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Topic:Injury

Injury in horses encompasses a range of physical traumas that can affect various tissues and structures, including bones, muscles, tendons, and ligaments. These injuries can arise from numerous causes, such as accidents, overexertion, or improper handling. Common types of equine injuries include fractures, sprains, strains, and lacerations. The management and treatment of these injuries require an understanding of equine anatomy and biomechanics, as well as appropriate veterinary care. This page collects peer-reviewed research studies and scholarly articles that explore the causes, diagnosis, treatment, and prevention of injuries in horses, providing insights into their impact on equine health and performance.
Interleukin-1β in tendon injury enhances reparative gene and protein expression in mesenchymal stem cells.
Frontiers in veterinary science    August 11, 2022   Volume 9 963759 doi: 10.3389/fvets.2022.963759
Koch DW, Berglund AK, Messenger KM, Gilbertie JM, Ellis IM, Schnabel LV.Tendon injury in the horse carries a high morbidity and monetary burden. Despite appropriate therapy, reinjury is estimated to occur in 50-65% of cases. Although intralesional mesenchymal stem cell (MSC) therapy has improved tissue architecture and reinjury rates, the mechanisms by which they promote repair are still being investigated. Additionally, reevaluating our application of MSCs in tendon injury is necessary given recent evidence that suggests MSCs exposed to inflammation (deemed MSC licensing) have an enhanced reparative effect. However, applying MSC therapy in this context is limited...
Fédération Equestre Internationale eventing: Fence-level risk factors for falls during the cross-country phase (2008-2018).
Equine veterinary journal    August 9, 2022   Volume 55, Issue 3 463-473 doi: 10.1111/evj.13863
Bennet ED, Cameron-Whytock H, Parkin TDH.The equestrian discipline of eventing tests athletes' and horses' skill over three phases: dressage, jumping and cross-country. Falls during cross-country can be particularly serious and result in serious or fatal injury for both horse and athlete. Cross-country course and fence design are crucial contributory factors to safety. Objective: To provide descriptive statistics and identify fence-level risk factors for horses competing in Fédération Equestre Internationale (FEI) events worldwide. Methods: Retrospective cohort study. Methods: Data were collected for every horse start worldwide in ...
Calcification and osseous metaplasia of the meibomian glands of a horse.
Veterinary ophthalmology    July 21, 2022   Volume 26 Suppl 1 163-167 doi: 10.1111/vop.13011
Gunsalus K, Taylor R, Croix N.To report the clinical history, surgical management, and histologic findings of meibomian gland calcification and osseous metaplasia in a horse. Methods: A 21-year-old Selle Français gelding presented with a 9 months history of blepharitis, blepharospasm, and epiphora affecting the right eye. The horse was diagnosed with meibomianitis and impaction with associated granulomas, but not treated surgically for 6 years. Methods: Physical and ophthalmic examinations, and systemic bloodwork were performed. A diamond burr debridement was performed on a corneal ulceration, and meibomian gland nodul...
Equine heel bulb lacerations: 62 cases (2004-2018).
Journal of the American Veterinary Medical Association    July 20, 2022   Volume 260, Issue 12 1541-1546 doi: 10.2460/javma.22.03.0105
Sloan PB, Self KA, Kang Q, Lutter JD.To characterize clinical findings and outcomes for horses with heel bulb lacerations. Medical records of a teaching hospital were reviewed to identify horses treated for heel bulb lacerations between February 2004 and October 2018. Long-term outcome was assessed by telephone communication with owners. Results were analyzed to determine association with clinical outcome. 31 mares and 31 geldings of various ages, breeds, and uses were evaluated. Thirty-six horses had a wound of 0 to 2 days' duration, and 17 horses had a wound of > 2 days' duration. Horses with a wound duration of < 2 days had a ...
Simulated Kick Injury to the Mandible in Horses: Study of Fracture Configurations and Physical Parameters of the Impact.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 15, 2022   Volume 35, Issue 4 255-262 doi: 10.1055/s-0042-1748878
Gfrerer L, Michel S, Fürst AE, Piskoty G, Weisse B, Montavon S, Jackson MA. The goal of this study was to generate mandibular fractures in three regions of the diastema using a metal impactor to simulate a kick from a horse and to determine the mean deceleration in the initial phase of the impact event, the maximum contact force, the impact energy necessary to create a fracture and the duration of the impact. Methods:  Thirty heads of horses aged between 5 and 20 years and euthanatized for various reasons were used. The heads were attached to a steel bar at the occiput at an axial angle of 45 degrees so that the body of the mandible was positioned horizontally ...
