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.
Allen WR.Fertilized eggs reach the uterus of the mare by the sixth day after ovulation whereas unfertilized eggs remain lodged in the fallopian tubes for many months. However, embryo removal studies indicate that the fetal message for luteal maintenance in the pregnant mare is not transmitted until Days 14-16. The equine endometrial cups comprise a series of small, ulcer-like endometrial outgrowths which are present in the pregnant horn of the uterus between 40 and 150 days of gestation. Each cup consists of a discrete colony of large, gonadotropin-secreting, trophoblast cells derived from a specialize...
Goulden BE.Any condition which leads to a diminution in the size or alteration of the shape of the lumen of the respiratory tract in the horse may result in the production of abnormal respiratory noises at exercise.
Littlewort MC.This paper outlines the major problems in evaluating and assessing prognosis in horses with minor cardiac abnormalities. It emphasises that progress will only be made if adequate data on the "natural history" of equine cardiac disease can be collected. This will necessitate a long-term study of suitable cases and will require the collaboration of specialist institutions and general practitioners if it is to be successful.
Wilkinson JS.The normal plasma osmotic pressure was established in 205 Thoroughbred horses. Samples taken from horses suffering from a variety of diseases showed that measurement of this parameter might prove a valuable non specific test for assessing the severity of some diseases in which there are alterations in metabolism.
Björnsdóttir S, Sigurðardóttir ÓG, Oddsdóttir C, Reynisdóttir I, Hanche-Olsen S, Gröndahl G.Acquired equine polyneuropathy is a neuromuscular syndrome characterized by digital extensor dysfunction, primarily affecting the pelvic limbs, with consistent, repeated knuckling. Despite being recognized as an emerging disease in Scandinavia since 1995, the aetiology remains unknown, and cases have been limited to Norway, Sweden, and Finland. Methods: On a combined breeding and training farm in Iceland, 30 out of 145 horses (21%) presented with acute pelvic weakness, pelvic limb digital extensor dysfunction, knuckling and/or recumbency, from May to August 2019. The affected horses, aged 2-9...
Horses maintained under traditional management systems and dependent on natural forages are often exposed to seasonal and compositional variations that can affect metabolic homeostasis. This study examined associations between forage nutrient composition and metabolic-morphometric indicators in horses from four agroecologically distinct regions of northwestern Romania. Eighty-eight horses managed under semi-extensive rural conditions underwent clinical examination, body condition scoring (BCS), cresty neck scoring (CNS), and fasting blood sampling. Forage samples ( = 34) from daily rations wer...
Varandas M, Lozano J, Agrícola R, Gomes L, Rosa T, Magalhães M, Lamas L, Rinaldi L, Oliveira M, Paz-Silva A, Madeira de Carvalho L.The diagnosis of gastrointestinal (GI) strongyle infections in equids is still mainly performed using quantitative coprological techniques, like the McMaster (McM), but more sensitive and precise techniques, like FLOTAC (FL) and Mini-FLOTAC (MF), have been proposed over the past 20 years. The present study aimed to compare the analytical performance of these three methods in the diagnosis of strongyle infections in horses. Between October 2023 and June 2024, 32 fecal samples were processed using the McM, FL and MF techniques to identify strongyles' eggs, estimate their shedding (eggs per gram ...
Littiere TO, da Costa GB, de Sales NAA, de Carvalho JRG, Rodriguez IDM, Ramos GV, de Lacerda-Neto JC, Ferraz GC.Maximal lactate steady state (MLSS) and its predictive thresholds, including the lactate threshold (LT), are widely used to estimate endurance capacity, prescribe training, and assess the effects of training. The human literature identified approximately twenty-five methods to predict the MLSS. This communication compares the concordance between the two D methods and the MLSS. Under laboratory conditions, ten teaching horses underwent a submaximal graded exercise test (GXT) on a treadmill to obtain their lactate-velocity curves (LVC). They performed three to five 30-min continuous running sess...
