Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis

Weber, Christian David; Nguyen, Anthony; Lefering, Rolf; Hofman, Martijn; Hildebrand, Frank; Pape, Hans-Christian

doi:10.1007/s00264-017-3592-1

Cited by 20 publications

(20 citation statements)

References 38 publications

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“…They had higher odds for serious outcomes in all tested parameters. We thus confirm recent observations of authors 1 12 14 who observed same tendencies in their datasets. This shows a contrast to other studies, which did not emphasise any effect of gender.…”

Section: Discussionsupporting

confidence: 93%

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Assessing the risk for major injuries in equestrian sports

Krüger¹,

Hohberg

Lehmann³

et al. 2018

BMJ Open Sport Exerc Med

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Background/aimHorse riding is a popular sport, which bears the risk of serious injuries. This study aims to assess whether individual factors influence the risk to sustain major injuries.MethodsRetrospective data were collected from all equine-related accidents at a German Level I Trauma Centre between 2004 and 2014. Logistic regression was used to identify the risk factors for major injures.Results770 patients were included (87.9% females). Falling off the horse (67.7%) and being kicked by the horse (16.5%) were the two main injury mechanisms. Men and individuals of higher age showed higher odds for all tested parameters of serious injury. Patients falling off a horse had higher odds for being treated as inpatients, whereas patients who were kicked had higher odds for a surgical therapy (OR 1.7) and intensive care unit/intermediate care unit (ICU/IMC) treatment (OR 1.2). The head was the body region most often injured (32.6%) and operated (32.9%). Patients with head injuries had the highest odds for being hospitalised (OR 6.13). Head or trunk injuries lead to the highest odds for an ICU/IMC treatment (head: OR 4.37; trunk: OR 2.47). Upper and lower limb injuries showed the highest odds for a surgical therapy (upper limb: OR 2.61; lower limb: OR 1.7).ConclusionRisk prevention programmes should include older individuals and males as target groups. Thus a rethinking of the overall risk assessment is necessary. Not only horseback riding itself, but also handling a horse bears a relevant risk for major injuries. Serious head injures remain frequent, serious and an important issue to be handled in equestrians sports.

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Section: Discussionsupporting

confidence: 93%

“…Horseback riding is one of the most popular recreational activities in Europe, 1 and equine-related accidents increased in the past years. 2–4 The power of a horse can expose the rider to a potential high-energy trauma.…”

Section: Introductionmentioning

confidence: 99%

Assessing the risk for major injuries in equestrian sports

Krüger¹,

Hohberg

Lehmann³

et al. 2018

BMJ Open Sport Exerc Med

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“…Fatalities from horse kick have been reported, most commonly resulting from head trauma (Kiuru et al, 2002; Jagodzinski and DeMuri, 2005; Ebert et al, 2012; Carmichael et al, 2014). Horse kick injuries make up approximately 8.1% to 30% of all horse-related injuries and can result in more severe injury than other horse-related mechanisms (Kiuru et al, 2002; Jagodzinski and DeMuri, 2005; Carmichael et al, 2014; Weber et al, 2017; Adler et al, 2019). As a majority of the literature on head trauma from horse kicks is retrospective in nature, there is somewhat limited evidence on the direct effect of a horse kick on the cranium and underlying brain.…”

Section: Discussionmentioning

confidence: 99%

Persistent Intracranial Hypertension in a Cranial Vault Remodeling Patient With Open Skull Fractures From Horse Kick

Braza

Girotto

2020

The Cleft Palate-Craniofacial Journal

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A 4-year-old female with prior cranial vault remodeling for nonsyndromic bilateral coronal craniosynostosis sustained a severe traumatic brain injury with open skull fractures from a horse kick. Her post-traumatic course was complicated by persistently elevated intracranial pressure despite neurosurgical decompressions, maximum medical therapy, and trial of multiple pressure monitoring devices. She eventually had improvement in her intracranial pressures and made a full neurologic recovery. This case highlights the potential severity of horse kick injuries, the possible etiology of persistent intracranial hypertension in cranial vault remodeling patients following traumatic brain injury, the importance of a multi-team approach in the initial evaluation and postoperative follow-up of all craniosynostosis patients, and the necessity of helmet utilization.

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“…Our study found that 86% of equine-related trauma occurred in female riders. Although this is not a dissimilar proportion of injuries relative to the number of female riders, Weber et al have in fact determined female riders to be at a higher risk of sustaining falls from height than their male counterparts [6]. In addition, Majeedkutty et al demonstrated a significant correlation between the female gender and the prevalence of horseback riding injuries [7].…”

Section: Discussionmentioning

confidence: 99%

Injury Patterns of Equine-Related Trauma

Liaw¹,

Govilkar²,

Woo³

et al. 2019

TOORTHJ

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Introduction:Equestrian sports are popular in the United Kingdom (UK), with approximately 2.7 million people of all ages participating in equine-related sports in 2015. These sports are not without risk; the position of the mounted rider puts them at risk of injuries sustained by fall from a height, compounded by movement at speed. The aim of this study was to characterise demographics and injury patterns of equine-related trauma presentations at a major trauma centre in the UK.Methods:From a trauma admissions database and electronic search of radiology requests including keywords “equine”, “equestrian”, “horse”, and “pony” with cross-referencing from ICD-10 coding, 144 patients were identified to have presented to an adult major trauma centre with equine-related injuries from falls while mounted over a 3-year period.Results:Females accounted for 86% of patients (n = 123). The most common presenting age group was age 20-29, but most injuries occurred with patients of ages 50-59. Spinal injuries accounted for 41% (n = 69) of all injuries and occurred in a similar proportion in all age groups. Upper limb injuries accounted for 100% of injuries in those aged 0-9. 39% (n = 56) of patients required operative management for their injuries.Conclusion:We have been able to identify which body zones of injury are more at-risk in equine-related sports following falls from mounted riders, and recognize how certain injury patterns may be more prevalent in particular age groups. Spinal injuries have been demonstrated to be a new leading zone of injury, possibly due to stricter legislation from government and industry leading to the relative reduction of head injuries. Reducing the number and severity of these injuries will not only improve patient outcomes but reduce the burden on the healthcare system.

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Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis

Cited by 20 publications

References 38 publications

Assessing the risk for major injuries in equestrian sports

Assessing the risk for major injuries in equestrian sports

Persistent Intracranial Hypertension in a Cranial Vault Remodeling Patient With Open Skull Fractures From Horse Kick

Injury Patterns of Equine-Related Trauma

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