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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.
Comparison of superficial digital flexor tendon loading on asphalt and sand in horses at the walk and trot.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e130-e136 doi: 10.1016/j.tvjl.2013.09.047
Crevier-Denoix N, Ravary-Plumioën B, Vergari C, Camus M, Holden-Douilly L, Falala S, Jerbi H, Desquilbet L, Chateau H, Denoix JM, Pourcelot P.The incidence of superficial digital flexor tendon (SDFT) injuries is one of the highest of all equine musculoskeletal conditions. Horses with SDFT injuries commonly show no improvement of lameness on soft ground, unlike those suffering from distal bone or joint lesions. The aim of this study was to compare the SDFT loading in five horses at the walk and trot on asphalt and sand using a non-invasive ultrasonic tendon force measurement device. Three horses were equipped with the ultrasonic device, whereas the other two horses were equipped with the ultrasonic device and a dynamometric horseshoe...
Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy.
PloS one    September 25, 2013   Volume 8, Issue 9 e75697 doi: 10.1371/journal.pone.0075697
Smith RK, Werling NJ, Dakin SG, Alam R, Goodship AE, Dudhia J.Tendon injuries are a common age-related degenerative condition where current treatment strategies fail to restore functionality and normal quality of life. This disease also occurs naturally in horses, with many similarities to human tendinopathy making it an ideal large animal model for human disease. Regenerative approaches are increasingly used to improve outcome involving mesenchymal stem cells (MSCs), supported by clinical data where injection of autologous bone marrow derived MSCs (BM-MSCs) suspended in marrow supernatant into injured tendons has halved the re-injury rate in racehorses....
Allogeneic adipose tissue-derived mesenchymal stem cells in combination with platelet rich plasma are safe and effective in the therapy of superficial digital flexor tendonitis in the horse.
International journal of immunopathology and pharmacology    September 21, 2013   Volume 26, Issue 1 Suppl 61-68 doi: 10.1177/03946320130260s108
Ricco S, Renzi S, Del Bue M, Conti V, Merli E, Ramoni R, Lucarelli E, Gnudi G, Ferrari M, Grolli S.Overstrain tendonitis are common pathologies in the sport horses. Therapeutic approaches to tendon healing do not always result in a satisfactory anatomical and functional repair, and healed tendon is often characterized by functional impairment and high risk of reinjury. Recently, mesenchymal stem cells (MSCs) and platelet rich plasma (PRP) have been proposed as novel therapeutic treatments to improve the tendon repair process. MSCs are multipotent, easy to culture and being originated from adult donors do not pose ethical issues. To date, autologous MSCs have been investigated mainly in the ...
Compressive fatigue life of subchondral bone of the metacarpal condyle in thoroughbred racehorses.
Bone    September 21, 2013   Volume 57, Issue 2 392-398 doi: 10.1016/j.bone.2013.09.006
Martig S, Lee PV, Anderson GA, Whitton RC.In racehorses, fatigue related subchondral bone injury leads to overt fracture or articular surface collapse and subsequent articular cartilage degeneration. We hypothesised that the fatigue behaviour of equine subchondral bone in compression follows a power law function similar to that observed in cortical and trabecular bone. We determined the fatigue life of equine metacarpal subchondral bone in-vitro and investigated the factors influencing initial bone stiffness. Subchondral bone specimens were loaded cyclically in compression [54MPa (n=6), 66MPa (n=6), 78MPa (n=5), and 90MPa (n=6)] until...
Elastographic characteristics of the metacarpal tendons in horses without clinical evidence of tendon injury. Lustgarten M, Redding WR, Labens R, Morgan M, Davis W, Seiler GS.Tendon and ligament injuries are common causes of impaired performance in equine athletes. Gray-scale ultrasonography is the current standard method for diagnosing and monitoring these injuries, however this modality only provides morphologic information. Elastography is an ultrasound technique that allows detection and measurement of tissue strain, and may provide valuable mechanical information about equine tendon and ligament injuries. The purpose of this study was to determine the feasibility, reproducibility, and repeatability of elastography; and to describe elastographic characteristics...
A prospective study on a cohort of horses and ponies selected for participation in the European Eventing Championship: reasons for withdrawal and predictive value of fitness tests.
BMC veterinary research    September 13, 2013   Volume 9 182 doi: 10.1186/1746-6148-9-182
Munsters CC, van den Broek J, Welling E, van Weeren R, van Oldruitenborgh-Oosterbaan MM.Eventing is generally recognized as a challenging equestrian discipline and wastage figures for this discipline are relatively high. There is a need for information that provides insight into the causes of wastage and withdrawal from competition, for animal welfare and economic reasons. The aim of the present investigation was to conduct a prospective study following the entire national selection of event horses (n = 20) and ponies (n = 9) in the Netherlands that prepared for the European Championship in 2010 (ponies) and 2011 (horses), noting causes of withdrawal and monitoring fitness using ...
