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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Cardiac troponin I and the occurrence of cardiac arrhythmias in horses with experimentally induced endotoxaemia.
Veterinary journal (London, England : 1997)    June 15, 2011   Volume 192, Issue 2 171-175 doi: 10.1016/j.tvjl.2011.05.013
Nostell K, Bröjer J, Höglund K, Edner A, Häggström J.The aim of this study was to determine whether experimentally-induced endotoxaemia induced elevations in plasma cardiac troponin I (cTnI) concentrations in horses and how this might affect the incidence of cardiac arrhythmias. Eight Standardbred horses received an intravenous continuous rate infusion of endotoxin (total dose 500 ng/kg) for 6 h while being monitored using electrocardiography (ECG). Blood samples were collected before the start of the endotoxin infusion, every 60 min during the infusion, then 1, 2, 3, 8, 10 and 24 h post-infusion, and analysed for cTnI concentrations. One horse ...
Sources of spermatozoa loss during collection and artificial insemination of horses.
Animal reproduction science    June 15, 2011   Volume 126, Issue 3-4 207-210 doi: 10.1016/j.anireprosci.2011.06.001
Côté MA, Blum KM, Burd MA.During artificial insemination of horses, it is important to accurately estimate the number of spermatozoa in each insemination dose. However, little research exists regarding sources of spermatozoa loss during collection and artificial insemination. Therefore, spermatozoal losses were quantified in the dismount loss (187.6×10(6)±62.5×10(6)spermatozoa), gel fraction (179.8×10(6)±61.7×10(6)spermatozoa), and the collection receptacle (136.1×10(6)±26.9×10(6)spermatozoa). Spermatozoal losses were examined in the centrifuge tube (25.8×10(6)±2.1×10(6)spermatozoa), AI pipette during the a...
Is the skin sensitivity test required for administering equine rabies immunoglobulin?
The National medical journal of India    June 15, 2011   Volume 24, Issue 2 80-82 
Sudarshan MK, Ashwath Narayana DH, Ravish HS.Rabies immunoglobulins are life-saving in patients with severe exposure to rabies. Despite the high degree of purification of equine rabies immunoglobulin (ERIG), the product inserts still recommend a skin sensitivity test before administration of this heterologous serum. A recent WHO recommendation states that there are no scientific grounds for performing a skin test before administering ERIG because testing does not predict reactions and it should be given irrespective of the result of the test. In this conflicting situation, we assessed the use of the skin sensitivity test in predicting ad...
Equine torovirus (BEV) induces caspase-mediated apoptosis in infected cells.
PloS one    June 15, 2011   Volume 6, Issue 6 e20972 doi: 10.1371/journal.pone.0020972
Maestre AM, Garzón A, Rodríguez D.Toroviruses are gastroenteritis causing agents that infect different animal species and humans. To date, very little is known about how toroviruses cause disease. Here, we describe for the first time that the prototype member of this genus, the equine torovirus Berne virus (BEV), induces apoptosis in infected cells at late times postinfection. Observation of BEV infected cells by electron microscopy revealed that by 24 hours postinfection some cells exhibited morphological characteristics of apoptotic cells. Based on this finding, we analyzed several apoptotic markers, and observed protein syn...
Ancient feeding ecology inferred from stable isotopic evidence from fossil horses in South America over the past 3 Ma.
BMC ecology    June 14, 2011   Volume 11 15 doi: 10.1186/1472-6785-11-15
Prado JL, Sánchez B, Alberdi MT.Stable isotope ratios (13C/12C and 18O/16O) in fossil teeth and bone provide key archives for understanding the ecology of extinct horses during the Plio-Pleistocene in South America; however, what happened in areas of sympatry between Equus (Amerhippus) and Hippidion is less understood. Results: Here, we use stable carbon and oxygen isotopes preserved in 67 fossil tooth and bone samples for seven species of horses from 25 different localities to document the magnitude of the dietary shifts of horses and ancient floral change during the Plio-Pleistocene. Dietary reconstructions inferred from s...