Catastrophic Musculoskeletal Injuries in Thoroughbred Racehorses in Uruguay, 2011-2017.
Journal of equine veterinary science    July 9, 2022   Volume 117 104074 doi: 10.1016/j.jevs.2022.104074
Bimson NH, Morrice-West AV, Wong ASM, Hitchens PL, Rocca MR, Whitton RC.Catastrophic musculoskeletal injuries (CMI) pose a major welfare concern to horses and their riders, yet limited data are available describing their occurrence in South America. Using a retrospective cohort and case-control design, the objective of the study was to determine the incidence of CMI for Thoroughbreds in training and racing, and associated horse-level risk factors in Uruguay. Seventy-seven Thoroughbreds sustained a CMI, 37 of which were age- and sex-matched to 111 control horses in the same race. Training and racing data from 2011 to 2017 were collected. Incidence of race day CMI p...
Quantitative Gait Analysis Before and After a Cross-country Test in a Population of Elite Eventing Horses.
Journal of equine veterinary science    July 9, 2022   Volume 117 104077 doi: 10.1016/j.jevs.2022.104077
Scheidegger MD, Gerber V, Dolf G, Burger D, Flammer SA, Ramseyer A.Early recognition of lameness is crucial for injury prevention. Quantitative gait analysis systems can detect low-grade asymmetries better than the human eye and may be useful in early lameness recognition. The aims of this study were (1) to investigate the frequency of gait asymmetries based on head and pelvic movement in elite eventing horses using inertial mounted measurement units and (2) to assess the association between asymmetries and muscle enzymes and blood lactate (LA) levelspost-exercise. Movement asymmetry of the head, wither, and pelvis were quantified in 33 elite eventing horses ...
Traumatic Nervous System Injury.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 363-377 doi: 10.1016/j.cveq.2022.04.005
Nout-Lomas YS.Mechanisms of traumatic nervous system injury to a degree are similar, but differences exist in etiology, pathophysiology, and treatment of brain, spinal cord, and peripheral nerve injury. The most common clinical abnormalities seen in the horse are abnormal level of consciousness, abnormal behavior, seizures, cranial nerve deficits, vestibular disease, tetra- and paraparesis or paraplegia, cauda equina syndrome, specific gait deficits, and muscle atrophy. Treatments are directed toward reducing inflammation and swelling, halting secondary injury, and promoting mechanisms of neuroregeneration ...
Relationship between Thoroughbred workloads in racing and the fatigue life of equine subchondral bone.
Scientific reports    July 7, 2022   Volume 12, Issue 1 11528 doi: 10.1038/s41598-022-14274-y
Morrice-West AV, Hitchens PL, Walmsley EA, Tasker K, Lim SL, Smith AD, Whitton RC.Fatigue life (FL) is the number of cycles of load sustained by a material before failure, and is dependent on the load magnitude. For athletes, 'cycles' translates to number of strides, with load proportional to speed. To improve previous investigations estimating workload from distance, we used speed (m/s, x) per stride collected using 5 Hz GPS/800 Hz accelerometer sensors as a proxy for limb load to investigate factors associated with FL in a Thoroughbred race start model over 25,234 race starts, using a combination of mathematical and regression modelling. Fore-limb vertical force (NKg) w...
Ocular and facial porcupine quills in a miniature horse.
The Canadian veterinary journal = La revue veterinaire canadienne    July 6, 2022   Volume 63, Issue 7 747-750 
Ing S.A 22-year-old miniature horse gelding was brought to a veterinary clinic with multiple porcupine quills embedded in the face. One quill had perforated through the left caudoventral cornea but did not extend beyond the anterior chamber. The horse was referred to a specialist clinic for removal of the intraocular quill and subsequent primary surgical repair of the corneal wound. Following aggressive medical treatment, the horse retained vision. Piquants de porc-épic oculaires et faciaux chez un cheval miniature. Un cheval hongre miniature de 22 ans a été amené à une clinique vétérinaire a...
