Analyze Diet
;

Hoof kick injuries in unmounted equestrians. Improving accident analysis and prevention by introducing an accident and emergency based relational database.

Abstract: To assess injury patterns attributable to horse kicks, to raise the issue of preventive measures, and to evaluate the role of modern accident and emergency department computer software. Methods: Data analysis using a new kind of full electronic medical record. Results: Seventeen kicked equestrians were unmounted at the time of injury. Eight of seventeen patients sustained contusions of the extremities, the back, and the trunk. In nine patients an isolated facial injury was diagnosed. Five of nine patients needed referrals to the department of plastic surgery because of the complexity of the facial soft tissue wounds. Three underwent maxillofacial surgery. Conclusions: Clinical: the equestrian community may underestimate the risk of severe injuries attributable to hoof kicks, especially while handling the horse. Educational lectures and the distribution of educational literature should be promoted. The introduction of additional face shields may be protective. Software related issue: the handling of an increasing amount of medical data makes a development in computerisation of emergency units necessary. Thus the increasing utilisation of new computer technology could have a significant influence on accident analysis and prevention and the quality of research in the future.
Publication Date: PubMed ID: 12421795
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.

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 study is about assessing the injury patterns from horse kicks, discussing preventive measures, and evaluating the usefulness of a computer software in accident and emergency departments. The research looks into the case details of seventeen unmounted equestrians who were injured by horse kicks and used an electronic database to analyze the data.

Research Purpose and Methodology

  • The study aimed to assess the injury patterns caused by horse kicks, advocate for preventive measures, and evaluate the role of modern computer software in accident and emergency departments. Essentially, the researchers wanted to reduce the risk of severe injuries from horse kicks and improve the effectiveness of emergency units.
  • The researchers used a new electronic medical record system to analyze the data. This sophisticated database allowed them to collect detailed information about each patient and injury, which proved invaluable in their analysis.

Results of the Study

  • Out of the seventeen unmounted equestrians who were kicked by horses, eight suffered from contusions in their extremities, back, and trunk. Nine patients were diagnosed with facial injuries exclusively.
  • Five of the nine patients with facial injuries needed to be referred to the plastic surgery department due to the complexity of their wounds. Additionally, three of them had to undergo maxillofacial surgery.

Conclusion and Recommendations

  • The researchers concluded that equestrians might underestimate the risk of getting seriously hurt by horse kicks, especially when they are not mounted. They suggested conducting educational lectures and distributing literature to highlight the risks and promote preventive measures.
  • Face shields were proposed as additional preventive measure. These could potentially protect equestrians from severe facial injuries.
  • The report also highlighted the benefits of developing computerized systems in emergency departments. The increasing amount of medical data demands efficient management and analysis, which is aided greatly by new computer technology. Therefore, the use of technology could significantly affect accident analysis, prevention measures, and the quality of future research.

Cite This Article

APA
(). Hoof kick injuries in unmounted equestrians. Improving accident analysis and prevention by introducing an accident and emergency based relational database. .

Publication

Researcher Affiliations

Citations

This article has been cited 16 times.
  1. 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
  2. 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
  3. Boiron A, Barazer C, Clement C, Sahli Vivicorsi S, Bellamy L, Le Toux G, Boisramé S. Craniofacial Trauma of Equestrian Origin. J Craniofac Surg 2024 May 29;35(6):1607-11.
    doi: 10.1097/SCS.0000000000010126pubmed: 38810245google scholar: lookup
  4. 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
  5. Ahmed M, Saeed R, Abdulsalam M, Johna S, Elias D. Horse Kick to the Abdomen Causing a Triad of Injury: A Case Report. Cureus 2019 Oct 1;11(10):e5821.
    doi: 10.7759/cureus.5821pubmed: 31754556google 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. Kokubun T, Oikawa M, Ichijo Y, Matsumoto Y, Yokokawa T, Nakazato K, Sato Y, Takase S, Shinjo H, Yokoyama H, Suzuki H, Saitoh SI, Takeishi Y. Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick. Intern Med 2018 Jun 1;57(11):1597-1600.
  9. 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
  10. DeAraugo J, McLaren S, McManus P, McGreevy PD. Improving the Understanding of Psychological Factors Contributing to Horse-Related Accident and Injury: Context, Loss of Focus, Cognitive Errors and Rigidity. Animals (Basel) 2016 Feb 15;6(2).
    doi: 10.3390/ani6020012pubmed: 26891333google scholar: lookup
  11. 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
  12. Thompson K, McGreevy P, McManus P. A Critical Review of Horse-Related Risk: A Research Agenda for Safer Mounts, Riders and Equestrian Cultures. Animals (Basel) 2015 Jul 17;5(3):561-75.
    doi: 10.3390/ani5030372pubmed: 26479374google scholar: lookup
  13. 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
  14. 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
  15. Gorman R, Nuttall SM. Traumatic right ventricular rupture following a horse kick. BMJ Case Rep 2012 Nov 21;2012.
    doi: 10.1136/bcr-2012-006657pubmed: 23175003google scholar: lookup
  16. 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