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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.
Patterns of maxillofacial injuries related to interaction with horses.
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons    June 1, 2004   Volume 62, Issue 6 693-696 doi: 10.1016/j.joms.2003.12.010
Ueeck BA, Dierks EJ, Homer LD, Potter B.Studies of trauma patients have described patterns of injuries sustained from unfortunate encounters with large animals. However, the patterns of maxillofacial injuries have yet to be reported. The goal of this investigation was to describe and report on maxillofacial injuries that are associated with interaction with horses. Methods: Charts were selected from the trauma registry by E-code at a level 1 trauma center in Portland, OR. A retrospective review was performed on charts collected from the previous 5 years (1998-2002). Data were collected according to patient, pattern of injuries, and ...
A punch drunk jockey?
British journal of sports medicine    May 25, 2004   Volume 38, Issue 3 e3 doi: 10.1136/bjsm.2003.006338
McCrory P, Turner M, Murray J.The case is reported of a retired professional jockey with progressive memory loss. The concern is that he may be suffering from chronic traumatic encephalopathy or the "punch drunk syndrome".
The mosaic of equestrian-related injuries in Greece.
The Journal of trauma    May 7, 2004   Volume 56, Issue 3 643-647 doi: 10.1097/01.ta.0000053470.38129.f4
Petridou E, Kedikoglou S, Belechri M, Ntouvelis E, Dessypris N, Trichopoulos D.This study aims to estimate the burden and describe the profile of equestrian injuries in Greece, where horses, donkeys, and mules are still used in agriculture and where horse riding is a popular leisure activity. Methods: Prospectively collected information on 140,823 injuries reported in the national Emergency Department Injury Surveillance System was examined and 244 equestrian-related injuries that occurred during farming, equestrian sports, or horse racing were analyzed. Results: The estimated countrywide injury incidence for farming and equestrian sports combined was 21 per 100,000 pers...
Pediatric farm-related injuries: a series of 96 hospitalized patients.
Clinical pediatrics    May 1, 2004   Volume 43, Issue 4 335-342 doi: 10.1177/000992280404300404
Smith GA, Scherzer DJ, Buckley JW, Haley KJ, Shields BJ.Ninety-six children were admitted during a 9-year period to a pediatric level 1 trauma center for treatment of farm-related injuries. The age range was from 6 weeks to 17 years (median, 7.5 years; mean, 7.6 years; standard deviation, 4.4). Thirty-nine patients (40.6%) had an animal-related injury, including 36 children (37.5%) who had an injury associated with a horse. Amish children had an increased risk of horse-related injury when compared with non-Amish children (p=0.04; RR=2.09, 95% CI: 1.18<RR<3.70). Thirty-seven patients (38.5%) had farm machinery-related injuries, including 14 ch...
Brain injury after head trauma: pathophysiology, diagnosis, and treatment.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 199-216 doi: 10.1016/j.cveq.2003.11.006
MacKay RJ.Brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues. In horses, traumatic brain injury occurs in three main settings: (1) poll impact in horses that flip over backwards; (2) frontal/parietal impact in horses that run into a fixed object, and (3) injury to the vestibular apparatus secondary to temporohyoid osteoarthropathy. Distinct forebrain, vestibular, midbrain, hindbrain, or multifocal syndromes may be encountered in horses with traumatic brain injury. The most important components of treatment are those consistent with p...
Sonographic diagnosis of a presumed ureteral tear in a horse. Diaz OS, Zarucco L, Dolente B, Reef VB.A 14-year-old thoroughbred gelding was presented for the evaluation of acute abdominal pain. Rectally, there was a soft fluctuant painful swelling dorsal to the bladder and to the right of the midline. The creatinine concentration of the peritoneal fluid was 15 mg/dl. Transrectal ultrasonographic examination of the urinary tract revealed a large collection of fluid dissecting from the pelvic portion of the right ureter ventrally through the right side of the bladder wall and into the retroperitoneal space, and a thickened right ureter and bladder wall at the level of the trigone. Cystoscopical...
Ventricular septal defect caused by impact from a horseshoe.
