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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.
Current Practices and Considerations in Therapeutic Farriery for Equine Tendon and Ligament Injuries. The overall objective of therapeutic farriery for equine tendon and ligament injuries is to provide a biomechanical environment conducive to healing by limiting excessive strain on the injured structure. With an understanding of equine limb anatomy and the pathophysiology of tendon/ligament injuries, the rationale used in therapeutic farriery for soft tissue injuries of the distal limb is quite logical. Through therapeutic farriery, foot manipulation is used to reduce the tension on the injured tendon(s) or ligament(s).
Structure Function Relationships in the Aging Superficial Digital Flexor Tendon: Implications for Injury. The high stresses and strains experienced by the superficial digital flexor tendon (SDFT) make it prone to age-related injury. The SDFT exhibits cellular and structural specializations, localized to the interfascicular matrix (IFM), enabling it to resist its extreme mechanical environment. With aging, these specializations are lost, impacting the ability of the tendon to withstand repeated loading. Within the IFM, there is loss of mechanical properties and organization accompanying cell senescence and a decreased resolution of inflammation. Developing therapeutics to reverse these changes may,...
Perioperative factors and outcomes associated with antimicrobial therapy duration in horses undergoing exploratory celiotomy. The objective was to compare perioperative factors that may influence clinician decisions regarding antimicrobial therapy duration and outcomes in horses undergoing exploratory celiotomy. Unassigned: Horses > 1 mo of age undergoing exploratory celiotomy for colic that survived without repeat celiotomy for ≥ 5 d. Unassigned: Retrospective cohort study. Cases were grouped by duration of antimicrobial therapy: G1, ≤ 24 h; G2, 1 to 3 d; G3, > 3 d. Admission, surgical, and postoperative data from the medical records and long-term outcome assessed telephone follow-up were compared among g...
[Off-label use of antibiotics in equine medicine – an online survey in Germany]. Since 28.01.2022, veterinary medicinal products must be used in accordance with the conditions of authorization (Regulation (EU) 2019/6, Article 106). This entails further restrictions on therapeutic freedom, e. g., with regard to dose deviations. To date, there is no data available in equine medicine on the scope of off-label use as any use deviating from the expert information for antibiotics, on the basis of which the feasibility of implementing the new regulations in Germany can be assessed.To collect data on the off-label use of antibiotics, a Germany-wide anonymous online survey was th...
[Diagnostic imaging of the equine cervical spine and clinical significance of findings – review of literature – Part two: Ultrasonography, myelography, computed tomography, magnetic resonance tomography, and nuclear medicine]. Diagnostic imaging is an important part of the diagnostic approach in equine spinal ataxia especially with the cervical spine being commonly involved. The spinal cord may be affected by a variety of conditions including cervical vertebral malformations, osteoarthritis of the articular process joints or less commonly neoplasia. Advanced imaging techniques such as myelography are more accurate in diagnosing spinal cord compression and may be performed under general anesthesia in neutral, flexed and extended positions of the cervical spine. The use of ultrasound is non-invasive and allows ultraso...
Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses. To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression. Unassigned: Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were inc...
Navigated minimally invasive puncture of the trigeminal cistern in horses-a cadaveric study in preparation for a controlled rhizotomy. Trigeminal-mediated headshaking is a neuropathic disorder in horses, characterized by signs of regional pain similar to trigeminal neuralgia in humans. The injection of glycerol into the trigeminal cistern to ablate pain-conducting nerve fibers within the trigeminal ganglion -known as glycerol rhizotomy- is a well-established treatment in human medicine. This study compares two approaches to the equine trigeminal cistern using a navigation system for guiding needle placement, a previously described ventral and a newly developed transmandibular lateral approach. The surgical accuracy and risk o...
Suspected marsh mallow (Malva parviflora) toxicosis in ponies-Case cluster including an asymptomatic survivor. There is limited published information on Malva parviflora toxicosis in horses. Four previously reported cases all resulted in death or euthanasia. The aim of this cluster investigation was to describe historical, clinical and clinicopathological findings of four ponies with suspected M. parviflora toxicosis and compare these to previously reported cases. Historical, clinical and clinicopathological findings were collated. Ponies were grazing pasture of approximately >90% M. parviflora. Pony 1 died rapidly without veterinary examination. Pony 2 was examined for prolonged recumbency attribut...
