Saddle-Horn Injury of the Pelvis: The Injury, Its Outcomes, and Associated Male Sexual Dysfunction

Collinge, Cory A.; Archdeacon, Michael T.; LeBus, George
July 2009
Journal of Bone & Joint Surgery, American Volume;Jul2009, Vol. 91-A Issue 7, p1630
Academic Journal
Background: A saddle-horn injury of the pelvis occurs when a horse rider is thrown into the air and then falls back, with the perineum coming into contact with the saddle or saddle horn. The purpose of this study was to evaluate the characteristics and clinical outcomes, including sexual dysfunction, of this injury. Methods: We conducted a retrospective review of a consecutive series of male patients who had a saddle-horn injury of the pelvis after being bucked from a horse. Clinical and radiographic results were assessed more than eighteen months after the injury. Functional outcome measures were evaluated at the time of the latest follow-up with use of visual analog pain scales, a questionnaire addressing occupational and recreational function, the International Index of Erectile Function instrument, the Iowa pelvic score, and the Short Form-36. Results: Twenty patients were assessed at an average of thirty-three months after the injury. Seventeen patients had returned to riding horses, and ten felt that they had returned to their previous level of recreation, which had been "heavy" in nine cases and "moderate" in one. Eighteen patients had returned to their previous employment. Eighteen patients were found to have sexual dysfunction at the time of the latest follow-up. The mean Iowa pelvic score was 84 points (range, 56 to 99 points). The Short Form-36 outcomes scores were diminished in two subsections, role physical and role emotional, compared with population norms. Conclusions: Mild pain can be expected after saddle-horn injury despite successful surgical treatment, and the injury does not preclude a return to previous employment or riding horses. A high proportion of men experience erectile dysfunction, which is unlikely to respond well to pharmacologic therapy.


Related Articles

  • Quantitative anatomic basis of antegrade lag screw placement in posterior column of acetabulum. Wei-dong Mu; Xian-quan Wang; Tang-hong Jia; Dong-sheng Zhou; Ai-xin Cheng // Archives of Orthopaedic & Trauma Surgery;Nov2009, Vol. 129 Issue 11, p1531 

    Lag screw fixation has been recommended for treatment of acetabular and pelvic fracture for several years. The aim of the present study was to determine the projection of the axis of the posterior column on the inner table of the iliac wing in the supra-acetabular region. Thirty adult dried bony...

  • RADIOLOGY Review. Hichkad, Nandan R. // Clinician Reviews;Apr2011, Vol. 21 Issue 4, p10 

    The article discusses the case of a patient suffering from pelvic injuries. The patient is introduced to the facility and complains of pain presumably as a result of figuring in a motor vehicle collision. Apart from a superficial scalp laceration, there are no obvious injuries. Radiograph shows...

  • Improving reliability in the classification of fractures of the acetabulum. Petrisor, Brad A.; Bhandari, Mohit; Orr, R. Douglas; Mandel, Scott; Kwok, Desmond C.; Schemitsch, Emil H. // Archives of Orthopaedic & Trauma Surgery;Jun2003, Vol. 123 Issue 5, p228 

    Background. Plain radiographs of the pelvis are routinely used in the initial assessment of patients with suspected fractures of the acetabulum. It is necessary for orthopaedic resident trainees, emergency physicians as well as orthopaedic surgeons who infrequently treat trauma patients to be...

  • Evaluación radiográfica de las fracturas acetabulares. Fernández Palomo, L. Justino // Acta Ortopedica Mexicana;sep/oct2005, Vol. 19 Issue 5, p236 

    Acetabular fractures affect the major weight-bearing joint. The management for these injuries requires the experience of the Orthopedic surgeon who must be trained in the field as a subspecialty in pelvic trauma surgery. The radiologic evaluation is mandatory for classification and therapeutic...

  • RADIOLOGY REVIEW. Hichkad, Nandan R. // Clinician Reviews;Nov2012, Vol. 22 Issue 11, p18 

    The article focuses on the radiograph of the pelvis of a 55-year-old woman who sustained injuries from a motor vehicle collision. It notes that the woman believes that she struck her face on the windshield of her vehicle and has been complaining of bilateral hip pain upon arrival at the...

  • Kinematic Analysis of the Spine during Pelvic Tilting in the Sitting Position. SHIOMOTO, SACHIKO; MATSUMURA, JUN; MORI, KENTARO; MIAKI, HIROICHI // Rigakuryoho Kagaku;2011, Vol. 26 Issue 3, p337 

    [Purpose] The purpose of this study was to clarify the relationship between spinal curvature and hip joint angle during pelvic tilt movement in the sitting position. [Subjects] The subjects were 18 healthy adult males (mean age: 24.7±3.7). [Methods] We measured the pelvic tilt angle, hip...

  • Is it Possible to Classify Open Fractures of the Pelvis? Bircher, Martin; Hargrove, Richard // European Journal of Trauma;Apr2004, Vol. 30 Issue 2, p74 

    Open fractures of the pelvis are rare and potentially lethal injuries. This paper seeks to clarify the relationship between the complex bony and soft tissue injuries. It provides a new classification, which hopes to aid in these difficult management decisions in a group of seriously injured...

  • Aktuelle Behandlung der Beckenringfraktur. Culemann, U.; Oestern, H.J.; Pohlemann, T. // Der Chirurg;Sep2013, Vol. 84 Issue 9, p809 

    Pelvic injuries are often associated with multiple injuries of other body regions, neurovascular and visceral lesions, as well as hemodynamic instability. The use of a standardized classification characterizing the severity and stability of pelvic fractures and the early stabilization of pelvic...

  • Factors influencing the accuracy of iliosacral screw placement in trauma patients. Grossterlinden, Lars; Rueger, Johannes; Catala-Lehnen, Philip; Rupprecht, Martin; Lehmann, Wolfgang; Rücker, Andreas; Briem, Daniel // International Orthopaedics;Sep2011, Vol. 35 Issue 9, p1391 

    Correct placement of iliosacral screws remains a surgical challenge. The aim of this retrospective study was to identify parameters which impact the accuracy of this technically demanding procedure. Eighty-two patients with vertically unstable pelvic injuries treated with a total of 147...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics