Equine-related neurosurgical trauma : A prospective series of 30 patients.
Thirty million Americans ride horses ; 50,000 of these riders are treated in emergency rooms annually.
Equestrian activities are uniquely dangerous because the participant is unrestrained, often helmetless, and riding large, unpredictable animals capable of 40-mph speeds and kicking with up to 1 ton of force.
Neurologic injuries in equestrians constitute the majority of severe injuries and fatalities.
We prospectively studied all patients admitted to the University of Kentucky Medical Center with equine-related neurosurgical trauma from July 1992 to January 1996.
Eighteen of 30 patients were male
Age ranged from 3 to 64 years.
Five patients died (17%), and two suffered permanent paralysis.
There were 24 head injuries (80%) and 9 spinal injuries (30%). The majority of injuries (60%) were caused by ejection or fall from the horse.
Twelve patients (40%) were kicked by a horse, and four patients sustained crush injuries.
Six patients underwent craniotomy, three had operative spinal stabilization, and five required ventriculostomy.
Eleven patients (37%) were professional riders
Twenty-four patients (80%) were not wearing helmets, including all fatalities and craniotomy patients.
Our data show that equine-related neurosurgical injuries can be severe and fatal because of the significant size, force, and unpredictability of these animals as well as the lack of proper headgear. (...)
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Equitation, Chirurgie, Indice gravité, Homme, Epidémiologie, Prévalence, Etude longitudinale, Traitement, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie, Neurochirurgie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Equitation, Surgery, Severity score, Human, Epidemiology, Prevalence, Follow up study, Treatment, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0427998
Code Inist : 002B16B. Création : 19/12/1997.