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Topic:Equine Medicine
Equine Medicine encompasses the study and application of medical practices specifically related to the health and well-being of horses. This field involves the diagnosis, treatment, and prevention of diseases and disorders affecting equine species. It covers a wide range of topics, including internal medicine, surgery, reproduction, and pharmacology. Research in equine medicine often focuses on understanding the physiological and pathological processes unique to horses, as well as developing effective therapeutic interventions. This page aggregates peer-reviewed research studies and scholarly articles that explore various aspects of equine medicine, providing insights into the latest advancements and methodologies in the care and management of horse health.
Preprocedural Radiographic Measurements Facilitate Centesis of the Equine Navicular Bursa. For centesis of the equine navicular bursa radiographs confirming needle placement are recommended, this can be a logistical challenge. Therefore, we aimed to identify the usefulness of radiographic measurements for centesis of the navicular bursa. On lateromedial radiographs localization of the centre of the flexor surface of the navicular bone was determined in 26 isolated limbs. Based on these measurements, 21 novice veterinary students performed 130 needle placements using the axial distal palmar technique injecting one of five dyes per cadaver limb. Success was identified on dissection as...
Evaluation of episcleral silicone matrix cyclosporine implants for presumed equine immune-mediated keratitis: a retrospective study. Immune-mediated keratitis (IMMK) is a chronic inflammatory corneal disease in horses. Long-term topical therapy with cyclosporine is often impractical, highlighting the need for sustained-release alternatives. Objective: To assess clinical response, tolerability, and duration of effect of episcleral silicone matrix cyclosporine implants (ESMC) in horses with presumed IMMK. Methods: Medical records of 12 horses (14 eyes) treated between 2019 and 2023 were retrospectively reviewed. IMMK subtypes were classified as epithelial (n = 3 eyes), anterior stromal (n = 9), or mid-stromal (n =...
Periovulatory administration of therapeutic and supratherapeutic doses of firocoxib does not impair induced ovulation or follicular dynamics in mares treated with a GnRH analogue. To evaluate the effects of therapeutic and supratherapeutic periovulatory doses of firocoxib on ovulation and follicular dynamics in mares. Methods: Seventy cycling mares were randomly assigned to receive firocoxib at 0.1 mg/kg (n = 27), firocoxib at 0.3 mg/kg (n = 22), or no treatment (control; n = 21). Treatments were initiated on Day 0, defined as the day of ovulation induction with a GnRH analogue administered intramuscularly, with firocoxib administered intravenously on Day 0 and Day 1 (24 h apart). Follicular diameter and ovulation timing were assessed by transrectal ultrasonography. Res...
Advanced Imaging of the Cranium and the Cervical Spine for Equine Neurologic Disease. Diagnostic imaging is essential for evaluating and managing neurologic disease in horses. Following clinical lesion, neurolocalization imaging modalities are often necessary to further characterize the disease process. However, which technology to use depends on various factors, including the patient's size, clinical signs, and the anatomic region. Current advances in imaging technology, in general, and the adaptation of different modalities for equine patients, in particular, have substantially improved our ability to evaluate the equine central nervous system. This article will summarize the...
Ultrasound-guided injection of bupivacaine into the cricoarytenoid dorsalis muscle as a novel technique for transiently inducing laryngeal hemiplegia in horses. In clinical research, laryngeal hemiplegia (LH) is induced by temporarily supressing recurrent laryngeal nerve function; however, the technique is challenging. The aim was to develop a novel method to induce LH by injecting bupivacaine directly into the cricoarytenoid dorsalis (CAD) muscle with ultrasound guidance. Unassigned: 5 cadaver larynges and 9 Thoroughbreds with normal laryngeal function. Unassigned: Part 1: A high-frequency (6.5- to 13.0-MHz) linear ultrasound probe was used to inject methylene blue (5 mL) into the CAD of 5 cadaver larynges. Part 2: The left side of the larynges of 9 ...
Modified mucosal digestion procedure improves precision of encysted larval cyathostomin counts in horses. With rising anthelmintic resistance in adult cyathostomins, the most pervasive equine parasites, the need to assess larvicidal efficacy has increased, yet available methods remain limited. Encysted larvae are quantified using mucosal digestion, wherein a 5% subsample of intestinal mucosa is processed, and a 2% aliquot is counted for early third stage (EL3) and late third stage/mucosal fourth stage (LL3/L4) larvae. This method is imprecise and post-treatment larval differences are often not observed. The following study aimed to assess standard and modified protocol precision and sensitivity. I...