Serum Phosphorylated Neurofilament Heavy Subunit Levels and its Association with the Risk for Catastrophic Injury in Thoroughbred Racehorses.
Journal of equine veterinary science    June 28, 2022   Volume 116 104057 doi: 10.1016/j.jevs.2022.104057
Rojas-Núñez I, Gomez AM, Palmer S, Mohammed HO.Neurofilaments are structural proteins that are concentrated in the body and axons of neurons. Damage to the neurons or axons as a result of trauma or infectious diseases leads to the release of neurofilaments into blood and cerebrospinal fluid (CSF). This case-control study was carried out to compare serum levels of phosphorylated neurofilament heavy chain (pNF-H) between clinically healthy Thoroughbred (TB) horses and TB horses that suffered catastrophic musculoskeletal injuries (cMSI), and to investigate the correlation between putative risk factors and serum concentrations of pNF-H in inju...
Biomechanical and Microstructural Properties of Subchondral Bone From Three Metacarpophalangeal Joint Sites in Thoroughbred Racehorses.
Frontiers in veterinary science    June 28, 2022   Volume 9 923356 doi: 10.3389/fvets.2022.923356
Pearce DJ, Hitchens PL, Malekipour F, Ayodele B, Lee PVS, Whitton RC.Fatigue-induced subchondral bone (SCB) injury is common in racehorses. Understanding how subchondral microstructure and microdamage influence mechanical properties is important for developing injury prevention strategies. Mechanical properties of the disto-palmar third metacarpal condyle (MCIII) correlate poorly with microstructure, and it is unknown whether the properties of other sites within the metacarpophalangeal (fetlock) joint are similarly complex. We aimed to investigate the mechanical and structural properties of equine SCB from specimens with minimal evidence of macroscopic disease....
A review of equine tibial fractures.
Equine veterinary journal    June 15, 2022   Volume 55, Issue 2 171-181 doi: 10.1111/evj.13599
Bowers K, Weinhandl JT, Anderson DE.Equine tibial fractures are relatively infrequent in racing and non-racing sport horses, but limitations in successful treatment of tibial fractures in adult horses result in relatively high mortality compared with other musculoskeletal injuries. The aetiology of tibial fracture can be classified into two general categories: traumatic impact or fatigue failure. Tibial stress fractures, also known as fatigue fractures, are often rated as the second most common stress fracture in racing Thoroughbreds; young age, early stage in race training, and initiation of training after a period of rest are ...
Changes in Thoroughbred speed and stride characteristics over successive race starts and their association with musculoskeletal injury.
Equine veterinary journal    June 9, 2022   Volume 55, Issue 2 194-204 doi: 10.1111/evj.13581
Wong ASM, Morrice-West AV, Whitton RC, Hitchens PL.Certain stride characteristics have been shown to affect changes in biomechanical factors that are associated with injuries in human athletes. Determining the relationship between stride characteristics and musculoskeletal injury (MSI) may be key in limiting injury occurrence in the racehorse. Objective: This study aimed to determine whether changes in race day speed and stride characteristics over career race starts are associated with an increased risk of MSI in racehorses. Methods: Case-control study. Methods: Speed, stride length, and stride frequency data were obtained from the final 200â...
Traumatic avulsion of the tricuspid valve: an unusual cardiac complication of an equine accident.
BMJ case reports    May 20, 2022   Volume 15, Issue 5 e248580 doi: 10.1136/bcr-2021-248580
White A, Cullen P, Hinchion J.A stablehand in his 20s presented with increasing dyspnoea on exertion and chest pain months after being kicked directly in the chest by a horse. Further investigations revealed severe isolated, primary tricuspid regurgitation due to partial avulsion of the anterior leaflet. Open surgical repair was successfully performed from which he recovered uneventfully with resolution of his symptoms and minimal residual tricuspid regurgitation. Although uncommon, blunt force trauma to the chest is becoming increasingly recognised as a rare cause of tricuspid regurgitation. Symptoms may be insidious, and...
Predicting return to racing after repair of fractures of the metacarpal/metatarsal condyles in Thoroughbred racehorses.
