Analyze Diet
Emergency medicine journal : EMJ2002; 19(5); 412-414; doi: 10.1136/emj.19.5.412

A changing pattern of injuries to horse riders.

Abstract: 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 patients were mostly young (median age 26) and female (84.6%). The majority of patients had a single injury (88.8%). Seventeen per cent had an isolated head injury, all of which proved to be minor. Multiple injuries including the head accounted for 8.5% of all injuries. These again proved minor, bar one fatality where the helmet came off before impact. Upper limb injuries accounted for 29.2% of all injuries of which 61.8% sustained a fracture of which 36.2% were to the wrist. When compared with previous work the incidence and severity of head injury continues to decline while the relative number and severity of upper limb injuries increases. Conclusions: The majority of head injured riders are wearing approved helmets and sustaining only minor injury. There is currently no protective gear recommended for the upper limb and more specifically the wrist. This paper identifies the potential need for research and development of such protection.
Publication Date: 2002-09-03 PubMed ID: 12204987PubMed Central: PMC1725957DOI: 10.1136/emj.19.5.412Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The study discusses the injury patterns in horse-riding, by analyzing data from the year 2000. It identifies that young, female riders are most likely to sustain a single injury, with a notable amount of these injuries being minor head injuries or multiple injuries including the head. Upper limb injuries, particularly fractures, were also common. A shift is observed in the incidence and severity of injuries, with a decline in head injuries and an increase in upper limb injuries.

Study Methodology and Sample

  • The researchers used the departmental database to identify patients with horse-riding-related injuries, using the term “sports injury-horse riding”.
  • A total of 260 patients’ records from February 2000 to February 2001 were analyzed.
  • Information on demographics, injuries, protective clothing, and outcome of patients were collected and analyzed.

Findings

  • The median age of the patients was 26 and the majority were female (84.6%).
  • 88.8% of the patients had a single injury while 17% had an isolated head injury.
  • All head injuries were minor, with the exception of one fatal injury where a helmet came off before impact.
  • Upper limb injuries made up 29.2% of all injuries, with 61.8% resulting in a fracture, and 36.2% of these affected the wrist specifically.

Comparison with Previous Studies

  • The data support a trend observed in previous research of declining incidence and severity of head injuries.
  • Conversely, the number and severity of upper limb injuries, specifically wrist injuries, appeared to be increasing.

Conclusions and Recommendations

  • The researchers found that those horse riders who sustained head injuries were typically wearing approved helmets and only suffered minor injuries.
  • However, despite the protective gear for the head, there is currently no protective gear recommended or available for the upper limb and specifically the wrist.
  • Considering the high incidence of wrist fractures, the paper calls for research and development of protective gear for the upper body, particularly the wrist area.

Cite This Article

APA
Moss PS, Wan A, Whitlock MR. (2002). A changing pattern of injuries to horse riders. Emerg Med J, 19(5), 412-414. https://doi.org/10.1136/emj.19.5.412

Publication

ISSN: 1472-0205
NlmUniqueID: 100963089
Country: England
Language: English
Volume: 19
Issue: 5
Pages: 412-414

Researcher Affiliations

Moss, P S
  • Accident and Emergency Department, Royal Surrey County Hospital, Guildford, UK. philmoss1@btopenworld.com
Wan, A
    Whitlock, M R

      MeSH Terms

      • Adolescent
      • Adult
      • Animals
      • Athletic Injuries / epidemiology
      • Athletic Injuries / prevention & control
      • Child
      • Craniocerebral Trauma / epidemiology
      • Craniocerebral Trauma / prevention & control
      • England / epidemiology
      • Female
      • Head Protective Devices
      • Horses
      • Humans
      • Incidence
      • Male

