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Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National
Randall T Loder1, Alyssa L Walker1, Laurel C Blakemore2
1Department 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.
Children (Basel, Switzerland)
|January 8, 2025
Summary
Equestrian activities cause numerous fractures in children, with upper extremity injuries being most common. This data aids in developing prevention strategies and informs pediatric surgeons about common fracture types.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Sports Medicine
Background:
- Equestrian activities are a significant cause of pediatric fractures.
- Injury patterns in child equestrian injuries vary with age.
- Detailed investigation of fracture patterns and demographics in children is needed.
Purpose of the Study:
- To investigate fracture patterns in children involved in equestrian activities.
- To analyze associated demographics of pediatric equestrian injuries.
- To provide a comprehensive overview for prevention and surgical planning.
Main Methods:
- Utilized the US National Electronic Injury Surveillance System (NEISS) data from 2000-2023.
- Extracted data for patients under 16 years old with fractures related to horseback riding (consumer product code 1239).
- Performed statistical analyses using SUDAAN software for national estimates.
Main Results:
- Estimated 101,677 pediatric fractures from equestrian activities.
- Upper extremity fractures accounted for 80%, with humerus, elbow, radius/ulna, and wrist being most frequent.
- Younger children (0-5 years) had more boys and higher hospital admission rates; falls from horses were the primary injury mechanism (75.7%).
Conclusions:
- This study provides an extensive description of pediatric equestrian fractures.
- Findings can guide the development of future prevention strategies, including protective gear and education.
- Offers pediatric trauma and orthopedic surgeons insights into common fracture types in this population.
