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Equestrian-related maxillofacial injuries-a five-year retrospective review.
Abstract: Equestrian-related activities inherently involve the risk of serious injury. There are few reports of maxillofacial injury patterns and management arising from equestrian activities in the literature. Objective: To investigate maxillofacial fracture presentations at a tertiary trauma centre to identify injury profiles of patients who have sustained equine-based injuries over 5 years. Methods: This work involved a retrospective review of all trauma presentations to our unit over 5 years. The data collected included patient demographics, injury mechanisms and patterns, and management of fractures. Results: The study identified 73 patients with facial fractures resulting from activity with horses between 2020 and 2025. A total of facial fractures were recorded. The mean age was 39.5 (11-86) years. There were 40 (55%) males and 33 (45%) females. Mounted riders accounted for 41% of cases, with 59% being unmounted. The incidence of head injury was 5%. A further 5% had an associated spinal injury. The most common specific mechanism of maxillofacial injury was a direct kick, in 55% of cases. The most commonly affected facial region was the middle third (81%), with zygomaticomaxillary complex fractures most commonly recorded (39%). There was a statistically significant increase in the risk of head injury associated with frontal bone fracture in this group. Conclusions: Activities involving horses pose a high risk of maxillofacial injury. Education should be promoted to increase the usage of helmets with a particular design to protect the facial skeleton, whether mounted or unmounted.
© 2025. The Author(s).
Publication Date: 2025-07-12 PubMed ID: 40650793PubMed Central: 1756322DOI: 10.1007/s11845-025-03995-4Google 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
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This research article is a review of five years of maxillofacial injuries related to horse-related activities, identifying the common types of injuries, their causes, and the effectiveness of current management practices.
Introduction & Objective
The study aims to understand the patterns and mechanisms of maxillofacial fractures as a result of equestrian activities. This type of injury occurs in the facial region, particularly affecting the bones of the upper jaw, cheek, and lower orbit (eye socket). Due to the inherent high risk of serious injuries in equestrian-related activities, this study seeks to analyze trauma presentations in a tertiary trauma centre over five years.
Methods
- The researchers conducted a retrospective review, meaning they gathered and analyzed data from past records rather than conducting new tests or experiments.
- The data was collected from all trauma presentations at their unit within a five year period, from 2020 to 2025.
- Key information gathered from these presentations included patient demographics, the mechanisms and patterns of injuries, and how these fractures were managed.
Results
The study found several key findings about equestrian-related maxillofacial fractures:
- 73 patients suffered facial fractures as a result of activities with horses.
- Patients ranged from 11 to 86 years old, with an average age of 39.5.
- More than half of the patients were male, while the remainder were female.
- Interestingly, a majority of injuries occurred while the patients were not riding the horses (59%), while the remaining 41% occurred while riding.
- The most common cause of these maxillofacial injuries was a direct kick from a horse, accounting for 55% of cases.
- The middle third of the face was the most commonly affected region (81% of the cases), with fractures to the zygomaticomaxillary complex (the bones forming the prominence of the cheeks and part of the eye socket) being most common (39% of cases).
- 5% of the patients also suffered head injuries, and another 5% had associated spinal injuries.
- A notable trend was identified: a significant increase in risk of head injury if the frontal bone fracture occurs.
Conclusion & Recommendations
The study underscored the high risk of maxillofacial injury posed by activities involving horses. In response, the researchers call for education to promote the use of protective helmets specifically designed to protect the facial skeleton, whether the individuals are mounted or unmounted. Proper educational initiatives can significantly reduce the occurrence and severity of such injuries.
Cite This Article
APA
Maloney B, Jung MS, Kearns G, Bowe C.
(2025).
Equestrian-related maxillofacial injuries-a five-year retrospective review.
Ir J Med Sci.
https://doi.org/10.1007/s11845-025-03995-4 Publication
Researcher Affiliations
- National Maxillofacial Surgery Unit, St. James's Hospital, Dublin, Ireland. maloneb3@tcd.ie.
- National Maxillofacial Surgery Unit, St. James's Hospital, Dublin, Ireland.
- National Maxillofacial Surgery Unit, St. James's Hospital, Dublin, Ireland.
- National Maxillofacial Surgery Unit, St. James's Hospital, Dublin, Ireland.
Conflict of Interest Statement
Declarations. Conflict of interest: The authors declare no competing interests.
