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Topic:Clinical Study

Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Anatomical position of the palmar/plantar nerves at the metacarpal/metatarsal distal level in horses: An in vivo study by means of ultrasonography.
Anatomia, histologia, embryologia    January 9, 2022   Volume 51, Issue 2 236-243 doi: 10.1111/ahe.12782
Maia BT, Vendruscolo CDP, de Souza AF, Zoppa ALDV.The neurovascular bundle of the equine distal cannon can dynamically vary with limb position, and this can affect the performance of low 4- or 6-point block. This study aims to identify and describe the anatomical position and variations of the lateral and medial palmar/plantar nerve at the metacarpal/metatarsal distal level in horses by ultrasonography. Eight mares underwent ultrasound examination on the lateral and medial palmar/plantar sides of the metacarpus/metatarsus. Images were obtained for measurements of the cross-sectional area of the nerve, distances between the nerve and the skin ...
Effects of Internal Fluid Pressure on Stresses in Subchondral Bone Cysts of the Medial Femoral Condyle.
Annals of biomedical engineering    January 7, 2022   Volume 50, Issue 1 86-93 doi: 10.1007/s10439-021-02883-z
Norton NM, Santschi E, Fischer KJ.The etiology of subchondral bone cysts (SBCs) is not fully understood. Mechanical trauma and fluid pressure are two mechanisms believed to cause their formation and growth. The equine stifle joint provides a natural animal model for studying SBCs. Computed tomography images of an extended yearling cadaveric stifle joint were segmented using ScanIP to isolate bones and relevant soft tissues. Three model geometries were created to simulate cyst sizes of approximately 0.03 cm (C1), 0.5 cm (C2), and 1 cm (C3). A uniform pressure resulting in 3000 N force was applied at the proximal end of the fem...
Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse.
Veterinary medicine and science    January 6, 2022   Volume 8, Issue 2 546-552 doi: 10.1002/vms3.718
Schoen LM, Al Naem M, Röcken M, Geburek F.Lacerations of the axillary region occur frequently in horses. Typical complications caused by entrapment of air in the wound during locomotion are subcutaneous emphysema, with consecutive pneumomediastinum and pneumothorax. In this case report, the clinical, radiographic and laboratory diagnosis and management of these complications after an axillary laceration that finally resulted in pneumoperitoneum are described. A 1-year-old Hannoveranian was presented with a pre-existing axillary laceration of unknown duration and subcutaneous emphysema in the surrounding tissue. Due to extensive tissue...
A Novel Approach to Minimising Acute Equine Endometritis That May Help to Prevent the Development of the Chronic State.
Frontiers in veterinary science    January 6, 2022   Volume 8 799619 doi: 10.3389/fvets.2021.799619
Morrell JM, Rocha A.One of the most commonly encountered challenges in equine breeding is endometritis, which can be difficult to resolve and causes considerable economic losses to the industry. It is a multifactorial condition, developing as an exaggerated form of the normal physiological response to breeding. Seminal plasma proteins, spermatozoa, bacteria and debris initiate an inflammatory response; the resulting fluid and neutrophils are then cleared from the uterus along with the debris. However, in some mares, the response is prolonged or exaggerated, with much fluid formation and neutrophil infiltration le...
Prevalence and treatment of gastric ulcers in Thoroughbred racehorses of Korea.
Journal of veterinary science    January 5, 2022   Volume 23, Issue 2 e19 doi: 10.4142/jvs.21247
Hwang H, Dong HJ, Han J, Cho S, Kim Y, Lee I.Gastric ulcer is one of the prevalent diseases in racehorses. However, it has not been recognized as important in Korea, and drugs used to treat gastric ulcers are included in the doping test list, so they are not allowed to be administered to racehorses in training. Objective: This study was performed 1) to investigate the prevalence and the severity of gastric ulcers in Thoroughbred racehorses in Korea, 2) to confirm the therapeutic effect of ranitidine and omeprazole, and 3) to compare the efficacy between ranitidine and omeprazole. Methods: Forty-nine horses were randomly recruited, and ga...
