Patterns of mandibular fractures related to interaction with horses

Background: The risks of facial injuries with horse-related activities are much higher than in other sports. There are just a few studies about horse-related maxillofacial injuries, and there are even less data in particular about mandibular fractures. However, the aim of this study was to determine...

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Main Authors: Rebecca Stier, Maria Rüter, Rüdiger Zimmerer, Nils-Claudius Gellrich, Frank Tavassol
Format: Article
Language:English
Published: Kashan University of Medical Sciences 2018-01-01
Series:Archives of Trauma Research
Subjects:
Online Access:http://www.archtrauma.com/article.asp?issn=2251-953X;year=2018;volume=7;issue=2;spage=64;epage=67;aulast=Stier
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author Rebecca Stier
Maria Rüter
Rüdiger Zimmerer
Nils-Claudius Gellrich
Frank Tavassol
author_facet Rebecca Stier
Maria Rüter
Rüdiger Zimmerer
Nils-Claudius Gellrich
Frank Tavassol
author_sort Rebecca Stier
collection DOAJ
description Background: The risks of facial injuries with horse-related activities are much higher than in other sports. There are just a few studies about horse-related maxillofacial injuries, and there are even less data in particular about mandibular fractures. However, the aim of this study was to determine the patterns for mandibular fractures caused by horse contact or horseback riding. Materials and Methods: Data from patient records were collected over 15 years from January 2000 to March 2015. All patients who suffer a mandibular fracture caused by horse contact or horseback riding were included in this study. The analysis contained demographical data, trauma mechanism, type of mandible fracture, and type of protective clothing. Results: Overall, 23 patients within 37 fractures were included in the study. Of those, 87% were females and 13% males. More than the half (52.2%) were aged between 16 and 30 years. The most common trauma mechanism was a horse kick (78.3%). The most common site of fractures was the parasymphysis (32.4%) and the condylar region (32.4%), followed by the angle (21.7%). In addition, 52.2% of the patients had a single and 47.8% a combined fracture of the mandible. Nearly all patients (95.7%) underwent surgery. Open reduction and internal fixation was the treatment of choice. Only 17.4% of the patients wore a helmet. Conclusion: Mandibular fractures are not the leading trauma in horse relating accidents; however, they are often associated with functional loss. The most frequent cause is a kick from the horse while unmounted. Hence, there is a need for protective equipment usage at all times around horses especially wearing a helmet with a face guard.
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spelling doaj.art-576f411c1222434e98f85f557091d3942023-09-02T22:03:04ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2018-01-0172646710.4103/atr.atr_11_18Patterns of mandibular fractures related to interaction with horsesRebecca StierMaria RüterRüdiger ZimmererNils-Claudius GellrichFrank TavassolBackground: The risks of facial injuries with horse-related activities are much higher than in other sports. There are just a few studies about horse-related maxillofacial injuries, and there are even less data in particular about mandibular fractures. However, the aim of this study was to determine the patterns for mandibular fractures caused by horse contact or horseback riding. Materials and Methods: Data from patient records were collected over 15 years from January 2000 to March 2015. All patients who suffer a mandibular fracture caused by horse contact or horseback riding were included in this study. The analysis contained demographical data, trauma mechanism, type of mandible fracture, and type of protective clothing. Results: Overall, 23 patients within 37 fractures were included in the study. Of those, 87% were females and 13% males. More than the half (52.2%) were aged between 16 and 30 years. The most common trauma mechanism was a horse kick (78.3%). The most common site of fractures was the parasymphysis (32.4%) and the condylar region (32.4%), followed by the angle (21.7%). In addition, 52.2% of the patients had a single and 47.8% a combined fracture of the mandible. Nearly all patients (95.7%) underwent surgery. Open reduction and internal fixation was the treatment of choice. Only 17.4% of the patients wore a helmet. Conclusion: Mandibular fractures are not the leading trauma in horse relating accidents; however, they are often associated with functional loss. The most frequent cause is a kick from the horse while unmounted. Hence, there is a need for protective equipment usage at all times around horses especially wearing a helmet with a face guard.http://www.archtrauma.com/article.asp?issn=2251-953X;year=2018;volume=7;issue=2;spage=64;epage=67;aulast=Stierequestrian sportshorse-related injuriesmandible fracturemaxillofacial trauma
spellingShingle Rebecca Stier
Maria Rüter
Rüdiger Zimmerer
Nils-Claudius Gellrich
Frank Tavassol
Patterns of mandibular fractures related to interaction with horses
Archives of Trauma Research
equestrian sports
horse-related injuries
mandible fracture
maxillofacial trauma
title Patterns of mandibular fractures related to interaction with horses
title_full Patterns of mandibular fractures related to interaction with horses
title_fullStr Patterns of mandibular fractures related to interaction with horses
title_full_unstemmed Patterns of mandibular fractures related to interaction with horses
title_short Patterns of mandibular fractures related to interaction with horses
title_sort patterns of mandibular fractures related to interaction with horses
topic equestrian sports
horse-related injuries
mandible fracture
maxillofacial trauma
url http://www.archtrauma.com/article.asp?issn=2251-953X;year=2018;volume=7;issue=2;spage=64;epage=67;aulast=Stier
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