Veterinary surgery : VS    May 8, 2022   Volume 51, Issue 5 753-762 doi: 10.1111/vsu.13820
Young N, Corletto F, Wright I.To identify prognostic factors for return to racing after lag screw repair of condylar fractures and develop a predictive model for return to racing. Methods: Retrospective cohort study. Methods: A total of 356 horses referred to a single referral hospital in the UK with a third metacarpal/metatarsal condylar fracture between January 1999 and December 2018. Methods: Age, sex, fracture site, fracture characteristics, surgery related variables and complications were retrieved from case records. Data were divided into two sets for model training and model validation. Univariable analyses were per...
Injury patterns of equine-related trauma: A fifteen-year review of hospital admissions to a level 1 trauma center.
The Physician and sportsmedicine    April 26, 2022   Volume 51, Issue 4 306-312 doi: 10.1080/00913847.2022.2070046
Cunningham L, Agel J.Little information exists about horse-related injury admissions to Level 1 trauma centers in the Western United States. This study describes injury patterns in this population, to reveal potential areas for injury prevention initiatives. A retrospective database review of 512 non-fatal equine-related injuries over a 15-year period was conducted, using a Level 1 hospital trauma registry. To determine patterns of injury, patients injured by riding or being near a horse were classified according to age, sex, helmet use, abbreviated injury score, anatomical region injured, and length of stay. Equi...
Race-Level Reporting of Incidents during Two Seasons (2015/16 to 2016/17) of Thoroughbred Flat Racing in New Zealand.
Animals : an open access journal from MDPI    April 15, 2022   Volume 12, Issue 8 doi: 10.3390/ani12081033
Gibson MJ, Bolwell CF, Gee EK, Legg KA, Rogers CW.The objective of this study was to describe the incident and non-incident reports of Thoroughbred flat racing in New Zealand. Retrospective stipendiary stewards' reports of race day events during the 2015/2016 and 2016/2017 racing season were examined. The primary injury and reporting outcomes were analysed to assess the horse- and race-level risk factors associated with the occurrence of incident and non-incident reports. The number of incident and non-incident events and binomial exact 95% confidence intervals were calculated per 1000 horse starts. Most reports were for non-incidents and exa...
Ultrasound evaluation of digital flexor tendons of jumping horses undergoing treadmill training.
Brazilian journal of veterinary medicine    April 12, 2022   Volume 44 e004421 doi: 10.29374/2527-2179.bjvm004421
Buzzetti AP, Nothaft IT, Paganela JC, Franzan BC, Braga GI, Barreira APB, de Lima LR, de Almeida FQ.This study aimed to perform ultrasonographic evaluation of the digital flexor tendons of jumping horses undergoing complementary training on a treadmill. Fifteen Brazilian Sport horses were divided into two groups: Group I with 7 animals in physical training complementary to the standard training at the Brazilian Army's Riding School; and Group II with 8 animals in standard training used in the Brazilian Army's Riding School. Complementary training was performed on a treadmill on an inclined plane. Ultrasonographic images were taken at the beginning and at the end of training. The left thoraci...
Dual-contrast micro-CT enables cartilage lesion detection and tissue condition evaluation ex vivo.
Equine veterinary journal    March 30, 2022   Volume 55, Issue 2 315-324 doi: 10.1111/evj.13573
Honkanen MKM, Mohammadi A, Te Moller NCR, Ebrahimi M, Xu W, Plomp S, Pouran B, Lehto VP, Brommer H, van Weeren PR, Korhonen RK, Töyräs J....Post-traumatic osteoarthritis is a frequent joint disease in the horse. Currently, equine medicine lacks effective methods to diagnose the severity of chondral defects after an injury. Objective: To investigate the capability of dual-contrast-enhanced computed tomography (dual-CECT) for detection of chondral lesions and evaluation of the severity of articular cartilage degeneration in the equine carpus ex vivo. Methods: Pre-clinical experimental study. Methods: In nine Shetland ponies, blunt and sharp grooves were randomly created (in vivo) in the cartilage of radiocarpal and middle carpal joi...
Development of an Ultrasound Technique to Evaluate the Popliteal Complex in the Horse.
