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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.
Injury risks for on-road farm equipment and horse and buggy crashes in Pennsylvania: 2010-2013.
Traffic injury prevention    June 21, 2016   Volume 18, Issue 3 286-292 doi: 10.1080/15389588.2016.1198009
Gorucu S, Murphy DJ, Kassab C.The purpose of this study was to investigate characteristics associated with farm equipment and horse and buggy roadway crashes in relation to person, incident, and injury characteristics to identify appropriate points for injury incident prevention. Information on crashes occurring on public roads during the years 2010-2013 was obtained from the Pennsylvania Department of Transportation (PennDOT) and analyzed. There were 344 farm equipment and 246 horse and buggy crashes during the 4-year study period. These crashes involved 666 and 504 vehicles and 780 and 838 people, respectively. In incide...
Use of standing low-field magnetic resonance imaging to assess oblique distal sesamoidean ligament desmitis in three Thoroughbred racehorses.
The Journal of veterinary medical science    June 16, 2016   Volume 78, Issue 9 1475-1480 doi: 10.1292/jvms.15-0656
Mizobe F, Okada J, Shinzaki Y, Nomura M, Kato T, Yamada K, Spriet M.Desmitis of the oblique distal sesamoidean ligaments (ODSL) is caused by hyperextension of the metacarpophalangeal/metatarsophalangeal joint and has been described as a significant cause of lameness in racehorses. In this study, three Thoroughbred racehorses (age range: 3-6 years) were diagnosed with desmitis of the forelimb ODSL using standing low-field magnetic resonance imaging (sMRI). Radiography and ultrasonography were inconclusive with regard to a definitive diagnosis. For all horses, the sMRI characteristics included increased signal intensity within the medial ODSL on T1-weighted grad...
Chondroitin sulphate glycosaminoglycans contribute to widespread inferior biomechanics in tendon after focal injury.
Journal of biomechanics    June 6, 2016   Volume 49, Issue 13 2694-2701 doi: 10.1016/j.jbiomech.2016.06.006
Choi RK, Smith MM, Martin JH, Clarke JL, Dart AJ, Little CB, Clarke EC.Both mechanical and structural properties of tendon change after injury however the causal relationship between these properties is presently unclear. This study aimed to determine the extent of biomechanical change in post-injury tendon pathology and whether the sulphated glycosaminoglycans (glycosaminoglycans) present are a causal factor in these changes. Equine superficial digital flexor tendons (SDF tendons) were surgically-injured in vivo (n=6 injured, n=6 control). Six weeks later they were harvested and regionally dissected into twelve regions around the lesion (equal medial/lateral, pr...
Generation of Equine-Induced Pluripotent Stem Cells and Analysis of Their Therapeutic Potential for Muscle Injuries.
Cell transplantation    May 27, 2016   Volume 25, Issue 11 2003-2016 doi: 10.3727/096368916X691691
Lee EM, Kim AY, Lee EJ, Park JK, Park SI, Cho SG, Kim HK, Kim SY, Jeong KS.Horse health has become a major concern with the expansion of horse-related industries and sports; the importance of healthy muscles for horse performance and daily activities is undisputed. Here we generated equine-induced pluripotent stem cells (E-iPSCs) by reprogramming equine adipose-derived stem cells (E-ADSCs) into iPSCs using a polycistronic lentiviral vector encoding four transcription factors (i.e., Oct4, Sox2, Klf4, and c-Myc) and then examined their pluripotent characteristics. Subsequently, established E-iPSCs were transplanted into muscle-injured Rag/ mdx mice. The histopathology ...
Near Infrared Spectroscopic Mapping of Functional Properties of Equine Articular Cartilage.
Annals of biomedical engineering    May 27, 2016   Volume 44, Issue 11 3335-3345 doi: 10.1007/s10439-016-1659-6
Sarin JK, Amissah M, Brommer H, Argüelles D, Töyräs J, Afara IO.Mechanical properties of articular cartilage are vital for normal joint function, which can be severely compromised by injuries. Quantitative characterization of cartilage injuries, and evaluation of cartilage stiffness and thickness by means of conventional arthroscopy is poorly reproducible or impossible. In this study, we demonstrate the potential of near infrared (NIR) spectroscopy for predicting and mapping the functional properties of equine articular cartilage at and around lesion sites. Lesion and non-lesion areas of interests (AI, N = 44) of equine joints (N = 5) were divided into...
Analysis of Failure to Finish a Race in a Cohort of Thoroughbred Racehorses in New Zealand.