Musculoskeletal injury rates in Thoroughbred racehorses following local corticosteroid injection.
Veterinary journal (London, England : 1997)    September 12, 2013   Volume 200, Issue 1 71-76 doi: 10.1016/j.tvjl.2013.09.003
Whitton RC, Jackson MA, Campbell AJ, Anderson GA, Parkin TD, Morton JM, Boden LA.A retrospective cohort study was performed to compare the rates of musculoskeletal injury (MSI) in horses receiving local corticosteroid injection (LCI) with those that were untreated and those prior to treatment. Of the 1911 study horses, 392 had been treated. A LCI was defined as any injection of corticosteroid into or adjacent to a synovial structure, muscle, or tendon/ligament. A MSI was defined as any limb injury identified by a veterinarian, following which the horse did not race for at least 6 months, or was retired. Hazard ratios (HR) comparing hazard of injury following injection to t...
Myocardial contusion and rib fracture repair in an adult horse.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 12, 2013   Volume 23, Issue 6 663-669 doi: 10.1111/vec.12096
Peters ST, Hopkins A, Stewart S, Slack J, de Solis CN.To describe the clinical findings and management of myocardial injury secondary to blunt thoracic trauma and rib fracture in an adult horse. Methods: A 6-year-old Warmblood gelding presented for treatment of blunt thoracic trauma. Sonographic examination of the thorax revealed a complete, mildly comminuted fracture of the left 5th rib with a fragment overlying the left atrium and coronary artery, hemothorax, and subjective left ventricular dyskinesis. Evidence of myocardial injury included atrial fibrillation, ventricular ectopy, and increased plasma cardiac troponin I concentration. The rib f...
Indicators of replicative damage in equine tendon fibroblast monolayers.
BMC veterinary research    September 11, 2013   Volume 9 180 doi: 10.1186/1746-6148-9-180
Rich T, Henderson LB, Becker DL, Cornell H, Patterson-Kane JC.Superficial digital flexor tendon (SDFT) injuries of horses usually follow cumulative matrix microdamage; it is not known why the reparative abilities of tendon fibroblasts are overwhelmed or subverted. Relevant in vitro studies of this process require fibroblasts not already responding to stresses caused by the cell culture protocols. We investigated indicators of replicative damage in SDFT fibroblast monolayers, effects of this on their reparative ability, and measures that can be taken to reduce it. Results: We found significant evidence of replicative stress, initially observing consistent...
Outcome of horses with synovial structure involvement following solar foot penetrations in four UK veterinary hospitals: 95 cases.
Equine veterinary journal    September 10, 2013   Volume 46, Issue 3 352-357 doi: 10.1111/evj.12124
Findley JA, Pinchbeck GL, Milner PI, Bladon BM, Boswell J, Mair TS, Suthers JM, Singer ER.The factors associated with outcome following solar foot penetration involving synovial structures treated using endoscopic lavage have not been described in the UK population. Objective: To provide descriptive data on horses with synovial contamination or sepsis following solar penetration in 4 UK equine referral hospitals and to identify specific factors associated with the outcome. Methods: Retrospective case series. Methods: Data were collected from 4 veterinary hospitals. Follow-up data were obtained via a telephone questionnaire. Two multivariable logistic regression models were generate...
Equine ulnar fracture repair with locking compression plates can be associated with inadvertent penetration of the lateral cortex of the radius.
Veterinary surgery : VS    September 9, 2013   Volume 42, Issue 7 790-794 doi: 10.1111/j.1532-950X.2013.12059.x
Kuemmerle JM, Kühn K, Bryner M, Fürst AE.To evaluate if the use of locking head screws (LHS) in the distal holes of a locking compression plate (LCP) applied to the caudal aspect of the ulna to treat equine ulnar fractures is associated with a risk of injury to the lateral cortex of the radius. Methods: Controlled laboratory study. Methods: Cadaveric equine forelimbs (n = 8 pair). Methods: After transverse ulnar osteotomy, osteosynthesis was performed with a narrow 10-13 hole 4.5/5.0 LCP applied to the caudal aspect of each ulna. The distal 3 holes were filled with 4.5 mm cortex screws (CS) in 1 limb (group 1) and with 5.0 mm LHS con...