Desmitis of the palmar or plantar ligaments of the proximal interphalangeal joint: A descriptive case series. Limited reports in the literature are available regarding desmitis of the palmar/plantar ligaments of the proximal interphalangeal joint (PL-PIPJ); the clinical significance of such injuries is unknown. Objective: To describe the ability to differentiate the PL-PIPJ on low-field magnetic resonance (MR) examination. To describe the injury characteristics of the PL-PIPJ on MR examination and the correlation with clinical features and lameness. Methods: Retrospective case series. Methods: Data and MR images of 29 horses were collected from the databases of three institutions. Horses were included...
Iron Status in Sport Horses: Is It Important for Equine Athletes? Iron is unquestionably an essential element of physical performance for horses, just as it is for many other animals, including humans. Although post-exercise equine iron deficiency is not a common problem, recent studies showed that equine athletes may be considered a model for human exercise physiology. Sports anemia among human athletes is a common nutritional issue and remains one reason for poor physical fitness. Thus, this study area needs comprehensive knowledge since iron homeostasis changes in equine athletes remain unrecognized. The current review aims to summarize studies describing...
Diagnostic performance of specific oxidative stress biomarkers, acute phase proteins, and certain trace elements in different severities of equine colic. Sixty-one horses were included in this study and classified into three groups based on the severity of colic, assessed by heart rate, oral mucous membrane color, and abdominal distension. The groups consisted of a strangulating colic (SC) group (n=21), a non-strangulating colic (NC) group (n=20), and a control group (n=20) of randomly selected healthy horses without colic. Serum concentrations of tumor necrosis factor α (TNFα), haptoglobin (Hp), nitric oxide (NO), malondialdehyde (MDA), zinc, iron, and copper were measured in all horses. Receiver operating characteristic (ROC) analysis was c...
Sudden death in a Thoroughbred stallion: cardiac tamponade due to transverse aortic rupture with bone metaplasia and calcification. A 17-year-old Thoroughbred stallion died suddenly after grazing. Necropsy revealed massive hemorrhage in the pericardial sac, suggesting cardiac tamponade. Aortic perforation was observed at the aortic origin, and hemorrhage was observed in and around the epicardium. Superficial observation of the aortic lumen revealed a transverse tear of the aortic wall at the bases of the right semilunar valve and septal semilunar valve. Fibro-osseous changes with calcification were histopathologically observed at the site of the rupture. A nodular goiter was observed in the left thyroid gland. The horse di...
Prevalence and risk of orthopedic diagnoses in insured Swedish Warmblood horses. Sweden has a strong tradition of insuring horses for veterinary costs, and orthopedic diagnoses are the most common for insurance claims. The aim of this study was to investigate differences in prevalence and risk of orthopedic diagnoses for Swedish warmblood (SWB) horses classified as jumping (J) or dressage (D) horses. Also, other factors that may influence orthopedic health were investigated, i.e., sex, birth cohort, and participation in young horse tests and competition. The data consisted of 15,619 insured SWB horses born between 2010 and 2020. Horses were classified as J or D horses acco...
Preimplantation genetic testing in horses: biopsy of Piezo-ICSI embryos for sex, coat color, and disease alleles. The introduction of ovum pick-up, Intracytoplasmic Sperm Injection (ICSI) and in vitro embryo production in equine reproduction offers significant advantages, including overcoming infertility, high blastocyst yields, embryo cryopreservation, and preimplantation genetic testing (PGT) by collecting few cells extruded spontaneously during embryo growth using a mouth pipette. PGT enables embryo selection before transfer and is particularly useful in breeds with a preference for specific offspring genders, coat color, and detecting genetic diseases. Here, we present the first large-scale validation...
