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Topic:Fetlock Joint

The fetlock joint in horses is a complex articulation located between the cannon bone and the proximal phalanx, playing a pivotal role in equine locomotion. This joint is characterized by its hinge-like structure, allowing for flexion and extension movements essential for a horse's gait. The fetlock joint is supported by a network of ligaments, tendons, and synovial fluid that contribute to its stability and function. Common conditions affecting the fetlock joint include inflammation, osteoarthritis, and injuries to the supporting soft tissues. This section provides access to peer-reviewed studies and scholarly articles that explore the anatomy, biomechanics, and pathologies associated with the fetlock joint in horses.
Sudden death caused by spinal cord injury associated with vertebral fractures and fetlock failure in a Thoroughbred racehorse. Samol MA, Uzal FA, Blanchard PC, Arthur RM, Stover SM.The most prevalent causes of death in racehorses are musculoskeletal injuries, causing ~83% of deaths within the racing industry in California and elsewhere. The vast majority of these injuries have preexisting lesions that predispose to fatal injury. A 4-y-old Thoroughbred colt suffered an acute suspensory apparatus failure, including biaxial proximal sesamoid bone fractures of the right front fetlock, causing loss of support of the fetlock joint and consequent fall with fractures of the cervical and sacral spine. Cervical fracture caused spinal cord damage that resulted in sudden death. A pr...
Letter to the Editor: Validation of standing cone beam computed tomography for diagnosing subchondral fetlock pathology in the Thoroughbred racehorse.
Equine veterinary journal    April 10, 2021   Volume 53, Issue 3 628-629 doi: 10.1111/evj.13433
Ramzan PHL.No abstract available
Response to Letter to the Editor: Validation of standing cone beam computed tomography for diagnosing subchondral fetlock pathology in the Thoroughbred racehorse.
Equine veterinary journal    April 10, 2021   Volume 53, Issue 3 630-631 doi: 10.1111/evj.13441
Wulster K, Ortved K, Curtiss A, Richardson D.No abstract available
Mechanical Effect of Performance Pressure Boots on Cadaveric Equine Hindlimb Fetlock Biomechanics.
Animals : an open access journal from MDPI    March 30, 2021   Volume 11, Issue 4 958 doi: 10.3390/ani11040958
Symons J.Pressure boots are applied to hind limbs of showjumping horses with the intent to enhance jumping form. Manufacturers claim acupressure points enhance proprioception of hind limbs. With this increased awareness, horses are expected to retract their hind limbs to clear jump rails. This research aimed to investigate a more direct, mechanical effect of pressure boots on hind limb biomechanics. Cadaveric hind limbs ( = 6) were mechanically loaded in axial compression (3 cycles at 0.25 Hz, displacement control ~3300 N) with (2 trials) and without (2 trials) a pressure boot applied. During mechanica...
Diagnostic Imaging and Cytological Analysis Aid the Clinical Investigation of Long Digital Extensor Tendon Subtendinous Bursitis in a Horse.
Journal of equine veterinary science    March 16, 2021   Volume 101 103449 doi: 10.1016/j.jevs.2021.103449
Lapjit C, Charoenchanikran P, Petchkaew P, Sukpipattanamongkol S, Yodsheewan R, Theerapan W, Chanda M.The fetlock joint is a high mobility structure that accommodates enormous loading during locomotion. An injury of the superficial constituent such as subtendinous bursitis may occur due to repeated trauma. An 8-year old school riding horse was presented with dorsomedial distension in the left hindlimb fetlock region. The lesion was noted following routine exercise. The horse demonstrated no lameness and a negative response to the fetlock flexion test. Radiographic findings revealed a smooth surface cortical thickening on the medial aspect of the distal third metatarsal bone. Furthermore, the u...
In vitro assessment of the motion of equine proximal sesamoid bones relative to the third metacarpal bone under physiologic midstance loads.