      References

      This article includes 11 references
      1. Barber HM. Horse-play: survey of accidents with horses.. Br Med J 1973 Sep 8;3(5879):532-4.
        pubmed: 4795373doi: 10.1136/bmj.3.5879.532google scholar: lookup
      2. Goulden RP. The medical hazards of horse-riding.. Practitioner 1975 Aug;215(1286):197-200.
        pubmed: 1237133
      3. d'Abreu F. Letter: Brain damage in jockeys.. Lancet 1976 Jun 5;1(7971):1241.
        pubmed: 58282doi: 10.1016/s0140-6736(76)92188-7google scholar: lookup
      4. Edixhoven P, Sinha SC, Dandy DJ. Horse injuries.. Injury 1981 Jan;12(4):279-82.
        pubmed: 7263029doi: 10.1016/0020-1383(81)90201-1google scholar: lookup
      5. Ilgren EB, Teddy PJ, Vafadis J, Briggs M, Gardiner NG. Clinical and pathological studies of brain injuries in horse-riding accidents: a description of cases and review with a warning to the unhelmeted.. Clin Neuropathol 1984 Nov-Dec;3(6):253-9.
        pubmed: 6518686
      6. Chitnavis JP, Gibbons CL, Hirigoyen M, Lloyd Parry J, Simpson AH. Accidents with horses: what has changed in 20 years?. Injury 1996 Mar;27(2):103-5.
        pubmed: 8730383doi: 10.1016/0020-1383(95)00176-xgoogle scholar: lookup
      7. Lloyd RG. Riding and other equestrian injuries: considerable severity.. Br J Sports Med 1987 Mar;21(1):22-4.
        pubmed: 3580722doi: 10.1136/bjsm.21.1.22google scholar: lookup
      8. McGhee CN, Gullan RW, Miller JD. Horse riding and head injury: admissions to a regional head injury unit.. Br J Neurosurg 1987;1(1):131-5.
        pubmed: 3267272doi: 10.3109/02688698709034348google scholar: lookup
      9. Mills NJ, Whitlock MD. Performance of horse-riding helmets in frontal and side impacts.. Injury 1989 Jul;20(4):189-92.
        pubmed: 2592089doi: 10.1016/0020-1383(89)90108-3google scholar: lookup
      10. Regan PJ, Roberts JO, Feldberg L, Roberts AH. Hand injuries from leading horses.. Injury 1991 Mar;22(2):124-6.
        pubmed: 2037328doi: 10.1016/0020-1383(91)90072-mgoogle scholar: lookup
      11. Muwanga LC, Dove AF. Head protection for horse riders: a cause for concern.. Arch Emerg Med 1985 Jun;2(2):85-7.
        pubmed: 4015803doi: 10.1136/emj.2.2.85google scholar: lookup