The Journal of thoracic and cardiovascular surgery    January 31, 2004   Volume 127, Issue 1 275-276 doi: 10.1016/s0022-5223(03)01278-9
Palazuelos Molinero J, Martín-Raymondi D, Cosín-Sales J, Juan-Aracil GR, de Buruaga JD, Cosials JB.No abstract available
Displacement of maxillary premolar teeth in a filly.
Journal of veterinary dentistry    January 7, 2004   Volume 20, Issue 3 143-145 doi: 10.1177/089875640302000302
Capik I, Ledecky V, Mihály M.Abnormalities of dental development such as hypoplasia of cementum, oligodontia, polydontia, enamel hypoplasia, brachygnathia, and prognathia are quite common in the horse. Abnormalities of eruption are less common and often associated with trauma. This case report describes the diagnosis and therapy for pre-eruption displacement of the maxillary left third and fourth premolar teeth resulting from previous facial trauma in a 1.5-year-old filly.
Long-term outcome of equestrian injuries in children.
Disability and rehabilitation    December 12, 2003   Volume 26, Issue 2 91-96 doi: 10.1080/09638280310001629688
Dekker R, Van Der Sluis CK, Kootstra J, Groothoff JW, Eisma WH, Duis HJ.To investigate the possible development of long-term disabilities arising from paediatric equestrian injuries. Methods: All patients, aged 17 years or younger, treated in a hospital setting because of an equestrian injury during a five-year period received a questionnaire. A reference population and healthy friends served as controls. Results: Four years post-injury, 41 of the 100 respondents still experienced disabilities following the injury. The median Injury Severity Score was 4. Absenteeism from school lasted 2 weeks, and from horse riding, 4 months. Compared to the reference population, ...
Retrospective study of 24 cases of septic calcaneal bursitis in the horse.
Equine veterinary journal    December 3, 2003   Volume 35, Issue 7 662-668 doi: 10.2746/042516403775696285
Post EM, Singer ER, Clegg PD, Smith RK, Cripps PJ.Wounds to the plantar aspect of the tarsus present a diagnostic and treatment challenge. This study was undertaken to describe specific features of traumatic wounds involving the calcaneal bursa, with a view to determining which clinical examination findings and diagnostic tests results could provide reliable indicators of prognosis. Objective: To report clinical presentation, diagnostic findings, treatment and outcome of 24 cases of septic calcaneal bursitis; and to determine the importance of the involvement of specific anatomical structures in relation to the prognosis for survival and retu...
Factors affecting the severity of horse-related injuries.
Injury    November 26, 2003   Volume 34, Issue 12 897-900 doi: 10.1016/s0020-1383(03)00054-8
Abu-Zidan FM, Rao S.Horse riding and handling are uniquely dangerous. Knowledge of the risk factors of horse-related injuries is essential to prevent them. We aimed to define the factors that affect the severity of horse-related injuries and the length of hospital stay. A number of 231 patients (136 females and 95 males) with horse-related injuries were studied. A generalized linear model was used to test the effect of age, sex, cause of injury, complexity of the mechanism of injury, year, place of injury and profession of the injured, on the injury severity score (ISS) and the hospital stay. Fall from a horse wa...
Osteomyelitis secondary to trauma involving the proximal end of the radius in horses: five cases (1987-2001).
Journal of the American Veterinary Medical Association    August 22, 2003   Volume 223, Issue 4 486-491 doi: 10.2460/javma.2003.223.486
Swinebroad EL, Dabareiner RM, Swor TM, Carter GK, Watkins JP, Walker M, Schmitz DG, Honnas CM.To determine clinical, radiographic, and scintigraphic abnormalities in and treatment and outcome of horses with trauma-induced osteomyelitis of the proximal aspect of the radius. Methods: Retrospective study. Methods: 5 horses. Methods: Data collected from the medical records included signalment; history; horse use; degree of lameness; radiographic, ultrasonographic, and scintigraphic findings; treatment; and outcome. Results: Duration of lameness prior to referral ranged from 14 to 60 days. Mean severity of lameness was grade 3 of 5, and all horses had a single limb affected. All horses had ...
