Campbell-Hewson G L, Robinson S M, Egleston C V
Peterborough District Hospital, UK.
Eur J Emerg Med. 1999 Mar;6(1):37-40.
This study's objective was to examine the nature, cause and frequency of injury resulting from equestrian sport in paediatric patients attending two accident and emergency departments. We recorded the attendances of patients aged less than 16 years with equestrian-related trauma in 1 year. Demographic details, injury, mechanism of injury, rider experience and use of protective equipment were noted. There were 41 attendances (39 female, two male, median age 12 years). Thirty-one were injured while mounted, 10 while dismounted. The commonest group of injuries were soft tissue injuries of the lower limb (13 cases), soft tissue injuries of the upper limb (12 cases), fractures of the upper limb (nine cases), and minor head injury (seven cases). There was one case of severe head injury. Two patients required admission to hospital. The commonest mechanism of injury in the mounted group was a fall or throw (23 cases), in the dismounted group injuries were most commonly the result of being trodden on or being kicked (seven cases). The majority of equestrian-related trauma was minor in this study. The possibility of severe trauma exists. Emergency physicians working in areas where equestrian sport is popular should be aware of the likely injuries and their treatment.
本研究的目的是调查在两家急诊科就诊的儿科患者中，马术运动导致损伤的性质、原因和频率。我们记录了1年内年龄小于16岁且因马术相关创伤前来就诊的患者情况。记录了人口统计学细节、损伤情况、损伤机制、骑手经验和防护装备的使用情况。共有41人次就诊（39名女性，2名男性，中位年龄12岁）。31人在骑马时受伤，10人在下马时受伤。最常见的损伤类型是下肢软组织损伤（13例）、上肢软组织损伤（12例）、上肢骨折（9例）和轻度头部损伤（7例）。有1例严重头部损伤。2名患者需要住院治疗。骑马组最常见的损伤机制是摔倒或被甩下（23例），下马组损伤最常见的原因是被踩踏或被踢（7例）。在本研究中，大多数与马术相关的创伤较轻。但存在严重创伤的可能性。在马术运动流行地区工作的急诊医生应了解可能出现的损伤及其治疗方法。
