Abstract
PURPOSE: Horseback riding (HBR) presents a significant risk of injury, particularly fractures. While popular in Sweden, data on HBR-related fractures remains limited in its specificity regarding demographics and injury patterns. This study sought to delineate the distribution of HBR-related fractures in Sweden, considering sex, age, fracture site, injury mechanism, and seasonal trends. METHODS: We conducted a retrospective observational study using Swedish Fracture Register (SFR) data from 2015 to 2022. All HBR-related fractures were included. Data on sex, age, fracture site, injury energy level, and injury date were analysed using descriptive statistics. RESULTS: Some 5,453 fractures in 5,001 patients were included. Females accounted for 93% of cases. Upper extremity fractures were most prevalent, with wrist fractures representing the most common location (21%). Fractures of the forearm and humerus were most common among children, in contrast to adults, who presented with a wider array of fractures. High-energy mechanisms constituted 30% of fractures and were more often associated with injuries to the spine, pelvis, and femur. Fracture incidence peaked in May and September, coinciding with increased riding activity. Fracture incidence showed an age-dependent increase, exhibiting a bimodal distribution among females, with peaks near 10 and 55 years of age. CONCLUSION: In the Swedish context, HBR-related fractures predominantly affect the upper extremities and occur most frequently in female riders, with distinct seasonal and age-related patterns. Although females account for most cases, the absence of detailed demographic data on the active riding population limits the ability to calculate precise incidence rates.