Effect of lactic acid addition to equine whole blood on platelet aggregation measured by impedance aggregometry.
Veterinary clinical pathology    January 5, 2022   Volume 51, Issue 1 65-69 doi: 10.1111/vcp.13034
Lanier CJ, Taintor JS, Christopherson PW, Spangler EA.Acidemia in sick or injured horses is often due to lactic acid accumulation. Alterations in platelet function and hemostasis are among numerous deleterious effects caused by decreased physiologic pH. Objective: We aimed to evaluate the effect of hyperlactatemia and resultant acidemia on platelet aggregation in equine whole blood using impedance aggregometry. Methods: Platelet aggregation was measured using the Multiplate analyzer in whole blood from 34 healthy horses at baseline and after in vitro addition of lactic acid to adjust the pH. Platelet aggregation of each sample was quantified by t...
Fragment size is associated with post-operative complications following elective arthroscopy of the tibiotarsal joint of horses.
The Canadian veterinary journal = La revue veterinaire canadienne    January 4, 2022   Volume 63, Issue 1 74-80 
Merchán A, Koenig J, Côté N, Cribb N, Monteith G.The objective of this retrospective study was to determine the occurrence of joint-related complications after elective arthroscopy of the tibiotarsal joint (TTJ) in 329 horses, and the association with specific clinical parameters. Data were collected from medical records of horses undergoing elective tibiotarsal joint arthroscopy for fragment removal. Exact conditional univariate regression was used to determine significant risk factors for joint-related post-operative complications. Of 485 joints, 2 (0.4%) developed surgical site infection, 4 (0.8%) developed septic arthritis, 1 (0.2%) deve...
Equine Squamous Gastric Disease: Prevalence, Impact and Management.
Veterinary medicine (Auckland, N.Z.)    December 31, 2021   Volume 12 381-399 doi: 10.2147/VMRR.S235258
Hewetson M, Tallon R.This narrative review explores the etiopathogenesis, clinical signs, diagnosis and treatment of ESGD (equine squamous gastric disease) and discusses the impact of this commonly encountered condition on the equine industry. ESGD refers specifically to peptic injury of the squamous mucosa of the stomach. Prevalence is highest in performance horses, but the disease has been documented across many breeds and ages, including in feral horses and foals. The pathogenesis of ESGD is well understood. Intensive management and exercise are important factors that contribute to a disruption of the normal st...
Clinical and pathological examination of mycotoxicosis as an associated risk factor for colic in equine.
Microbial pathogenesis    December 31, 2021   Volume 163 105377 doi: 10.1016/j.micpath.2021.105377
Gomaa N, Elemiri M, Hegazy Y, Zeineldin M, Nassif M, Alcala-Canto Y, Barbabosa-Pliego A, Rivas-Caceres RR, Abdelmegeid M.A retrospective cohort study was conducted on two Egyptian horse farms with most of horses were suffered from abdominal pain to describe the associations between the occurrence of mycotoxicosis and equine colic. The farms owner complain was an unexpected increase in number of colic cases and deaths among horses. The association between colic and risk factors (sex, type of food either dry or mixed with roughages and hematobiochemical parameters) was compared using independent sample T-test. The associations between possible prognostic indicators for colic caused by mycotoxicosis was estimated u...
Suspensory ligament size does not change after plantar fasciotomy and neurectomy of the deep branch of the lateral plantar nerve by ultrasonographic assessment.
Veterinary surgery : VS    December 31, 2021   Volume 51, Issue 2 259-269 doi: 10.1111/vsu.13757
Scharf A, de Solis CN, Sampson SN, Glass K, Watts AE.To determine the short-term effect of plantar fasciotomy and neurectomy (PFN) of the deep branch of the lateral plantar nerve on the proximal suspensory ligament (PSL) cross-sectional area (CSA) in horses with hindlimb proximal suspensory desmopathy (PSD). Methods: Analytical, observational, cohort study. Methods: Twenty-one horses. Methods: Records of horses with chronic PSD treated by PFN were included if a preoperative ultrasonographic examination was available and at least one postoperative ultrasonographic examination. One masked observer measured the ultrasonographic cross-sectional area...
