Pop star Madonna has suffered "minor injuries" and bruises after falling from a startled horse on New York's Long Island on Saturday.
According to her spokeswoman, the 50-year-old singer fell when her horse was "startled by paparazzi who jumped out of the bushes" to photograph her.
Madonna was treated at a hospital in Southampton and was later released.
A previous horse-riding accident in 2005 left her with three cracked ribs, a broken collarbone and a broken hand.
She got back on a horse a couple of months later for an appearance on David Letterman's US talk show.
Helmet
Madonna was visiting friends in the Hamptons when the accident occurred, her spokeswoman Liz Rosenberg said in a statement.
The singer would be having further tests and remained under observation by doctors, she added.
According to a local newspaper report, Madonna had been performing jumps and wearing a helmet when the accident occurred.
The entertainer recently returned from Malawi after her bid to adopt a second child from the country, three-year-old Chifundo James, failed.
Her lawyer has lodged an appeal against the judge's ruling.
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