Pattern of equestrian injuries presenting to a Sydney teaching hospital.
ANZ journal of surgery    July 31, 2003   Volume 73, Issue 8 567-571 doi: 10.1046/j.1445-2197.2003.02707.x
Lim J, Puttaswamy V, Gizzi M, Christie L, Croker W, Crowe P.Equestrian activities are associated with a high rate of injury. Attempts to reduce the incidence and severity of injury require accurate characterization of risk factors and pattern of injury. The present study was performed to analyse the injuries seen at an Australian centre where a large number of equestrian injuries present. Methods: Data were collected prospectively over a 3 year period on all equestrian injuries presenting to the Prince of Wales -Hospital complex. These data were compared against and combined with retrospectively collected data over the preceding 3 years at the same cen...
Severe carpometacarpal osteoarthritis in older Arabian horses.
Veterinary surgery : VS    June 5, 2003   Volume 32, Issue 3 191-195 doi: 10.1053/jvet.2003.50026
Malone ED, Les CM, Turner TA.To report a severe form of carpometacarpal osteoarthritis (CMC-OA) affecting primarily older Arabian horses. Methods: Retrospective study. Methods: Thirty-one horses with CMC-OA. Methods: Carpal radiographs (405 sets) from 3 hospitals were evaluated to identify horses with marked osteoproliferative reaction across the medial aspect of the CMC joint. Owners were contacted to obtain detailed histories and status updates. Necropsy specimens of the CMC joint were evaluated at 2 hospitals to determine the prevalence of 2 variations in the articulation between the proximal second and third metacarpa...
Spinal and spinal cord injuries in horse riding: the New South Wales experience 1976-1996.
ANZ journal of surgery    May 20, 2003   Volume 73, Issue 5 331-334 doi: 10.1046/j.1445-2197.2003.t01-1-02618.x
Roe JP, Taylor TK, Edmunds IA, Cumming RG, Ruff SJ, Plunkett-Cole MD, Mikk M, Jones RF.The objective of the present study was to determine the incidence of acute spinal cord injuries (ASCI) in all forms of horse riding in New South Wales (NSW) for the period 1976-1996. Other aims of the present study were to compare and contrast ASCI with vertebral column injuries (VCI) without neurological damage and to define appropriate safety measures in relation to spinal injury in horse-riding. Methods: A retrospective review was done of all ASCI cases (n = 32) admitted to the two acute spinal cord injury units in NSW for the cited period. A comparable review of VCI cases (n = 30) admitted...
Disorders of the pharynx.
The Veterinary clinics of North America. Equine practice    May 16, 2003   Volume 19, Issue 1 159-viii doi: 10.1016/s0749-0739(02)00071-8
Sullivan EK, Parente EJ.Pharyngeal disorders are complex and difficult to treat. Disorders that lead to anatomic derangement, such as trauma and neoplasia, can significantly affect the function of this organ. Pharyngeal dysfunction can manifest as dysphagia, persistent palatal displacement, or exercise intolerance. Secondary complications are serious and life threatening and include aspiration pneumonia, weight loss, and death. Pharyngeal disorders that are only recognizable during strenuous exercise are difficult to diagnose and are treated with limited success, even though they are responsible for significant econo...
[Clinical treatment of equestrian injuries in Groningen, 1990-1998: serious long-term effects].
Nederlands tijdschrift voor geneeskunde    March 21, 2003   Volume 147, Issue 5 204-208 
Dekker R, Groothoff JW, Eisma WH, ten Duis HJ.To determine whether equestrian injuries result in long-term residual symptoms and to establish the risk factors for these outcomes. Methods: Retrospective, descriptive. Methods: A total of 88 patients older than 17 years of age who had been admitted to the Department of Surgery, University Hospital Groningen during the period 1990-1998 because of an equestrian injury were included in the study. After an average period of five years an inventory was made using the Sickness Impact Profile 68 (SIP68), if absenteeism from work or sport and disabilities or handicaps were experienced. Following thi...
Conservative management of 17 horses with nonarticular fractures of the tibial tuberosity.