American journal of veterinary research    February 26, 2021   Volume 82, Issue 3 198-206 doi: 10.2460/ajvr.82.3.198
Shaffer SK, Sachs N, Garcia TC, Fyhrie DP, Stover SM.To assess the motion of the proximal sesamoid bones (PSBs) relative to the third metacarpal bone (MC3) of equine forelimbs during physiologic midstance loads. Methods: 8 musculoskeletally normal forelimbs (7 right and 1 left) from 8 adult equine cadavers. Methods: Each forelimb was harvested at the mid-radius level and mounted in a material testing system so the hoof could be moved in a dorsal direction while the radius and MC3 remained vertical. The PSBs were instrumented with 2 linear variable differential transformers to record movement between the 2 bones. The limb was sequentially loaded ...
Does the Low-Field MRI Appearance of Intraosseous STIR Hyperintensity in Equine Cadaver Limbs Change when Subjected to a Freeze-Thaw Process?
Animals : an open access journal from MDPI    February 11, 2021   Volume 11, Issue 2 475 doi: 10.3390/ani11020475
Johnston GCA, Ahern BJ, Woldeyohannes SM, Young AC.Equine advanced imaging research involving racehorse fetlock pathology commonly uses cadaver limbs and a freeze-thaw process. The presence of short tau inversion recovery (STIR) signal intensity in the distal third metacarpal/metatarsal bone is of particular interest and may be clinically relevant in the diagnosis of horses at risk of fracture. However, little is known about the effect of the freeze-thaw process on the MRI appearance of STIR hyperintensity in these bones. This study compares the low-field MRI appearance of the distal third metacarpal/metatarsal bone from cadaver limbs of Thoro...
Validation of standing cone beam computed tomography for diagnosing subchondral fetlock pathology in the Thoroughbred racehorse.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 3 510-523 doi: 10.1111/evj.13414
Curtiss AL, Ortved KF, Dallap-Schaer B, Gouzeev S, Stefanovski D, Richardson DW, Wulster KB.Subchondral bone pathology is common in Thoroughbred racehorses and believed to precede more serious injury. Early identification of pathology is critical to allow for intervention. Objective: To determine interobserver variability of fetlock subchondral bone lesions using cone beam and fan beam computed tomography (CBCT, FBCT) and to validate a robotics-controlled CBCT to identify fetlock subchondral bone pathology in the Thoroughbred racehorse. Methods: Prospective cohort study. Methods: FBCT and CBCT images were acquired of 25 metacarpo-/metatarsophalangeal joints of Thoroughbred racehorses...
Mind the gaps: The science of POD and the racehorse fetlock.
Equine veterinary journal    November 19, 2020   Volume 53, Issue 2 217-220 doi: 10.1111/evj.13369
Ramzan PHL.No abstract available
Appraising the Welfare of Thoroughbred Racehorses in Training in Queensland, Australia: The Incidence and Type of Musculoskeletal Injuries Vary between Two-Year-Old and Older Thoroughbred Racehorses.
Animals : an open access journal from MDPI    November 5, 2020   Volume 10, Issue 11 doi: 10.3390/ani10112046
Crawford KL, Finnane A, Greer RM, Phillips CJC, Woldeyohannes SM, Perkins NR, Ahern BJ.Musculoskeletal injuries (MSI) remain a concerning cause of racehorse morbidity and mortality with important ethical and welfare consequences. Previous research examining risk factors for MSI report inconsistent findings. Age is thought to affect MSI risk, but, to date, there have been no prospective studies comparing MSI in two-year-old versus older horses. This study aimed to: (1) determine the incidence of MSI for two-year-old and older horses, and whether this was affected by training track, season, or rainfall, and (2) determine the types of MSI affecting two-year-old and older horses, an...
The Effect of Lunging with Three Aids on the Thermographically Determined Temperatures of the Distal Portion of Horse Limbs.