Multi-omics profiling of the testes in Kazakh horses across sexual maturation. Equus caballus is a species of considerable economic and cultural significance. However, the regulatory networks involved in equine sexual maturation remain unclear and eventually limit its reproduction and utilization. In this study, testicular tissues from eight Kazakh horses at two developmental stages (2 years, representing pre-maturation, and 3 years, representing post-maturation) were analyzed using whole transcriptome sequencing, data-independent acquisition (DIA) proteomics, and untargeted metabolomics. An integrated regulatory network was constructed encompassing ceRNA, mRNA, prot...
Perspectives of UK horse carers towards the use of artificial intelligence in equine healthcare. Artificial intelligence (AI) is becoming increasingly prevalent in the modern world, including in veterinary medicine. This cross-sectional study aimed to investigate horse carers' attitudes towards using AI use in equine care. Methods: An online survey was distributed to UK horse owners/carers in 2025, covering participants' demographics and use of AI and their opinions of AI for equine care. Statistical analysis included descriptive statistics, categorisation of free-text responses and logistic regression to determine factors associated with opinions. Results: Ninety-seven resp...
[Puncture wounds of the equine hoof – a retrospective study of 96 cases – Part 1: Prevalence, clinical findings and diagnostic investigations]. Penetrating wounds of the hoof are common and potentially life-threatening injuries in equine veterinary practice. The aim of this study was the systematic data analysis of horses presenting to the clinic with a solar puncture wound.In this retrospective study, patient data from horses presented with a puncture wound to the hoof in the period from September 2008 to August 2024 were collected. The analyzed data covered signalment, intended use, and insurance status. The following were also considered: previous history including the period between injury and presentation to the clinic, affected ...
Histological properties of the distal sesamoidean impar ligament in racing Thoroughbreds and Quarter horses. The distal sesamoidean impar ligament (DSIL) is a key component of the equine podotrochlear apparatus, yet its role in conditions such as caudal heel pain and navicular syndrome remains poorly understood. The objective of this study was to characterize the histological properties of the DSIL and evaluate how it is influenced by breed and age. Eighty-four cadaveric forelimb DSIL samples were collected from young, athletic Quarter horses (QHs), Thoroughbreds (TBs), and older, retired Quarter horses. Samples were stained and assessed for vessel size and count, number of nerve fascicles, and the r...
Pharmacokinetics of 2 mg/kg Bupivacaine in a Rectus Abdominis Sheath Block in Horses. Administering large volumes of bupivacaine in the rectus abdominis sheath (RAS) block in horses could cause local anesthetic toxicity. This study aimed to evaluate the pharmacokinetics of 2 mg/kg bupivacaine in RAS blocks and the associated toxicity risk. Six healthy adult horses were sedated with xylazine and received an ultrasound-guided bilateral 2-point RAS block. Plasma samples were collected at baseline and from 5 min to 24 h after the block and analyzed using liquid chromatography-tandem mass spectrometry. A noncompartmental analysis was performed to determine the maximum concentr...
Priorities and Recommendations for Using Artificial Intelligence (AI) to Improve Equid Health and Welfare. Artificial Intelligence (AI) is being increasingly used for equid health and welfare. This study aimed to establish consensus on where and how AI should be developed to achieve maximum benefit in this field. A workshop involving 41 stakeholders generated statements about current welfare concerns, areas for AI development, and barriers and solutions to AI use. Statements were circulated through Delphi surveys (acceptance set at 75% agreement). One-hundred-and-six statements reached agreement. Ethological needs not being met and poor equid management practices were key welfare concerns. Particip...
Nitric oxide and its role in the management of hypoxaemia in the anaesthetised horse-a narrative review. To outline historical aspects of nitric oxide, including its discovery and biological effects, to describe the current use of inhaled nitric oxide (iNO) in human healthcare, and to review the available evidence on the use of pulsed iNO (PiNO) for the management of hypoxaemia in anaesthetised horses. Methods: Google Scholar and PubMed databases were searched using the search terms nitric oxide, PiNO, environment, discovery, acute respiratory distress syndrome, COVID-19, SARS-CoV-2, horse, pony, hypoxaemia, and anaesthesia. Conclusions: Inhaled NO is licensed in the management of hypoxic respira...
Pharmacokinetics of Intramuscularly Administered Ketamine at Subanaesthetic Dosage in Horses. Subanaesthetic doses of ketamine (0.5 mg kg) provide analgesia in several species, but there is limited information on the pharmacokinetics and clinical effects of intramuscularly administered ketamine in horses. This study investigated the pharmacokinetics of ketamine and norketamine, and evaluated clinical effects, ataxia, and vital parameters, following intramuscular and intravenous administration of 0.5 mg kg ketamine in nine healthy horses, using a randomized two-period crossover design with a 1-week washout period. Plasma concentrations were analyzed using Ultra-High Performance ...