Mohtasebi S, Ahn S, Karimi M, Saberi M, Gilleard JS, Poissant J.Strongyles pose significant health concerns for equids globally. Strongyles, comprising over 60 species, can lead to severe morbidity and mortality, with Strongylus vulgaris posing higher risks due to its migratory behaviour. Routine diagnostic methods, such as faecal egg counts, lack species-level resolution, while traditional morphological techniques require advanced expertise. DNA metabarcoding offers a high-throughput alternative. Objective: To characterise the diversity of strongyles infecting horses in northern Iran and evaluate how age, sex, diagnostic methods and host population influe...
Fouché N, Howard J, Gerber V, Billmann P, Farinha do Sul M, Christen G, Bruckmaier R, Philipona C, Schmutz NB, Gross J.β-endorphin, a proopiomelanocortin (POMC)-derived peptide secreted by pars intermedia melanotropes, may play a significant but underexplored role in pituitary pars intermedia dysfunction (PPID) pathophysiology and diagnosis. This study aimed to (1) validate a commercially available human β-endorphin enzyme-linked immunosorbent assay (ELISA) kit for equine samples, and (2) compare β-endorphin concentrations between horses with PPID and healthy controls. Assay validation included the generation of standard curves using purified synthetic equine β-endorphin and human β-endorphin standards, w...
Jonkhart M, Serra Bragança FM, Smit IH, Brommer H, Suskens JJM.Flexion tests are commonly used in equine locomotion examinations to identify underlying locomotor issues, yet their neuromuscular effects remain poorly understood. Response variability raises concerns about their clinical value in lameness assessments and pre-purchase evaluations. Objective: Primarily, to investigate the effect of full-limb flexion tests on static (flexed position) and dynamic (subsequent trot-up) muscle activity. Secondarily, to assess their effect on locomotion asymmetry during trotting. Methods: In vivo experiments. Methods: Sixteen warmblood horses were randomly assigned ...
Honnas DH, Fiske-Jackson AR, Fulkerson CV, Wilhite DR.An injury of a tendon or ligament of the equine foot is frequently a cause of lameness. The optimal radiographic projections delineating the entheses of five commonly injured tendons and ligaments of the foot should be described. Methods: The entheses of the collateral ligaments of the distal interphalangeal joint, the collateral sesamoidean ligaments of the navicular bone, the deep digital flexor tendon, the common digital extensor tendon and the distal sesamoidean impar ligament were isolated from a thoracic foot of three cadavers. Three standard radiographic projections (60-degree, dorsopro...
Khalil WA, Mostafa HE, Derbala MK, Alfattah MA, Alhujaili W, Hassan MAE, El-Harairy MA, Abdelnour SA.Encapsulating natural antioxidants presents a robust strategy to neutralize oxidative stress, thereby improving semen preservation. Therefore, this study aimed to evaluate the efficacy of butylated hydroxytoluene nanoparticles (BHT-NPs) in improving stallion semen preservation by investigating sperm quality, redox balance, semen bacteriology, apoptosis, ultrastructure, and acrosome status of chilled stallion semen preserved at 4 °C for 72 h. This in vitro experiment was evidenced by molecular docking analysis. Twenty-five ejaculates from five stallions were collected and extended with 0 (BH...
Sheridan L, Hutton P, Noble G, Nobari B.Dysbiosis of the intestinal microbiome is a precursor to hindgut acidosis. As microbial diversity and fermentation are influenced by diet, including a postbiotic could help maintain healthy gastrointestinal microbes and reduce acidosis risk. Objective: It was hypothesised that including a postbiotic in batch culture would reduce the degree of pH decline and lactate accumulation during fermentation. Methods: In vitro batch cultures with faecal inoculant were prepared with either low starch (LS) or high glucose (G) substrate to represent normal and acidic fermentation. Saccharomyces cerevisiae d...
Pekkarinen HM, Simola U, Niinistö KE, Syrjä PES.Equine inflammatory bowel disease (IBD) is challenging to diagnose and treat. Although the number of horses examined due to suspicion of IBD is increasing, the different treatments in clinical patients and their responses are not well documented. We sought to characterize the demography, signs, clinical and rectal biopsy findings, and treatment response in Finnish horses suspected to have IBD. Horses undergoing clinical examination due to suspected IBD in 2022 and with a good-quality rectal biopsy were selected for the study. General information, signs, clinical and histological findings, and ...
