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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.
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...
Investigating the efficacy of amnion-derived compared with bone marrow-derived mesenchymal stromal cells in equine tendon and ligament injuries.
Cytotherapy    April 17, 2013   Volume 15, Issue 8 1011-1020 doi: 10.1016/j.jcyt.2013.03.002
Lange-Consiglio A, Tassan S, Corradetti B, Meucci A, Perego R, Bizzaro D, Cremonesi F.This is the first study to compare the treatment of horse tendon and ligament injuries with the use of mesenchymal stromal cells (MSCs) obtained from two different sources: amniotic membrane (AMSCs) and bone marrow (BM-MSCs). The objective was to prove the ability of AMSCs to exert beneficial effects in vivo. Methods: Five million allogeneic frozen-thawed AMSCs or autologous fresh BM-MSCs were injected intralesionally in horses belonging to group A (51 horses) and group B (44 horses). The interval lesion/implantation was of 6-15 days for the AMSCs and 16-35 days for the BM-MSCs. Healing was as...
Distribution and persistence of technetium-99 hexamethyl propylene amine oxime-labelled bone marrow-derived mesenchymal stem cells in experimentally induced tendon lesions after intratendinous injection and regional perfusion of the equine distal limb.
Equine veterinary journal    April 9, 2013   Volume 45, Issue 6 726-731 doi: 10.1111/evj.12063
Sole A, Spriet M, Padgett KA, Vaughan B, Galuppo LD, Borjesson DL, Wisner ER, Vidal MA.Intralesional (i.l.) injection is currently the most commonly used technique for stem cell therapy in equine tendon injury. A comparison of different techniques of injection of mesenchymal stem cells for the treatment of tendon lesions is required. Objective: We hypothesised that vascular perfusion of the equine distal limb with mesenchymal stem cells (MSCs) would result in preferential distribution of MSCs to acute tendon injuries. Methods: In vivo experimental study. Methods: Lesions were surgically induced in forelimb superficial digital flexor tendons of 8 horses. Three or 10 days after le...
Traumatic foot injuries in horses: surgical management.
Compendium (Yardley, PA)    March 28, 2013   Volume 35, Issue 1 E5 
Burba DJ.Managing traumatic foot wounds in horses may require surgical intervention. These wounds include coronary-band and heel-bulb lacerations, septic pedal osteitis, septic navicular bursitis, sepsis of the collateral cartilages, and hoof-wall injuries. This article provides a practical overview of the surgical management of these types of wounds.
Prevalence of abnormal radiographic findings in 2-year-old Thoroughbreds at in-training sales and associations with racing performance.
Journal of the American Veterinary Medical Association    March 23, 2013   Volume 242, Issue 7 969-976 doi: 10.2460/javma.242.7.969
Meagher DM, Bromberek JL, Meagher DT, Gardner IA, Puchalski SM, Stover SM.To estimate the prevalence of radiographic abnormalities (lesions) in Thoroughbred racehorses at 2-year-old in-training sales and determine whether these lesions and 1-furlong presale workout times were associated with subsequent racing performance. Methods: Retrospective cohort study. Methods: 953 Thoroughbreds. Methods: Repository radiographs of carpal, metacarpophalangeal and metatarsophalangeal (fetlock), stifle, and tarsal (hock) joints were examined. Horses with lesions were classified by lesion type and location. Race performance variables were compared between horses with and without l...
Distribution of injected technetium(99m)-labeled mesenchymal stem cells in horses with naturally occurring tendinopathy.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    March 18, 2013   Volume 31, Issue 7 1096-1102 doi: 10.1002/jor.22338
Becerra P, Valdés Vázquez MA, Dudhia J, Fiske-Jackson AR, Neves F, Hartman NG, Smith RK.This study aimed to investigate immediate cell survival and distribution following different administration routes of mesenchymal stem cells (MSCs) into naturally occurring tendon injuries. Ten million MSCs, labeled with technetium-99m hexamethylpropyleneamine oxime, were implanted into 13 horses with naturally occurring tendon or ligament injuries intra-lesionally, intravenously and by regional perfusion, and traced for up to 48 h using planar gamma scintigraphy. Labeling efficiencies varied between 1.8% and 18.5% (mean 9.3%). Cells were retained in the damaged area after intra-lesional adm...
Computed tomographic arthrography of the intercarpal ligaments of the equine carpus. Gray SN, Puchalski SM, Galuppo LD.Injuries of the intercarpal ligaments are an important cause of lameness in performance horses. The purpose of this prospective cadaver study was to determine whether computed tomography (CT) arthrography would be a feasible method for visualizing and characterizing intercarpal ligaments in the horse. One cadaver limb from each of eight nonlame horses was collected immediately after euthanasia. For each limb, overlapping 2.0 mm CT images were acquired before and after injection of iodinated contrast medium into the antebrachiocarpal joint, middle carpal joint, and carpal sheath. Spin echo magn...
Further characterisation of an experimental model of tendinopathy in the horse.
Equine veterinary journal    February 28, 2013   Volume 45, Issue 5 642-648 doi: 10.1111/evj.12035
Cadby JA, David F, van de Lest C, Bosch G, van Weeren PR, Snedeker JG, van Schie HT.Injuries in energy-storing tendons are common in both horses and man. The high prevalence of reinjury and the relatively poor prognosis for returning to preinjury performance levels warrant further research, for which well characterised models would be very helpful. Objective: Given the clinical similarities in tendinopathy of energy-storing tendons, we hypothesised that a recently developed experimental model of equine tendon injury would display many of the characteristics of clinical tendinopathy and could therefore be of use for both species, thus providing comparative insight to the human...