Endometrial Evaluation Using Video-Assisted Hysteroscopy After Uterine Prolapse Management in a Mare. This case report describes the successful application of video-assisted hysteroscopy to evaluate endometrial recovery in a 6-year-old mare following treatment for complete uterine prolapse secondary to dystocia. Upon presentation, the uterus was manually reduced and supported with a Buhner's suture. A multimodal medical protocol, including broad-spectrum antibiotics, anti-inflammatory drugs and uterine lavage, was initiated. Five days after reduction, an endoscopic evaluation was performed using a dedicated videovaginoscope without uterine insufflation. The procedure provided high-resolution i...
Impact of donor mare and stallion identity on the likelihood of pregnancy after transfer of in vitro produced embryos. The success of in vitro embryo production (IVEP) is influenced by donor mare and stallion. Objective: To determine whether donor mare and stallion influence the pregnancy rate after transfer of in vitro produced (IVP) blastocysts and to identify factors influencing the likelihood of obtaining one or more pregnancies from a single IVEP session. Methods: Retrospective clinical study. Methods: The influence of the following variables on pregnancy outcome was assessed in 2292 transfers of IVP blastocysts: speed of in vitro embryo development, embryo grade after thawing, age of the donor mare, blas...
Long-term clinical outcome of maxillofacial fractures in horses: A retrospective study of 30 cases (2020-2024). To assess long-term outcome, complications, and return to function in horses with maxillofacial fractures. Methods: Retrospective observational study. Methods: A total of 30 horses with skull fractures (2020-2024). Methods: Clinical records were reviewed for signalment, fracture characteristics, imaging, treatment, and hospitalization. Long-term outcome was obtained via structured owner questionnaires addressing healing, complications, cosmetic appearance, and performance. Descriptive statistics were applied. Results: A total of 29 of 30 horses received treatment (25 surgical, 4 conservative);...
Septic Endophthalmitis Following Suprachoroidal Cyclosporine Implant Placement in Two Horses With Equine Recurrent Uveitis. This article presents the clinical and histopathological findings from two horses that developed severe postoperative complications following suprachoroidal procedures routinely employed in the management of equine recurrent uveitis (ERU). Case 1 was a 5-year-old warmblood stallion that initially received a unilateral suprachoroidal triamcinolone injection, followed later by bilateral suprachoroidal cyclosporine implant (CSI) placement. At 9 weeks postoperatively, the right eye (which had undergone both procedures) developed secondary glaucoma necessitating enucleation. Case 2 was a 14-year-ol...
Macroscopic comparison of open Metzenbaum and ultrasound-guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study. To macroscopically characterize and compare the open Metzenbaum (FOM) and ultrasound-guided (FUG) plantar fasciotomy techniques for decompression of the hindlimb proximal suspensory ligament (PSL), and to determine whether either approach induces intraligamentous splitting (ILS). Methods: Cadaveric experimental study. Methods: Paired hindlimbs from 10 adult horses with no history of hindlimb lameness. Methods: Each horse contributed one limb to FOM and the contralateral to FUG. All procedures were performed by a single surgeon, and incision measurements were obtained by a blinded examiner. Ski...
Comparison of Gut Microbiota and Metabolic Characteristics Between Miechongshu-Treated and Untreated Yili Horses. Anthelmintic treatment is widely used in equine health management to control parasitic infections; however, its potential effects on the gut microbiota and metabolic characteristics remain poorly understood. In this study, twelve Yili horses were randomly assigned to two groups: a control group (C), which received no anthelmintic treatment, and a Miechongshu-treated group (T), which was orally administered Miechongshu at a dose of 0.36 g/kg body weight on day 0. Fecal samples were collected from the rectums of Yili horses on day 14 after administration, and differences in gut microbial composi...
Assessing quality and passive range of motion in equine distal limb joints. To describe and demonstrate subjective and objective techniques for assessing the quality and passive range of motion (ROM) of the distal forelimb and hind limb joints of the horse. Special attention will be given to the tarsus, carpus, and fetlock joints, as these sites are most prone to injury and/or pathology and thus most clinically relevant. Unassigned: Adult horses undergoing distal limb joint ROM assessment for clinical diagnostic or treatment monitoring purposes. Unassigned: First, subjective techniques for assessing distal limb joint motion and end-feel as well as general guidelines f...
[Cone beam computed tomography and cross-sectional anatomy of the carpal region in the horse]. Subject matter and objectiveThe aim of this study was to display clinically relevant anatomical structures of the carpal region in healthy horses with the help of cone beam computed tomography (CBCT).Materials and methods: Twenty-eight forelimbs from 15 adult horses without orthopedic diseases were examined. Following native CBCT examination a mixture of hyperattenuating contrast medium with blue epoxy resin dye was injected in the antebrachiocarpal joint and middle carpal joint and contrast-enhanced CBCT scans were also acquired. Subsequently, the limbs were frozen and sawed in different plan...