Rangel A, Sellon DC, Sanz MG, Pinnell E, Pietras ZM, Villarino NF.Pharmacokinetics (PK) of intramuscular (IM) and subcutaneous (SC) ketamine in horses has not been described. This study aimed to evaluate the PK and safety of ketamine and its metabolites after a single SC or IM administration. In Phase 1, two horses received 0.5 or 1 mg/kg of ketamine via SC and IM routes. In Phase 2, eight horses received 0.5 mg/kg IM. Plasma or serum concentrations of ketamine and major metabolites were determined by a validated liquid chromatography-mass spectrometry method at baseline and selected intervals post-administration. Subcutaneous administration resulted in ...
Curry O, Everett A, Pearson G, Dwyer C, Duncan J.Despite the availability of several equine pain assessment tools, their use in equine veterinary practice appears limited compared to small animal practice. This study explores potential barriers to equine pain assessment, as reported by staff at a single UK equine teaching hospital. Methods: Nine hospital staff members were interviewed using semi-structured interviews. Key themes were identified through reflexive thematic analysis. Results: Participants acknowledged the importance of pain assessment, yet highlighted limitations in current methods and their inconsistent use. Key challenges inc...
Jandová V, Huber N, AlMheiri FG, Bábor K, Trachsel DS.Stress represents a serious health and welfare concern; however, its objective assessment remains difficult. The equine gastric ulcer syndrome (EGUS) and orthopedic diseases that cause pain are among stress associated diseases in equine medicine. The leukocyte coping capacity (LCC) quantifies oxygen radical generation of neutrophil granulocytes which is altered under stress. Therefore, LCC could be a novel biomarker for stress in horses and we hypothesized that horses with stress associated diseases would have lower LCC values in comparison to horses without these diseases. Methods: In this ob...
Brito G, Damián JP, Trigo P, Ruprechter G.The Raid Hípico Uruguayo (RHU) is the oldest equestrian endurance sport in Uruguay. A high percentage of horses fail to complete RHU rides. Therefore, the aim of this study was to investigate whether weather conditions (comfort index [CI]), horse experience, and ride distance affect horse performance (finishing ride [FR] or nonfinishing ride [NFR]) in the RHU. An additional objective was to determine whether finishing the ride affects the hematological and biochemical parameters of the horses. This study involved 17 RHU rides over distances of 60-90 km and 284 horses. Blood samples were tak...
Frey K, Perlini M, Reed R.Intravenous (IV) contrast administration during computed tomography (CT) of the equine head is routinely performed to delineate the extent of disease and differentiate between vascular and nonvascular tissue. Current equine scan protocols are extrapolated from human and canine studies. There have been no prospective equine studies describing the optimal time to image the patient after administration of contrast or the optimal site of contrast administration. Therefore, the current postcontrast times to scan and sites of contrast administration may not be appropriate for use in horses. The obje...
Southwood LL, Long A, Perez J, Daniel S, Bittinger K, Aitken M, Redding L.Based on human studies, surgical antimicrobial (AMD) prophylaxis (SAP) beyond 24 h is unnecessary and potentially detrimental. Objective: To compare clinical and microbiological outcomes in patients receiving 24- or 72-h of SAP for colic surgery. Methods: Prospective randomised clinical trial. Methods: Horses that recovered from colic surgery were considered. Exclusion criteria were (1) age <2 years; (2) Miniature Horses, pony, and draught breeds; (3) azotaemia; (4) recent hospitalisation, colic surgery, or AMDs; (5) local AMD administration. Eligible horses were randomly assigned to recei...
