3/27/2023 0 Comments Compression fracture![]() ![]() A horse can weigh up to 500 kg, move at speeds of 65 km Horseback riding has several potential risk factors. Opportunities for injury arise not only during riding, but also during many nonriding activities, such as training, grooming, handling, saddling, shoeing, and feeding of the horse. Horse racing, harness racing, dressage, trail riding, training on a track, pony club riding, and simple pleasure riding are common riding pursuits. DiscussionĮquestrian activities encompass a wide range of recreational activities enjoyed by professionals and amateurs of different ages. (B) Sagittal fat suppression T1-weighted MRI with contrast enhancement showing increased signal intensity and height loss in the T6 vertebra, suggesting recent vertebral compression fracture. (A) Sagittal fat suppression T2-weighted MRI without contrast demonstrating increased signal intensity and height loss in the T6 vertebra. In addition, she was advised to avoid horseback riding and trunk flexion exercises for several months. The patient was treated with bisphosphonate and calcium and vitamin D supplements, and an orthosis was prescribed. MRI confirmed an acute T6 compression fracture ( Fig. A bone scan revealed increased uptake in T6, which was suspicious of fracture. There was no other possible precipitant of the injuries. Shortly before her presentation, she rode the horse at a fast pace but did not attempt to jump any obstacles. She began horseback riding for 1 h every weekday for 2 months. She reported back pain that was gradually aggravated after horseback riding the pain started at the level of the midthoracic spine and radiated to the area under the scapula on both sides, worsening with trunk-twisting motions. She decided to learn how to ride a horse to control her body weight and improve her lipid profile. She had a history of hyperlipidemia, osteoporosis, and regular menstruation. Case 2Ī 49-year-old woman presented to our clinic with upper back pain for 1 month. (B) Sagittal T2-weighted MRI without contrast showing increased signal intensity and height loss in the T7 vertebra, suggesting old vertebral compression fracture. (A) Sagittal T1-weighted MRI without contrast demonstrating decreased signal intensity and height loss in the T7 vertebra. Therefore, the clinicians prescribed calcium and vitamin D supplements and recommended that she refrain from horseback riding and trunk flexion exercises for several months. Her spinal T-score was −1.9, compatible with osteopenia. Under suspicion of osteoporosis, the patient underwent BMD testing. ![]() Magnetic resonance imaging (MRI) confirmed the diagnosis of a mild benign compression fracture at T7 ( Fig. Focal uptake was observed at the T7 vertebral body on a bone scan. A radiograph of the thoracic spine showed a T7 compression fracture. Neurological examination findings were within normal limits. Physical examination revealed tenderness in the midthoracic area. At the end of the fourth lesson, she felt pain in the upper back, and she could not participate in riding lessons for 4 months. As a beginner, she rode the horse only at a slow walk for 30 to 40 min. She took riding lessons once a week for 1 month. She also reported a history of hypercholesterolemia and total hysterectomy without adnexectomy due to myoma 1 year ago. Case Reports Case 1Ī 44-year-old woman presented with a 4-month history of pain in the midthoracic area. Herein, we present two cases of compression fracture occurring after riding in middle-aged female amateur horseback riders with low bone mineral density (BMD). However, mild sports-related injuries in amateur and beginner horseback riders have received little research attention. ( 5) reported that equestrian events were the most common cause (41.8%) of sports-related spinal injuries in Ireland over a 10-year period. ( 21) found that 102,904 (35.7/100,000) people with nonfatal horse-related injuries were treated in emergency departments in the United States between 20. Horseback riding and related activities have distinctive features that predispose the rider to the risk of injury. With increasing emphasis on exercise and recreation, horseback riding is becoming more popular because it involves the entire body and helps physical development by improving balance and flexibility ( 11,18). Horseback riding is a popular recreational activity worldwide. ![]()
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