Levels of Serum Phosphorylated Neurofilament Heavy Subunit in Clinically Healthy Standardbred Horses.
Journal of equine veterinary science    December 31, 2021   Volume 110 103861 doi: 10.1016/j.jevs.2021.103861
Rojas-Núñez I, Gomez AM, Selland EK, Oduol T, Wolf S, Palmer S, Mohammed HO.Neurofilaments heavy chain proteins (pNF-H) have been identified as useful serum biomarkers for humans and animals with neurologic conditions, some of which can lead to poor performance, and athletic injuries. However, there are no published reports that describe a reference range for serum pNF-H levels in healthy racehorses. This cross-sectional study was carried out to determine the serum concentration of pNF-H in 1,349 samples collected from 1,291 clinically healthy standardbred (SB) racehorses. Data on age, time of sampling (pre-race or post-race), and finishing position during a race were...
Measurement of Plasma Resistin Concentrations in Horses with Metabolic and Inflammatory Disorders.
Animals : an open access journal from MDPI    December 30, 2021   Volume 12, Issue 1 77 doi: 10.3390/ani12010077
Fuentes-Romero B, Muñoz-Prieto A, Cerón JJ, Martín-Cuervo M, Iglesias-García M, Aguilera-Tejero E, Díez-Castro E.Obesity and its associated complications, such as metabolic syndrome, are an increasing problem in both humans and horses in the developed world. The expression patterns of resistin differ considerably between species. In rodents, resistin is expressed by adipocytes and is related to obesity and ID. In humans, resistin is predominantly produced by inflammatory cells, and resistin concentrations do not reflect the degree of obesity, although they may predict cardiovascular outcomes. The aim of this study was to investigate the usefulness of resistin and its relationship with ID and selected ind...
Comparison of 2% mepivacaine and a solution of 2% lidocaine/epinephrine administered for median and ulnar nerve blocks in horses with naturally occurring forelimb lameness.
Veterinary surgery : VS    December 29, 2021   Volume 51, Issue 2 279-285 doi: 10.1111/vsu.13754
Boorman S, DeGraves F, Schumacher J, Hanson RR, Boone LH.To compare a 2% lidocaine solution containing 5 μg/ml (1:200 000) epinephrine with 2% mepivacaine for reducing lameness in horses after use in proximal nerve blocks. Methods: Experimental randomized crossover. Methods: Six adult horses with naturally occurring forelimb lameness. Methods: Horses were evaluated using an inertial gait sensor system. Lameness was measured as a vector sum (VS). Following baseline lameness examination, median and ulnar nerve blocks were performed with lidocaine/epinephrine (0.5 mg epinephrine added to 50 ml of 2% lidocaine immediately prior to administration)...
IIB or not IIB, part 2: assessing inter-rater and intra-rater repeatability of the Kenney-Doig scale in equine endometrial biopsy evaluation. Westendorf J, Wobeser B, Epp T.Inter- and intra-rater variability negatively affects the reliability of various histopathology grading scales used as prognostic aids in human and veterinary medicine. The Kenney-Doig categorization (grading) scale, which is used to associate equine endometrial histologic lesions with prognostic estimation of a broodmare's reproductive potential, has not been evaluated for inter- or intra-rater variability, to our knowledge. To assess whether the Kenney-Doig system produces reliable results among observers, 8 pathologists, all with American College of Veterinary Pathologists certification, we...
Equine nonneoplastic abnormal ovary in a draft mare with high serum anti-Müllerian hormone: a case study.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 147-151 doi: 10.1294/jes.32.147
Goto A, Tagami M, Kato F, Suzuki T, Yamaga T, Murase H, Sato F, Tsogtgerel M, Niikura T, Moriyama T, Chiba A, Watanabe KI, Tsuzuki N, Nambo Y.We performed a standing hand-assisted laparoscopic ovariectomy in a draft mare that presented with high serum anti-Müllerian hormone (AMH) level and had an enlarged single cystic ovary. Histopathological examination revealed no tumor cell proliferation in the ovary, but the presence of a large ovarian cyst was confirmed. In the diagnosis of abnormal ovaries in mares, a comprehensive assessment should be performed, including the monitoring of ovarian morphology and biomarkers over time, to determine the disease prognosis and treatment plan. The case of this mare with a nonneoplastic abnormal o...