Otero JC, Neild DM, Ferrante AA, Gambarotta MC, Caldevilla ML.Glycerol, a penetrating cryoprotectant, is most employed for deep freezing spermatozoa. However, it can induce toxic, chemical, and osmotic effects, altering the lipid structure of the sperm membrane. Rapid glycerol addition has been demonstrated to have fewer toxic effects than its removal. Objective: To minimize both the toxic and osmotic effects of glycerol on equine sperm through post-thaw dilution using two different extenders. Methods: Samples of equine semen frozen with 5% glycerol from nine stallions were thawed, re-diluted 1:2, and incubated for 30 minutes at 22°C in Tyrodes (Tyr) an...
van den Broek M, Chan ZYS, De Bruyne C, Garcia-Alamo K, Skotarek Loch S, Pfau T.Increased risk of musculoskeletal injury in galloping racehorses has been linked to decreased stride length and reduced speed over consecutive races prior to the injury. As racetrack curvature influences horses' maximal speed, we hypothesized it also affects stride parameters. During training sessions, twenty-eight wagon-pulling Thoroughbred Chuckwagon horses were equipped with Global Navigation Satellite System (GNSS) loggers, allowing for identification of speed, stride length (SL) and stride frequency (SF), and average speed, SL and SF were calculated for consecutive 100 m sections. Effects...
Mańkowska A, Dobraczyńska BM, Szewczak J, Chodup Z, Radzanowski B, Matychyn I, Witkowska D.Cultivated carrot ( subsp. ) is a valuable component of equine diets due to its high β-carotene content (a precursor of vitamin A) and desirable sensory properties. However, its use may be limited by short shelf life, susceptibility to spoilage, and firm texture, which can be challenging for horses with dental problems. This study aimed to evaluate horses' preferences for different physical forms of carrots. Twenty-one leisure horses aged 3-22 years were individually evaluated in a free-choice test. Each horse was simultaneously offered equal portions (150 g) of five carrot forms: raw, grated...
Simó-Martínez MS, Marco-Fuertes A, Galán-Relaño Á, Astorga Márquez RJ, Marin C, Valero Díaz A, Vega S. are zoonotic pathogens, and rising antimicrobial resistance (AMR) amplifies their public health impact. Asymptomatic horses can act as reservoirs, contributing to environmental contamination and interspecies transmission. This study aimed to estimate the prevalence of and characterize AMR patterns in healthy horses from eastern Spain. Faecal samples from 95 asymptomatic horses were collected once daily over five consecutive days (475 samples in total) and processed under for detection. Epidemiological information was obtained through owner questionnaires, and associations with shedding we...
Bolesławska-Szubartowska J, Kucharczuk M, Skrabska A, Zbysław A, Adamowicz J, Alszko A, Domagalska-Stomska K, Durska M, Dziekcierów A....Pain after giving birth is commonly observed in horses, yet there has not been a specific tool developed for assessing this pain in postpartum mares. The goal was to adapt existing equine pain scales and to preliminarily validate a practical pain scale for use by veterinarians and caregivers after foaling. Methods: The pain scale was developed by adapting items from other pain scales, including established orthopedic and colic equine pain scales, and incorporating caregiver feedback. The final scale includes eight areas for assessing pain: behavior, facial expressions, vital signs, udder exami...
Schank N, Cottone A, Wulf M, Seiter K, Thomas B, Miller LMJ, Anderson SL, Sahyoun A, Abidi AH, Kassan M, Verma A.Equine colic remains a prevalent and potentially life-threatening condition with multifactorial origins, including dietary imbalances, stress, and microbial dysbiosis. Central to equine gut health is the production of short-chain fatty acids (SCFAs), primarily acetate, propionate, and butyrate, generated through microbial fermentation of dietary fibers in the hindgut. These metabolites not only serve as vital energy sources but also play crucial roles in maintaining intestinal barrier integrity, modulating motility, and suppressing inflammation. This review explores the role of SCFAs in equine...
Cooper BL, Hobbs KJ, Bayless R, Stinson-Miller A, Gruber E, Hepworth-Warren K, Lavoie JP, Sheats MK.Severe equine asthma (sEA) is characterized by increased lower airway neutrophils that contribute to dysregulated inflammation through the release of cytokines, reactive oxygen species and neutrophil extracellular traps (NETs). NETs are composed of cell-free DNA (cfDNA) intercalated with enzymatic proteins and are known to be increased in the lower airway of asthmatic horses. The objectives of this study were two-fold: 1. Determine if cfDNA can be accurately measured in equine bronchoalveolar lavage fluid (BALF) and tracheal wash (TW) with a Qubit 4 fluorometer. 2. Determine whether Qubit-meas...
