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Home / Equine Research Bank / Injury / Accidents with horses: what has changed in 20 years?
Injury1996; 27(2); 103-105; doi: 10.1016/0020-1383(95)00176-x

Accidents with horses: what has changed in 20 years?

Abstract: Horse riding is a dangerous pastime with more accidents occurring per hour than during motor-cycling. Since a prospective survey of horse-related injuries conducted at a major centre in 1971-1972, equestrian groups and the medical profession have encouraged improvements in training and protective riding wear. By conducting a similar study at the same centre 20 years later we hoped to assess the effects of these measures on the pattern of injuries resulting from contact with horses. Patient and injury details were recorded prospectively for all those presenting to the Accident Service at Oxford during the whole of 1991. Total admissions fell by 46 per cent on average. Most of the decrease was due to a near fivefold fall in those admitted with head injuries (P < 0.001). A reduction in the severity of such injuries was associated with an increased use of riding helmets. However, the most commonly injured group remained amateur young female riders suggesting the need for increasing awareness and training of this group. In seven cases, severe digital injuries were caused by the habit of entwining reins around the fingers. This practice should be discouraged. Up to 12 per cent of all injuries might have been prevented if adequate footwear had been worn.
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Publication Date: 1996-03-01 PubMed ID: 8730383DOI: 10.1016/0020-1383(95)00176-xGoogle Scholar: Lookup
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  • 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.

This research investigates the change in horse-related accidents over a 20-year period, with the aim to assess the effects of improved training and safety measures on injury patterns. It found a significant decrease in total accidents and severe head injuries, however, young female riders were still the most prone to injuries, and certain unsafe practices and use of incorrect footwear also contributed to preventable injuries.

Research Background and Purpose

  • The research looks at a span of 20 years, comparing the incidence and types of horse-related injuries in 1971-1972 and in 1991.
  • The aim is to gauge the impact of improved training methods and safety practices—including protective wear—propagated by equestrian groups and medical professionals.

Research Methods and Data Collection

  • A study similar to the one conducted in 1971-1972 was undertaken at the same major centre.
  • Patient and injury details of individuals presenting to the Accident Service at Oxford in 1991 were recorded.
  • The study followed a prospective approach, meaning data were collected in real time over the course of the year.

Key Findings

  • The research noted a significant fall in total admissions due to horse-related accidents—dropping an average of 46 per cent.
  • Most prominently, there was an almost fivefold decrease in the number of people admitted with head injuries, a decline that was statistically significant.
  • The reduction in severe head injuries correlated with an increase in the use of riding helmets, indicating that this safety measure had a substantial positive effect.

Continuing Areas of Concern

  • Despite the overall decline in injuries, young female riders who rode as amateurs were still the most commonly injured group.
  • Seven severe digital injuries—those affecting the fingers—were caused by the practice of wrapping reins around fingers; the researchers advocate against this potentially harmful practice.
  • The study suggested that up to 12 per cent of all reported injuries could have been prevented with the use of appropriate footwear, emphasizing the importance of suitable riding gear.

Cite This Article

APA
Chitnavis JP, Gibbons CL, Hirigoyen M, Lloyd Parry J, Simpson AH. (1996). Accidents with horses: what has changed in 20 years? Injury, 27(2), 103-105. https://doi.org/10.1016/0020-1383(95)00176-x

Publication

Injury
ISSN: 0020-1383
NlmUniqueID: 0226040
Country: Netherlands
Language: English
Volume: 27
Issue: 2
Pages: 103-105

Researcher Affiliations

Chitnavis, J P
  • John Radcliffe Hospital, Oxford, UK.
Gibbons, C L
    Hirigoyen, M
      Lloyd Parry, J
        Simpson, A H

