McGhee C N, Gullan R W, Miller J D
Department of Surgical Neurology, University of Edinburgh Royal Infirmary, Scotland.
Br J Neurosurg. 1987;1(1):131-5. doi: 10.3109/02688698709034348.
A retrospective survey has been carried out of 59 patients who suffered head injury related to horse riding out of 7172 cases of head and spinal injury admitted to a regional head injury unit in the 5-year period 1980-85. Most (85%) were female, against the usual 80% male predominance of head injury, 56 were minor injuries and 3 severe, of whom 2 died. Skull fracture was present in 10 patients (17%) of whom at least 5 had been wearing headgear at impact, and scalp trauma was noted in 22 (37%) with a predominance of occipital injuries. All the severely injured cases had an occipital skull fracture. One fifth of the patients suffered additional significant injuries. While most patients (90%) made a good recovery, 2 remained moderately and one severely disabled. Horse riding posed a significant risk of head injury to the population of riders, mainly young women. This survey suggests that the wearing of amateur riding headgear does not adequately protect the rider from scalp and skull injury, particularly in the occipital region.
对1980 - 1985年期间收入某地区颅脑损伤病房的7172例颅脑和脊髓损伤病例中59例与骑马相关的头部损伤患者进行了回顾性调查。大多数（85%）为女性，这与通常头部损伤男性占80%的优势相反。56例为轻伤，3例为重伤，其中2例死亡。10例患者（17%）存在颅骨骨折，其中至少5例在撞击时佩戴了头盔，22例（37%）有头皮外伤，以枕部损伤为主。所有重伤病例均有枕骨骨折。五分之一的患者还遭受了其他严重损伤。虽然大多数患者（90%）恢复良好，但2例仍中度残疾，1例重度残疾。骑马对骑手群体，主要是年轻女性，构成了头部受伤的重大风险。这项调查表明，业余骑马头盔并不能充分保护骑手免受头皮和颅骨损伤，尤其是枕部损伤。
