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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.
Comminuted fracture of the distal sesamoid bone and distal rupture of the deep digital flexor tendon. Hoegaerts M, Pille F, De Clercq T, Fulton IC, Saunders JH.A 10-year-old show jumper was evaluated for an acute severe lameness (grade 4 of 5) of the right foreleg. During weight bearing, the toe of the affected limb rotated dorsally suggesting rupture of the deep digital flexor tendon (DDFT). Upon radiographic examination of the hoof, a severe erosion at the flexor surface and a parasagittal fracture of the distal sesamoid bone were found. Ultrasonographic examination confirmed rupture of the DDFT. These findings were confirmed on post-mortem examination. Prior to the acute lameness, the horse was treated with corticosteroid injections into the podot...
Rupture of the peroneus tertius tendon in 27 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    July 29, 2005   Volume 46, Issue 6 503-506 
Koenig J, Cruz A, Genovese R, Fretz P, Trostle S.The purpose of the study was to identify factors influencing the outcome and prognosis of rupture of the tendon of the peroneus tertius muscle in 27 horses. Information on history, physical examination findings, diagnosis, treatment, and final outcome was summarized from medical records. Long-term follow-up information on horses was obtained by telephone survey. A stepwise logistic regression model was used to analyze factors influencing the outcome. Rupture occurred in the midbody of the tendon in 11 horses, at the insertion site in 11 horses, and at the origin in 2 horses. Overall, 18/23 (78...
[Kick injuries of veterinarians during examination and treatment of horses: a retrospective study in Switzerland].
Schweizer Archiv fur Tierheilkunde    July 27, 2005   Volume 147, Issue 7 289-295 doi: 10.1024/0036-7281.147.7.289
Jäggin S, Fürst A, Hässig M, Auer J.The risk of injury to veterinarians treating horses is high, particularly when performing painful procedures. The present retrospective study investigated this risk, including the frequency and severity of kick injuries, by submitting questionnaires to 700 veterinary practitioners in Switzerland. Evaluation of 216 completed questionnaires revealed that the frequency of kick injuries was affected by the professional experience of the veterinarian, veterinarians being an owner of a horse, the season, the type of procedure, the percentage of equine patients in the practice population, the treatme...
The effects of polyester (terylene) fibre implants on normal equine superficial digital flexor tendon.
New Zealand veterinary journal    July 21, 2005   Volume 50, Issue 5 186-194 doi: 10.1080/00480169.2002.36309
Gibson KT, Burbidge HM, Robertson ID.To determine the effect of polyester (terylene) fibre implants on normal equine superficial digital flexor (SDF) tendon structure. Methods: Normal forelimb SDF tendons (n=24) of 12 horses were divided into unoperated, sham-operated, and implanted (terylene fibre implant) groups. Horses were assessed for lameness and ultrasonographic changes to SDF tendons at intervals up to 48 weeks post-operatively. After euthanasia, SDF tendons were collected for histological and ultrastructural examination. Histological sections were examined for alcian blue staining intensity, cellularity, fibril bundle al...
Pathophysiology and diagnosis of third carpal bone disease in horses: a review.
New Zealand veterinary journal    July 21, 2005   Volume 50, Issue 1 2-8 doi: 10.1080/00480169.2002.36241
Secombe CJ, Firth EC, Perkins NR, Anderson BH.Third carpal bone (C3) disease is a significant cause of lameness in Standardbred and Thoroughbred horses. The bone density of C3 increases as a result of exercise, reducing the compliance of the bone and predisposing it to injury. Currently, the most widely used method of diagnosis is subjective radiography using the tangential view. Radiographically, increases in bone mineral density (BMD) appear as sclerosis but it is not known at what point increases in sclerosis indicate the onset of disease or increased risk of C3 fracture. A quantitative assessment of the BMD of C3 in horses would impro...
Risk factors for musculoskeletal injuries of the lower limbs in Thoroughbred racehorses in New Zealand.