Horse-, training- and race-level risk factors for palmar/plantar osteochondral disease in the racing Thoroughbred.
Equine veterinary journal    February 20, 2013   Volume 45, Issue 5 582-586 doi: 10.1111/evj.12038
Pinchbeck GL, Clegg PD, Boyde A, Barr ED, Riggs CM.Palmar/plantar osteochondral disease (POD) is a common, debilitating condition in Thoroughbred racehorses; however, training- and racing-related factors associated with this disease are unknown. Objective: To determine horse-, racing- and training-related risk factors for POD. The general hypotheses were that early training and racing, and increased intensity of racing and training, lead to increased severity of POD. Methods: The metacarpo/metatarsophalangeal joints of 164 Thoroughbred racehorses were examined at post mortem and graded for third metacarpal and metatarsal POD. The relationships...
Pathological and clinical features associated with palmar/plantar osteochondral disease of the metacarpo/metatarsophalangeal joint in Thoroughbred racehorses.
Equine veterinary journal    February 19, 2013   Volume 45, Issue 5 587-592 doi: 10.1111/evj.12036
Pinchbeck GL, Clegg PD, Boyde A, Riggs CM.Palmar/plantar osteochondral disease (POD) of the metacarpo/metatarsophalangeal (Mc/MtPh) joints is common in Thoroughbred racehorses, but there is little information on predilection sites, associated pathologies and clinical signs. Objective: To describe the distribution of POD at post mortem examination and to examine the association of POD with other pathologies and clinical histories. Methods: The Mc/MtPh joints of 102 Thoroughbred racehorses were examined post mortem. Gross pathology of associated osteochondral elements, suspensory ligament and flexor tendons was recorded. Clinical data w...
To limp, or not to limp, is that the question?
Veterinary journal (London, England : 1997)    February 13, 2013   Volume 195, Issue 3 269-270 doi: 10.1016/j.tvjl.2013.01.001
Pfau T, Roepstorff L.No abstract available
An unexpected finding after a fall from a horse.
BMJ (Clinical research ed.)    February 12, 2013   Volume 346 f724 doi: 10.1136/bmj.f724
Raby S, Greaves D, Padayatty J, Huntly B.No abstract available
Muscle and tendon heating rates with therapeutic ultrasound in horses.
Veterinary surgery : VS    February 1, 2013   Volume 42, Issue 3 243-249 doi: 10.1111/j.1532-950X.2013.01099.x
Montgomery L, Elliott SB, Adair HS.To (1) determine the temperature change in equine tendon and muscle during therapeutic ultrasound and (2) develop guidelines for treating horses for muscular or tendinous injury using therapeutic ultrasound. Methods: Experimental, in vivo study. Methods: Adult horses (n = 10). Methods: Thermistors were inserted in the superficial and deep digital flexor tendons (SDFT and DDFT) of the thoracic limbs of 10 adult horses. On the left, 3.3 MHz therapeutic continuous ultrasound was done for 10 minutes at an intensity of 1.0 W/cm(2) and for the right thoracic limb at 1.5 W/cm(2). Thermistors were pla...
Equestrian injury is costly, disabling, and frequently preventable: the imperative for improved safety awareness.
The American surgeon    January 16, 2013   Volume 79, Issue 1 76-83 
Guyton K, Houchen-Wise E, Peck E, Mayberry J.Horse-related injury can be severe and disabling. We investigated the causes, severity, and costs of equestrian injury with the goal of injury prevention. A retrospective review of horse-related injuries from 2001 to 2008 identified 231 patients with a mean age of 38 years and a mean Injury Severity Score of 11 (range, 1 to 45). Mean length of stay was 5.5 days. Fifty-nine patients (25%) required 84 surgeries. Helmet use was 20 per cent and of the 172 patients not wearing a helmet while mounted, 38 per cent received potentially preventable head injuries. There were three deaths of which two we...
[Causes, injuries, therapy and possibilities of prevention of equine-related accidents. Results of a 2-center-study].
Der Unfallchirurg    January 12, 2013   Volume 117, Issue 2 123-127 doi: 10.1007/s00113-012-2275-z
Hessler C, Eckert V, Meiners J, Jürgens C, Reicke B, Matthes G, Ekkernkamp A, Püschel K.Horse riding is associated with a high rate of injuries. The possibilities of prevention are limited because of deficient knowledge about the causes and mechanisms of equine-related accidents. In the present study 198 equine-related accidents were analyzed and based on these data risk groups were identified and guidelines to improve safety in horse riding were formulated. Methods: In this 2-center study the accidents of 169 riders over a period of 12 months were analyzed. Data on equine-related patterns of injury and the resulting treatment were collated from the clinical records. Additionally...
Expression of scleraxis and tenascin C in equine adipose and umbilical cord blood derived stem cells is dependent upon substrata and FGF supplementation.
Cytotechnology    January 9, 2013   Volume 66, Issue 1 27-35 doi: 10.1007/s10616-012-9533-3
Reed SA, Johnson SE.Recovery from tendon injury is based on long periods of rest, which results in sub-optimal repair, often replacing tendon with fibrocartilage scar tissue. Recently, the use of stem cells in equine tendon repair has been attempted with variable success. The objective of this work was to determine the expression of scleraxis (scx) and tenascin C (TnC), two markers of tenocytes, in adipose (AdMSC) and umbilical cord blood (UCB) stem cells during culture on various substrata and in response to fibroblast growth factor (FGF) treatment. Equine UCB and AdMSC were cultured on gelatin-coated plasticwar...
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