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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.
A novel radiographic projection for the detection of sagittal plane slab fracture of the equine third carpal bone.
Equine veterinary journal    August 29, 2018   Volume 51, Issue 2 258-260 doi: 10.1111/evj.12999
Ramzan PHL.Some sagittal plane fractures of the equine third carpal bone are difficult to detect with conventional radiographic projections. Objective: To describe a novel radiographic projection for the detection of sagittal plane slab fractures of the equine third carpal bone. Methods: Retrospective study of radiological records. Methods: From a first opinion Thoroughbred racehorse caseload, cases were included for analysis if sagittal fracture of the third carpal bone was evident on a dorsoproximal lateral-palmarodistal medial oblique (DPrL-PDiMO) projection of the distal row of carpal bones and not v...
Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome. Schiavo S, Cillán-García E, Elce Y, Liuti T, Taylor SE.Solar foot penetration is one of the causes of deep digital flexor tendon injuries in horses, however, limited information is available on the prognosis for return to soundness in the absence of synovial sepsis. Objectives of this retrospective observational study were to describe low-field magnetic resonance imaging (MRI) findings and long-term outcome for a group of horses with this combination of clinical problems. Horses were included if low-field standing MRI of the foot was performed following puncture wounds, injury of the deep digital flexor tendon was diagnosed, and sepsis was confirm...
Dynamic flexion/extension and non-weight bearing ultrasonography is helpful for identifying manica flexoria tears in horses. Garcia da Fonseca RM, Evrard L, Rabba S, Salciccia A, Busoni V.Lesions of the manica flexoria are a tenoscopic finding in horses with digital flexor tendon sheath tenosynovitis. This retrospective case series study describes the ultrasonographic findings in seven horses admitted for digital flexor tendon sheath swelling associated with lameness and tenoscopic confirmation of a manica flexoria tear. Six horses had a partial manica flexoria tear, one a complete rupture. The ultrasonographic examination included a static examination on the weight and non-weight bearing limb and a dynamic limb assessment during flexion and extension. The main ultrasonographic...
Effect of selective versus nonselective cyclooxygenase inhibitors on gastric ulceration scores and intestinal inflammation in horses.
Veterinary surgery : VS    August 9, 2018   Volume 47, Issue 6 784-791 doi: 10.1111/vsu.12941
Richardson LM, Whitfield-Cargile CM, Cohen ND, Chamoun-Emanuelli AM, Dockery HJ.To determine whether a cyclooxygenase (COX)-2 selective nonsteroidal anti-inflammatory drug (NSAID) would reduce gastric ulceration and gastrointestinal (GI) inflammation compared with a non-COX selective NSAID. Methods: Randomized block design. Methods: Twenty-five healthy adult horses. Methods: Horses were randomly assigned to receive placebo (n = 5), phenylbutazone (n = 10), or firocoxib (n = 10) administered daily for 10 days. Gastroscopy was performed on days 0 and 10, and both squamous and glandular ulcers were scored according to established scoring criteria. Fecal samples w...
Novel roles for scleraxis in regulating adult tenocyte function.
BMC cell biology    August 7, 2018   Volume 19, Issue 1 14 doi: 10.1186/s12860-018-0166-z
Nichols AEC, Settlage RE, Werre SR, Dahlgren LA.Tendinopathies are common and difficult to resolve due to the formation of scar tissue that reduces the mechanical integrity of the tissue, leading to frequent reinjury. Tenocytes respond to both excessive loading and unloading by producing pro-inflammatory mediators, suggesting that these cells are actively involved in the development of tendon degeneration. The transcription factor scleraxis (Scx) is required for the development of force-transmitting tendon during development and for mechanically stimulated tenogenesis of stem cells, but its function in adult tenocytes is less well-defined. ...
Use of positive contrast radiography to identify synovial involvement in horses with traumatic limb wounds.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 1 20-23 doi: 10.1111/evj.12985
Bryant HA, Dixon JJ, Weller R, Bolt DM.The diagnostic value of positive contrast radiography in the work-up of suspected synovial infection in horses with limb wounds near synovial structures has yet to be systematically evaluated. Objective: To determine the specificity, sensitivity and positive and negative predictive values of positive contrast radiography for identification of synovial infection in a population of horses with limb wounds. Methods: Retrospective case study comparing the performance of positive contrast radiography to the gold standard of synovial fluid cytology in horses presenting with limb wounds in the vicini...