Pseudomonas-Enterobacter Co-Infection Drives Cellulitis and Lymphangitis in Equines: A Case Report. This case report detailed a rare co-infection of and in a 9-year-old warmblood mare, leading to severe cellulitis and secondary lymphangitis following traditional hoof blood-letting therapy. The mare exhibited acute limb swelling, fever, cutaneous ulceration, lymphatic dysfunction and unknown anemia. Comprehensive diagnostics, including bacterial culture, whole-genome sequencing, anti-elastin antibody (AEAb) ELISA, and diagnostic imaging, confirmed the pathogens causing cellulitis and secondary lymphangitis. AEAb levels were elevated, correlating with lymphatic degradation, while radiography...
Analytical Data Review on an Artificial Intelligence Platform for Doping Control in Horse Racing. In the screening of prohibited substances (PS) in horse biological samples with gas chromatography/mass spectrometry (GC/MS) and liquid chromatography/mass spectrometry (LC/MS) for doping control, an enormous number of chromatograms are generated. Reviewing these chromatograms to identify suspicious findings requires an extensive manual effort. Recent advancements in Artificial Intelligence (AI) enable its use to classify images into different categories. This can potentially be utilized to perform first-line analysis of chromatograms, which are usually displayed as images, by classifying them...
Overnight dexamethasone suppression and cortisol index tests in clinically healthy horses and with crib-biting. The dexamethasone suppression test (DST) has been used in humans for the diagnosis of psychiatric problems such as depression, anxiety and Cushing's syndrome, and in horses for the ante mortem diagnosis of dysfunction of the intermediate part of the pituitary. Objective: This study aimed to examine the functionality of the hypothalamic-pituitary-adrenal axis through the DST and the cortisol index (CI), to evaluate the rhythmicity of the circadian cycle of cortisol in healthy horses with crib-biting or windsucking. Methods: A total of 20 Colombian Creole horses of both sexes, under similar mana...
Suppress or Not to Suppress … CRAFT It: A Targeted Metabolomics Case Study Extracting Essential Biomarker Signals Directly from the Full 1H NMR Spectra of Horse Serum Samples. : There are a few very specific inflammation biomarkers in blood, namely lipoprotein NMe signals of protein clusters (GlycA and GlycB) and a composite resonance of phospholipids (SPC). The relative integrals of these resonances provide clear indication of the unique metabolic changes associated with disease, specifically inflammatory conditions, often related to serious diseases such as cancer or COVID-19 infection. Relatively complicated, yet very efficient experimental methods have been introduced recently (DIRE, JEDI) to suppress the rest of the spectrum, thus allowing measurement of these ...
Use of a point prevalence survey to measure antimicrobial use and antimicrobial resistance in equine veterinary hospitals. Antimicrobial resistance (AMR) is increasingly recognised in equine medicine. Antimicrobial use (AMU) is a key driver of AMR. Objective: To pilot a point prevalence survey (PPS), based on the Global-PPS used in human hospitals, to obtain data on antibiotic prescribing and AMR in equine hospitals and to identify targets for improvement in AMU. Methods: Point prevalence survey. Methods: Eight equine hospitals located in Australia, Belgium, South Africa, the United Kingdom and the United States were recruited. Data on AMU were collected from all in-patients on antibiotic treatment at 08h00 on fou...
Detection of Transdermal Application of Testosterone to Racehorses by Analysis of Urine and Plasma. The use of testosterone in racehorses is predominantly monitored using international urine and plasma concentration-based thresholds and complementary steroid ratios. To date, there has been no published pharmacokinetic study on transdermally applied testosterone products in horses and whether their use could result in adverse analytical findings. Therefore, quantitative analysis of testosterone and epitestosterone in urine and testosterone in plasma samples was performed following a pilot multi-dose transdermal Testogel administration (1 mg/kg once a day for 7 days on clipped skin) to one...
Global equine parasite control guidelines: Consensus or confusion? Equine parasite control has historically been characterized by confusing and conflicting information, posing significant challenges for veterinarians and horse owners to make evidence-based decisions. Since 2012, equine parasite control guidelines have been developed and published for different parts of the world to address this situation and provide trusted sources of current guidance. At the 2024 International Equine Infectious Disease Conference in Deauville, Normandy, France, lead authors of equine parasite control guideline documents published in the USA, UK, Sweden, Denmark, the Netherla...