      Citations

      This article has been cited 26 times.
      1. Al-Ali MA, Mousa HM, Nibelle I, Hefny AF. Camel-Related Facial Injuries: A Seven-Year Retrospective Study. Clin Pract 2023 Aug 1;13(4):889-897.
        doi: 10.3390/clinpract13040081pubmed: 37623262google scholar: lookup
      2. Giusti Gestri L. Wearable technology may assist in reducing jockeys' injuries if integrated into their safety vests: a qualitative study. Front Sports Act Living 2023;5:1167110.
        doi: 10.3389/fspor.2023.1167110pubmed: 37416317google scholar: lookup
      3. Balac K, Al-Ali MA, Hefny AF, Mohamed BK, Abu-Zidan FM. Surgical management of camel-related craniofacial injuries. Afr Health Sci 2022 Sep;22(3):407-415.
        doi: 10.4314/ahs.v22i3.44pubmed: 36910381google scholar: lookup
      4. Hoffmann MF, Bernstorff M, Kreitz N, Roetman B, Schildhauer TA, Wenning KE. Horse-related injury patterns: a single center report. J Orthop Surg Res 2023 Feb 2;18(1):83.
        doi: 10.1186/s13018-023-03549-3pubmed: 36732813google scholar: lookup
      5. Meyer HL, Scheidgen P, Polan C, Beck P, Mester B, Kauther MD, Dudda M, Burggraf M. Injuries and Overuse Injuries in Show Jumping-A Retrospective Epidemiological Cross-Sectional Study of Show Jumpers in Germany. Int J Environ Res Public Health 2022 Feb 17;19(4).
        doi: 10.3390/ijerph19042305pubmed: 35206487google scholar: lookup
      6. Chen Y, Buggy C, Kelly S. Winning at all costs: a review of risk-taking behaviour and sporting injury from an occupational safety and health perspective. Sports Med Open 2019 May 2;5(1):15.
        doi: 10.1186/s40798-019-0189-9pubmed: 31049736google scholar: lookup
      7. Schröter C, Bielefeld M, Bielefeld D, Macke C, Winkelmann C, Mommsen P, Krettek C, Zeckey C. [Injury to the upper limbs and prevention in equestrian sports]. Unfallchirurg 2018 Feb;121(2):152-158.
        doi: 10.1007/s00113-016-0288-8pubmed: 27933356google scholar: lookup
      8. Ikinger CM, Baldamus J, Spiller A. Factors Influencing the Safety Behavior of German Equestrians: Attitudes towards Protective Equipment and Peer Behaviors. Animals (Basel) 2016 Feb 18;6(2).
        doi: 10.3390/ani6020014pubmed: 26901229google scholar: lookup
      9. Young JD, Gelbs JC, Zhu DS, Gallacher SE, Sutton KM, Blaine TA. Orthopaedic Injuries in Equestrian Sports: A Current Concepts Review. Orthop J Sports Med 2015 Sep;3(9):2325967115603924.
        doi: 10.1177/2325967115603924pubmed: 26535400google scholar: lookup
      10. Riley CB, Liddiard JR, Thompson K. A Cross-Sectional Study of Horse-Related Injuries in Veterinary and Animal Science Students at an Australian University. Animals (Basel) 2015 Sep 25;5(4):951-64.
        doi: 10.3390/ani5040392pubmed: 26479478google scholar: lookup
      11. Swanberg JE, Clouser JM, Bush A, Westneat S. From the Horse Worker's Mouth: A Detailed Account of Injuries Experienced by Latino Horse Workers. J Immigr Minor Health 2016 Jun;18(3):513-521.
        doi: 10.1007/s10903-015-0302-1pubmed: 26458955google scholar: lookup
      12. Schröter C, Schulte-Sutum A, Zeckey C, Winkelmann M, Krettek C, Mommsen P. [Accidents in equestrian sports : Analysis of injury mechanisms and patterns]. Unfallchirurg 2017 Feb;120(2):129-138.
        doi: 10.1007/s00113-015-0074-zpubmed: 26449915google scholar: lookup
      13. Balakrishnan A, Abbadi R, Oakland K, Jamdar S, Harper SJ, Jamieson NV, Huguet EL, Jah A, Praseedom RK. Outcomes following liver trauma in equestrian accidents. J Trauma Manag Outcomes 2014;8:13.
        doi: 10.1186/1752-2897-8-13pubmed: 25177363google scholar: lookup
      14. Altgärde J, Redéen S, Hilding N, Drott P. Horse-related trauma in children and adults during a two year period. Scand J Trauma Resusc Emerg Med 2014 Jul 17;22:40.
        doi: 10.1186/s13049-014-0040-8pubmed: 25030979google scholar: lookup
      15. Carmichael SP 2nd, Davenport DL, Kearney PA, Bernard AC. On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians. Injury 2014 Sep;45(9):1479-83.
        doi: 10.1016/j.injury.2014.03.016pubmed: 24767580google scholar: lookup
      16. Kuhl HN, Ritchie D, Taveira-Dick AC, Hoefling KA, Russo SA. Concussion history and knowledge base in competitive equestrian athletes. Sports Health 2014 Mar;6(2):136-8.
        doi: 10.1177/1941738113508073pubmed: 24587863google scholar: lookup
      17. Swanberg JE, Clouser JM, Westneat SC, Marsh MW, Reed DB. Occupational injuries on thoroughbred horse farms: a description of Latino and non-Latino workers' experiences. Int J Environ Res Public Health 2013 Nov 29;10(12):6500-16.
        doi: 10.3390/ijerph10126500pubmed: 24351785google scholar: lookup
      18. Hasler RM, Gyssler L, Benneker L, Martinolli L, Schötzau A, Zimmermann H, Exadaktylos AK. Protective and risk factors in amateur equestrians and description of injury patterns: A retrospective data analysis and a case - control survey. J Trauma Manag Outcomes 2011 Feb 4;5:4.
        doi: 10.1186/1752-2897-5-4pubmed: 21294862google scholar: lookup
      19. Ball JE, Ball CG, Mulloy RH, Datta I, Kirkpatrick AW. Ten years of major equestrian injury: are we addressing functional outcomes?. J Trauma Manag Outcomes 2009 Feb 19;3:2.
        doi: 10.1186/1752-2897-3-2pubmed: 19228424google scholar: lookup
      20. Kiss K, Swatek P, Lénárt I, Mayr J, Schmidt B, Pintér A, Höllwarth ME. Analysis of horse-related injuries in children. Pediatr Surg Int 2008 Oct;24(10):1165-9.
        doi: 10.1007/s00383-008-2214-9pubmed: 18696082google scholar: lookup
      21. Balendra G, Turner M, McCrory P, Halley W. Injuries in amateur horse racing (point to point racing) in Great Britain and Ireland during 1993-2006. Br J Sports Med 2007 Mar;41(3):162-6.
        doi: 10.1136/bjsm.2006.033894pubmed: 17138629google scholar: lookup
      22. Thomas KE, Annest JL, Gilchrist J, Bixby-Hammett DM. Non-fatal horse related injuries treated in emergency departments in the United States, 2001-2003. Br J Sports Med 2006 Jul;40(7):619-26.
        doi: 10.1136/bjsm.2006.025858pubmed: 16611723google scholar: lookup
      23. Loder RT, Walker AL, Blakemore LC. Spinal Injuries from Equestrian Activity: A US Nationwide Study. J Clin Med 2025 Jun 26;14(13).
        doi: 10.3390/jcm14134521pubmed: 40648895google scholar: lookup
      24. Loder RT, Walker AL, Blakemore LC. Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study. Children (Basel) 2024 Nov 27;11(12).
        doi: 10.3390/children11121443pubmed: 39767872google scholar: lookup
      25. Giotis D, Konstantinidis C, Plakoutsis S, Vardakas D, Panagiotopoulos V. Diastasis of the Pubic Symphysis Without Fall While Horseback Riding: A Case Report. Cureus 2024 Nov;16(11):e72988.
        doi: 10.7759/cureus.72988pubmed: 39640152google scholar: lookup
      26. Crawford AE, Picken LK, Gabriel FD, Quade J, Gould S. CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports. Sports Health 2025 Jul;17(4):697-702.
        doi: 10.1177/19417381241275655pubmed: 39206526google scholar: lookup