Advances in Thermal Image Analysis for the Detection of Pregnancy in Horses Using Infrared Thermography.
Sensors (Basel, Switzerland)    December 28, 2021   Volume 22, Issue 1 191 doi: 10.3390/s22010191
Domino M, Borowska M, Kozłowska N, Zdrojkowski Ł, Jasiński T, Smyth G, Maśko M.Infrared thermography (IRT) was applied as a potentially useful tool in the detection of pregnancy in equids, especially native or wildlife. IRT measures heat emission from the body surface, which increases with the progression of pregnancy as blood flow and metabolic activity in the uterine and fetal tissues increase. Conventional IRT imaging is promising; however, with specific limitations considered, this study aimed to develop novel digital processing methods for thermal images of pregnant mares to detect pregnancy earlier with higher accuracy. In the current study, 40 mares were divided i...
The influence of the metacarpophalangeal joint angle on the transversal area and mean echogenicity of the superficial digital flexor tendon and suspensory ligament in gaited horses.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 135-141 doi: 10.1294/jes.32.135
Schade J, de Souza AF, Vincensi LC, Fonteque JH.The objective of this study was to assess the influence of the metacarpophalangeal (MCP) joint angle on the transversal area (TA) and mean echogenicity (ME) of the superficial digital flexor tendon (SDFT) and suspensory ligament (SL) in gaited horses. Ultrasound images were obtained from 50 healthy adult horses of the Mangalarga Marchador (MM; n=25) and Campeiro (n=25) breeds. Static and dynamic angles of the MCP joint were measured from photographs and video recordings. Higher ME values were evinced for the SL only in the group with the smaller dynamic angles of the MCP joint in the MM horses...
Ultrasound-guided injections of the equine head and neck: review and expert opinion.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 103-115 doi: 10.1294/jes.32.103
Johnson JP, Vinardell T, David F.Ultrasound-guided injections can be used for a wide variety of conditions in the horse, including both diagnostic and therapeutic applications. Benefits of ultrasound guidance include more accurate deposition of injectate compared with blind approaches. Improved identification of vital structures, including nerves and blood vessels, allows their avoidance and thus reduces procedure-associated complications. Validation of such ultrasound-guided techniques has shown that they can be easily learnt by inexperienced veterinarians, assuming a proper knowledge of the sonographic anatomy. In many case...
Effect of prostaglandin F2α administration on uterine polymorphonuclear neutrophil counts in Japanese heavy draft horses.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 117-124 doi: 10.1294/jes.32.117
Niikura T, Tsogtgerel M, Niikura C, Wada H, Kanzawa S, Fujiwara T, Nambo Y.The objective of this study was to examine the effect of prostaglandin F2α (dinoprost) and oxytocin administration on uterine polymorphonuclear neutrophil counts in the Japanese heavy draft mare. To compare polymorphonuclear neutrophil (PMN) counts in the endometrium, a total of 162 samples were collected from 54 estruses of 47 mares (before ovulation, day 0, and day 2) using a double-guarded cytology brush. Dinoprost (PG; 5 mg) was administered intramuscularly (i.m.) only once, on day 0, whereas oxytocin (OT; 20 U i.m.) was administered three times at 12-hr intervals starting on day 0. The p...
Effects of xylazine and adrenaline combinations: Preliminary clinical application for non-surgical protocols of nephrosplenic entrapment in horses.
Veterinary world    December 28, 2021   Volume 14, Issue 12 3188-3193 doi: 10.14202/vetworld.2021.3188-3193
Cherdchutham W, Sukhong P, Sae-Oueng K, Supanwinijkul N, Wiangnak K, Srimuang J, Apichaimongkonkun T, Limratchapong S, Petchdee S.The medical treatment of horses with nephrosplenic entrapment (NSE) of the large colon through administrating phenylephrine and rolling during general anesthesia was effective and less expensive than surgical treatment. However, the selection of drugs for non-surgical treatment of NSE is not a usual method for clinical practice. This study aimed to identify the effects of combined drugs on the cardiac and splenic response in horses and provide information on the NSE of the large colon for clinical application. Methods: Six healthy Thai native crossbred horses were enrolled in this study. Horse...