Journal of equine veterinary science    October 31, 2020   Volume 95 103316 doi: 10.1016/j.jevs.2020.103316
Masko M, Domino M, Zdrojkowski L, Jasinski T, Gajewski Z.The regulation of head and neck position during physical exercise may be obtained using lunging aids (LAs): Chambon (CH), rubber band (RB), or triangle side reins (TR). The use of LAs would shift the center of horse mass caudally, thereby change the limb load. The aim is to evaluate the pattern of superficial temperatures (PST) of hoof wall (HW), the coronary band (CB), and the dorsal aspect of the fetlock joint (FJ) obtained before and after lunging with LAs and freely moving head (FMH). Sixteen horses were imaged using an infrared camera. The temperatures of HW, CB, and FJ were measured, and...
Prevalence of Radiographic Signs of Osteoarthritis in Lusitano Purebred Horses.
Journal of equine veterinary science    July 23, 2020   Volume 94 103196 doi: 10.1016/j.jevs.2020.103196
Ramos S, Pinto A, Cardoso M, Alexandre N, Bettencourt E, Monteiro S, Gama LT.Radiographic prevalence and correlation of radiographic findings has not been performed in Lusitano Purebred horses. The aim of this study was to (1) evaluate the prevalence of primary osteoarthritis radiographic findings in Lusitano Purebred horses; (2) to assess correlations between radiographic findings in different joints of the same limb and different limbs; and (3) elucidate the effect of age in the radiographic findings. A radiographic protocol of the stifle, tarsi, fetlocks and distal limbs was done in 98 Lusitanos and the classification of the radiographs was performed using a 0-4 sc...
Clinical insights: Imaging of the equine fetlock in Thoroughbred racehorses: Identification of imaging changes to predict catastrophic injury.
Equine veterinary journal    April 8, 2020   Volume 52, Issue 3 342-343 doi: 10.1111/evj.13226
Denoix JM, Coudry V.No abstract available
Ex vivo study of minimally invasive procedures for cartilage removal from the metacarpophalangeal or metatarsophalangeal joint and for fetlock tension band application.
Veterinary surgery : VS    February 3, 2020   Volume 49 Suppl 1 O45-O53 doi: 10.1111/vsu.13374
Farfan M, Genton M, Rossignol F.To describe reliable minimally invasive procedures for (1) removing cartilage by joint distraction and articular drilling for equine metacarpophalangeal (MCP)/metatarsophalangeal (MTP) arthrodesis; (2) applying a palmar/plantar tension band without MCP/MTP joint luxation. Methods: Experimental study. Methods: Cadaveric equine limbs (n = 12). Methods: All limbs were used to evaluate the drilling technique. First the MCP/MTP joint was distracted with a 5.5-mm cortical screw. Then, through four stab incisions, articular cartilage was removed with a 4.5-mm drill. Six randomly chosen limbs were the...
Osteoarticular radiographic findings of the distal forelimbs in Tbourida Horses.
Heliyon    September 30, 2019   Volume 5, Issue 9 e02514 doi: 10.1016/j.heliyon.2019.e02514
Seghrouchni M, Elkasraoui H, Piro M, Alyakine H, Bouayad H, Chakir J, Tligui N, Elallali K, Azrib R.Tbourida is a traditional Moroccan equestrian sport in which 15 horses gallop 200 m in a line while riders fire into the sky with muskets. The stop is the finale and representative demands of this equestrian event. Such particular sudden stop after a fast gallop requires a hyperextension of the metacarpophalangeal joint. Indeed, it is well known that Tbourida show predisposes horses to different injuries of the hard and soft tissues of the distal forelimbs. Yet, there is a paucity of research that examined such lesions. The aim of the present study was to investigate for the first time the typ...
Clinical findings and management of six horses with subtendinous bursitis of the long digital extensor tendon in the hind limb fetlock.