Current joint therapy usage in equine practice: a survey of veterinarians 2009.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 5 530-535 doi: 10.1111/j.2042-3306.2010.00324.x
Ferris DJ, Frisbie DD, McIlwraith CW, Kawcak CE.Medications are frequently employed to treat intra-articular (IA) problems in the performance horse. Actual usage of the different IA medications in horses is not available. Objective: To determine the most common usage of these medications, members of the American Association of Equine Practitioners (AAEP) were surveyed. Methods: An email link to an online survey was electronically sent to 6305 AAEP members and the responses tabulated and analysed with a logistic regression model. Results: A total of 831 survey responses were submitted and tabulated. Eighty per cent of the respondents indicat...
Characterization of the interferon gamma response to Lawsonia intracellularis using an equine proliferative enteropathy challenge (EPE) model.
Veterinary immunology and immunopathology    June 13, 2011   Volume 143, Issue 1-2 55-65 doi: 10.1016/j.vetimm.2011.06.023
Page AE, Loynachan AT, Bryant U, Stills HF, Adams AA, Gebhart CJ, Pusterla N, Horohov DW.Lawsonia intracellularis is the etiological agent of infectious intestinal hyperplasia for which several clinical diseases have been described including proliferative enteropathy (PE), intestinal adenomatosis, and ileitis. While initially recognized as the causative agent of PE in pigs, L. intracellularis is now viewed as an emerging cause of intestinal hyperplasia in a wide range of mammalian species, including horses. Equine proliferative enteropathy (EPE) has been reported worldwide though definitive diagnosis is difficult and the epidemiology of the disease remains poorly understood. Weanl...
Effects of constant rate infusion of lidocaine and ketamine, with or without morphine, on isoflurane MAC in horses.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 6 721-726 doi: 10.1111/j.2042-3306.2010.00355.x
Villalba M, Santiago I, Gomez de Segura IA.Lidocaine and ketamine are administered to horses as a constant rate infusion (CRI) during inhalation anaesthesia to reduce anaesthetic requirements. Morphine decreases the minimum alveolar concentration (MAC) in some domestic animals; when administered as a CRI in horses, morphine does not promote haemodynamic and ventilatory changes and exerts a positive effect on recovery. Isoflurane-sparing effect of lidocaine, ketamine and morphine coadministration has been evaluated in small animals but not in horses. Objective: To determine the reduction in isoflurane MAC produced by a CRI of lidocaine ...
Comparative study of equine bone marrow and adipose tissue-derived mesenchymal stromal cells.
Equine veterinary journal    June 13, 2011   Volume 44, Issue 1 33-42 doi: 10.1111/j.2042-3306.2010.00353.x
Ranera B, Ordovás L, Lyahyai J, Bernal ML, Fernandes F, Remacha AR, Romero A, Vázquez FJ, Osta R, Cons C, Varona L, Zaragoza P, Martín-Burriel I....Mesenchymal stromal cells (MSCs) represent an attractive source for regenerative medicine. However, prior to their application, fundamental questions regarding molecular characterisation, growth and differentiation of MSCs must be resolved. Objective: To compare and better understand the behaviour of equine MSCs obtained from bone marrow (BM) and adipose tissue (AT) in culture. Methods: Five horses were included in this study. Proliferation rate was measured using MTT assay and cell viability; apoptosis, necrosis and late apoptosis and necrosis were evaluated by flow cytometry. The mRNA expres...
What’s in a name? Inflammatory airway disease in racehorses in training.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 6 756-758 doi: 10.1111/j.2042-3306.2010.00339.x
Cardwell JM, Christley RM, Gerber V, Malikides N, Wood JL, Newton JR, Hodgson JL.The term 'inflammatory airway disease' (IAD) is often used to describe the syndrome of lower airway inflammation that frequently affects young racehorses in training around the world. In practice, this inflammation is generally diagnosed using a combination of endoscopic tracheal examination, including grading of amounts of mucus present and tracheal wash sampling. However, a recent consensus statement from the American College of Veterinary Internal Medicine concluded that bronchoalveolar lavage (BAL) sampling, rather than tracheal wash (TW) sampling, is required for cytological diagnosis of ...