Risk Factors for Transport-Related Problem Behaviors in Horses: A New Zealand Survey.
Animals : an open access journal from MDPI    August 2, 2018   Volume 8, Issue 8 134 doi: 10.3390/ani8080134
Padalino B, Rogers CW, Guiver D, Bridges JP, Riley CB.Transport-related problem behaviors (TRPBs) are common in horses and can cause injury to both the horses and their handlers. This study aimed to identify possible risk factors for TRPBs to inform approaches to mitigate TRPBs incidence and enhance horse welfare. An online cross-sectional survey was conducted to explore the prevalence of TRPBs and their association with human-, training- and transport management-related factors in New Zealand. The survey generated 1124 valid responses that were analyzed using descriptive statistics, and logistic regression analyses. Having at least one horse wit...
Stem Cell Therapy for Tendon Regeneration: Current Status and Future Directions.
Advances in experimental medicine and biology    July 26, 2018   Volume 1084 61-93 doi: 10.1007/5584_2018_194
Conrad S, Weber K, Walliser U, Geburek F, Skutella T.In adults the healing tendon generates fibrovascular scar tissue and recovers never histologically, mechanically, and functionally which leads to chronic and to degenerative diseases. In this review, the processes and mechanisms of tendon development and fetal regeneration in comparison to adult defect repair and degeneration are discussed in relation to regenerative therapeutic options. We focused on the application of stem cells, growth factors, transcription factors, and gene therapy in tendon injury therapies in order to intervene the scarring process and to induce functional regeneration ...
High field magnetic resonance imaging contributes to diagnosis of equine distal tarsus and proximal metatarsus lesions: 103 horses. Barrett MF, Selberg KT, Johnson SA, Hersman J, Frisbie DD.Injury of the distal tarsus and proximal metatarsus commonly causes lameness. Magnetic resonance imaging (MRI) allows concurrent assessment of both the distal tarsal joints and suspensory ligament origin, and aids identification of lesions that may otherwise go undetected by other modalities. In this retrospective observational study, the medical records of a veterinary imaging center were searched for MRI exams of the distal tarsus and proximal metatarsus for the years 2012 through 2014. Studies for 125 limbs of 103 horses were identified and retrospectively evaluated by two board-certified v...
Practical considerations for clinical use of mesenchymal stem cells: From the laboratory to the horse.
Veterinary journal (London, England : 1997)    July 17, 2018   Volume 238 49-57 doi: 10.1016/j.tvjl.2018.07.004
Barrachina L, Romero A, Zaragoza P, Rodellar C, Vázquez FJ.Since the clinical use of mesenchymal stem cells (MSCs) for treating musculoskeletal injuries is gaining popularity, practitioners should be aware of the factors that may affect MSCs from tissue harvesting for MSC isolation to cell delivery into the injury site. This review provides equine practitioners with up-to-date, practical knowledge for the treatment of equine patients using MSCs. A brief overview of laboratory procedures affecting MSCs is provided, but the main focus is on shipping conditions, routes of administration, injection methods, and which commonly used products can be combined...
Diagnosis of Skeletal Injury in the Sport Horse.
The Veterinary clinics of North America. Equine practice    July 17, 2018   Volume 34, Issue 2 193-213 doi: 10.1016/j.cveq.2018.04.014
Wulster KB.This article discusses the basis of image formation of radiography, scintigraphy, PET, computed tomography (fan beam and cone beam), and magnetic resonance as it relates to imaging of musculoskeletal injury in the sport horse. The benefits and drawbacks of each modality are discussed with particular emphasis on sensitivity, specificity, and accuracy of identification of subchondral bone injury. Examples of straightforward as well as confounding lesions are provided, emphasizing the need for appropriate clinical workup and diagnostic analgesia, where appropriate.
Getting Back on the Horse: Sport-Specific Return to Play in Rodeo Athletes After Concussion Injury.