Animals : an open access journal from MDPI    May 25, 2016   Volume 6, Issue 6 doi: 10.3390/ani6060036
Tanner J, Rogers C, Bolwell C, Cogger N, Gee E, Mcllwraith W.The objective was to describe the incidence of failure to finish a race in flat-racing Thoroughbreds in New Zealand as these are summary indicators of falls, injuries and poor performance. Retrospective data on six complete flat racing seasons (n = 188,615 race starts) of all Thoroughbred flat race starts from 1 August 2005 to 31 July 2011 were obtained. The incidence of failure to finish events and binomial exact 95% confidence intervals were calculated per 1000 horse starts. The association between horse-, rider- and race-level variables with the outcomes failure to finish, pulled-up/fell an...
Autologous bone marrow aspirate for treatment of superficial digital flexor tendonitis in 105 racehorses.
The Veterinary record    May 20, 2016   Volume 179, Issue 3 69 doi: 10.1136/vr.103620
Russell JW, Russell TM, Vasey JR, Hall MS.To evaluate a treatment protocol whereby superficial digital flexor (SDF) tendonitis in Thoroughbred and Standardbred racehorses was treated with autologous bone marrow aspirate (ABMA) obtained from the sternebrae. This treatment was combined with desmotomy of the accessory ligament of the SDF tendon (DAL-SDFT) in selected cases. Medical records of 105 horses treated using the reported protocol were reviewed. Signalment, history and details of treatment were recorded. Racing records were reviewed and performance recorded. Of Thoroughbreds, 82 per cent had one or more starts within the follow-u...
Magnetic Resonance Imaging Scoring of an Experimental Model of Post-Traumatic Osteoarthritis in the Equine Carpus. Smith AD, Morton AJ, Winter MD, Colahan PT, Ghivizzani S, Brown MP, Hernandez JA, Nickerson DM.Magnetic resonance imaging (MRI) is the most sensitive imaging modality to detect the early changes of osteoarthritis. Currently, there is no quantifiable method to tract these pathological changes over time in the horse. The objective of this experimental study was to characterize the progression of MRI changes in an equine model of post-traumatic osteoarthritis using a semiquantitative scoring system for whole-organ evaluation of the middle carpal joint. On day 0, an osteochondral fragment was created in one middle carpal joint (OCI) and the contralateral joint (CON) was sham-operated in 10 ...
[Low-field magnetic resonance imaging of penetrating hoof injuries in 10 horses].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 13, 2016   Volume 44, Issue 4 231-241 doi: 10.15653/TPG-150441
Gerlach K, Mader D, Delling U, Theuß T, Müller K, Offhaus J, Berner D.The aim of the present study was to verify the diagnostic validity of low-field magnetic-resonance-imaging (MRI) findings in septic diseases of the foot region following penetrating sole injuries caused by nails. Methods: MRI examinations were performed in 10 horses with injuries in the foot region. The diagnostic findings were validated by conventional methods (clinical, surgical, radiological, sonographic, and computed tomographic findings and/or post-mortem histological examination). Results: Navicular bone involvement was revealed most accurately, with a high degree of predictability, and ...
Preventing and Investigating Horse-Related Human Injury and Fatality in Work and Non-Work Equestrian Environments: A Consideration of the Workplace Health and Safety Framework.
Animals : an open access journal from MDPI    May 6, 2016   Volume 6, Issue 5 33 doi: 10.3390/ani6050033
Chapman M, Thompson K.It has been suggested that one in five riders will be injured due to a fall from a horse, resulting in severe head or torso injuries. Attempts to reduce injury have primarily focussed on low level risk controls, such as helmets. In comparison, risk mitigation in high risk workplaces and sports is directed at more effective and preventative controls like training, consultation, safe work procedures, fit for purpose equipment and regular Workplace Health and Safety (WHS) monitoring. However, there has been no systematic consideration of the risk-reduction benefits of applying a WHS framework to ...
Can we use subchondral bone thickness on high-field magnetic resonance images to identify Thoroughbred racehorses at risk of catastrophic lateral condylar fracture?
Equine veterinary journal    May 6, 2016   Volume 49, Issue 2 167-171 doi: 10.1111/evj.12574
Tranquille CA, Murray RC, Parkin TD.Fractures of the lateral condyle of the third metacarpus (MC3) are a significant welfare concern in horseracing worldwide. Objective: The primary aim of this work was to identify magnetic resonance (MR) image-detectable prefracture markers that have the potential for use as a screening tool to identify horses at significant risk of catastrophic fracture. Methods: Case-control study of bone-level risk factors for fracture in racehorses. Methods: A total of 191 MC3s from horses, with and without lateral condylar fracture of MC3, were subjected to MR imaging. The depth of dense subchondral/trabec...
