This review provides an overview of the epidemiological data on equestrian injuries published in scientific journals. The number of equestrian injuries is often reported relative to the general population, and less frequently relative to the at-risk population (riders, licensed riders, participants) or the duration of exposure (number of hours spent riding). Women are more frequently injured because they are more numerous among those practicing this sport in all countries. It is not clear whether being a young woman or higher risk exposure is the cause of the higher number of accidents among women. Per 100,000 people, emergency department visit rates range from 21 to 36, and hospitalization rates from 16 to 24. Among children, emergency department visit rates range from 29 to 78. Mortality rates range from 0.6 to 1.7 per 1,000,000 people, and from 7.8 to 10 per 100,000 riders. Amateur riders have more accidents than professionals, and their injuries are more severe. Injuries, which are more common in the upper body, are primarily fractures, dislocations, and sprains. The most common cause is falling from the horse. In the general population, helmets are worn by only 9 to 20% of those involved in accidents. Equestrian accidents are numerous and sometimes severe. In France, the main preventive measures to date have consisted of requiring children to wear helmets at riding centers and riders to wear helmets during certain competitions. It appears necessary to better understand injuries related to horseback riding and the circumstances under which they occur in order to reduce their number, severity, and consequences. (R.A.)