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The Journal of trauma2005; 59(3); 616-618;

An unlucky horseshoe: blunt aortic rupture after horse kick.

Abstract: The majority of blunt aortic injuries (BAIs) are related to "rapid deceleration"mechanisms with motor vehicle crashes (MVCs) and falls accounting for the majority of these injuries. However, in recent years improved understanding of the mechanisms behind blunt aortic injury has led to an expansion of the "usual suspects" when evaluating blunt thoracic injury. Compression of the thoracic cage has proven to have a significant potential for blunt aortic injury, even in instances without "high-speed" mechanisms commonly sought when explaining the history for BAI risk factors. In this we report, we present a case of BAI after the nonclassic mechanism of a kick and review the literature for reports of thoracic trauma in individuals who sustained a kick from a large animal.
Publication Date: 2005-12-20 PubMed ID: 16361903
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Summary

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This study discusses a unique case of blunt aortic injury (BAI), which is typically caused by motor vehicle accidents or falls, that was caused by a kick from a large animal, specifically a horse.

Introduction to Blunt Aortic Injuries (BAIs)

  • BAIs are injuries that are typically related to “rapid deceleration” mechanisms such as motor vehicle crashes (MVCs) and falls.
  • They can result in significant damage to the thoracic cage, even in instances that don’t involve high speed collisions, which are typically considered as risk factors for BAIs.
  • Recently, with improved understanding of the mechanics of BAIs, the range of potential causes has expanded beyond these “usual suspects”.

A Unique Case of BAI

  • In this study, the researchers present a unique case where a BAI was caused by a kick from a large animal, specifically a horse.
  • This goes beyond the commonly accepted causes of BAIs and opens up a discussion for other potential causes of BAIs.

Review of Literature on Thoracic Trauma from Animal Kicks

  • The researchers review previous studies and reports of thoracic trauma in individuals who have been kicked by large animals.
  • The examination of past literature helps in broadening the understanding of the potential causes of BAIs and highlights the need for considering non-classic mechanisms while evaluating blunt thoracic injuries.
  • Implications of the Study

    • The study elucidates the possibility of non-classic injury mechanisms leading to BAIs, introducing a new perspective into how BAIs can occur.
    • It guides medical professionals to be more extensive in their evaluation of blunt thoracic injuries and to be aware of the possibility that such injuries could stem from atypical situations.
    • It also emphasizes the importance of continued research and broader understanding in the realm of thoracic injuries and BAIs to provide better care and treatment

    Cite This Article

    APA
    Sarin EL, Moore JB, Moore EE, Sheppard FR. (2005). An unlucky horseshoe: blunt aortic rupture after horse kick. J Trauma, 59(3), 616-618.

    Publication

    ISSN: 0022-5282
    NlmUniqueID: 0376373
    Country: United States
    Language: English
    Volume: 59
    Issue: 3
    Pages: 616-618

    Researcher Affiliations

    Sarin, Eric L
    • Department of Surgery, Denver Health Medical Center, Denver, Colorado 80204, USA.
    Moore, John B
      Moore, Ernest E
        Sheppard, Forrest R

          MeSH Terms

          • Adult
          • Angiography
          • Animals
          • Aorta, Thoracic / injuries
          • Aortic Rupture / diagnosis
          • Aortic Rupture / diagnostic imaging
          • Aortic Rupture / etiology
          • Horses
          • Humans
          • Male
          • Thoracic Injuries / etiology
          • Wounds, Nonpenetrating / diagnosis
          • Wounds, Nonpenetrating / diagnostic imaging
          • Wounds, Nonpenetrating / etiology

          Citations

          This article has been cited 1 times.
          1. Oode Y, Maruyama T, Kimura M, Fukunaga T, Omori K, Yanagawa Y. Horse kick injury mimicking a handle bar injury or a hidden speared injury. Acute Med Surg 2016 Jan;3(1):3-9.
            doi: 10.1002/ams2.118pubmed: 29123740google scholar: lookup