Double plate fixation for the management of proximal interphalangeal joint instability in 30 horses (1987-2015).
Equine veterinary journal    April 29, 2016   Volume 49, Issue 2 211-215 doi: 10.1111/evj.12578
McCormick JD, Watkins JP.Double plate fixation has been reported in a small number of horses with comminuted fractures of the middle phalanx. There are no published reports using this technique in the management of other injuries that destabilise the proximal interphalangeal joint (PIJ), including biaxial palmar/plantar eminence fractures and disruption of the palmar/plantar soft tissue support structures of the PIJ. Furthermore, there is a paucity of information on the long-term prognosis for horses undergoing double plate fixation to manage destabilising injuries of the PIJ. Objective: To document further the clinic...
Effects of ischemia and reperfusion on eosinophilic accumulation and distribution in mucosa of equine jejunum and colon.
American journal of veterinary research    April 26, 2016   Volume 77, Issue 5 534-539 doi: 10.2460/ajvr.77.5.534
Rötting AK, Freeman DE, Constable PD, Eurell JA, Wallig MA.OBJECTIVE To evaluate the eosinophilic response in intestinal mucosa of horses with intestinal ischemia and reperfusion or with strangulation of the jejunum or colon. SAMPLE Mucosal samples from horses with naturally occurring strangulation (n = 24 horses) or distention (n = 6) of the jejunum or colon (11), with experimentally induced ischemia and reperfusion of the jejunum (6) or colon (15), or that were euthanized for reasons other than gastrointestinal tract disease (13). PROCEDURES Mucosal samples were collected and grouped by type of intestinal injury. Slides were stained with Luna eosino...
Does subchondral bone of the equine proximal phalanx adapt to race training?
Journal of anatomy    April 14, 2016   Volume 229, Issue 1 104-113 doi: 10.1111/joa.12478
Noble P, Singer ER, Jeffery NS.Sagittal fractures of the first phalanx are a common, potentially catastrophic injury in racehorses. These fractures are often linked to an acute, one time, biomechanical event; however, recent evidence implies that chronic exposure to stress can lead to the accumulation of bony changes that affect the structural integrity of the bone and increase the likelihood of fracture. The aim of the study was to compare variations of two common metrics of bone adaptation - subchondral bone density and thickness across the proximal articular surface of the first phalanx in Thoroughbred horses that (1) ra...
Tendon-derived progenitor cells improve healing of collagenase-induced flexor tendinitis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    April 7, 2016   Volume 34, Issue 12 2162-2171 doi: 10.1002/jor.23251
Durgam SS, Stewart AA, Sivaguru M, Wagoner Johnson AJ, Stewart MC.Tendinitis is a common and a performance-limiting injury in athletes. This study describes the value of intralesional tendon-derived progenitor cell (TDPC) injections in equine flexor tendinitis. Collagenase-induced tendinitis was created in both front superficial digital flexor (SDF) tendons. Four weeks later, the forelimb tendon lesions were treated with 1 × 10 autogenous TDPCs or saline. Tendinitis was also induced by collagenase in one hind SDF tendon, to study the survival and distribution of DiI-labeled TDPCs 1, 2, 4, and 6 weeks after injection. The remaining normal tendon was used...
Hitting the ground running: Evaluating an integrated racehorse limb and race surface computational model.
Journal of biomechanics    April 4, 2016   Volume 49, Issue 9 1711-1717 doi: 10.1016/j.jbiomech.2016.03.057
Symons JE, Hawkins DA, Fyhrie DP, Upadhyaya SK, Stover SM.Race surface mechanics contribute to musculoskeletal injury in racehorses. These mechanics affect ground reaction forces applied to the hoof, and thus limb motions during stance that can contribute to musculoskeletal pathologies. Race surface design has been largely empirical within the industry, with little uniform consensus for injury prevention and performance. Furthermore, race surface installations are too expensive to install experimentally. The objective of this research was to develop and evaluate an integrated racehorse limb and race surface computational model. Combined forward/inver...
Electrophysical Therapies for the Equine Athlete.
The Veterinary clinics of North America. Equine practice    March 26, 2016   Volume 32, Issue 1 127-147 doi: 10.1016/j.cveq.2015.12.011
Schlachter C, Lewis C.A good rehabilitation program takes into account the possible causes for the injury. Once the underlying cause of the injury is determined, a veterinarian can construct an appropriate rehabilitation plan and use the available electrophysical therapies to their greatest effect. Treating the horse correctly for the type and location of injury, and the stage of rehabilitation of the tissue, helps ensure full rehabilitation success. This article discusses when and how to use the most common electrophysical therapies in horses including transcutaneous electrical nerve stimulation, neuromuscular ele...