Use of gastric balloon manometry for estimation of intra-abdominal pressure in horses.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 6 714-720 doi: 10.1111/j.2042-3306.2010.00359.x
Canola PA, Perotta JH, Laskoski LM, Escobar A, Melo e Silva CA, Canola JC, Johnson PJ, Valadão CA.Standing laparoscopic procedures, facilitated by abdominal insufflation with carbon dioxide, are being employed to an increasingly greater extent in horses. However, a sustained increase in abdominal pressure may be life-threatening. A practical method for intra-abdominal pressure (IAP) assessment is imperative. Although indirect methods for estimating IAP have been extensively studied in man, little work has been performed in veterinary medicine. Objective: To investigate the utility of gastric manometry for purposes of evaluating IAP in horses. Methods: Gastric pressure (P(ga) ) was estimate...
Disease prevalence in geriatric horses in the United Kingdom: veterinary clinical assessment of 200 cases.
Equine veterinary journal    June 13, 2011   Volume 44, Issue 1 101-106 doi: 10.1111/j.2042-3306.2010.00361.x
Ireland JL, Clegg PD, McGowan CM, McKane SA, Chandler KJ, Pinchbeck GL.Geriatric horses (aged ≥ 15 years) represent a substantial proportion of the equine population, yet few studies have investigated the prevalence of diseases within this population in the UK. Objective: To describe the findings of veterinary clinical examination of 200 geriatric horses and ponies in north west England and north Wales, and to assess the effect of animal age and type (horse or pony) on the presence or absence of clinical signs and veterinary diagnosed health problems. Methods: From responses to a cross-sectional postal questionnaire survey of owners of geriatric horses (n = 918...
Bovine papillomavirus type 1 and Equus caballus papillomavirus 2 in equine squamous cell carcinoma of the head and neck in a Connemara mare.
Equine veterinary journal    June 13, 2011   Volume 44, Issue 1 112-115 doi: 10.1111/j.2042-3306.2010.00358.x
Kainzbauer C, Rushton J, Tober R, Scase T, Nell B, Sykora S, Brandt S.In January 2010, 18 months after excision of an ocular squamous cell carcinoma (SCC), a Connemara mare presented with anorexia and periorbital/parotideal lesions. Post mortem examination revealed these lesions as forming one entity, with 2 additional growths in the retropharyngeal region and the left jugular groove, respectively. The lesions were confirmed histopathologically as SCCs. Using PCR, peripheral blood mononuclear cells (PBMCs) from 2008 and 2010, tumour tissue, intact skin and vulval mucosa were screened for Equus caballus papillomavirus type 2 (EcPV-2) and bovine papillomavirus typ...
Synoviocoeles associated with the tarsal sheath: description of the lesion and treatment in 15 horses.
Equine veterinary journal    June 13, 2011   Volume 44, Issue 1 71-75 doi: 10.1111/j.2042-3306.2010.00360.x
Minshall GJ, Wright IM.To describe the presentation, clinical, ultrasonographic and endoscopic features associated with a defect in the tarsal sheath wall, to define the cavity created and to describe a method of treatment. Objective: So called 'false thoroughpins' can be caused by defects in the tarsal sheath wall creating a one way valve effect, removal of which could be therapeutic. Methods: Case records and diagnostic images of horses with synoviocoeles associated with the tarsal sheath were reviewed retrospectively and follow-up information obtained. Results: Synoviocoeles were diagnosed in 15 horses. All were ...
Evidence-based medicine and stem cell therapy: how do we know such technologies are safe and efficacious?
The Veterinary clinics of North America. Equine practice    June 12, 2011   Volume 27, Issue 2 373-382 doi: 10.1016/j.cveq.2011.04.002
Clegg PD, Pinchbeck GL.Evidence-based medicine (EBM) refers to the conscientious, explicit, and judicious use of current best evidence from research for the care of an individual patient. Central to the adoption of EBM is both producing and identifying the best possible evidence for a particular intervention or therapy. This article identifies and reviews the approaches to producing and identifying the best possible evidence that is necessary for the full acceptance of stem cell therapies in the horse and reviews the approaches that will allow future clinical studies in stem cell therapies to provide the best eviden...
Epizootic heamorragic disease.