Veterinary surgery : VS    August 24, 2019   Volume 48, Issue 8 1514-1519 doi: 10.1111/vsu.13315
Iglesias-García M, Roquet I, Jiménez J, Martín-Cuervo M, Fuentes-Romero B, Ezquerra-Calvo LJ.To describe the history, clinical signs, and management of six horses in which subtendinous bursitis of the long digital extensor tendon (LDET) in the hind limb fetlock had been diagnosed. Methods: Retrospective case series. Methods: Six privately owned horses. Methods: The medical records of horses presented at the hospital with similar sypmtoms were evaluated and collected. Finally 6 horses met the inclusion criteria and the relevant data were compiled and analysed. In three of the six cases a surgical treatment was carried out. Results: All horses had similar clinical signs, mainly distenti...
Comparison Between the Hyperelastic Behavior of Fresh and Frozen Equine Articular Cartilage in Various Joints.
Journal of biomechanical engineering    June 16, 2019   Volume 142, Issue 2 0245011-0245016 doi: 10.1115/1.4044031
Lee H, Campbell WD, Theis KM, Canning ME, Ennis HY, Jackson RL, Hanson RR.Fresh and frozen cartilage samples of the fetlock, carpus, and stifle were collected from 12 deceased horses. Half were measured immediately following extraction, and half were frozen for seven days and then measured. Seven indentations (various normalized displacements) were implemented with an indention rate of 0.1 mm/s. Solid phase aggregate modulus (Es), hyperelastic material constant (α), and fluid load fraction (F') of equine articular cartilage were assessed using the Ogden hyperelastic model. The properties were statistically compared in various joints (fetlock, carpus, and stifle),...
Intra-Articular Injection of 2 Different Dosages of Autologous and Allogeneic Bone Marrow- and Umbilical Cord-Derived Mesenchymal Stem Cells Triggers a Variable Inflammatory Response of the Fetlock Joint on 12 Sound Experimental Horses.
Stem cells international    May 2, 2019   Volume 2019 9431894 doi: 10.1155/2019/9431894
Bertoni L, Branly T, Jacquet S, Desancé M, Desquilbet L, Rivory P, Hartmann DJ, Denoix JM, Audigié F, Galéra P, Demoor M.Osteoarthritis is a significant and costly cause of pain for both humans and horses. The horse has been identified as a suitable model for human osteoarthritis. Regenerative therapy with allogeneic mesenchymal stem cells (MSCs) is a promising treatment, but the safety of this procedure continues to be debated. The aim of this study is to evaluate the safety of intra-articular injections of allogeneic MSCs on healthy joints by comparing two different dosages and two different tissue sources, namely, bone marrow and umbilical cord blood, with a placebo treatment on the same individuals. We also ...
18 F-sodium fluoride positron emission tomography of the racing Thoroughbred fetlock: Validation and comparison with other imaging modalities in nine horses.
Equine veterinary journal    September 28, 2018   Volume 51, Issue 3 375-383 doi: 10.1111/evj.13019
Spriet M, Espinosa-Mur P, Cissell DD, Phillips KL, Arino-Estrada G, Beylin D, Stepanov P, Katzman SA, Galuppo LD, Garcia-Nolen T, Murphy B, Stover SM.Early and accurate detection of stress remodelling in racehorses is of utmost importance to prevent catastrophic injuries. Current imaging techniques have limitations in assessing early changes predisposing to catastrophic breakdowns. Positron emission tomography (PET) using F-sodium fluoride ( F-NaF) is a sensitive method for the detection of early bone turnover and may improve early recognition of subtle injuries. Objective: To validate the clinical use of F-NaF PET in Thoroughbred racehorses, to assess the value of PET in the detection of bone lesions and to compare PET results with findi...
Differences between horse selection based on two forms of osteochondrosis in fetlock.
Journal of applied genetics    March 9, 2018   Volume 59, Issue 2 225-230 doi: 10.1007/s13353-018-0437-6
Lewczuk D, Bereznowski A, Hecold M, Frąszczak M, Ruść A, Korwin-Kossakowska A, Szyda J, Kamiński S.Horses lose potential opportunities because of health problems. Available breeding strategies are not effective enough, probably also because of the different definition used and its genetic usefulness. The aim of the study was to compare the genetic background estimated by the genome-wide association study (GWAS) for osteochondrosis using two different scaling osteochondrosis (OC)/healthy and osteochondrosis dissecans (OCD)/healthy systems for evaluating the disease status of investigated fetlock joints. Two hundred one Warmblood horses trained for performance tests (87 stallions and 114 mare...
