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Equestrian Sports Injuries - Common Injuries and Prevention

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Equestrian sports injuries can range from minor sprains to serious fractures, underscoring the importance of safety measures. Read below to know more.

Medically reviewed by

Dr. Anuj Gupta

Published At November 22, 2023
Reviewed AtNovember 22, 2023

Introduction

For individuals who find pleasure in equestrian pursuits, participating in horse riding could be a regular occurrence, happening daily or weekly. This activity serves as a means of enjoyment. Nonetheless, it is crucial to be aware that horse riding comes with associated risks. Horses exhibit notable intelligence, yet they remain susceptible to becoming frightened or displaying adverse reactions. In the event that such a situation arises while an individual is in close proximity to the horse or situated atop the horse's back, the circumstances could potentially escalate into a hazardous scenario.

Can Riding a Horse Be Unsafe?

Horse riding is a common activity wherever horses are found, and its history goes back centuries. However, it is not without risks. In fact, horse riding is riskier than typical sports like football, rugby, skiing, or even riding a motorcycle. Additionally, studies show that riders under 15 are more likely to be seriously injured while riding a horse than from being hit by a car.

What Is the Frequency of Injuries From Horse-Related Activities?

Focusing on significant injuries, particularly traumatic brain injuries (TBIs), provides insight to understand the prevalence of injuries linked to horse-related activities. There are 3.7 reported cases of TBIs per 1,000 hours of horse riding participation. Although this might not appear frequent initially, it surpasses the occurrence rates of activities like baseball, cycling, and general skiing. Notably, individuals who end up in hospitals due to horse-related injuries tend to have more serious injuries compared to those who visit for other reasons. This highlights both the commonness and seriousness of such injuries.

What Are the Common Injuries Associated With Horse Riding?

Recognizing the prevalent injuries that horse riders frequently encounter can help individuals be prepared in case of any of these injuries. By identifying potential injuries, individuals can aid the injured rider in receiving prompt and accurate medical attention. Here are seven severe injuries to be vigilant for in horse riding scenarios:

  • Fractured Collarbone: The clavicle, commonly known as the collarbone, is crucial in supporting the shoulders and connecting the arm to the upper torso. Falling off a horse often results in riders landing on their shoulders, leading to clavicle fractures. Typically requiring surgical intervention, recovery may involve wearing a sling for several weeks.

  • Chronic Lower Back Pain: While some degree of lower back discomfort might be familiar to equestrians, extended and intense lower back pain can stem from years of horse riding. Consistent movement during horse riding can gradually lead to stress fractures in the lower back, causing challenges in everyday movements.

  • Broken Metatarsal: The metatarsal, a delicate bone in the foot, plays a vital role in walking and balance. Due to its small size, it is susceptible to fractures if accidentally stepped on by a horse. A broken metatarsal can make walking extremely painful and difficult, leading to weeks of immobility.

  • Groin Strain: Acute or persistent groin strain is another common issue stemming from horseback riding. The abductor muscles in the upper inner legs endure considerable stress due to the horse's movement. Sudden or prolonged stress, whether from a bucking horse or prolonged riding, can result in significant groin discomfort, hindering movement.

  • Shoulder Dislocation: Falling off a horse can sometimes lead to shoulder dislocation. The impact from the fall can cause the shoulder joint to pop out of its socket. This injury can be both painful and disabling, requiring medical attention to put the joint back in place.

  • Wrist Fractures: In the event of a fall, it is common for riders to instinctively extend their arms to break the fall. This can lead to wrist fractures due to the impact. Treating wrist fractures might involve casting and rehabilitation.

  • Head Injuries: Traumatic brain injuries (TBIs) can occur from falls or collisions while horse riding. Even with protective headgear, accidents can result in concussions or other head injuries, underscoring the importance of wearing appropriate safety equipment.

How to Prevent Horse Riding Injuries?

The following are several recommendations provided by the American Academy of Orthopaedic Surgeons (AAOS) to help prevent injuries while engaging in horseback riding:

  • Ensure all riders consistently wear equestrian helmets that meet the approved safety standards.

  • Opt for well-fitted leather boots with a modest heel for proper grip. Comfortable attire that is tight enough is important.

  • Regularly inspect riding gear to ensure it remains undamaged.

  • Confirm that the saddle and stirrups are appropriately adjusted for the rider’s size.

  • Secure all riding equipment adequately.

  • For children and beginners, consider utilizing safety stirrups designed to detach in case of a fall.

  • Beginners should receive instruction from experienced teachers to learn proper riding techniques.

  • Young riders should always have adult supervision.

  • Amateurs are advised to ride on open, level terrain or within monitored riding arenas.

  • Avoid attempting jumps or stunts unless supervised, as they require advanced riding skills.

  • If a person feels like falling from the horse, he should try rolling to the side, away from the horse, upon impact.

  • Refrain from horseback riding when fatigued, medicated, or under the influence of alcohol.

  • One must always keep in mind that one is interacting with an animal that has its own reactions to the environment.

  • Recognize that horses are sensitive to sudden noises and movements. Stay vigilant for potential triggers and react swiftly if needed.

  • During trail rides, stick to designated paths and heed warning signs, avoiding the temptation to go off-trail.

  • Never approach a horse from behind; approach from the shoulder to appear less threatening.

  • Observe a horse's demeanor by paying attention to its head, particularly its ears. Ear movements offer insights into the horse's reactions.

  • When offering treats to a horse, extend one’s hand with open, flat fingers. This helps prevent accidental bites that can occur when fingers are cupped around treats.

Conclusion

Horseback riding can result in different types of injuries, some minor and others more serious. Sticking to safety guidelines to avoid these injuries while riding is crucial. Knowing about common injuries like fractures, back pain, and strains and following the advice of experts on how to prevent them can make horse riding safer and more enjoyable for everyone involved.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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