Research in veterinary science    June 12, 2011   Volume 91, Issue 1 1-17 doi: 10.1016/j.rvsc.2011.05.004
Savini G, Afonso A, Mellor P, Aradaib I, Yadin H, Sanaa M, Wilson W, Monaco F, Domingo M.Epizootic haemorrhagic disease (EHD) is an infectious non-contagious viral disease transmitted by insects of the genus Culicoides which affects wild and domestic ruminants. The causative agent, the epizootic haemorrhagic disease virus (EHDV), belongs to the family Reoviridae, genus Orbivirus and shares many morphological and structural characteristics with the other members of the genus such as bluetongue, African horse sickness and equine encephalosis viruses. In recent years EHD outbreaks have been reported in countries bordering the European Union. They caused disease in cattle and severe r...
Cryptosporidium parvum infection in a mare and her foal with foal heat diarrhoea.
Veterinary parasitology    June 12, 2011   Volume 182, Issue 2-4 333-336 doi: 10.1016/j.vetpar.2011.05.051
Perrucci S, Buggiani C, Sgorbini M, Cerchiai I, Otranto D, Traversa D.Cryptosporidium infection was molecularly investigated in mares and in their neonatal foals for which the occurrence of foal heat diarrhoea was also assessed. Thirty-seven mare/foal pairs were included in the study. All foals were born in the same stud farm during 2006-2008 breeding seasons. Two faecal samples, one prior to and one after delivery were collected from each mare, whereas three faecal samples were taken from each foal, i.e. at 8, 10 and 12 days of age. All samples (74 from mares and 111 from foals) were divided into two aliquots, one of which was examined for the presence of Crypt...
Nociceptive trigeminal reflexes in non-sedated horses.
Veterinary journal (London, England : 1997)    June 12, 2011   Volume 191, Issue 1 101-107 doi: 10.1016/j.tvjl.2011.03.022
Veres-Nyéki KO, Leandri M, Spadavecchia C.Electrically induced reflexes can be used to investigate the physiology and pathophysiology of the trigeminal system in humans. Similarly, the assessment of the trigemino-cervical (TCR) and blink reflexes (BR) may provide a new diagnostic tool in horses. The aim of this study was to evoke nociceptive trigeminal reflexes and describe the electrophysiological characteristics in non-sedated horses. The infraorbital (ION) and supraorbital nerves (SON) were stimulated transcutaneously in 10 adult Warmblood horses in separate sessions using train-of-five electrical pulses. The current was increased ...
Commercial cell-based therapies for musculoskeletal injuries in horses.
The Veterinary clinics of North America. Equine practice    June 12, 2011   Volume 27, Issue 2 363-371 doi: 10.1016/j.cveq.2011.04.001
Gutierrez-Nibeyro SD.Several cell-based therapeutic options to treat musculoskeletal injuries in horses are commercially available. The current literature supports the use of cell-based therapies to treat equine musculoskeletal injuries. Researchers continue to search for more effective cell-based therapies to provide practitioners with optimal treatment tools for musculoskeletal injuries in horses. Cell-based therapies require specialized facilities and technical competencies that might not be available or economically justifiable in many private practices. This review provides a summary of current commercially a...
Risk factors for the presence and extent of Developmental Orthopaedic Disease in the limbs of young horses: Insights from a count model.
Preventive veterinary medicine    June 12, 2011   Volume 101, Issue 1-2 96-106 doi: 10.1016/j.prevetmed.2011.05.009
Lepeule J, Seegers H, Rondeau V, Robert C, Denoix JM, Bareille N.Developmental Orthopaedic Disease (DOD) in limb joints is frequent, can cause lameness and is a major cause of economic losses for the horse breeding industry. Studies on risk factors for DOD usually dichotomise the outcome to presence/absence without considering the extent of the disease, which can be appreciated by the number or the severity of the lesions. The aim of this study was to assess the effects of growth, exercise conditions and feeding practices on the number of radiographic findings (RF) of DOD in a cohort of horses, assuming that the risk factors associated with the presence of ...
Effects of cholesterol-loaded cyclodextrins on the quality of frozen-thawed equine epididymal sperm.