Equine veterinary journal    March 18, 2003   Volume 35, Issue 2 202-206 doi: 10.2746/042516403776114261
Arnold CE, Schaer TP, Baird DL, Martin BB.Fractures of the tibial tuberosity (FTT) are caused by direct trauma, and are the second most commonly reported injury in event horses with stifle trauma. Conservative management of horses with FTT has been advocated, but results and prognosis for this method of therapy are unknown. Objective: To report and review the findings of a retrospective study of 17 horses admitted to a veterinary teaching hospital from 1986-2001 with nonarticular FTT that received conservative management. Methods: Subject details, aetiology of the accident, limb affected, degree of lameness at time of admission, size ...
Repair of a grade VI hepatic injury: case report and literature review.
The Journal of trauma    November 19, 2002   Volume 53, Issue 5 823-824 doi: 10.1097/00005373-200211000-00003
Vargo D, Sorenson J, Barton R.No abstract available
A changing pattern of injuries to horse riders.
Emergency medicine journal : EMJ    September 3, 2002   Volume 19, Issue 5 412-414 doi: 10.1136/emj.19.5.412
Moss PS, Wan A, Whitlock MR.To describe the demographics and nature of injuries occurring on or around horses, to examine the nature of protective clothing in relation to these injuries, and to compare our data with previously published work in this area. Methods: Patients were identified using the term "sports injury-horse riding" from the departmental database for one calendar year from February 2000. Data were collected regarding demographics, injuries, protective clothing, and outcome. The data were then analysed and compared with the previously published literature. Results: 260 patients' records were analysed. The ...
Retrospective study of primary intention healing and sequestrum formation in horses compared to ponies under clinical circumstances.
Equine veterinary journal    July 11, 2002   Volume 34, Issue 3 270-273 doi: 10.2746/042516402776186047
Wilmink JM, van Herten J, van Weeren PR, Barneveld A.In accidental wounds, trauma and infection can result in dehiscence of primarily closed wounds and in sequestrum formation when cortical bone is exposed. In experimental studies, it has been shown that second intention healing is faster and occurs with less complications in ponies than in horses. Also, a greater initial inflammatory response was seen in ponies. Based on these experimental data, it was hypothesised that accidental wounds in ponies would heal with a lower incidence of wound dehiscence and/or sequestrum formation compared to horses. A retrospective study of 89 ponies and 422 hors...
Clinical effects of betamethasone and hyaluronan, and of defocalized carbon dioxide laser treatment on traumatic arthritis in the fetlock joints of horses.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    June 19, 2002   Volume 49, Issue 4 189-194 doi: 10.1046/j.1439-0442.2002.00445.x
Lindholm AC, Swensson U, de Mitri N, Collinder E.The clinical effects of intra-articular betamethasone together with hyaluronan (betaM/HA) and treatment with a defocalized carbon dioxide laser on acute traumatic arthritis of the fetlock joint were assessed. The horses in these studies were selected using a thorough lameness examination, including intra-articular anaesthesia abolishing the lameness. This investigation comprised an observer-blind study, including 10 sport horses (10 joints), and a prospective study, including 180 sport horses (333 joints). In both studies, the material was divided into two groups treated with either betaM/HA o...
Spinal cord injuries in horse riding.
The Medical journal of Australia    June 4, 2002   Volume 176, Issue 8 402-403 doi: 10.5694/j.1326-5377.2002.tb04470.x
Taylor TK, Roe JP.No abstract available
Horse-related injuries in children.
The Medical journal of Australia    February 12, 2002   Volume 175, Issue 11-12 609-612 doi: 10.5694/j.1326-5377.2001.tb143746.x
Holland AJ, Roy GT, Goh V, Ross FI, Keneally JP, Cass DT.To identify the frequency, spectrum and outcome of horse-related injuries in children. Methods: Retrospective case series of horse-related injuries in children admitted to the Children's Hospital at Westmead (CHW) from January 1988 to December 1999, the John Hunter Children's Hospital (JHCH) from January 1991 to December 1997 and deaths reported to the New South Wales Paediatric Trauma Death (NPTD) Registry from January 1988 to December 1999. Methods: Circumstances of injury; helmet use; adult supervision; type and number of injuries identified. Results: 232 children were admitted with horse-r...