New Zealand veterinary journal    July 14, 2005   Volume 53, Issue 3 171-183 doi: 10.1080/00480169.2005.36502
Perkins NR, Reid SW, Morris RS.To investigate risk factors for injury to musculoskeletal structures of the lower fore- and hind-limbs of Thoroughbred horses training and racing in New Zealand. Methods: A case-control study analysed by logistic regression was used to compare explanatory variables for musculoskeletal injuries (MSI) in racehorses. The first dataset, termed the Training dataset, involved 459 first-occurrence cases of lower-limb MSI in horses in training, and the second, the Starting dataset, comprised a subset of those horses that had started in at least one trial or race in the training preparation that ended ...
Risk factors for injury to the superficial digital flexor tendon and suspensory apparatus in Thoroughbred racehorses in New Zealand.
New Zealand veterinary journal    July 14, 2005   Volume 53, Issue 3 184-192 doi: 10.1080/00480169.2005.36503
Perkins NR, Reid SW, Morris RS.To investigate risk factors for injury to the superficial digital flexor tendon (SDFT) and suspensory apparatus (SA) of the forelimbs in Thoroughbred racehorses in New Zealand. Methods: Poisson and negative binomial regression, with exposure time represented by cumulative training days for each horse, were used to relate explanatory variables to the incidence rate (IR) of cases of inflammation of the SDFT (n=51), and injuries involving the SA (n=48) in a population of 1,571 commercially- trained racehorses over 554,745 study days. Only the first occurrence of an injury for any one horse was el...
[Conservative treatment of open incomplete radial fracture in an adult horse].
Tijdschrift voor diergeneeskunde    July 5, 2005   Volume 130, Issue 12 375-377 
van Veen L, de Greef RJ.A non-displaced radialfracture of a horse was,diagnosed. The horse had an open fracture resulting from external trauma. A diagnosis was made on radiographs taken 48h after trauma. The horse was treated conservatively by box rest and Robert-Jones bandages. After 7 days the wound was opened to let the wound drainage necrotic material and small sequesters and was washed every other day. After 7 weeks, radiographs showed complete consolidation. Four months after the injury the horse was back to work at his former level and is still working two years after the incident.
Musculoskeletal modeling and dynamic simulation of the thoroughbred equine forelimb during stance phase of the gallop.
Journal of biomechanical engineering    June 24, 2005   Volume 127, Issue 2 318-328 doi: 10.1115/1.1865196
Swanstrom MD, Zarucco L, Hubbard M, Stover SM, Hawkins DA.Because thoroughbred racehorses have a high incidence of forelimb musculoskeletal injuries, a model was desired to screen potential risk factors for injuries. This paper describes the development of a musculoskeletal model of the thoroughbred forelimb and a dynamic simulation of the motion of the distal segments during the stance phase of high-speed (18 m/s) gallop. The musculoskeletal model is comprised of segment, joint, muscle-tendon, and ligament information. The dynamic simulation incorporates a proximal forward-driving force, a distal ground reaction force model, muscle activations, and ...
Risk factors for cross-country horse falls at one-day events and at two-/three-day events.
Veterinary journal (London, England : 1997)    June 13, 2005   Volume 170, Issue 3 318-324 doi: 10.1016/j.tvjl.2005.05.003
Murray JK, Singer ER, Morgan KL, Proudman CJ, French NP.The cross-country phase of eventing competitions has been associated with injuries and fatalities to horses and riders. A case-control study was carried out to identify variables that were associated with increased or decreased risk of a horse fall on the cross-country phase at event competitions. After initial analysis, the dataset was split according to the categories of one-day events as compared to two- or three-day events to establish whether significant risk factors varied between the different types of eventing competitions. Data were collected for 121 cases (horse falls) at one-day eve...
Lameness and poor performance in horses used for team roping: 118 cases (2000-2003).
Journal of the American Veterinary Medical Association    May 24, 2005   Volume 226, Issue 10 1694-1699 doi: 10.2460/javma.2005.226.1694
Dabareiner RM, Cohen ND, Carter GK, Nunn S, Moyer W.To determine the types of musculoskeletal problems that result in lameness or poor performance in horses used for team roping and determine whether these problems are different in horses used for heading versus heeling. Methods: Retrospective study. Methods: 118 horses. Methods: Medical records of team roping horses that were evaluated because of lameness or poor performance were reviewed to obtain information regarding signalment, primary use (ie, head horse or heel horse), history, results of physical and lameness examinations, diagnostic tests performed, final diagnosis, and treatment. Resu...