Cryobiology    June 12, 2011   Volume 63, Issue 2 90-95 doi: 10.1016/j.cryobiol.2011.05.006
Pamornsakda T, Pojprasath T, Suwimonteerabutr J, Tharasanit T.Equine epididymal sperm are known to be severely sensitive to cryopreservation, in terms of sperm quality and pregnancy rate. The objective of this study was to examine the effects of cholesterol loaded cyclodextrins (CLCs) on the quality of stallion epididymal sperm during cryopreservation. In experiment I, sperm were treated with different concentrations of CLCs: (1) 0mg (control), (2) 1.5mg, (3) 3mg, and (4) 6 mg per 120 × 10(6) sperm. The sperm viability and amount of cholesterol were determined at 15, 30 and 45 min after CLC treatment using viability markers (Ethidium homodimer-1 and Cal...
Frequency of equine laminitis: a systematic review with quality appraisal of published evidence.
Veterinary journal (London, England : 1997)    June 12, 2011   Volume 189, Issue 3 248-256 doi: 10.1016/j.tvjl.2011.04.014
Wylie CE, Collins SN, Verheyen KL, Richard Newton J.Equine laminitis is a highly debilitating disease of the foot. Despite its perceived importance, epidemiological characteristics are poorly understood and the true frequency of the disease remains unclear. The objective of this study was to retrospectively assess previous research to identify publications which provide the best evidence of the frequency of naturally-occurring equine laminitis. A systematic review of English language publications was conducted using MEDLINE (1950-2010), CAB Direct (1910-2010) and IVIS (1997-2010). Additional publications were included by searching bibliographie...
[Determination of immunoglobulin G in mare colostrum by high-performance gel permeation chromatography].
Se pu = Chinese journal of chromatography    June 11, 2011   Volume 29, Issue 3 265-268 doi: 10.3724/sp.j.1123.2011.00265
Lü Y, Wang H, Yang J.A direct high-performance gel permeation chromatographic (HPGPC) method for the determination of immunoglobulin G in mare colostrum was established. HPGPC separation was performed on a TOSOH TSK-G4000PW(XL) column (300 mm x 7.8 mm, 5 microm) with 0.05 mol/L phosphate buffer solution (pH 6.9) as the mobile phase at a flow rate of 0.8 mL/min, and the column temperature was maintained at 25 degrees C. The injection volume was 20 microL. At the detection wavelength of 280 nm, the linear range was from 0.2 to 3.0 g/L (r2 = 0.999 5) with a detection limit of 0.08 mg/L (S/N = 10). The recovery was 97...
Prevalence and species composition of ixodid ticks infesting horses in three agroecologies in central Oromia, Ethiopia.
Tropical animal health and production    June 9, 2011   Volume 44, Issue 1 119-124 doi: 10.1007/s11250-011-9897-y
Kumsa B, Tamrat H, Tadesse G, Aklilu N, Cassini R.A cross-sectional study was conducted to determine the species composition and prevalence of ixodid ticks infesting horses in three agroecological zones in central Ethiopia. For this purpose, a total of 1,168 horses were examined for tick infestation. An overall prevalence of 39.04% of tick infestation on horses was recorded. A total of 917 adult ticks were collected from infested horses. Amblyomma, Boophilus, Rhipicephalus, and Hyalomma genera with the respective prevalence of 3.2%, 1.8%, 29.2%, and 4.7% were identified. In the study, Rhipicephalus evertsi evertsi was encountered with the hig...
Exercise in Thoroughbred yearlings during sales preparation: a cohort study.
Equine veterinary journal    June 8, 2011   Volume 44, Issue 1 20-24 doi: 10.1111/j.2042-3306.2011.00370.x
Bolwell CF, Rogers CW, French NP, Firth EC.There is increasing evidence suggesting that early exercise in Thoroughbred racehorses may be beneficial to the development of the musculoskeletal system. At present, information on the exercise programmes and health problems of individual yearlings during a sales preparation is scant. Objective: To describe the exercise and health problems of Thoroughbred yearlings during preparation for sales, and to identify variations in exercise between and within farms. Methods: A prospective cohort study was used to collect exercise and health information from 18 farms across New Zealand. Daily exercise...
