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Equine-associated maxillofacial injuries: retrospective 5-year analysis
Shofiq Islam1, Benjamin Gupta2, Christopher J Taylor3
1Department of Maxillofacial Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK.
The British Journal of Oral & Maxillofacial Surgery
|October 31, 2013
Summary
Equestrian facial injuries from falls are more common in men and often involve associated injuries. Women are more likely to sustain fractures when kicked by a horse.
Area of Science:
- Trauma Surgery
- Orthopedics
- Sports Medicine
Background:
- Facial injuries are a significant concern in equestrian activities.
- Understanding injury mechanisms is crucial for prevention and treatment.
Purpose of the Study:
- To investigate the relationship between the causes of facial injuries in equestrians and associated injuries.
- To analyze injury patterns based on sex and mechanism of injury.
Main Methods:
- Retrospective review of 85 patients with horse-related facial injuries over 5 years.
- Analysis of hard and soft tissue injuries, associated injuries, and facial fractures.
- Stratification by sex and injury mechanism (falls vs. kicks).
Main Results:
- Men sustaining facial injuries from falling off horses had higher rates of associated injuries (OR 3.9) compared to women.
- Women kicked by horses were more likely to sustain facial fractures than men.
- Significant differences in injury rates were observed based on sex and mechanism.
Conclusions:
- Facial fractures are strongly associated with being kicked by a horse, suggesting a need for protective gear.
- Equestrians falling from horses frequently sustain associated injuries, requiring comprehensive clinical management.
- Sex and injury mechanism significantly influence the type and severity of facial injuries in equestrians.