Preoperative risk assessment in horses: agreement and predictive value of CHARIOT (Combined Horse Anaesthetic Risk Identification and Optimisation Tool). To assess interobserver agreement and predictive value of the Combined Horse Anaesthetic Risk Identification and Optimisation Tool (CHARIOT) compared with the American Society of Anesthesiologists Physical Status (ASA-PS) classification system among five groups of evaluators with different levels of expertise, and to explore the association between risk scores and 7-day postoperative mortality. Methods: Prospective, observational, single-centre pilot study. Methods: A group of 50 client-owned horses. Methods: Each horse was assessed (ASA-PS and CHARIOT) before general anaesthesia by one evalua...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance. The frequency, characteristics, and relationship with performance of arrhythmias occurring during high-intensity exercise in Thoroughbred racehorses remain poorly understood. Objective: Describe the frequency, characteristics, and association with subsequent race performance of arrhythmias occurring during intense exercise. Methods: Seventy-one racehorses competing in races sanctioned by the Hong Kong Jockey Club. Methods: Risk-based case-control study. Single-lead ECGs were recorded during high-intensity trials using wearable devices. Ectopic depolarizations identified during warm-up, maximal...
Effects of various perineural analgesia techniques on decreasing experimentally-induced lameness of the equine metacarpophalangeal joint. Recent evidence has shown that perineural analgesia may be less specific than previously thought. Objective: To compare the effects of four distal limb perineural analgesia techniques on resolving synovitis-induced lameness of the equine metacarpophalangeal joint (MCPJ). Methods: Nine horses had one MCPJ injected with 75ng of recombinant equine interleukin-1β (reIL-1β). Ten hours later, horses underwent one of two blocking patterns: (1) a palmar digital (PDNB) followed by an abaxial sesamoidean (ASNB) nerve block or (2) a palmar metacarpal (PMNB) followed by a palmar (PaNB) nerve block. Skin...
Cervical extradural mast cell tumour in a 2-year-old Irish Sport Horse colt. A 2-year-old Irish Sport Horse colt presented with acute, severe and rapidly progressive neurological signs, arriving recumbent to the hospital. Ante-mortem diagnostics did not reveal the cause of the recumbency, and the colt was euthanized after treatment and supportive care did not result in clinical improvement. A cranial cervical extradural mast cell tumour with eosinophilic granulomas and secondary compressive myelopathy with axonal degeneration was diagnosed on post-mortem evaluation. No other masses or clinically relevant findings were present, suggesting a primary neoplasm. Neoplasia a...
Anatomical description of the vertebrobasilar and carotid systems forming the cerebral arterial circle in the equine brain. The cerebral blood supply in horses is maintained by carotid and vertebrobasilar systems, which join the cerebral arterial circle to ensure continuous brain perfusion. This study aimed to comprehensively describe the origins, courses, and interconnections of the vertebrobasilar and carotid systems in the horse brain. Unassigned: Ten adult equine specimens were obtained from horses euthanized for non-neurological reasons. Following perfusion with 10% formaldehyde, colored latex was injected into the arterial system, and detailed dissections were performed to study major intracranial vessels. Un...
Preliminary Investigation of a Transcutaneous Ultrasound-Guided Technique for Pudendal Nerve Block in Six Horse Cadavers. Regional anaesthesia of the equine anogenital tract is limited to local infiltration, extradural, blind palpation and nerve stimulator-guided techniques which risk iatrogenic damage, recumbency and ataxia. This study aimed to describe and assess the feasibility of transcutaneous ultrasound-guided (USG) pudendal nerve staining in equine cadavers. An initial pilot phase used two fresh equine cadavers and one standing unsedated horse to image the intrapelvic anatomy using ultrasound. One fixed equine cadaver specimen was also dissected to identify the pudendal nerve and refine the dissection appr...
Client-specific outcome measure for chronic osteoarthritis pain assessment in horses. Osteoarthritis (OA) is a prevalent cause of chronic pain and lameness in horses. Whereas lameness can be quantified using objective measures, the assessment of OA-associated pain remains challenging. This study aimed to evaluate the applicability of the Client-Specific Outcome Measure (CSOM), a tool widely used in small animals, for the assessment of chronic OA pain in horses through caretaker evaluation. Unassigned: Seventeen privately owned horses with confirmed OA were enrolled in a 20-week randomized, double-blind, placebo-controlled study. For each horse, three individual pain-related ind...