Suspicion of Postanesthetic Femoral Paralysis of the Non-Dependent Limb in a Horse.
Frontiers in veterinary science    February 7, 2018   Volume 5 12 doi: 10.3389/fvets.2018.00012
Mirra A, Klopfenstein Bregger MD, Levionnois OL.A 15-year-old Selle Francais gelding was presented to the equine referral hospital for treatment of a left guttural pouch mycosis previously diagnosed. After induction, the horse was shortly hoisted by all four feet, moved on a padded surgical table, and positioned in right lateral recumbency. In order to reduce the risk of bleeding during surgical manipulation of the carotid and maxillary arteries, a mean arterial pressure between 60 and 70 mmHg was targeted. After surgery, the horse was moved in a padded recovery box keeping the same lateral recumbency. Four unsuccessful attempts were perf...
Combination of optical coherence tomography and near infrared spectroscopy enhances determination of articular cartilage composition and structure.
Scientific reports    September 6, 2017   Volume 7, Issue 1 10586 doi: 10.1038/s41598-017-10973-z
Sarin JK, Rieppo L, Brommer H, Afara IO, Saarakkala S, Töyräs J.Conventional arthroscopic evaluation of articular cartilage is subjective and poorly reproducible. Therefore, implementation of quantitative diagnostic techniques, such as near infrared spectroscopy (NIRS) and optical coherence tomography (OCT), is essential. Locations (n = 44) with various cartilage conditions were selected from mature equine fetlock joints (n = 5). These locations and their surroundings were measured with NIRS and OCT (n = 530). As a reference, cartilage proteoglycan (PG) and collagen contents, and collagen network organization were determined using quantitative ...
Cartilage canals in the distal intermediate ridge of the tibia of fetuses and foals are surrounded by different types of collagen.
Journal of anatomy    June 15, 2017   Volume 231, Issue 4 615-625 doi: 10.1111/joa.12650
Hellings IR, Dolvik NI, Ekman S, Olstad K.Some epiphyseal growth cartilage canals are surrounded by a ring of hypereosinophilic matrix consisting of collagen type I. Absence of the collagen type I ring may predispose canal vessels to failure and osteochondrosis, which can lead to fragments in joints (osteochondrosis dissecans). It is not known whether the ring develops in response to programming or biomechanical force. The distribution that may reveal the function of the ring has only been described in the distal femur of a limited number of foals. It is also not known which cells are responsible for producing the collagen ring. The a...
Reduction of Thoroughbred racing fatalities at New York Racing Association racetracks using a multi-disciplinary mortality review process. Palmer SE, McDonough SP, Mohammed HO.Between January 1, 2013 and December 31, 2015, findings of a New York State Gaming Commission-Cornell University postmortem examination program were utilized in a multi-disciplinary mortality review process to review 129 racing fatalities at Thoroughbred racetracks operated by the New York Racing Association (NYRA). Musculoskeletal fractures comprised 79% of the fatalities; cardiopulmonary conditions accounted for 12% of the fatalities. Other causes of death included gastrointestinal (3%), respiratory (5%), and central nervous system (2%) conditions. Fetlock failure represented 50% of the musc...
Corrigendum to “Multimodality scoring of chondral injuries in the equine fetlock joint ex vivo” [Osteoarthritis Cartilage 25 (5) (2017 May) 790-798].
Osteoarthritis and cartilage    May 27, 2017   Volume 25, Issue 8 1377-1378 doi: 10.1016/j.joca.2017.05.010
Sarin JK, Brommer H, Argüelles D, Puhakka PH, Inkinen SI, Afara IO, Saarakkala S, Töyräs J.No abstract available
The effect of ambient temperature on infrared thermographic images of joints in the distal forelimbs of healthy racehorses.