Malekipour F, Whitton RC, Muir P, Lee PV.Stress fractures are common in racehorses, with the metacarpophalangeal (MCP) joint being the most frequently affected site as it is subjected to high-magnitude and high-rate cyclic loads during training and racing. These loads lead to repeated compressive stresses, resulting in subchondral bone (SCB) sclerosis, fatigue microcracks, and matrix damage that can progress to parasagittal fractures or palmar osteochondral disease (POD). The present study developed joint-specific 3D FE models and slice-based FE models using standing CT images for three trained racehorses, each presenting distinct SC...
Sohn Y, An SJ, Forbes E, Yoon J, Kim BS, Ryu SH, Lee I.Osteochondritis dissecans (OCD) is a developmental orthopedic condition in young horses. Exercise and management affect OCD development, but the impact of exercise patterns during the 6-12 months growth period remains unclear. This study examined the association between OCD lesions in Thoroughbred foals and irregular exercise patterns. Forty foals wore halter-mounted Global Positioning System devices that recorded velocity every five seconds during turnout. Foals were routinely turned out for approximately 13 h daily, except on rainy days. Radiographs were taken at six and twelve months of a...
Dantas FTDR, Canisso IF, Feijó LS, de Vasconcelos PMF, Campos ML, Ulanov AV, Li Z, Pizzi GLBL, Nogueira CEW, Curcio BR.Doxycycline is widely used in equine medicine, yet data on its pharmacokinetics and safety during late gestation are scarce. We investigated the pharmacokinetics, fetoplacental diffusion, and safety of compounded oral doxycycline in late-term pregnant mares. In the first experiment, six mares at 300 days of gestation received a single oral dose (10 mg/kg), and plasma concentrations were measured using LC-MS/MS. Pharmacokinetic analysis using non-compartmental and compartmental models showed rapid absorption, with a mean Cmax of about 6000 ng/mL reached within 0.8 h and a terminal half-life ...
Hargitaiova K, Maleas G.To describe outcomes following high-metacarpal deep digital flexor tenotomy (DDFT) combined with Steward clog application in horses and ponies with refractory chronic laminitis. Methods: Retrospective observational study. Methods: Client-owned horses and ponies (7 horses, 8 ponies) with severe refractory laminitis. Methods: Medical records (2018-2019) were reviewed. All underwent standing high-metacarpal DDFT tenotomy proximal to the accessory ligament (AL-DDFT) junction, followed by customized Steward clogs application. Preoperative assessment included radiography and venography. Postoperativ...
Sellke L, Ludewig E, Handschuh S, Witter K.In a previous study on hoof biometry, we found that mathematical correction of measuring results from radiographs did not lead to complete correspondence to computed tomography (CT) results. The present study investigates this finding by comparing 13 measures of six cadaveric equine digits collected with the following workflows: radiographs with 1 and 2 m focus-object distance (FOD) (Xray 1 m/2 m), computed tomography images in planes defined based on anatomical landmarks (CTw), simulated radiographs based on the tomography dataset (virtual 120-mm slabs, Xray Sim) and measurements based ...
Zamith Cunha R, Gobbo F, Morini M, Salamanca G, Zanoni A, Bernardini C, Gramenzi A, Chiocchetti R.Evidence suggests that the endocannabinoid system (ECS) is crucial for regulating inflammation, cell proliferation and pain. The ECS is composed of cannabinoid receptors such as type 1 (CBR1), type 2 (CBR2) and GPR55, endocannabinoids and enzymes. Proteins of ECS have previously been localized in the epidermal cells of the horse hooves. Given the physio-pathological role and cellular distribution of the ECS across species, the authors hypothesized that cannabinoid receptors are expressed within the inflammatory cells, fibroblasts and endothelial cells of the equine hoof laminae, going beyond t...
