Impaction of a horse rider against a saddle horn can result in pelvic and urethral trauma.
Patient selection: horse, animal or machine riding with a saddle
Mechanism: The rider is bucked into the air. On coming down the rider's perineum impacts the saddle horn.
Risk factors:
(1) rodeo
(2) intensive riding
(3) rider inexperience
Clinical features:
(1) pubic symphysis diastasis
(2) pelvic fracture
(3) urethral trauma
(4) bladder trauma
(5) penile or testicular trauma in males
Complications:
(1) erectile dysfunction in males
(2) chronic pain