          MeSH Terms

          • Adolescent
          • Adult
          • Age Distribution
          • Animals
          • Arm Injuries / epidemiology
          • Athletic Injuries / epidemiology
          • Athletic Injuries / prevention & control
          • Child
          • Craniocerebral Trauma / epidemiology
          • England / epidemiology
          • Female
          • Hand Injuries / epidemiology
          • Horses
          • Humans
          • Incidence
          • Leg Injuries / epidemiology
          • Male
          • Protective Clothing
          • Sex Distribution
          • Spinal Injuries / epidemiology

          Citations

          This article has been cited 35 times.
          1. Chapman M, Fenner K, Thomas MJW. Lessons learnt from horse-related human fatalities: Accident analysis using HFACS-Equestrianism. Heliyon 2025 Feb 15;11(3):e42276.
            doi: 10.1016/j.heliyon.2025.e42276pubmed: 39991252google scholar: lookup
          2. Hefny AF, Hefny MA, Al-Ali MA, Mousa HM. Camel-Related Head Injury in a High-Income Developing Country. J Emerg Trauma Shock 2022 Oct-Dec;15(4):162-166.
            doi: 10.4103/jets.jets_88_22pubmed: 36643773google scholar: lookup
          3. Spennemann DHR. Turbans vs. Helmets: A Systematic Narrative Review of the Literature on Head Injuries and Impact Loci of Cranial Trauma in Several Recreational Outdoor Sports. Sports (Basel) 2021 Dec 20;9(12).
            doi: 10.3390/sports9120172pubmed: 34941810google scholar: lookup
          4. Chapman M, Thomas M, Thompson K. What People Really Think About Safety around Horses: The Relationship between Risk Perception, Values and Safety Behaviours. Animals (Basel) 2020 Nov 26;10(12).
            doi: 10.3390/ani10122222pubmed: 33256171google scholar: lookup
          5. Stier R, Tavassol F, Dupke C, Rüter M, Jehn P, Gellrich NC, Spalthoff S. Retrospective analysis of 15 years of horse-related maxillofacial fracture data at a major German trauma center. Eur J Trauma Emerg Surg 2022 Aug;48(4):2539-2546.
            doi: 10.1007/s00068-020-01450-wpubmed: 32699917google scholar: lookup
          6. Adler CR, Hopp A, Hrelic D, Patrie JT, Fox MG. Retrospective analysis of equestrian-related injuries presenting to a level 1 trauma center. Emerg Radiol 2019 Dec;26(6):639-645.
            doi: 10.1007/s10140-019-01718-8pubmed: 31435897google scholar: lookup
          7. Meredith L, Ekman R, Thomson R. Horse-related incidents and factors for predicting injuries to the head. BMJ Open Sport Exerc Med 2018;4(1):e000398.
            doi: 10.1136/bmjsem-2018-000398pubmed: 30167320google scholar: lookup
          8. O'Connor S, Hitchens PL, Fortington LV. Hospital-treated injuries from horse riding in Victoria, Australia: time to refocus on injury prevention?. BMJ Open Sport Exerc Med 2018;4(1):e000321.
            doi: 10.1136/bmjsem-2017-000321pubmed: 29464106google scholar: lookup
          9. Weber CD, Nguyen AR, Lefering R, Hofman M, Hildebrand F, Pape HC. Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis. Int Orthop 2017 Oct;41(10):2105-2112.
            doi: 10.1007/s00264-017-3592-1pubmed: 28801837google scholar: lookup
          10. Majeedkutty NA, Khairulanuar NA. Prevalence, patterns, and correlates of equestrian injuries in Malaysia: A cross-sectional study. J Family Community Med 2017 Jan-Apr;24(1):18-22.
            doi: 10.4103/2230-8229.197177pubmed: 28163571google scholar: lookup
          11. 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
          12. 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
          13. 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
          14. Haigh L, Thompson K. Helmet Use Amongst Equestrians: Harnessing Social and Attitudinal Factors Revealed in Online Forums. Animals (Basel) 2015 Jul 17;5(3):576-91.
            doi: 10.3390/ani5030373pubmed: 26479375google scholar: lookup
          15. 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