Think ahead: safety first for equine vets.
The Veterinary record    March 20, 2016   Volume 178, Issue 12 295-296 doi: 10.1136/vr.i1355
Butterworth J.Working with horses is dangerous. Jill Butterworth believes that wearing a hard hat could make all the difference.
[Cervical spine injury in equestrian sports].
Der Unfallchirurg    March 16, 2016   Volume 120, Issue 6 494-500 doi: 10.1007/s00113-016-0154-8
Schröter C, Schulte-Sutum A, Busch M, Winkelmann M, Macke C, Zeckey C, Krettek C, Mommsen P.The cervical spine is considered fragile and vulnerable to injuries in equestrian sport. This retrospective study investigates the injury pattern and severity. Patients of the medical university in Hannover from the years 2006-2011, who had an equestrian accident, were identified. Patients who had been injured in the course of their work were excluded. Results counted with a p-value < 0.05 were considered significant. In 13.1% of patients, there were 71 cervical spine injuries (92.4% female; 7.6% male). The mean age was 27.1 ± 13.2 years. Of these, 86.4% associated the injury to the r...
Comparative study of equine mesenchymal stem cells from healthy and injured synovial tissues: an in vitro assessment.
Stem cell research & therapy    March 5, 2016   Volume 7 35 doi: 10.1186/s13287-016-0294-3
Fülber J, Maria DA, da Silva LC, Massoco CO, Agreste F, Baccarin RY.Bone marrow and adipose tissues are known sources of mesenchymal stem cells (MSCs) in horses; however, synovial tissues might be a promising alternative. The aim of this study was to evaluate phenotypic characteristics and differentiation potential of equine MSCs from synovial fluid (SF) and synovial membrane (SM) of healthy joints (SF-H and SM-H), joints with osteoarthritis (SF-OA and SM-OA) and joints with osteochondritis dissecans (SF-OCD and SM-OCD) to determine the most suitable synovial source for an allogeneic therapy cell bank. Methods: Expression of the markers CD90, CD105, CD44, and ...
Correction: Focal Experimental Injury Leads to Widespread Gene Expression and Histologic Changes in Equine Flexor Tendons.
PloS one    March 1, 2016   Volume 11, Issue 3 e0150823 doi: 10.1371/journal.pone.0150823
Jacobson E, Dart AJ, Mondori T, Horadogoda N, Jeffcott LB, Little CB, Smith MM.No abstract available
Principles and Application of Hydrotherapy for Equine Athletes.
The Veterinary clinics of North America. Equine practice    February 19, 2016   Volume 32, Issue 1 115-126 doi: 10.1016/j.cveq.2015.12.008
King MR.Hydrotherapy has become a key element within equine rehabilitation protocols and is used to address range of motion, proprioception, strength, neuromotor control, pain, and inflammation. Various forms of hydrotherapy can be tailored to the individual's injury and the expected return to athletic performance. This article describes the mechanisms of action of hydrotherapies and potential use in the clinical management of equine musculoskeletal injuries.
Controlled Exercise in Equine Rehabilitation.
The Veterinary clinics of North America. Equine practice    February 19, 2016   Volume 32, Issue 1 159-165 doi: 10.1016/j.cveq.2015.12.012
Davidson EJ.Controlled exercise is a fundamental and critical component of any rehabilitation program for the equine athlete. The ideal controlled exercise program is designed to complement the normal tissue reparative process after injury. As a general rule, the program starts with complete rest followed by stall rest and short periods of walking. Over time, the intensity of the controlled exercise is gradually and systemically increased until complete healing has occurred. A well-designed, injury-directed, controlled exercise program enhances the healing process.
Kinesio Taping Fundamentals for the Equine Athlete.
The Veterinary clinics of North America. Equine practice    February 19, 2016   Volume 32, Issue 1 103-113 doi: 10.1016/j.cveq.2015.12.007
Molle S.The Kinesio taping method was developed in Japan for use in humans in 1979. The use of complementary therapies is becoming common in equine athletes and the discovery of Kinesio taping potential brought it into the animal world. Kinesio taping can be used to treat a wide range of clinical conditions, from tendon injuries to neurologic disorders and from muscle contractures to postural insufficiencies. Its use in veterinary medicine is promising, but relies heavily on evidence-based clinical reports. Further scientific research is needed to fully understand the real effectiveness of application...