References
This article includes 30 references
- Corbally A, Quinn K, Fahey A. Economic contribution of the sport horse industry to the Irish economy.. .
- Pounder DJ. “The grave yawns for the horseman”: equestrian deaths in South Australia 1973–1983.. Med J Aust 141(10):632–635.
- Havlik HS. Equestrian sport-related injuries: a review of current literature.. Curr Sports Med Rep 9(5):299–302.
- Buckley SM, Chalmers DJ, Langley JD. Injuries due to falls from horses.. Aust J Public Health 17(3):269–271.
- Exadaktylos AK et al. Hoof kick injuries in unmounted equestrians. Improving accident analysis and prevention by introducing an accident and emergency based relational database.. Emerg Med J 19(6):573–575.
- Zuckerman SL et al. Functional and structural traumatic brain injury in equestrian sports: a review of the literature.. World Neurosurg 83(6):1098–1113.
- Ball CG et al. Equestrian injuries: incidence, injury patterns, and risk factors for 10 years of major traumatic injuries.. Am J Surg 193(5):636–640.
- Boran S et al. A 10-year review of sports-related spinal injuries.. Ir J Med Sci 180(4):859–863.
- Johns E, Farrant G, Civil I. Animal-related injury in an urban New Zealand population.. Injury 35(12):1234–1238.
- Loder RT. The demographics of equestrian-related injuries in the United States: injury patterns, orthopedic specific injuries, and avenues for injury prevention.. J Trauma 65(2):447–460.
- Northey G. Equestrian injuries in New Zealand, 1993–2001: knowledge and experience.. N Z Med J 116(1182):U601.
- Sorli JM. Equestrian injuries: a five year review of hospital admissions in British Columbia Canada.. Inj Prev 6(1):59–61.
- Norwood S et al. Mechanisms and patterns of injuries related to large animals.. J Trauma 48(4):740–744.
- Ueeck BA et al. Patterns of maxillofacial injuries related to interaction with horses.. J Oral Maxillofac Surg 62(6):693–696.
- Singleton C, Manchella S, Nastri A. Operative management of equine-related maxillofacial trauma presenting to a Melbourne level-one trauma centre over a six-year period.. Br J Oral Maxillofac Surg 57(10):1126–1130.
- Antoun JS, Steenberg LJ, Lee KH. Maxillofacial fractures sustained by unmounted equestrians.. Br J Oral Maxillofac Surg 49(3):213–216.
- Islam S et al. Equine-associated maxillofacial injuries: retrospective 5-year analysis.. Br J Oral Maxillofac Surg 52(2):124–127.
- Henry C et al. AB212. SOH22ABS193. Establishing a trauma database at the national maxillofacial unit.. Mesentery Peritoneum 6.
- Eckardt AM et al. Management and outcome of equine-related maxillofacial fractures: a retrospective analysis.. International Journal of Oral and Maxillofacial Surgery 42(10):1222–1223.
- Sritharan R, Blore CD, Gahir DS. Maxillofacial horse trauma: a 10-year retrospective study at a UK major trauma center.. Craniomaxillofac Trauma Reconstr 15(3):201–205.
- Krüger L et al. Assessing the risk for major injuries in equestrian sports.. BMJ Open Sport Exerc Med 4(1):e000408.
- Lee KH, Steenberg LJ. Equine-related facial fractures.. Int J Oral Maxillofac Surg 37(11):999–1002.
- Temes RT et al. Head, face, and neck trauma from large animal injury in New Mexico.. J Trauma 43(3):492–495.
- Lim J et al. Pattern of equestrian injuries presenting to a Sydney teaching hospital.. ANZ J Surg 73(8):567–571.
- Schröter C et al. Accidents in equestrian sports : analysis of injury mechanisms and patterns.. Unfallchirurg 120(2):129–138.
- Abu-Zidan FM, Rao S. Factors affecting the severity of horse-related injuries.. Injury 34(12):897–900.
- Altgärde J et al. Horse-related trauma in children and adults during a two year period.. Scand J Trauma Resusc Emerg Med 22:40.
- Mayberry J et al. Equestrian injury prevention efforts need more attention to novice riders.. J Trauma 62:735–739.
- Balendra G et al. Injuries in amateur horse racing (point to point racing) in Great Britain and Ireland during 1993–2006.. Br J Sports Med 41(3):162.
- Hasler RM et al. 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 5:4.
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