidence rates of jockeys while racing in Ireland, France and Britain. This article presents and analyses injury incidence rates for amateur and professional racing jockeys in Ireland, France and Britain by means of a retrospective study and review of published data. Amateur jump racing was seen to have the highest fall risk in these three countries (between 115 and 140 falls/1000 rides). Jump racing also had the highest rates of injury/ride amongst both amateur and professional jockeys. Flat racing, however, had the highest rates of injuries/fall (34-44%). Of all the injuries in both jump and flat racing populations of amateur and professional jockeys, 15% were ...
Traumatic perforation of the trachea in two horses caused by orotracheal intubation. Two of 348 horses that underwent gastrointestinal surgery under general anaesthesia developed perforations in their tracheas caused by the endotracheal tube. In one case the damage was probably caused when the horse was being moved from the induction room for surgery and excessive traction was exerted on the tube when the anaesthetic machine was moved too far ahead of the horse. The trachea of the other horse may have been damaged when it was intubated.
Significant injuries in Australian veterinarians and use of safety precautions. A high injury prevalence has been reported among veterinarians. Studies describing the factors associated with injury have been limited. Objective: To describe the characteristics of serious injuries and the use of safety precautions at the time of injury in Australian veterinarians. Methods: Graduates in veterinary medicine from Australian universities completed questionnaires asking about injuries during their professional career including type of injury and circumstances during which injury occurred. Results: A total of 2188 significant injuries were reported. Injuries were most frequently ...
[Atypical dislocated dens fracture type II with rotational atlantoaxial luxation after a riding accident]. We present a rare case of a combined dislocated odontoid dens fracture type II (Anderson/D'Alonzo) and rotational atlantoaxial luxation in a 15-year-old girl who was involved in a riding accident.She fell off her horse after it had stopped suddenly, losing consciousness for a few minutes. At presentation in the hospital, she had no complaints other than limited, painful neck movement. Radiologically, a posterior dislocation of an odontoid type II fracture (Anderson/D'Alonzo) was found. Computed tomography reconstruction demonstrated a rotational, hooklike fixed luxation of the left atlantoaxia...
[Serious accidents caused by horses. Warnings and prevention rules]. Children's equestrian activities in the domestic, play activities, sports and educational areas are relatively frequent, and are not exempt from risks. Nevertheless, there is a lack of data on horse-related injuries, their circumstances and the key points for their prevention. Methods: Retrospective and descriptive study of pediatric equestrian injuries admitted to Hospital between July 1997 and September 2008. Results: A total of 17 patients with ages between 4 and 17 years were analyzed. There were 14 accidental falls, 2 kicks and 1 bite, and 8 patients had lost consciousness after the accid...
Injuries to Australian veterinarians working with horses. Data from a health risks of Australian veterinarians (HRAV) study were reviewed to identify reported serious injuries incurred while working with horses and the factors associated with these injuries. Of the 2188 serious injuries reported in the HRAV study, 1583 (72.3 per cent) were associated with animals, and of these, 453 (28.6 per cent) involved horses. Most of them were sustained in stock or handling yards. Factors associated with an increased frequency of injury included activities such as suturing, wound care, tubing and drenching. The parts of the body most commonly injured were the he...
Ultrasonographic and Doppler findings of subclinical clitoral microtraumatisms in mountain bikers and horseback riders. Repeated microtraumas in horseback riders and mountain bikers are, in males, associated with perineal and scrotal lesions. No data are reported in the females. Objective: To report five cases of clitoral microcalcifications, diagnosed by ultrasonography, in six healthy, eumenorrheic athletes, and to verify the clinical and sexual impact of the ultrasonographic findings. Methods: Translabial ultrasonographic evaluation of the clitoris, Doppler analysis of dorsal clitoral arteries, and the two-factor Italian McCoy Female Sexuality Questionnaire (MFSQ) METHODS: The patients were assessed with a d...
Paediatric and adolescent horse-related injuries: does the mechanism of injury justify a trauma response? To identify the frequency, variety and disposition of horse-related injury presentations to the ED and to use this information to evaluate the existing institutional trauma team activation criteria following horse-related injuries. Methods: A retrospective case analysis was performed of all horse-related injury presentations to the ED of Women's and Children's Hospital, Adelaide, Australia, in the 5 year period between January 1999 and December 2003. Results: A total of 186 children presented with horse-related injuries during the 5 year study period. The median age of injury was 9 years (rang...
Equestrian-related injuries: implications for treatment in plastic surgery. Equestrian activities have always been popular in the United States. As safety guidelines have become more stringent, horse-related injuries have diminished by 40 percent over the past 20 years. Although perhaps less critical than in the past, injuries to equestrians most frequently involve the face, upper extremity, and lower extremity and are commonly evaluated by the plastic surgeon. The purpose of this study was to determine the characteristics of these equestrian-related injuries. Methods: The National Electronic Injury Surveillance System database is a stratified probability sample of ho...
The demographics of equestrian-related injuries in the United States: injury patterns, orthopedic specific injuries, and avenues for injury prevention. It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury. Methods: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p 18 years, traumatic ...
Analysis of horse-related injuries in children. The purpose of the present study was to investigate factors affecting the nature, characteristics, severity and outcome of horseback and horse care injuries in paediatric patients and to create guidelines for injury prevention. Methods: Detailed clinical records of 265 children sustained horse-riding related injuries have been analysed. Questionnaires were mailed to provide follow-up information for patients who have been treated in either Department of Paediatric Surgery in Pécs, Hungary, or Department of Paediatric Surgery in Graz, Austria between 1999 and 2003. Those 112 children (42%) who...
Equine-related facial fractures. Horseback riding is a common recreational activity that can cause injuries to both mounted and dismounted participants. This study examines the patterns of equine-related maxillofacial fractures presenting in a tertiary referral centre. Patients presenting over an 11-year period from 1996 to 2006 with equine-related maxillofacial fractures were identified through the trauma database. The extent of the injuries, surgical treatment and follow-up details were documented. 45 patients were identified, with an increasing incidence over the study period. 69% were male and 31% female. 31% of patients ...