A field study of kick injuries to the radius and tibia in 51 horses (2000-2010).
The Canadian veterinary journal = La revue veterinaire canadienne    September 3, 2013   Volume 54, Issue 3 271-275 
Schroeder OE, Aceto HW, Boyle AG.The objective of this study was to examine all kick injuries to the radius and tibia seen in an ambulatory setting over an 11-year period in order to determine factors affecting outcome. Medical records of 51 horses seen for a kick injury to the radius or tibia were reviewed. Signalment, physical examination findings, type of management, and outcome were evaluated. There was a significant association between the presence of bony crepitus and a lameness score of ≥ 4/5 and a poor outcome. There was no relationship between signalment and outcome, but significantly more Thoroughbred/Thoroughbred...
Distal hindlimb kinematics of galloping Thoroughbred racehorses on dirt and synthetic racetrack surfaces.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 227-232 doi: 10.1111/evj.12113
Symons JE, Garcia TC, Stover SM.The effect of racetrack surface (dirt or synthetic) on distal hindlimb kinematics of racehorses running at competition speeds is not known. Objective: To compare distal hindlimb and hoof kinematics during stance of breezing (unrestrained gallop) racehorses between dirt and synthetic surfaces. Methods: Two-dimensional kinematic video analysis of 5 Thoroughbred racehorses galloping at high speeds (12-17 m/s) on a dirt racetrack and a synthetic racetrack. Methods: The positions of kinematic markers applied to the left hindlimb were recorded at 500 Hz. Position, velocity and acceleration of jo...
Incidence, causes and outcomes of lameness cases in a working military horse population: a field study.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 194-197 doi: 10.1111/evj.12084
Putnam JR, Holmes LM, Green MJ, Freeman SL.Lameness is a common problem in the horse. Despite this, information on the incidence of lameness in horses in the UK is restricted to studies of lameness in performance horses, racehorses or referral hospital populations. Objective: To determine the overall incidence and common causes of lameness in a working horse population and incidence, duration and outcome of conditions observed. Methods: Prospective questionnaire study. Methods: Questionnaires were used to record lameness episodes in 294 horses in an equine military establishment. Information recorded included age, years of service, typ...
In vitro effects of lidocaine on contractility of circular and longitudinal equine intestinal smooth muscle.
Veterinary journal (London, England : 1997)    August 22, 2013   Volume 198, Issue 1 170-175 doi: 10.1016/j.tvjl.2013.07.027
Tappenbeck K, Hoppe S, Reichert C, Feige K, Huber K.The purpose of the study was to compare the contractility-enhancing effects of lidocaine in equine jejunal circular (CSM) and longitudinal smooth muscle (LSM) in vitro. In previous studies, more pronounced effects of lidocaine were observed in ischaemia-reperfusion (IR) injured smooth muscle. Therefore in this study, effects were examined in both non-injured control tissues and tissues challenged by a defined, artificial IR injury. Isometric contractile performance of CSM and LSM, assessed by frequency (F), amplitude (A) and mean active force (MAF) of contractions, was defined as contractility...
Effect of a Pessoa training aid on temporal, linear and angular variables of the working trot.
Veterinary journal (London, England : 1997)    July 30, 2013   Volume 198, Issue 2 404-411 doi: 10.1016/j.tvjl.2013.07.005
Walker VA, Dyson SJ, Murray RC.Development of core muscle strength is important for training and during rehabilitation following injury. A Pessoa training aid (PTA) is a system of ropes and pulleys which is commonly used during equine training and rehabilitation, but there is limited information on its effectiveness. The objective of the study was to determine the effect of the PTA on the temporal, linear and angular kinematics of the working trot. Influence of testing order on effect of a PTA was assessed in four horses. Twelve riding horses were lunged at working trot on a 16 m diameter circle without (WO) and with a PTA ...
Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: a randomized controlled trial.
Stem cell research & therapy    July 22, 2013   Volume 4, Issue 4 85 doi: 10.1186/scrt236
Carvalho Ade M, Badial PR, Álvarez LE, Yamada AL, Borges AS, Deffune E, Hussni CA, Garcia Alves AL.Tendon injury is a major cause of lameness and decreased performance in athletic equines. Various therapies for tendonitis have been described; however, none of these therapies results in complete tissue regeneration, and the injury recurrence rate is high even after long recovery periods involving rest and physiotherapy. Methods: A lesion was induced with collagenase gel in the superficial digital flexor tendon in the center portion of the metacarpal region of eight equines of mixed breed. After two weeks, the lesions of the animals in the treated and control groups were treated through the i...
Imaging horse tendons using multimodal 2-photon microscopy.
