Jennifer FitzPatrick MD Sports Medicine Orthopedic Surgery Pueblo Colorado 1162016 Outline The Culture Rodeo Roots Rodeo Events The Cowboy Cowgirl The unique rodeo athlete The ComplicationsInjuries ID: 1014668
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1. Rodeo and Bull Riding:The Culture & ComplicationsJennifer FitzPatrick, MDSports Medicine Orthopedic SurgeryPueblo, Colorado1/16/2016
2. Outline The CultureRodeo RootsRodeo EventsThe Cowboy / CowgirlThe unique rodeo athleteThe Complications/InjuriesAcute/Catastrophic InjuriesChronic InjuriesImpact of Protective Gear
3. 18 yo BullriderTreatment?Return to Sport Guidelines?Professional obligation?
4. PBR Headquarters PRCA HeadquartersPro Rodeo Hall of FameNLBRAColoradoBuffalo Bill Memorial Museum
5. Women in Rodeo1800’s: American frontier pushed WestWomen roping & ridingLate 1800’S: women hired as sharpshooters, trick & stunt horsewomenEarly 1900’sCelebrated bronc and bull riding competitors1929: Bonnie McCarrollBronc rider died in arenaWomen’s participation severely curtailed
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7. Rodeo RootsSkills needed for everyday lifeClassic Rodeo Events:Timed EventsRoughstockGrowth of Professional Rodeo:Encourages younger and younger participants.Little Britches, High School Rodeo, Collegiate RodeoPRCA: 7,500 cowboys compete for $30 million at 650 rodeosPBR: 700 members from 3 continents & $10 million prizes
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9. Timed EventsCalf RopingBarrel RacingSteer WrestlingTeam Roping
10. Roughstock EventsBarebroncSaddlebroncBullriding
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12. The Rodeo Athlete1/3 participants are college graduatesAge of athletes-Lifespan of athleteIf you do not ride- you do not make $
13. The Woman Rodeo Athlete Catastrophic injuries led to relegation to “Rodeo Queens” and Barrel RacingWPRCA
14. Fallon Taylor- National Barrel Racing Champion 2014
15. Medical Data CollectionData Collections of Injury is limitedTransient nature of CompetitionsMedical ProfessionalsJustin Sports Medicine- 1980s
16. InjuriesMost common event causing injury: Bull Riding (50%)Followed by bareback (23%) and saddlebronc (15%)
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18. INJURY PREVALANCE
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20. Head and NeckConcussion: > 50% of all rodeo injuryIdentification remains challengingOnly 10% with LOCRecommendations: withhold rider 1 week and symptom freeNo CTE data in Rodeo Cervical Spine Fx: <2% injuriesFacial FracturesDental injury: Hit against animal’s skull while bucking
21. Upper ExtremityElbow and Below (18%) Shoulder (13%)Most Common: Shoulder dislocations/fractures Laterjet: CT scan at 3-4 monthsPectoralis Major Rupture: Steer WrestlingThumb avulsion: occurs during “dallying” of roping eventsRider wraps the coils of rope around the saddle horn
22. Team Roping
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24. Successful Replantation
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27. UE: Roughstock Injuries25 College NFR AthletesAge: 21 ± 1.4 yrs82 Injuries24 UE fractures (5 nonunions)Ulnar hypertrophyElbow hyperextension/dislocationScapholunate dissociation, TFCC injuriesSecond MC bossingChronic elbow/wrist findings- loose bodies, olecranon tip fx Myers et al. Radiographic findings of the UE in College Rodeo Athletes. 2003
28. Lower Extremity InjuriesKnee (10%) and Ankle (6%) injuries are the most commonSecondary to dismount and being stepped on Mostly ligamentousACL/PCLMay return to competition if xray negative
29. Case: Bareback Riding
30. Adductor Avulsion Fracture
31. Torso Injuries28% of InjuriesIdentify any trampled or kicked athlete as having a potentially life threatening injuryGoring injury by bull’s or steer’s hornsSpleen injury, rib fracture, pneumothorax, Pelvic Fracture
32. Rodeo Catastrophic Injury Registry (RCIR)Established 2007 (retrospective 1989)Thoracic Compression- most common fatal mechanism.
33. Who Takes Care of these Injuries? Number of admitted patients treated by surgical specialties
34. Lane Frost
35. Injury Prevention Initiated
36. Personel Prevention MechanismsRodeo Clown/ Bull fighterAdditional rider to get the athlete off
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39. Back to our 18 yo Bullrider
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41. SummaryRodeo is one of the fastest growing sports The athlete, culture & expectations are uniqueIdentify any trampled or kicked athlete as having a potentially life threatening injuryUtilize extra caution (fixation) given the demands Encourage protective gear- helmet, mouth guard, vest
42. Future DevelopmentsDefine injury ratesImprove data collectionCreate culture of preventionRodeo Conditioning programsImprove continuity of care Increase health care professional rodeo knowledge
43. Opportunity to ParticipateState/County Fair Schedules or Livestock eventsOutreach to local youth groups: 4H, FFA, Little Britches AssociationJustin Sports Medicine
44. Rodeo Vocabulary"Down in the Well" [doun in th'uh wel]The expression "down in the well" is used by bull riders to describe a situation in which a bull is spinning in one direction and the force of the spin pulls the rider down the side of the bull into motion's vortex. This is a dangerous scenario that often results in a bull rider getting hung up to the bull.
45. RankA bull that is difficult to ride is considered "rank."
46. VocabularyEight Seconds: amount of time a bull rider must stay aboard his bull to receive a score. During the eight-second ride, the bull rider cannot touch his free hand to the bull or himself or he will be disqualified.
47. VocabularyHung up: Sometimes a rider gets tossed from a bull but is unable to free his riding hand from his bull rope and therefore is "hung up" to the bull. When this dangerous scenario occurs, the bullfighters often move in to help the bull rider free his hand from his rope and get away from the bull.