Pediatric Abdominal and Thoracic Equestrian Injuries-Single Center Experience

Lipszyc Emmanuelle Seguier, Baazov Artur, Freud Enrique
2018 Archives of Pediatric Surgery  
Recent years have witnessed an increase in the popularity of equestrian sports and therapeutic riding. The aim of the study was to report the prevalence and causes of different types of abdominal and thoracic equestrian injuries in children and to raise clinician awareness of the risks and necessary safety measures. Methods: Background and injury-related data were collected from the medical files of all hospitalized patients over 17-year period at Schneider Children's Medical Center of Israel
more » ... CMCI), a tertiary pediatric medical center for trauma. Patients transferred to the department of neurosurgery for evaluation of isolated head injuries were excluded. Results: The final study cohort consisted of 74 children (44 boys and 30 girls) aged 2-17 years (mean age 11.3 years). Twenty-two patients (34%) had multiple trauma, for a total of 100 injuries: Head trauma in 31 patients (33% of all injuries), limb trauma in 29 (31%), abdominal trauma in 21 (23%) and chest trauma in 13 (13%). Surgery was performed in only 2 patients, with a diaphragmatic tear and with a complete left liver laceration associated with a portal vein and IVC laceration and a pancreas transection. Most of the injuries (83%) were caused by falling off a horse and the remainder by being kicked (14%) or bitten (3%) by a horse. The patients who fell off a horse were more prone to multiple trauma. No death was reported. Conclusions: Equestrian activities can be associated with a risk of severe injury to both riders and handlers. Awareness of equestrian injuries from the public and from the primary care physicians is a paramount step to their prevention.
doi:10.36959/472/348 fatcat:tlcddfvdnfg43awtkbbenbmu2y