Methods (San Diego, Calif.)    July 19, 2013   Volume 66, Issue 2 256-267 doi: 10.1016/j.ymeth.2013.07.016
Sivaguru M, Eichorst JP, Durgam S, Fried GA, Stewart AA, Stewart MC.Injuries and damage to tendons plague both human and equine athletes. At the site of injuries, various cells congregate to repair and re-structure the collagen. Treatments for collagen injury range from simple procedures such as icing and pharmaceutical treatments to more complex surgeries and the implantation of stem cells. Regardless of the treatment, the level of mechanical stimulation incurred by the recovering tendon is crucial. However, for a given tendon injury, it is not known precisely how much of a load should be applied for an effective recovery. Both too much and too little loading...
Non-invasive assessment of equine muscular function: A case study.
Open veterinary journal    July 12, 2013   Volume 3, Issue 2 80-84 
Riis KH, Harrison AP, Riis-Olesen K.Assessment of muscle function after an injury or during recovery is of great importance in the veterinary field. Accelerometry, bioimpedance analysis and mechanomyography/acoustic myography have been used to assess human muscular problems, but have not been applied to the veterinary clinic. We report the clinical use of these techniques in a 12-year-old Danish Warmblood horse presenting with recurring and shifting lameness. Acoustic myography, assessing both the amplitude and frequency of active muscles, was employed to locate the specific area of muscle injury, the right hip, which exhibited ...
Radiographic configuration and healing of 121 fractures of the proximal phalanx in 120 Thoroughbred racehorses (2007-2011).
Equine veterinary journal    July 4, 2013   Volume 46, Issue 1 81-87 doi: 10.1111/evj.12094
Smith MR, Wright IM.Although fractures of the proximal phalanx are one of the most common long bone fractures of Thoroughbred horses in training, limited details on variations in morphology and radiological progression have been published. Objective: To describe in detail the configuration of parasagittal fractures of the proximal phalanx in a group of Thoroughbred racehorses, to report fracture distribution within this group of horses and to document radiological progression of fracture healing in cases treated by internal fixation. Methods: Restrospective case series. Methods: Case records and radiographs of Th...
Tenascin-C Expression in Equine Tendon-derived Cells During Proliferation and Migration.
Journal of equine science    June 28, 2013   Volume 24, Issue 2 17-24 doi: 10.1294/jes.24.17
Nemoto M, Kizaki K, Yamamoto Y, Oonuma T, Hashizume K.In vitro cell studies might be a useful tool for studying tendon pathology, but no suitable in vitro models exist for tendon disorders. The purpose of this study was to confirm whether cell scratch culture using tendon-derived fibroblasts can provide a suitable in vitro tendon disorder model. Extracellular matrix components were examined immunohistochemically in tendon tissue, and then their related gene expression levels were analyzed by conventional reverse transcription polymerase chain reaction (RT-PCR) and/or quantitative real-time RT-PCR in tissues and cells. Collagen type I (Col I), col...
Hospitalization due to horse-related injuries: has anything changed? A 25 year survey.
The Israel Medical Association journal : IMAJ    June 21, 2013   Volume 15, Issue 4 169-172 
Abu-Kishk I, Klin B, Gilady-Doron N, Jeroukhimov I, Eshel G.Horse riding and horse handling are dangerous. There is a lack of knowledge concerning the incidence of hospitalization due to horse-related injuries and types of injuries in Israel. During the last two decades we have observed an increasing incidence of hospitalizations due to horse-related injuries at our medical center as well as the frequent involvement of pediatric patients. Objective: To investigate these injuries with respect to type, incidence and modes of prevention. Methods: We conducted a retrospective study of medical records for all patients admitted to Assaf Harofeh Medical Cente...
Are mesenchymal progenitor cells set to revolutionise management of musculoskeletal injuries in the horse?
Veterinary journal (London, England : 1997)    June 15, 2013   Volume 197, Issue 3 533-534 doi: 10.1016/j.tvjl.2013.05.018
Dyson SJ.No abstract available
Science in brief: the likely role of the central nervous system in bilateral tendinopathy and tendon healing.
Equine veterinary journal    June 7, 2013   Volume 45, Issue 4 401-402 doi: 10.1111/evj.12064
O'Brien EJ, Smith RK.No abstract available
Preliminary genetic analyses of important musculoskeletal conditions of Thoroughbred racehorses in Hong Kong.