Journal of athletic training    July 11, 2018   Volume 53, Issue 7 657-661 doi: 10.4085/1062-6050-310-17
Wicklund A, Foster SD, Roy AA.  Despite a high incidence of injury in their sport, rodeo athletes have been underrepresented in the concussion literature. No standard postconcussion protocols are available across rodeo organizations for evaluating fitness to return to competition. Objective:   To review the literature on concussion in rodeo, examine published guidelines, and offer an active return-to-play (RTP) protocol specific to rodeo athletes. Background:   Unique barriers complicate the management and treatment of rodeo athletes with concussion, such as the solo nature of the sport, lack of consistent access to ...
Epidemiology of race-day distal limb fracture in flat racing Thoroughbreds in Great Britain (2000-2013).
Equine veterinary journal    June 28, 2018   Volume 51, Issue 1 83-89 doi: 10.1111/evj.12968
Rosanowski SM, Chang YM, Stirk AJ, Verheyen KLP.A key focus of the racing industry is to minimise the number of race-day distal limb fractures although no studies have identified risk factors for both fatal and non-fatal distal limb fractures. Objective: To determine risk factors for race-day distal limb fractures experienced by Thoroughbred racehorses participating in flat racing in Great Britain (GB). Methods: Retrospective cohort. Methods: Information was collected from all flat racing starts occurring on GB racecourses between 2000 and 2013, including horse, race, course, trainer and jockey data for each horse start and race-day injury ...
Short- and long term follow-up of 150 sports horses diagnosed with tendinopathy or desmopathy by ultrasonographic examination and treated with high-power laser therapy.
Research in veterinary science    June 20, 2018   Volume 119 232-238 doi: 10.1016/j.rvsc.2018.06.003
Pluim M, Martens A, Vanderperren K, Sarrazin S, Koene M, Luciani A, van Weeren PR, Delesalle C.No abstract available
International Survey Regarding the Use of Rehabilitation Modalities in Horses.
Frontiers in veterinary science    June 11, 2018   Volume 5 120 doi: 10.3389/fvets.2018.00120
Wilson JM, McKenzie E, Duesterdieck-Zellmer K.To define which biologic, electrophysical and other modalities are used in horses for injury or performance issues, a questionnaire regarding 38 modalities was distributed to eight veterinary groups. A total of 305 complete or partial responses were obtained from over 10 geographic regions; 75.4% from private equine practice or regional private equine referral hospitals, 14.1% from university teaching hospitals or satellite clinics, 8.2% from private mixed animal practice, and 2.3% from veterinary rehabilitation centers. The majority of respondents were located in the USA (60%), Europe (25.6%)...
Can quantitative computed tomography detect bone morphological changes associated with catastrophic proximal sesamoid bone fracture in Thoroughbred racehorses?
Equine veterinary journal    June 1, 2018   Volume 51, Issue 1 123-130 doi: 10.1111/evj.12965
Cresswell EN, McDonough SP, Palmer SE, Hernandez CJ, Reesink HL.Fracture of the proximal sesamoid bones continues to be the most common fatal musculoskeletal injury in US racehorses. Identifying factors that influence fracture risk could lead to screening techniques to reduce catastrophic injury rates and improve animal welfare. Objective: To identify morphological differences between proximal sesamoid bones of the contralateral limb of fracture and control horses and assess the feasibility of computed tomography (CT) to detect traits associated with proximal sesamoid bone fracture. We hypothesised that horses with proximal sesamoid bone fracture would hav...
Equine Manual Therapies in Sport Horse Practice.
The Veterinary clinics of North America. Equine practice    May 29, 2018   Volume 34, Issue 2 375-389 doi: 10.1016/j.cveq.2018.04.005
Haussler KK.Manual therapies involve the application of the hands to the body, with a diagnostic or therapeutic intent. Touch therapies, massage, joint mobilization, and manipulation are all critical components in the management of muscular, articular, and neurologic components of select injuries in performance horses. Musculoskeletal conditions that are chronic or recurring, not readily diagnosed, or are not responding to conventional veterinary care may be indicators that manual therapy evaluation and treatment is needed.
Diagnosis of Soft Tissue Injury in the Sport Horse.