The arthroscopic and ultrasonographic boundaries of the equine femorotibial joints.
Equine veterinary journal    June 8, 2011   Volume 44, Issue 1 57-63 doi: 10.1111/j.2042-3306.2011.00369.x
Barrett MF, Frisbie DD, McIlwraith CW, Werpy NM.While descriptions of the visible soft tissues of the femorotibial joints exist for both arthroscopy and ultrasonography, there are few examples in the literature that discuss in detail the combined findings of these modalities. Objective: To further elucidate the ultrasonographic and arthroscopic boundaries of the normal equine femorotibial joints and improve the understanding of the benefits and limitations of each individual modality. Methods: Simultaneous arthroscopy and ultrasonography were performed in 10 equine cadaver stifles as well as bilateral stifles on a horse that underwent nonre...
Intestinal ciliate composition found in the feces of the Turk rahvan horse Equus caballus, Linnaeus 1758.
European journal of protistology    June 8, 2011   Volume 47, Issue 4 245-255 doi: 10.1016/j.ejop.2011.04.005
Gürelli G, Göçmen B.Species composition and distribution of large intestinal ciliates were investigated in the feces from 15 Turk rahvan horses, living in the vicinity of Izmir, Turkey. Twenty-two ciliate genera consisting of 36 species were identified. This is the first report on intestinal ciliates in Turk rahvan horses and no previously unknown species were observed. The mean number of ciliates was 14.2±13.9×10(4) cells ml(-1) of feces and the mean number of ciliate species per host was 9.9±7.1. No ciliates were observed in 2 horses. Bundleia and Blepharocorys were considered to be the major genera since th...
A nationwide surveillance scheme for equine grass sickness in Great Britain: results for the period 2000-2009.
Equine veterinary journal    June 8, 2011   Volume 43, Issue 5 571-579 doi: 10.1111/j.2042-3306.2011.00364.x
Wylie CE, Proudman CJ, McGorum BC, Newton JR.Equine grass sickness (EGS) remains a frequently fatal disease of equids in Great Britain (GB). The first nationwide surveillance scheme for EGS was developed to obtain information on the occurrence of EGS and to help facilitate future proposed intervention studies, such as vaccine trials. Objective: To collect both retrospective and prospective data on cases of EGS occurring in GB since 2000 and to assess potential risk factors for categories of EGS and survival after chronic EGS. Methods: Prospective data were collected using a nationwide surveillance scheme for EGS that was developed and in...
Arthroscopic reattachment of osteochondritis dissecans cartilage flaps of the femoropatellar joint: long-term results.
Equine veterinary journal    June 8, 2011   Volume 43, Issue 6 650-659 doi: 10.1111/j.2042-3306.2011.00362.x
Sparks HD, Nixon AJ, Fortier LA, Mohammed HO.Long-term efficacy of arthroscopic cartilage reattachment for the treatment of osteochondritis dissecans (OCD) lesions in the equine femoropatellar joint is unknown. Objective: To evaluate radiographic outcome and long-term performance of horses undergoing OCD reattachment. Objective: Separated OCD cartilage flaps may be reincorporated into the joint surface by reattachment rather than flap removal. Methods: Polydioxanone pins were utilised arthroscopically to reattach OCD lesions in 40 of 44 joints from 27 horses. Cartilage was reattached when it had persisting perimeter continuity, the surfa...
Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures.
Equine veterinary journal    June 8, 2011   Volume 43, Issue 6 660-668 doi: 10.1111/j.2042-3306.2010.00341.x
Arensburg L, Wilderjans H, Simon O, Dewulf J, Boussauw B.Longitudinal tears (LTs) of the digital flexor tendons are an important cause of chronic tenosynovitis of the digital flexor tendon sheath (DFTS). The origin of those marginal tears is not yet fully understood. The long-term outcome after medical and surgical treatment is guarded. Objective: To determine the prevalence of LTs of the digital flexor tendons in a large population of horses undergoing diagnostic tenoscopy of the DFTS and to assess the outcome of surgical treatment and the factors influencing the outcome. Methods: Medical records of 130 horses with chronic tenosynovitis of the DFTS...