Ursachen, Verletzungen, Therapie und Pr?ventionsm?glichkeiten von Unf?llen im Reitsport

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• 作者：Dr. C. Hessler (1)
  V. Eckert (2)
  J. Meiners (3)
  C. Jürgens (3)
  B. Reicke (4)
  G. Matthes (4)
  A. Ekkernkamp (4)
  K. Püschel (2)
  
• 关键词：Pferd ; Reitunfall ; Schutzhelm ; Schutzweste ; Horse ; Equine ; related accident ; Helmet ; Body protector
• 刊名：Der Unfallchirurg
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：117
• 期：2
• 页码：123-127
• 全文大小：283 KB
• 作者单位：Dr. C. Hessler (1)
  V. Eckert (2)
  J. Meiners (3)
  C. Jürgens (3)
  B. Reicke (4)
  G. Matthes (4)
  A. Ekkernkamp (4)
  K. Püschel (2)
  
  1. Klinik für Neurochirurgie, Universit?tsklinikum Hamburg-Eppendorf, Martinistra?e 52, 20246, Hamburg, Deutschland
  2. Institut für Rechtsmedizin, Universit?tsklinikum Hamburg-Eppendorf, Hamburg-Eppendorf, Deutschland
  3. Klinik für Unfallchirurgie und Orthop?die, Unfallkrankenhaus Hamburg-Boberg, Hamburg-Boberg, Deutschland
  4. Klinik für Unfallchirurgie und Orthop?die, Unfallkrankenhaus Berlin, Berlin, Deutschland
  
• ISSN：1433-044X

文摘

Background Horse riding is associated with a high rate of injuries. The possibilities of prevention are limited because of deficient knowledge about the causes and mechanisms of equine-related accidents. In the present study 198 equine-related accidents were analyzed and based on these data risk groups were identified and guidelines to improve safety in horse riding were formulated. Material and Methods In this 2-center study the accidents of 169 riders over a period of 12 months were analyzed. Data on equine-related patterns of injury and the resulting treatment were collated from the clinical records. Additionally, a questionnaire was completed on the day of trauma by the patients, which covered age, gender, the cause and mechanism of injury and the use of safety equipment at the time of the accident. Results There were 169 (85.5%) female and 29 (14.5%) male riders with a median age of 27.2 years (range 5-74 years). Of the riders 55 (27.8%) were aged 18 years or younger, 134 (67.7%) riders were treated as outpatients while 64 (32.3%) required hospitalization, 51 (25.8%) required surgical treatment, 66 (33.3%) used a helmet and 14 (7.1%) a body protector at the time of accident. Discussion Equestrians wear helmets increasingly more when riding but the willingness to wear body protectors is disappointing. Protective headgear has been proven to reduce the risk of injuries but based on these data a positive effect of body protectors could not be shown. In this study safety vest users suffered from injuries of the upper body more often than those who did not wear a body protector. Children and adolescents often overestimate their skills; therefore, teaching and supervision of inexperienced young riders along with the use of protective equipment can prevent major injuries.