The Veterinary clinics of North America. Equine practice    May 28, 2018   Volume 34, Issue 2 215-234 doi: 10.1016/j.cveq.2018.04.009
Bubeck KA, Aarsvold S.For successful diagnosis of soft tissue injuries in the sport horse, localizing the area of injury during clinical and lameness evaluation will be followed in most cases by an ultrasonographic examination. With MRI more available in equine veterinary clinics, this modality can allow for a complete evaluation of soft tissue and osseous structures and is especially useful for evaluation of structures within the hoof capsule. This article discusses special ultrasonographic techniques, an overview of MRI image generation, and the use of contrast computed tomography for diagnosis of soft tissue inj...
Universities should encourage helmet wearing.
The Veterinary record    May 26, 2018   Volume 182, Issue 21 607 doi: 10.1136/vr.k2259
Whitbread H.No abstract available
Regenerative Medicine and Rehabilitation for Tendinous and Ligamentous Injuries in Sport Horses.
The Veterinary clinics of North America. Equine practice    May 24, 2018   Volume 34, Issue 2 359-373 doi: 10.1016/j.cveq.2018.04.012
Ortved KF.Tendon and ligament injuries are a common source of lameness in the athletic horse. Although tendons and ligaments have the ability to spontaneously heal, lesions tend to fill with biomechanically inferior fibrous tissue such that the horse is prone to reinjury. Regenerative medicine is used to improve quality of repair tissue and prevent reinjury. Platelet-rich plasma, stem cells, and autologous conditioned serum are the most commonly used orthobiologics in the horse. A tailored rehabilitation program is key to returning horses to athleticism following injury. The specifics of regenerative me...
Stiffness and energy dissipation across the superficial and deeper third metacarpal subchondral bone in Thoroughbred racehorses under high-rate compression.
Journal of the mechanical behavior of biomedical materials    May 22, 2018   Volume 85 51-56 doi: 10.1016/j.jmbbm.2018.05.031
Malekipour F, Whitton CR, Lee PV.Subchondral bone injury due to high magnitude and repetition of compressive loading is common in humans and athletic animals such as Thoroughbred racehorses. Repeated loading of the joint surface may alter the subchondral bone microstructure and initiate microdamage in the bone adjacent to the articular cartilage. Understanding the relationship between microdamage, microstructure and mechanical properties of the subchondral bone adjacent to the articular cartilage is, therefore, essential in understanding the mechanism of subchondral bone injury. In this study, we used high-resolution µCT sca...
Mineralization can be an incidental ultrasonographic finding in equine tendons and ligaments. O'Brien EJO, Smith RKW.Tendon/ligament mineralization is recognized in horses but information regarding its clinical significance is limited. The aims of this observational study were to report the structures most commonly affected by ultrasonographically detectable mineralization and, for these, determine frequency of diagnosis and key clinical features. Cases presented at our hospital in April 1999-April 2013 and September 2014-November 2015 were included: a total of 27 horses (22 retrospective, five prospective). Mineralizations were most common in deep digital flexor tendons (10) and suspensory ligament branches...
Noncatastrophic and catastrophic fractures in racing Thoroughbreds at the Hong Kong Jockey Club.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 77-82 doi: 10.1111/evj.12953
Sun TC, Riggs CM, Cogger N, Wright J, Al-Alawneh JI.Reports of fractures in racehorses have predominantly focused on catastrophic injuries, and there are limited data identifying the location and incidence of fractures that did not result in a fatal outcome. Objective: To describe the nature and the incidence of noncatastrophic and catastrophic fractures in Thoroughbreds racing at the Hong Kong Jockey Club (HKJC) over seven racing seasons. Methods: Retrospective cohort study. Methods: Data of fractures sustained in horses while racing and of race characteristics were extracted from the HKJC Veterinary Management Information System (VMIS) and Ra...
Subchondral bone microdamage accumulation in distal metacarpus of Thoroughbred racehorses.
Equine veterinary journal    May 12, 2018   Volume 50, Issue 6 766-773 doi: 10.1111/evj.12948
Whitton RC, Ayodele BA, Hitchens PL, Mackie EJ.Microdamage accumulation leads to subchondral bone injury and/or fracture in racehorses. An understanding of this process is essential for developing strategies for injury prevention. Objective: To quantify subchondral bone microdamage in the third metacarpal bone of Thoroughbred racehorses at different stages of the training cycle. Methods: Cross-sectional. Methods: Bone blocks from the palmar aspect of the medial condyles of third metacarpal bones from 46 racing Thoroughbred horses undergoing post-mortem were examined with micro computed tomography (microCT) to detect calcified microcracks, ...
