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The British journal of oral & maxillofacial surgery2013; 52(2); 124-127; doi: 10.1016/j.bjoms.2013.09.019

Equine-associated maxillofacial injuries: retrospective 5-year analysis.

Abstract: We explored the relation between the causes of facial injuries in equestrians and the presence or absence of associated injuries. Over a 5-year period we retrospectively reviewed all patients who presented to the John Hunter Hospital, New South Wales, with facial injuries that had resulted from activity with horses. We analysed the rates of hard and soft tissue injuries, and of associated injuries by sex and mechanism. A total of 85 patients were included (50 female and 35 male) with an age range of 2-88 years. There was a significant difference in the rate of maxillofacial and associated injuries when groups were analysed for sex and mechanism of injury. Facial injuries caused by falling from a horse were more often associated with other injuries in men than in women (p<0.05), and men were 4 times more likely to present with associated injuries than women (OR 3.9; 95% CI 1.1 to 14) We also found significant differences in the rates of facial fracture. Women who had been kicked by a horse were more likely to sustain bony injuries than men (p<0.05). Our data confirm the association between kicks and facial fracture, and this may provide an impetus for the development of appropriate protective equipment. Patients who sustain facial injuries when falling from a horse often present with associated injuries and this has practical implications for clinicians involved in their management.
Publication Date: 2013-10-26 PubMed ID: 24168759DOI: 10.1016/j.bjoms.2013.09.019Google Scholar: Lookup
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  • Journal Article

Summary

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This study investigates the correlation between horse-related facial injuries and the presence or absence of associated injuries over a five-year period.

Research Design and Participants

  • The researchers conducted a retrospective study, which means they looked at data from past records instead of conducting new experiments or observations.
  • This study focused on patients who arrived at John Hunter Hospital in New South Wales, Australia, with facial injuries that were caused by their interactions with horses.
  • A total of 85 patients were involved in this study, including 50 women and 35 men, spanning an age range of 2-88 years.

Methodology

  • The research team analyzed the rates of hard and soft tissue injuries, as well as any associated injuries, in relation to the patients’ sex and the mechanism of injury.

Findings

  • The research uncovered a significant difference in the rate of maxillofacial (referring to the facial bones and jaw) and associated injuries when comparing the groups by sex and mechanism of injury.
  • Facial injuries resulting from a fall were more often associated with other injuries in men than in women.
  • Men were four times more likely to arrive at the hospital with associated injuries than women.
  • The study also found a disparity in the rates of facial fractures. Women who have been kicked by a horse were more likely to sustain bone injuries than men.

Implications

  • The study affirmed the correlation between horse kicks and facial fracture, which could prompt the creation of suitable protective equipment.
  • It is important for clinicians to be aware that patients who suffer facial injuries from falling off a horse often have associated injuries. This information could affect their approach to patient management.

Cite This Article

APA
Islam S, Gupta B, Taylor CJ, Chow J, Hoffman GR. (2013). Equine-associated maxillofacial injuries: retrospective 5-year analysis. Br J Oral Maxillofac Surg, 52(2), 124-127. https://doi.org/10.1016/j.bjoms.2013.09.019

Publication

ISSN: 1532-1940
NlmUniqueID: 8405235
Country: Scotland
Language: English
Volume: 52
Issue: 2
Pages: 124-127
PII: S0266-4356(13)00437-3

Researcher Affiliations

Islam, Shofiq
  • Department of Maxillofacial Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. Electronic address: drshafiqislam@hotmail.co.uk.
Gupta, Benjamin
  • Department of Oral and Maxillofacial Surgery, The John Hunter Hospital, Newcastle, New South Wales, Australia.
Taylor, Christopher J
  • Wessex Deanery, Southern House, Ottobourne, Hampshire, UK.
Chow, Jeffrey
  • Department of Oral and Maxillofacial Surgery, The John Hunter Hospital, Newcastle, New South Wales, Australia.
Hoffman, Gary R
  • University of Newcastle, Consultant Maxillofacial surgeon, The John Hunter Hospital, Australia.

MeSH Terms

  • Accidental Falls / statistics & numerical data
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Child
  • Child, Preschool
  • Facial Bones / injuries
  • Facial Injuries / epidemiology
  • Female
  • Head Protective Devices / statistics & numerical data
  • Horses
  • Humans
  • Male
  • Mandibular Fractures / epidemiology
  • Maxillofacial Injuries / epidemiology
  • Middle Aged
  • Multiple Trauma / epidemiology
  • New South Wales / epidemiology
  • Orbital Fractures / epidemiology
  • Retrospective Studies
  • Sex Factors
  • Skull Fractures / epidemiology
  • Young Adult

Citations

This article has been cited 6 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. 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
  3. Sritharan R, Blore CD, Gahir DS. Maxillofacial Horse Trauma: A 10-Year Retrospective Study at a UK Major Trauma Center. Craniomaxillofac Trauma Reconstr 2022 Sep;15(3):201-205.
    doi: 10.1177/19433875211025910pubmed: 36081674google scholar: lookup
  4. Romeo I, Sobrero F, Roccia F, Dolan S, Laverick S, Carlaw K, Aquilina P, Bojino A, Ramieri G, Duran-Valles F, Bescos C, Segura-Pallerès I, Ganasouli D, Zanakis SN, de Oliveira Gorla LF, Pereira-Filho VA, Gallafassi D, Perez Faverani L, Alalawy H, Kamel M, Samieirad S, Jaisani MR, Rahman SA, Rahman T, Aladelusi T, Hassanein AG, Goetzinger M, Bottini GB. A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world. Dent Traumatol 2022 Jun;38(3):196-205.
    doi: 10.1111/edt.12750pubmed: 35390219google 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. Maloney B, Jung MS, Kearns G, Bowe C. Equestrian-related maxillofacial injuries-a five-year retrospective review. Ir J Med Sci 2025 Aug;194(4):1339-1346.
    doi: 10.1007/s11845-025-03995-4pubmed: 40650793google scholar: lookup