Isolation of SSEA-3-positive mesenchymal stem cells from equine bone marrow and evaluation of their pluripotency. Generally, most mesenchymal stem cells (MSCs) have lower pluripotency and limited differentiation potential than embryonic stem cells (ESCs). However, a small subpopulation of MSCs, called multilineage differentiating stress-enduring (MUSE) cells, exhibit pluripotency. MUSE cells express stage-specific embryonic antigen 3 (SSEA-3), a sphingoglycolipid. Here, we isolated and investigated the pluripotency of SSEA-3-positive MSCs (MUSE cells). Six thoroughbred horses were used as test subjects. MSCs were harvested from the bone marrow of the thoracic vertebrae under ultrasound guidance. Harvested...
Exploring the operational logistics of implementing isolation protocols at equestrian facilities. Horses may travel for a variety of reasons, leading to potential exposure to pathogens. Typically, these movements are bidirectional with horses returning to their home facility, therefore also risking pathogen exposure to resident horses at home facilities. The Canadian National Farm and Facility Level Biosecurity Standard for the Equine Sector was designed to outline best practices for managing biosecurity at equestrian facilities, however, there is a gap between the implementation of these recommendations and the day-to-day operations of equestrian facilities. This study aimed to explore th...
Transportation to the Slaughterhouse: Can Training Reduce the Stress Response in Horses? The present study aimed to evaluate the effects of self-loading training on the overall stress response during pre-slaughter transportation in slaughter horses. Thirty-two slaughter horses were divided into two groups: the control group (CG) and the Trained Group (TG). For six weeks, the TG horses were trained to self-load using a method based on target training and shaping. Animals from both groups were transported to the same slaughterhouse in small groups on different days using the same truck along the same route. The baseline and post-transportation values of the eye temperature and fecal...
An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse. The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing. Methods: An ex vivo biomechanical equine cadaver study. Methods: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease. Methods: Each pair of MCP joints were randomly implanted w...
Factors influencing UK veterinarians’ decisions to leave equine clinical practice. Recruitment and retention of equine veterinarians presents an ongoing challenge for employers. Recent research has highlighted factors that contribute to attrition across the profession, but further understanding of the specific challenges faced in the equine sector is needed. This study builds on existing research by exploring the relative impact of different factors on veterinarians' decisions to leave equine clinical practice. Methods: Veterinarians who had left equine clinical practice in the UK within the previous 10 years were invited to participate in an anonymous online survey. The par...
Equine veterinarians’ care priorities regarding vaccination, colic, lameness and pre-purchase scenarios. Equine veterinarians play a crucial role in maintaining equine health and ensuring client satisfaction. Understanding their perspectives on key aspects of veterinary care is essential for optimising outcomes for both clients and horses. Objective: To identify and compare the importance equine veterinarians place on seven key aspects of client satisfaction in equine veterinary practice (quality of care, quality of service, horsemanship, interpersonal skills, transfer of knowledge, financial aspects and professionalism) across four different scenarios. Methods: A cross-sectional survey-based stu...
Spinal articular dysfunction is common in athletic horses. Spinal articular dysfunction disrupts normal neural function and may lead to stiffness, pain or poor performance. Back pain is common in equine athletes, and it is a common complaint by horse owners requesting chiropractic evaluations. Objective: To describe the prevalence of spinal articular dysfunction in showjumping horses. Methods: Retrospective analysis of clinical records. Methods: Records from 3 years of examinations in horses, from beginners to high-performance levels. Each horse had 30 spinal segments evaluated for the presence of dysfunctional articulations. Exams were performed by...
Evaluation of a thermal camera in measuring surface temperature in horses. The use of thermal cameras in horses has proven effective for monitoring surface body temperature non-invasively, enabling the early identification of disease and inflammation. This study evaluated the agreement between a thermal camera compared to an infrared thermometer in the measurement of surface temperatures of 60 healthy horses (27 mares, 33 stallions; 7.88 ± 4.01 years; 466 ± 50.1 kg). Measurements were taken at the neck, thorax, and coronary band between 8:00-9:00 a.m., under controlled environmental conditions. Analysis revealed strong correlations between the two methods at the co...