All equine vets should wear helmets.
The Veterinary record    May 8, 2018   Volume 182, Issue 18 521 doi: 10.1136/vr.k1982
Shaw L. argues that, due to the equine profession having the highest injury rate of all civilian professions, senior veterinary surgeons should take the lead in wearing helmets as routine.
Autopsy Features of Fatal Donkey Attack.
The American journal of forensic medicine and pathology    May 5, 2018   Volume 39, Issue 4 354-356 doi: 10.1097/PAF.0000000000000406
Fogel L, Varga G, Hubay M, Felszeghy E, Varga P, Byard RW.Lethal donkey attacks have very rarely been described. The case of a 65-year-old man who was found deceased on a country road with 2 domestic donkeys nearby is, therefore, reported. Examination of the body revealed contusions and lacerations of the face and scalp, a comminuted fracture of the left maxilla, comminuted fracturing of the right radius and ulna and of the left anterior superior iliac spine, a flail chest, and pulmonary contusions. In addition, there were bite marks on the left thigh, right buttock, right axilla/upper arm, and left cheek which corresponded to the dental arcades of t...
Clinical findings and prognosis of interference injuries to the palmar aspect of the forelimbs in Standardbred racehorses: A study on 74 cases.
Equine veterinary journal    April 18, 2018   Volume 50, Issue 6 759-765 doi: 10.1111/evj.12836
Dabbene I, Bullone M, Pagliara E, Gasparini M, Riccio B, Bertuglia A.Information on interference injuries in racehorses is lacking. Objective: To describe clinical findings and prognosis of palmar forelimb interference injuries in Standardbreds. Methods: Retrospective cohort study. Methods: Records of 74 racehorses sustaining palmar forelimb interference injuries were studied; 7 occurred during training and 67 during racing. The number of starts before injury, hind shoeing status, gait penalties and racing speeds in cases occurring during racing were compared with negative controls (67 age, sex and speed category matched horses) from the same races. The number ...
A longitudinal study of fractures in 1488 Thoroughbred racehorses receiving intrasynovial medication: 2006-2011.
Equine veterinary journal    April 6, 2018   Volume 50, Issue 6 774-780 doi: 10.1111/evj.12833
Smith LCR, Wylie CE, Palmer L, Ramzan PHL.There is a need for investigation of associations between intrasynovial medication and fracture risk in racehorses. Objective: To document the proportion and type of fracture occurring following intrasynovial medication. Methods: Retrospective longitudinal study. Methods: Review of clinical records from all Thoroughbred flat racehorses receiving intrasynovial medication under the care of a first-opinion veterinary practice between 2006 and 2011. Fractures pre- and post-medication were categorised by location, type, and severity; analysis of fractures sustained within 56-days of medication was ...
Axial sesamoiditis in the horse: A review.
Journal of the South African Veterinary Association    March 29, 2018   Volume 89 e1-e8 doi: 10.4102/jsava.v89i0.1544
Le Roux C, Carstens A.Axial sesamoiditis or osteitis of the proximal sesamoid bones (PSBs) in the horse is described as a rare condition. The cause remains unknown and speculative, with vascular, infectious, and traumatic aetiologies implicated. It is specifically associated with injury of the palmar or plantar ligament (PL), also known as the intersesamoidean ligament. Imaging findings are generally rewarding and radiological changes are typical, if not pathognomonic, for the condition. Lesions consist of bone lysis at the apical to mid-body axial margins of the PSBs, with variable degrees of joint effusion. Radio...
Lesions associated with the use of bits, nosebands, spurs and whips in Danish competition horses.
Equine veterinary journal    March 23, 2018   Volume 51, Issue 2 154-162 doi: 10.1111/evj.12827
Uldahl M, Clayton HM.Information is needed to guide sport administrators in formulating rules for equipment use in competitions. Objective: To seek associations between spurs, bits, nosebands and whips with injuries in horses during competitions in four equestrian sports. Methods: Cross sectional study. Methods: Post competition evaluations were performed in 3143 horse/rider combinations competing in Danish Equestrian Federation competitions in dressage, showjumping, eventing and endurance by trained evaluators who recorded the presence and type of spurs, bits, nosebands, and whips. Further evaluations recorded no...
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