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Children (Basel, Switzerland)2024; 11(12); 1443; doi: 10.3390/children11121443

Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study.

Abstract: Fractures often occur due to equestrian activities with injury patterns varying by age. The purpose of this study was to investigate in detail fracture patterns and associated demographics in children due to equine activities. Methods: The US National Electronic Injury Surveillance System was queried for all injuries with the consumer product code 1239 (horseback riding) from 2000 to 2023. Those <16 years old with fractures were extracted. Statistical analyses were performed with SUDAAN 11.0.01™ software to obtain national estimates. Results: There were an estimated 101,677 patients with a fracture. Girls comprised 72.5% and the patient was discharged from the hospital in 81.5% of cases. Fractures involved the upper extremity in 80,973 (80.0%), the pelvis/lower extremity in 11,794 (11.7%), the spine in 3060 (3.0%), the skull/face in 4321 (4.4%), and the rib/sternum in 940 (0.9%). The humerus, elbow, radius/ulna, and wrist accounted for 62.4% of all the fractures. The youngest age group (0- to 5-year-olds) had more boys and was more likely to be admitted to the hospital. The child was injured due to a fall from the horse in 75.7%, bucked/thrown off/kicked off in 17.0%, with the remaining 7.3% from other mechanisms. Conclusions: This extensive description of fractures in children due to equestrian injuries can be used to determine the effectiveness of future prevention strategies, such as protective equipment and educational programs. It also gives pediatric trauma and orthopedic surgeons an overall view of the types of fractures which occur in children due to equestrian activities.
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Publication Date: 2024-11-27 PubMed ID: 39767872PubMed Central: PMC11674967DOI: 10.3390/children11121443Google Scholar: Lookup
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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 focused on understanding patterns and demographics associated with fractures in children resulting from horseback riding, revealing that fractures are common and primarily affect the upper extremity, with the majority of injuries occurring due to falls from horses.

Objective of the Study

  • The primary objective of the research was to examine the fracture patterns and associated demographic characteristics in children participating in horseback riding activities. The intention was to provide a detailed description of these injuries to aid in the development of future preventative strategies, and to enrich the understanding of pediatric trauma and orthopedic surgeons when treating fractures occurring due to equestrian activities.

Methodology

  • The study used data from the US National Electronic Injury Surveillance System for all injuries with the consumer product code 1239, which pertains to horseback riding, from the year 2000 to 2023.
  • The researchers focused specifically on cases of children under 16 years old who experienced fractures.
  • Statistical analyses were performed using SUDAAN 11.0.01™ software to generate national estimates.

Results

  • The researchers found that there were an estimated 101,677 young patients who sustained a fracture during horseback riding.
  • 72.5% of these patients were girls, and in 81.5% of the cases, the patient was discharged from the hospital after treatment.
  • Various body parts were affected. The majority of fractures – 80% or 80,973 cases – occurred in the upper extremity. Another 11.7% of fractures affected the pelvis or lower extremity, 3% occurred in the spine, 4.4% in the skull or face, and 0.9% in the rib or sternum areas.
  • Specifically, the humerus, elbow, radius/ulna, and wrist together accounted for 62.4% of all fractures.
  • In the youngest age group (0- to 5-year-olds), boys were more commonly affected, and these patients were more likely to be admitted to the hospital for their injuries.
  • Regarding how the injuries occurred, 75.7% of cases resulted from falls from horses, 17% of children were bucked, thrown off, or kicked off, and the remaining 7.3% of fractures related to other mechanisms.

Conclusions and Implications

  • This research provides an extensive overview of fractures in children resulting from horseback riding, offering valuable insights for developing effective injury prevention strategies such as employing protective equipment and conducting educational programs.
  • The findings offer important considerations for pediatric trauma and orthopedic surgeons, enhancing their knowledge about the types of fractures suffered by children due to equestrian activities and possibly leading to improvements in treatment strategies.

Cite This Article

APA
Loder RT, Walker AL, Blakemore LC. (2024). Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study. Children (Basel), 11(12), 1443. https://doi.org/10.3390/children11121443

Publication

Children (Basel, Switzerland)
ISSN: 2227-9067
NlmUniqueID: 101648936
Country: Switzerland
Language: English
Volume: 11
Issue: 12
PII: 1443

Researcher Affiliations

Loder, Randall T
  • Department of Orthopaedic Surgery and Riley Children's Hospital, Indiana University School of Medicine, 705 Riley Hospital Drive, Suite 1100, Phase 1, Indianapolis, IN 46202, USA.
Walker, Alyssa L
  • Department of Orthopaedic Surgery and Riley Children's Hospital, Indiana University School of Medicine, 705 Riley Hospital Drive, Suite 1100, Phase 1, Indianapolis, IN 46202, USA.
Blakemore, Laurel C
  • Department of Orthopaedic Surgery, George Washington University School of Medicine, Washington, DC 20052, USA.

Conflict of Interest Statement

The authors declare no conflicts of interest.

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