Effects of Standardized Exercise Tests on Plasma Thyroid Hormones’ Kinetics in Standardbred Racehorses.
Journal of equine veterinary science    December 28, 2021   Volume 110 103853 doi: 10.1016/j.jevs.2021.103853
Fazio E, Lindner A, Cravana C, Wegener J, Medica P, Hart-Mann U, Ferlazzo A.This study examined how a standard exercise test (SET) affected (1) thyroid hormones (THs) of horses and (2) the relationship between the V of horses and TH responses to the exercise in trained Standardbred racehorses (V is the velocity run at defined conditions at which a blood lactate concentration of 4 mmol/L is determined). Twelve trained Standardbred racehorses (six stallions and six mares) performed SETs until the horses' blood lactate concentration was at or above 4 mmol/L. The horses were divided into three age groups (2, 3, and 4 years old); each group consists of 4 horses respectivel...
Osteochondral necrosis of the femoral condyles in Thoroughbred foals: eight cases (2008-2018).
Journal of the American Veterinary Medical Association    December 27, 2021   Volume 260, Issue 3 341-349 doi: 10.2460/javma.21.03.0166
Pye J, Spriet M, Dow P, Katzman S, Murphy BG.To describe clinical, imaging, gross, and histopathological abnormalities associated with osteochondral necrosis of the femoral condyles in foals and identify features suggestive of a common pathogenesis. 8 Thoroughbred foals euthanized with a presumptive diagnosis of necrosis of the femoral condyles. Postmortem CT was performed on all distal femoral epiphyseal samples. The articular epiphyseal cartilage complex (AECC) of affected distal femurs was examined grossly and histologically, focusing on lesions of interest identified on CT images. 7 foals were between 9 and 23 days old at the time of...
Reference intervals for hematological and biochemical analytes in a single herd of clinically healthy gelding donkeys in Saint Kitts.
Journal of equine veterinary science    December 26, 2021   Volume 110 103858 doi: 10.1016/j.jevs.2021.103858
Lizarraga I, Beeler-Marfisi J, Marshall DL, Hassan M, Castillo-Alcala F, Simon BT, Fraites T, Thrall MA.There is a large population of donkeys in Saint Kitts; however, hematological and biochemical reference intervals (RIs) are lacking. This study addressed this deficiency by following the American Society for Veterinary Clinical Pathology RI guidelines. Sixty-six healthy, gelding standard donkeys with a median and interquartile range age of 5 years (3.5 - 8 years) and a mean ± standard deviation body weighed of 156 ± 16.7 kg were used to produce a five-part differential complete blood count using an impedance-based analyzer. Clinical chemistry analytes were quantified using a photometric-base...
Comparison of two doses of ketamine for induction of anaesthesia in ponies undergoing field castration.
Open veterinary journal    December 23, 2021   Volume 11, Issue 4 747-754 doi: 10.5455/OVJ.2021.v11.i4.27
Wise IK, Klöppel H, Leece EA.Ketamine-based total intravenous anaesthesia techniques are commonly used in equine practice for ponies requiring short procedures such as castration in field conditions. When a longer duration of recumbency than provided by the initial dose of anaesthetic agents is required, administration of supplementary 'top-up' doses of anaesthetic agents is required. Ideally, a single dose of anaesthetic agents would reliably achieve a longer duration of action whilst maintaining adequate anaesthetic, surgical and recovery qualities. Objective: This prospective, randomised and blinded study aimed to comp...
Diagnostic and prognostic potential of eight whole blood microRNAs for equine sarcoid disease.
