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The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland2021; 20(3); 164-168; doi: 10.1016/j.surge.2021.04.001

Pelvic and acetabular trauma in amateur equestrian enthusiasts – A retrospective review.

Abstract: Horse riding related accidents can present with devastating pelvic and acetabular fractures. This study examines the nature, management and treatment outcomes of severe pelvic and acetabular trauma in amateur horse riders presenting to a national tertiary referral centre. We also aim to define certain at-risk groups. Methods: This was a retrospective descriptive cohort of all patients who were referred to the National Centre for Pelvic and Acetabular trauma resulting from horse riding accidents. All patients who were referred to the National Centre for Pelvic and Acetabular Trauma between January 2018 and July 2020 were included. Professional horse riders were excluded. Clinical and treatment outcome measures were stratified to four different mechanisms of injury: fall from horse (FFH), horse crush (HC), Horse Kick (HK) and Saddle Injury (SI). Results: There were 31 equestrian related injuries referred to our centre between January 2018 and July 2020. One patient was a professional jockey and was thus excluded from the study. Eighteen were female and the mean age at referral was 37 years old. The majority of these were pelvic ring injuries (73%). Fifty per cent of patients required surgical intervention and the majority of these were male. Conclusions: Horse riding is a potentially dangerous recreational pursuit with significant risk of devastating injury. Pelvic and acetabular fractures secondary to horse riding are frequently associated with other injuries and the need operative intervention is common in this group. Young women and older men are higher risk groups.
Publication Date: 2021-05-08 PubMed ID: 33975806DOI: 10.1016/j.surge.2021.04.001Google Scholar: Lookup
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  • Journal Article

Summary

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This research article investigates the types and severity of pelvic and acetabular (hip socket) injuries experienced by amateur horse riders, how they were treated, and the outcomes of these treatments. The study aims to identify groups at greater risk for such injuries.

Methodology

  • The study was conducted by retrospectively examining the cases of all patients who were referred to the National Centre for Pelvic and Acetabular Trauma due to horse riding accidents from January 2018 to July 2020.
  • Professional horse riders were not included in the study as the focus was on amateur equestrians.
  • The researchers categorized the injures based on the mechanics of how they were caused: Fall From Horse (FFH), Horse Crush (HC), Horse Kick (HK), and Saddle Injury (SI).

Results

  • During the period under review, the centre received 31 cases related to horse riding. One patient, who was a professional jockey, was excluded from the study.
  • A majority of the injuries were sustained by female riders, and the average age at referral was 37 years.
  • Most of the injuries – 73% – were to the pelvic ring.
  • Half of the patients required surgical intervention, with the majority of these being male.

Conclusions

  • The findings suggest that horse riding, even at the amateur level, can result in severe injuries, particularly to the pelvic and acetabular regions.
  • Such injuries often necessitate surgical intervention and are frequently associated with other injuries.
  • The study identified two high-risk groups: young women and older men. This result calls for preventative strategies to be developed and implemented with these demographics in mind.

Cite This Article

APA
Francis AO, McCabe F, McCabe P, O'Daly BJ, Leonard M. (2021). Pelvic and acetabular trauma in amateur equestrian enthusiasts – A retrospective review. Surgeon, 20(3), 164-168. https://doi.org/10.1016/j.surge.2021.04.001

Publication

ISSN: 1479-666X
NlmUniqueID: 101168329
Country: Scotland
Language: English
Volume: 20
Issue: 3
Pages: 164-168
PII: S1479-666X(21)00073-1

Researcher Affiliations

Francis, A O
  • National Centre for Pelvic and Acetabular Trauma, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, Ireland. Electronic address: francia@tcd.ie.
McCabe, F
  • National Centre for Pelvic and Acetabular Trauma, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, Ireland.
McCabe, P
  • National Centre for Pelvic and Acetabular Trauma, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, Ireland.
O'Daly, B J
  • National Centre for Pelvic and Acetabular Trauma, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, Ireland.
Leonard, M
  • National Centre for Pelvic and Acetabular Trauma, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, Ireland.

MeSH Terms

  • Accidental Falls
  • Acetabulum / injuries
  • Aged
  • Animals
  • Athletic Injuries / epidemiology
  • Athletic Injuries / etiology
  • Athletic Injuries / therapy
  • Female
  • Fractures, Bone / epidemiology
  • Fractures, Bone / etiology
  • Fractures, Bone / surgery
  • Hip Fractures
  • Horses
  • Humans
  • Male
  • Pelvic Bones / injuries
  • Retrospective Studies

Citations

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