          16. 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
          17. Carr D, Lindstrom AC, Jareborg A, Champion S, Waddell N, Miller D, Teagle M, Horsfall I, Kieser J. Development of a skull/brain model for military wound ballistics studies. Int J Legal Med 2015 May;129(3):505-10.
            doi: 10.1007/s00414-014-1073-2pubmed: 25194710google scholar: lookup
          18. 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
          19. 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
          20. 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
          21. Triantafyllopoulos I, Panagopoulos A, Sapkas G. Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements. Case Rep Orthop 2013;2013:715409.
            doi: 10.1155/2013/715409pubmed: 23841001google scholar: lookup
          22. Hessler C, Eckert V, Meiners J, Jürgens C, Reicke B, Matthes G, Ekkernkamp A, Püschel K. [Causes, injuries, therapy and possibilities of prevention of equine-related accidents. Results of a 2-center-study]. Unfallchirurg 2014 Feb;117(2):123-7.
            doi: 10.1007/s00113-012-2275-zpubmed: 23307431google scholar: lookup
          23. Boran S, Lenehan B, Street J, McCormack D, Poynton A. A 10-year review of sports-related spinal injuries. Ir J Med Sci 2011 Dec;180(4):859-63.
            doi: 10.1007/s11845-011-0730-4pubmed: 21792709google scholar: lookup
          24. 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
          25. Schöffl V, Morrison A, Schwarz U, Schöffl I, Küpper T. Evaluation of injury and fatality risk in rock and ice climbing. Sports Med 2010 Aug 1;40(8):657-79.
            doi: 10.2165/11533690-000000000-00000pubmed: 20632737google scholar: lookup
          26. 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
          27. 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
          28. McCrory P, Turner M, LeMasson B, Bodere C, Allemandou A. An analysis of injuries resulting from professional horse racing in France during 1991-2001: a comparison with injuries resulting from professional horse racing in Great Britain during 1992-2001. Br J Sports Med 2006 Jul;40(7):614-8.
            doi: 10.1136/bjsm.2006.028449pubmed: 16687479google scholar: lookup
          29. Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P. Spine fractures caused by horse riding. Eur Spine J 2006 Apr;15(4):465-71.
            doi: 10.1007/s00586-005-1012-5pubmed: 16408237google scholar: lookup
          30. Turner M, McCrory P, Halley W. Injuries in professional horse racing in Great Britain and the Republic of Ireland during 1992-2000. Br J Sports Med 2002 Dec;36(6):403-9.
            doi: 10.1136/bjsm.36.6.403pubmed: 12453834google scholar: lookup
          31. Exadaktylos AK, Eggli S, Inden P, Zimmermann H. Hoof kick injuries in unmounted equestrians. Improving accident analysis and prevention by introducing an accident and emergency based relational database. Emerg Med J 2002 Nov;19(6):573-5.
            doi: 10.1136/emj.19.6.573pubmed: 12421795google scholar: lookup
          32. Moss PS, Wan A, Whitlock MR. A changing pattern of injuries to horse riders. Emerg Med J 2002 Sep;19(5):412-4.
            doi: 10.1136/emj.19.5.412pubmed: 12204987google scholar: lookup
          33. Hendricks KJ, Adekoya N. Non-fatal animal related injuries to youth occurring on farms in the United States, 1998. Inj Prev 2001 Dec;7(4):307-11.
            doi: 10.1136/ip.7.4.307pubmed: 11770657google scholar: lookup
          34. Clements K, Yates B, Curran M. The prevalence of chronic knee injury in triathletes. Br J Sports Med 1999 Jun;33(3):214-6.
            doi: 10.1136/bjsm.33.3.214pubmed: 10378077google scholar: lookup
          35. Whitlock MR. Injuries to riders in the cross country phase of eventing: the importance of protective equipment. Br J Sports Med 1999 Jun;33(3):212-4.
            doi: 10.1136/bjsm.33.3.212pubmed: 10378076google scholar: lookup
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