Animals : an open access journal from MDPI    March 22, 2022   Volume 12, Issue 7 800 doi: 10.3390/ani12070800
Møller-Jensen M, Blomquist MH, Mortensen CL, Olsson IKC, Cuevas-Ramos G.The popliteal tendon and muscle are major stabilizers of the human and dog knee, more specifically the postero-lateral corner. Injury to this complex causes posterior knee pain, and it is generally associated with other injured structures such as the lateral collateral ligament, lateral meniscus, and/or the cranial cruciate ligament. The popliteal complex is poorly reported in the horse, and its specific function has not been determined. Nevertheless, it is likely that it is similar to that of other species, and that injury to it could have similar clinical repercussions. Lameness due to stifl...
Incidence of carpal fractures and risk factors for recurrent fractures after arthroscopic removal of carpal chip fracture fragments in Thoroughbred racehorses.
The Veterinary record    February 28, 2022   Volume 190, Issue 10 e1482 doi: 10.1002/vetr.1482
Mita H, Tamura N, Fukuda K, Kuroda T, Kuwano A, Sato F.We aimed to investigate the recent incidence of carpal fractures and the risk factors for recurrent ipsilateral fractures after arthroscopic removal of clinically active unilateral carpal chip fracture fragments in Thoroughbred racehorses. The findings for horses managed under the Japan Racing Association that developed carpal bone fractures between 2014 and 2018 were retrospectively reviewed. The proportion of cases that developed a recurrent carpal fracture in the originally affected joint was calculated, and the risk factors for recurrent fractures were analysed. In total, 2858 carpal fract...
Denervating the pelvic suspensory ligaments of horses causes morphological and histological changes in the ligaments.
American journal of veterinary research    February 24, 2022   Volume 83, Issue 5 399-404 doi: 10.2460/ajvr.21.09.0148
José Antonio G, Jim S, Ramés SJ, Rohrbach BW, Alejandro Rodríguez M, Laura Romero R, Robert D.To examine changes occurring in normal pelvic suspensory ligaments (SLs) of horses after denervating these ligaments and to investigate the effect chronic inflammation might have on these changes. Methods: 10 horses. Methods: The SL of 1 randomly selected pelvic limb of each of 5 horses was injected with collagenase to induce desmitis, and 42 days later, the proximal aspect of both pelvic SLs were denervated. The SLs were harvested 120 days after being denervated, and the morphological and histological characteristics of each collagenase-injected, denervated SL were compared with those of the ...
Cellular and Humoral Immunogenicity Investigation of Single and Repeated Allogeneic Tenogenic Primed Mesenchymal Stem Cell Treatments in Horses Suffering From Tendon Injuries.
Frontiers in veterinary science    February 24, 2022   Volume 8 789293 doi: 10.3389/fvets.2021.789293
Depuydt E, Broeckx SY, Chiers K, Patruno M, Da Dalt L, Duchateau L, Saunders J, Pille F, Martens A, Van Hecke L, Spaas JH.The use of mesenchymal stem cells (MSCs) for the treatment of equine tendon disease is widely investigated because of their regenerative and immunomodulatory potential. However, questions have been raised concerning the immunogenic properties of allogeneic MSCs. Therefore, two studies were conducted to assess the safety of equine allogeneic peripheral blood-derived tenogenic primed MSCs (tpMSCs). The objective was to evaluate if a single and repeated tpMSC administration induced a cellular and humoral immune response in horses suffering from tendon injuries. Horses enrolled in the first study ...
A Coupled Biomechanical-Smoothed Particle Hydrodynamics Model for Horse Racing Tracks.
Frontiers in bioengineering and biotechnology    February 21, 2022   Volume 10 766748 doi: 10.3389/fbioe.2022.766748
Harrison SM, Whitton RC, Stover SM, Symons JE, Cleary PW.Distal limb injuries are common in racing horses and track surface properties have been associated with injury risk. To better understand how track surfaces may contribute to equine limb injury, we developed the first 3D computational model of the equine hoof interacting with a racetrack and simulated interactions with model representations of 1) a dirt surface and 2) an all-weather synthetic track. First, a computational track model using the Smoothed Particle Hydrodynamics (SPH) method with a Drucker-Prager (D-P) elastoplastic material model was developed. It was validated against analytical...