Streptococcal meningitis resulting from contact with an infected horse.
Journal of clinical microbiology    May 29, 2001   Volume 39, Issue 6 2358-2359 doi: 10.1128/JCM.39.6.2358-2359.2001
Downar J, Willey BM, Sutherland JW, Mathew K, Low DE.We report a case of group C streptococcal meningitis in a woman with a history of close animal contact as well as head trauma as a result of a kick by a horse. Blood and cerebrospinal fluid cultures grew Streptococcus equi subsp. zooepidemicus, as did a throat culture taken from the colt that had kicked her 2 weeks prior to admission.
Use of canaliculorhinostomy for repair of nasolacrimal duct obstruction in a horse.
Journal of the American Veterinary Medical Association    May 2, 2001   Volume 218, Issue 8 1323-1271 doi: 10.2460/javma.2001.218.1323
McIlnay TR, Miller SM, Dugan SJ.Obstruction of the nasolacrimal outflow pathway in horses is not uncommon. Causes of obstruction include foreign bodies, trauma, and congenital abnormalities. Placement of a nasolacrimal retention stylette may prove challenging.
Rodeo related large animal injury: is protective head-gear warranted?
Injury    January 13, 2001   Volume 31, Issue 10 757-759 doi: 10.1016/s0020-1383(00)00108-x
Ketai LH, Temes RT, Deis JL, Allen NL, Wernly JA.To compare rodeo associated large animal injuries to large animal associated trauma from other aetiologies in order to determine whether mandatory protective head-gear during rodeo is warranted. Retrospective analysis related to injury involving large animal admissions between 1 January 1990 and 31 December 1995. The setting is at the University of New Mexico Health Science Center, a level 1 trauma centre. All patients admitted with Injury Severity Scores of 1 or higher following large animal associated injuries. There were 140 admissions for which mechanism of injury was known. Thirty-nine oc...
Surgical treatment of tarsometatarsal joint luxation in a miniature horse foal.
Australian veterinary journal    December 1, 2000   Volume 78, Issue 10 683-684 doi: 10.1111/j.1751-0813.2000.tb10404.x
Dowling BA, Dart AJ, Hodgson DR.A 2-week-old Miniature Horse foal was referred for evaluation and treatment of a luxated right tarsometatarsal joint. Treatment consisted of closed reduction and internal fixation using two partially threaded Steinmann pins placed in normograde fashion through the tuber calcis into the proximal third metatarsus. Traumatic luxation has been reported to occur in the tarsocrural, proximal intertarsal and tarsometatarsal joints within the equine tarsus. Treatment for luxation of the distal intertarsal joint has not been documented. The treatment method most commonly suggested for tarsal luxation i...
[The syndrome of external ligament sprain in the horse].
Acta orthopaedica Belgica    October 18, 2000   Volume 66, Issue 3 229-241 
Collard XR, Danse EM, Rombouts JJ.The treatment of acute complete (grade III) tears of the lateral ligaments of the ankle has generated much controversy in the medical literature. Functional treatment has become the standard treatment as it has been shown that there is no significant difference in long term results whatever the treatment (operative repair and cast, cast alone, or early controlled mobilization). Functional treatment includes only a short period of protection by tape bandage or brace and allows early weight-bearing. Major trauma with avulsion of bone and severe ligamentous damage on both medial and lateral sides...
Treatment of traumatically induced synovial sepsis in horses with gentamicin-impregnated collagen sponges.
The Veterinary record    September 14, 2000   Volume 147, Issue 7 184-188 doi: 10.1136/vr.147.7.184
Summerhays GE.Eight horses with synovial sepsis induced by trauma were treated by arthroscopic/tenoscopic debridement and lavage followed by the implantation of a gentamicin-impregnated collagen sponge. Seven of them responded favourably and were sound six months after treatment. The other underwent a further surgical procedure and recovered. Gentamicin-impregnated collagen sponges appear to be a safe and useful adjunct in the treatment of septic joints and tendon sheaths, and have the advantage of being bioabsorbable.
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