Veterinary journal (London, England : 1997)    June 5, 2013   Volume 198, Issue 3 611-615 doi: 10.1016/j.tvjl.2013.05.002
Welsh CE, Lewis TW, Blott SC, Mellor DJ, Lam KH, Stewart BD, Parkin TD.A retrospective cohort study of important musculoskeletal conditions of Thoroughbred racehorses was conducted using health records generated over a 15 year period (n=5062, 1296 sires). The prevalence of each condition in the study population was: fracture, 13%; osteoarthritis, 10%; suspensory ligament injury, 10%; and tendon injury, 19%. Linear and logistic sire and animal regression models were built to describe the binary occurrence of these musculoskeletal conditions, and to evaluate the significance of possible environmental risk factors. The heritability of each condition was estimated us...
Deep digital flexor tendon injury within the hoof capsule; does lesion type or location predict prognosis?
The Veterinary record    June 4, 2013   Volume 173, Issue 3 70 doi: 10.1136/vr.101512
Cillán-García E, Milner PI, Talbot A, Tucker R, Hendey F, Boswell J, Reardon RJ, Taylor SE.The type and location of deep digital flexor tendon (DDFT) lesions may be important in predicting outcome. The objectives of this study were to determine the frequency of different types of DDFT lesions within the hoof capsule and to determine whether lesion type predicts return to athletic activity. Lesions of the DDFT were divided into: core lesions, dorsal border lesions and parasagittal splits. Lesion location was documented, and follow-up information was obtained by telephone survey at least 18 months after diagnosis. Of 168 horses with primary DDFT injury, 54 horses had dorsal border les...
Shock absorbing ability of articular cartilage and subchondral bone under impact compression.
Journal of the mechanical behavior of biomedical materials    May 22, 2013   Volume 26 127-135 doi: 10.1016/j.jmbbm.2013.05.005
Malekipour F, Whitton C, Oetomo D, Lee PV.Despite the important role of subchondral bone in maintaining the integrity of the overlying articular cartilage, little research has focused on measuring its mechanical behavior, particularly under injurious load conditions such as impact compression. In this study, the stiffness and the absorbed energy of subchondral bone were compared to that of its overlying cartilage by applying impact compression to equine cartilage-bone specimens. Deformations of the cartilage and subchondral bone were examined independently within the cartilage-bone unit by analyzing real-time images of cartilage-bone ...
Helical sub-structures in energy-storing tendons provide a possible mechanism for efficient energy storage and return.
Acta biomaterialia    May 10, 2013   Volume 9, Issue 8 7948-7956 doi: 10.1016/j.actbio.2013.05.004
Thorpe CT, Klemt C, Riley GP, Birch HL, Clegg PD, Screen HR.The predominant function of tendons is to position the limb during locomotion. Specific tendons also act as energy stores. Energy-storing (ES) tendons are prone to injury, the incidence of which increases with age. This is likely related to their function; ES tendons are exposed to higher strains and require a greater ability to recoil than positional tendons. The specialized properties of ES tendons are thought to be achieved through structural and compositional differences. However, little is known about structure-function relationships in tendons. This study uses fascicles from the equine s...
Effect of displaced versus non-displaced pelvic fractures on long-term racing performance in 31 Thoroughbred racehorses.
Australian veterinary journal    April 26, 2013   Volume 91, Issue 6 246-250 doi: 10.1111/avj.12053
Hennessy SE, Muurlink MA, Anderson GA, Puksmann TN, Whitton RC.To evaluate the long-term racing prognosis for Thoroughbred racehorses with displaced versus non-displaced fractures of the pelvis identified by scintigraphy. Methods: Retrospective case analysis. Methods: Medical records of 31 Thoroughbred racehorses presenting to the University of Melbourne Equine Centre with fractures of the pelvis that were identified by scintigraphy were reviewed. Pelvic fracture site was determined and defined as displaced or non-displaced based on ultrasound and/or radiographic findings. Race records were analysed for each horse, with a minimum of 24 months' follow-up, ...
Injuries associated with recreational horse riding and changes over the last 20 years: a review.
JRSM short reports    April 22, 2013   Volume 4, Issue 5 2042533313476688 doi: 10.1177/2042533313476688
Sandiford N, Buckle C, Alao U, Davidson J, Ritchie J.To assess the incidence and distribution of recreational equestrian injuries seen in the Kent and Sussex region and review the available literature on this subject. Methods: This is a retrospective case series with historical controls. Methods: Kent and Sussex region, England. Methods: Injuries related to horses in the recreational setting. Methods: Subjects were selected from our acute injury database. Notes of all patients presenting with horse riding-related injuries between January and December 2010 were reviewed. Skeletal injuries were confirmed using our Picture Archiving and Communicati...
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