PloS one    December 23, 2021   Volume 16, Issue 12 e0261076 doi: 10.1371/journal.pone.0261076
Cosandey J, Hamza E, Gerber V, Ramseyer A, Leeb T, Jagannathan V, Blaszczyk K, Unger L.MicroRNAs have been proposed as biomarkers for equine sarcoids, the most prevalent equine skin tumors globally. This study served to validate the diagnostic and prognostic potential of whole blood microRNAs identified in a previous study for long-term equine sarcoid diagnosis and outcome prediction. Based on findings of a clinical examination at the age of 3 years and a follow-up following a further 5-12 years, 32 Franches-Montagnes and 45 Swiss Warmblood horses were assigned to four groups: horses with regression (n = 19), progression (n = 9), new occurrences of sarcoid lesions (n = 19) and t...
Erratum for “Gentamicin-induced sensorineural auditory loss in healthy adult horses”.
Journal of veterinary internal medicine    December 22, 2021   Volume 36, Issue 1 353 doi: 10.1111/jvim.16345
No abstract available
Corrigendum to: “The Rho kinase (ROCK) inhibitor Y-27632 reduces the β 2-adrenoceptor density but enhance cAMP formation in primary equine bronchial epithelial cells” [Eur. J. Pharmacol. 2021 Sep 15; 907:174323].
European journal of pharmacology    December 22, 2021   Volume 915 174724 doi: 10.1016/j.ejphar.2021.174724
Schellenberg LM, Regenthal R, Abraham G.This research paper investigates the influence of the Rho kinase (ROCK) inhibitor Y-27632 on β2-adrenoceptor density and the generation of a cellular messenger called cAMP in horse bronchial cells. The […]
Continuous measurement of arterial oxygenation in mechanically ventilated horses.
Equine veterinary journal    December 22, 2021   Volume 54, Issue 6 1144-1152 doi: 10.1111/evj.13542
Hummer EV, Soares JHN, Crockett DC, Aguiar AJA, Tran MC, Cronin JN, Brosnan RJ, Braun C, Formenti F.The possibility of accurately and continuously measuring arterial oxygen partial pressure (PaO2 ) in horses may facilitate the management of hypoxaemia during general anaesthesia. Objective: The aim of this study was to evaluate the ability of a novel fibreoptic sensor to measure PaO2 (PaO2Sensor ) continuously and in real time in horses undergoing ventilatory manoeuvres during general anaesthesia. Methods: In vivo experimental study. Methods: Six adult healthy horses were anaesthetised and mechanically ventilated in dorsal recumbency. A fibreoptic sensor was placed in one of the facial arteri...
Spectral Doppler ultrasound in the placental development of Mangalarga Marchador mares.
Theriogenology    December 21, 2021   Volume 180 171-175 doi: 10.1016/j.theriogenology.2021.12.019
Campos IS, de Souza GN, Gomes GM, Pinna AE, Ferreira AMR.The aim of the study was to correlate the spectral index of the right and left uterine arteries with equine placental development in mares with advanced pregnancies. We examined 32 multiparous Mangalarga Marchador mares with gestation of 150-240 days. During pregnancy, the pulsatility index (PI) and resistance index (RI) of the uterine arteries were obtained using spectral Doppler ultrasonography, and the combined uteroplacental thickness was obtained monthly using B-mode ultrasonography. The combined uteroplacental thickness correlated with gestational time of up to 13 years of age, and the s...
Characterisation of the oral glucose and sugar tolerance tests and the enteroinsular axis response in healthy adult donkeys.
Equine veterinary journal    December 21, 2021   Volume 54, Issue 6 1123-1132 doi: 10.1111/evj.13544
Mendoza FJ, Buzon-Cuevas A, Toribio RE, Perez-Ecija A.Insulin dysregulation (ID) is diagnosed in horses and ponies using oral glucose (OGTT) and oral sugar (OSTT) tolerance tests. The enteroinsular axis plays a major role in postprandial glucose disposal and insulin response in horses, ponies and foals. The insulin and incretin response to oral carbohydrate challenges has not been characterised in donkeys. Objective: (a) To characterise OGTT and OSTT, and (b) to assess the plasma incretin response to OGTT and OSTT in healthy donkeys. Methods: In vivo experiments. Methods: Six healthy adult female Andalusian donkeys were challenged with OGTT (1 g...
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