title: [Injury to the upper limbs and prevention in equestrian sports].
abstract: The upper limb is one of the most frequently injured body regions in equestrian sports, but it is unclear which injuries are involved, and there are no data on the associated accident mechanism. The present study is aimed at evaluating the accident mechanisms, injuries of the upper limbs, and the circumstances of the accident in equestrian sports. We included 218 patients who were all treated between 2006 and 2014 at the level I trauma center at the Medical University in Hannover because of equestrian-related accidents. The most frequent injuries were fractures and bruising in the shoulder area, fingers and hands, and the distal area of the lower arm, which were mostly caused by the horse kicking. To prevent hand injuries it is recommended that gloves are worn; the potential introduction of strengthened materials could protect the bones from severe bumping. Training in falling techniques to prevent serious injury to the upper limb would be useful. In general, primary prevention in equestrian sports should be extended to counteract the increasing neglect of protective equipment.
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. schroeter-christian@web.de.|Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum Wolfsburg, Wolfsburg, Deutschland. schroeter-christian@web.de.
authors.forename: C
authors.initials: C
authors.lastname: Schröter
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Bielefeld
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Bielefeld
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Macke
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Winkelmann
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Mommsen
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Krettek
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.|Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, München, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Zeckey
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000818:Animals; D001134:Arm Injuries / Q000517:prevention & control* / Q000601:surgery*; D001265:Athletic Injuries / Q000175:diagnosis / Q000517:prevention & control* / Q000601:surgery*; D005383:Finger Injuries / Q000517:prevention & control / Q000601:surgery; D050723:Fractures, Bone / Q000517:prevention & control / Q000601:surgery; D006230:Hand Injuries / Q000517:prevention & control / Q000601:surgery; D006736:Horses; D006801:Humans; D000067393:Personal Protective Equipment; D011481:Protective Clothing; D012307:Risk Factors
keywords: Injury severity; Prevention; Riding accident; Trauma; Upper extremity