A Descriptive Study of the Clinical Presentation, Management, and Outcome of Horses with Acute Soft Tissue Trauma of the Tarsus and the Association with Synovial Involvement.
Animals : an open access journal from MDPI    February 21, 2022   Volume 12, Issue 4 doi: 10.3390/ani12040524
Vajs T, Nekouei O, Biermann NM.The tarsus is one of the most common areas of traumatic injury with associated synovial involvement (SI) in horses. The aim of this retrospective study was to describe the clinical presentation, diagnostic procedures, management (emphasizing the type, duration, and route of antimicrobial administration), and outcome of cases with acute soft tissue trauma to the tarsal region. The presenting clinical features, the results of diagnostic modalities, and the initial response to therapy were assessed for their usefulness to predict SI. Medical records of 72 cases were included and SI was diagnosed ...
Injuries and Overuse Injuries in Show Jumping-A Retrospective Epidemiological Cross-Sectional Study of Show Jumpers in Germany.
International journal of environmental research and public health    February 17, 2022   Volume 19, Issue 4 doi: 10.3390/ijerph19042305
Meyer HL, Scheidgen P, Polan C, Beck P, Mester B, Kauther MD, Dudda M, Burggraf M.This retrospective cross-sectional epidemiological study deals with sport-specific injury patterns in show jumping. A total of 363 show jumpers of all levels (S) answered a retrospective questionnaire about injuries and overuse damages which occurred in the course of their careers. Demographic data and information on injuries in various body regions were collected. In addition to descriptive analysis, significance tests were performed. For better statistical comparability with other sports, exposure time was extrapolated with total career duration and weekly training hours, and injuries per 10...
Arthroscopic findings and long-term outcomes in 76 sport horses with meniscal injuries (2008-2018).
Veterinary surgery : VS    February 17, 2022   Volume 51, Issue 3 409-417 doi: 10.1111/vsu.13784
Davis JG, García-López JM.To report the findings and long-term outcome of 76 sport horses with meniscal injury. Methods: Retrospective case series. Methods: Seventy-six horses with 93 meniscal injuries in 85 stifles. Methods: Medical records of sport horses diagnosed with meniscal injury during arthroscopy were reviewed. Owner follow up was obtained via telephone interview ≥1.5 years postoperatively. Preoperative and intraoperative findings, and postoperative treatments, were analyzed for potential association with return to athletic performance. Results: The medial meniscus was involved in 82.8% of cases, with gra...
Computed tomographic assessment of fracture characteristics and subchondral bone injury in Thoroughbred racehorses with lateral condylar fractures and their relationship to outcome.
Veterinary surgery : VS    February 14, 2022   Volume 51, Issue 3 426-437 doi: 10.1111/vsu.13770
Cianci JM, Wulster KB, Richardson DW, Stefanovski D, Ortved KF.To investigate the effects of fracture characteristics and concurrent subchondral bone pathology identified with computed tomography (CT) on the racing performance of Thoroughbred racehorses with fractures of the MC3/MT3 lateral condyle. Methods: Retrospective cohort study. Methods: Thoroughbred racehorses (n = 50) with a fracture of the MC3/MT3 lateral condyle, which had preoperative CT and internal fixation performed. Methods: Medical records were reviewed for age, sex, limb, and surgical treatment. Computed tomography scans were evaluated to determine fracture characteristics including le...
Race-Level Reporting of Incidents during Two Seasons (2015/16 to 2016/17) of Harness Racing in New Zealand.
Animals : an open access journal from MDPI    February 11, 2022   Volume 12, Issue 4 433 doi: 10.3390/ani12040433
Gibson MJ, Roca Fraga FJ, Bolwell CF, Gee EK, Rogers CW.The objective of this study was to describe the incident and non-incident reporting of harness racing in New Zealand, the primary injury and reporting outcomes, and to examine horse- and race-level variables associated with the odds of these outcomes. Retrospective stipendiary stewards' reports of race day events during the 2015/16 to 2016/17 racing seasons were examined. The number of incident and non-incident events and binomial exact 95% confidence intervals (CI) were calculated per 1000 horse starts. Most reports were for non-incidents and an examination was requested for poor performance ...
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