Cartilage defect repair in horses: Current strategies and recent developments in regenerative medicine of the equine joint with emphasis on the surgical approach.
Veterinary journal (London, England : 1997)    February 13, 2016   Volume 214 61-71 doi: 10.1016/j.tvjl.2016.02.005
Cokelaere S, Malda J, van Weeren R.Chondral and osteochondral lesions due to injury or other pathology are highly prevalent conditions in horses (and humans) and commonly result in the development of osteoarthritis and progression of joint deterioration. Regenerative medicine of articular cartilage is an emerging clinical treatment option for patients with articular cartilage injury or disease. Functional articular cartilage restoration, however, remains a major challenge, but the field is progressing rapidly and there is an increasing body of supportive clinical and scientific evidence. This review gives an overview of the est...
A study of the distribution of color Doppler flows in the superficial digital flexor tendon of young Thoroughbreds during their training periods.
Journal of equine science    February 3, 2016   Volume 26, Issue 4 99-104 doi: 10.1294/jes.26.99
Hatazoe T, Endo Y, Iwamoto Y, Korosue K, Kuroda T, Inoue S, Murata D, Hobo S, Misumi K.Aim of this study was to evaluate the relationships of exercise and tendon injury with Doppler flows appearing in the superficial digital flexor tendon (SDFT) of young Thoroughbreds during training periods. The forelimb SDFTs of 24 one- to two-year-old Thoroughbreds clinically free of any orthopaedic disorders were evaluated using grey-scale (GS) and color Doppler (CD) images during two training periods between December 2013 to April 2015. Twelve horses per year were examined in December, February, and April in training periods that began in September and ended in April. The SDFT was evaluated...
Ultrasound Imaging of the Musculoskeletal System.
The Veterinary clinics of North America. Small animal practice    February 2, 2016   Volume 46, Issue 3 355-v doi: 10.1016/j.cvsm.2015.12.001
Cook CR.Musculoskeletal ultrasound is a rapidly growing field within veterinary medicine. Ultrasound for musculoskeletal disorders has been commonly used in equine and human medicine and is becoming more commonly performed in small animal patients due to the increase in the recognition of soft tissue injuries. Ultrasound is widely available, cost-effective, but technically difficult to learn. Advantages of musculoskeletal ultrasound are the opposite limb is commonly used for comparison to evaluate symmetry of the tendinous structures and the ease of repeat examinations to assess healing. The article d...
Horseback Riding-Related Vertebral Compression Fracture from Walking in Women with Low Bone Mineral Density: Reports of Two Cases.
Current sports medicine reports    January 9, 2016   Volume 15, Issue 1 38-40 doi: 10.1249/JSR.0000000000000221
Oh J, Oh HM, Lee JI.No abstract available
In Vivo Imaging and Tracking of Technetium-99m Labeled Bone Marrow Mesenchymal Stem Cells in Equine Tendinopathy.
Journal of visualized experiments : JoVE    December 9, 2015   Issue 106 e52748 doi: 10.3791/52748
Dudhia J, Becerra P, Valdés MA, Neves F, Hartman NG, Smith RK.Recent advances in the application of bone marrow mesenchymal stem cells (BMMSC) for the treatment of tendon and ligament injuries in the horse suggest improved outcome measures in both experimental and clinical studies. Although the BMMSC are implanted into the tendon lesion in large numbers (usually 10 - 20 million cells), only a relatively small number survive (<10%) although these can persist for up to 5 months after implantation. This appears to be a common observation in other species where BMMSC have been implanted into other tissues and it is important to understand when this loss o...
Medical treatment of horses with deep digital flexor tendon injuries diagnosed with high-field-strength magnetic resonance imaging: 118 cases (2000-2010).
Journal of the American Veterinary Medical Association    November 26, 2015   Volume 247, Issue 11 1309-1318 doi: 10.2460/javma.247.11.1309
Lutter JD, Schneider RK, Sampson SN, Cary JA, Roberts GD, Vahl CI.To describe the location and severity of deep digital flexor tendon (DDFT) lesions diagnosed by means of high-field-strength MRI in horses and to identify variables associated with return to activity following medical treatment. Methods: Retrospective case series. Methods: 118 horses. Methods: Medical records of horses with DDFT injury diagnosed with MRI over a 10-year period (2000-2010) and treated medically (intrasynovial administration of corticosteroids and sodium hyaluronan, rest and rehabilitation, or both) were reviewed. History, signalment, use, results of lameness examination and diag...
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