Journal of thermal biology    April 2, 2017   Volume 66 63-67 doi: 10.1016/j.jtherbio.2017.03.018
Soroko M, Howell K, Dudek K.The aim of the study was to describe the dependence on ambient temperature of distal joint temperature at the forelimbs of racehorses. The study also investigated the influence of differing ambient temperatures on the temperature difference between joints: this was measured ipsilaterally (i.e. between the carpal and fetlock joints along each forelimb) and contralaterally (i.e. between the same joints of the left and right forelimbs). Sixty-four healthy racehorses were monitored over 10 months. At each session, three thermographic images were taken of the dorsal, lateral and medial aspects of t...
Evaluation of the pharmacokinetics of imipenem following regional limb perfusion using the saphenous and the cephalic veins in standing horses.
Research in veterinary science    February 24, 2017   Volume 114 64-68 doi: 10.1016/j.rvsc.2017.02.020
Kelmer G, Tatz AJ, Kdoshim E, Britzi M, Segev G.This prospective experimental study goal was to determine the pharmacokinetics of imipenem after intravenous regional limb perfusion (IV-RLP) in standing horses. Nine horses participated in the study; that was approved by the University Animal Care and Use Committee. One thoracic limb or one pelvic limb of each horse was randomly selected. After the veins were catheterized, an Esmarch bandage tourniquet was applied and the catheter was injected with a solution containing 500mg of imipenem. Synovial fluid samples were collected from the fetlock joint and blood samples were collected from the ju...
Comparison of limb kinematics between collected and lengthened (medium/extended) trot in two groups of dressage horses on two different surfaces.
Equine veterinary journal    February 13, 2017   Volume 49, Issue 5 673-680 doi: 10.1111/evj.12661
Walker VA, Tranquille CA, Newton JR, Dyson SJ, Brandham J, Northrop AJ, Murray RC.Dressage horses are often asked to work in lengthened paces during training and competition, but to date there is limited information about the biomechanics of dressage-specific paces. Preliminary work has shown increased fetlock extension in extended compared with collected paces, but further investigation of the kinematic differences between collected, medium and extended trot in dressage horses is warranted. Objective: Investigation of the effect of collected vs. medium/extended trot on limb kinematics of dressage horses. Methods: Prospective kinematic evaluation. Methods: Twenty clinically...
Heritability and prevalence of selected osteochondrosis lesions in yearling Thoroughbred horses.
Equine veterinary journal    September 4, 2016   Volume 49, Issue 3 282-287 doi: 10.1111/evj.12613
Russell J, Matika O, Russell T, Reardon RJ.Osteochondrosis is considered multifactorial in origin, with factors such as nutrition, conformation, body size, trauma and genetics thought to contribute to its pathogenesis. Few studies have investigated the effects of genetic variability of osteochondrosis in Thoroughbreds. Objective: To describe the prevalence and genetic variability of a subset of osteochondrosis lesions in a group of Thoroughbred yearlings. Methods: Retrospective cohort study. Methods: Radiographs of 1962 Thoroughbred yearlings were retrieved from clinical records obtained between 2005 and 2013. Pedigree information was ...
Allogenic mesenchymal stem cells as a treatment for equine degenerative joint disease: a pilot study.
Current stem cell research & therapy    September 2, 2014   Volume 9, Issue 6 497-503 doi: 10.2174/1574888x09666140826110601
Broeckx S, Suls M, Beerts C, Vandenberghe A, Seys B, Wuertz-Kozak K, Duchateau L, Spaas JH.Cell-based therapies, such as treatments with mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP) are thought to have beneficial effects on the clinical outcome of orthopedic injuries, but very few animal studies with large sample size are published so far. Therefore, the aim of this study was to assess the safety and report the clinical outcome of allogenic, immature or chondrogenic induced MSCs in combination with PRP for the treatment of degenerative joint disease (DJD) in 165 horses. MSCs and PRP were isolated from a 6-year-old donor horse and transplanted either in their native s...