Risk factors for fatal lateral condylar fracture of the third metacarpus/metatarsus in UK racing.
Equine veterinary journal    May 17, 2005   Volume 37, Issue 3 192-199 doi: 10.2746/0425164054530641
Parkin TD, Clegg PD, French NP, Proudman CJ, Riggs CM, Singer ER, Webbon PM, Morgan KL.Lateral condylar fractures of the third metacarpus/metatarsus are the most common cause of equine fatality on UK racecourses. Identification of risk factors for such injuries and the subsequent implementation of intervention strategies could significantly reduce the total number of racecourse fatalities. Objective: To identify horse-, race- and course-level risk factors for fatal lateral condylar fracture in Thoroughbreds on UK racecourses. Methods: Case-control study designs were used. Case horses were defined as those that were subjected to euthanasia having sustained an irreparable lateral ...
Fracture repair in a draught horse.
Australian veterinary journal    May 13, 2005   Volume 82, Issue 10 623 doi: 10.1111/j.1751-0813.2004.tb12608.x
Stephens WH.No abstract available
Household youth on minority operated farms in the United States, 2000: exposures to and injuries from work, horses, ATVs and tractors.
Journal of safety research    May 11, 2005   Volume 36, Issue 2 149-157 doi: 10.1016/j.jsr.2005.01.002
Hendricks KJ, Myers JR, Layne LA, Goldcamp EM.It is likely that youth living on minority operated farms (<3% of U.S. farms) face hazards similar to the general farm population; however, since minority youth are not well represented by general farm surveys, this information hasn't been confirmed. Methods: Nonfatal injury and exposure data were obtained from the 2000 Minority Farm Operator Childhood Agricultural Injury Survey (M-CAIS). Results: On racial minority farms, there were an estimated 28,600 household youth. Of these, about 41% worked, 26% rode a horse, 23% drove an ATV, and 23% operated a tractor. On Hispanic farms, there ...
Horse-related injuries in children: a review.
WMJ : official publication of the State Medical Society of Wisconsin    April 29, 2005   Volume 104, Issue 2 50-54 
Jagodzinski T, DeMuri GP.Horseback riding is an increasingly popular activity among today's youth, providing them with the opportunity to learn responsibility and respect for animals. However, it can also be associated with severe injury, of which many physicians are unaware. In 2002, there were an estimated 13,400 emergency department visits nationwide for horse-related injuries among children younger than 15 years. When using a severity score to compare it with other childhood injuries, equestrian-related injury ranked second only to pedestrians being struck by a car, and had a higher score than all terrain vehicle,...
Surface-active phospholipid (surfactant) in equine tendon and tendon sheath fluid.
New Zealand veterinary journal    April 23, 2005   Volume 53, Issue 2 154-156 doi: 10.1080/00480169.2005.36494
Mills PC, Hills Y, Hills BA.To investigate the presence of surface-active phospholipid (SAPL, or surfactant) in equine tendon and tendon sheath fluid. Methods: The left front flexor tendon and sheath were removed from five Thoroughbred horses. Phospholipid was extracted from tendon sheath fluid using Folch reagent and quantified using spectroscopy. Transmission electron microscopy (TEM) was used to observe the tendon surfaces. Results: The presence of phospholipid (90.6 (SD 4.3) microg/ml) in tendon sheath fluid, plus the appearance of oligolamellar layers and lamellar bodies on the tendon surface were indicative of SAPL...
Evaluation of the passive function of the biceps brachii muscle-tendon unit in limitation of shoulder and elbow joint ranges of motion in horses.
American journal of veterinary research    April 13, 2005   Volume 66, Issue 3 391-400 doi: 10.2460/ajvr.2005.66.391
Nevens AL, Stover SM, Hawkins DA.To quantify the passive contribution of the biceps brachii muscle-tendon unit to the limits of elbow joint extension during shoulder joint flexion in horses. Methods: Normal right forelimb specimens from 6 Thoroughbred cadavers. Methods: Specimens included the scapula, humerus, radius-ulna, biceps brachii muscle-tendon unit, and stabilizers of the shoulder and elbow joints. Specimens were mounted to a rigid board by transfixation pins through the humerus and instrumented for mechanical manipulation of the limb and joint angle and load measurements. Flexion and extension limits of shoulder and ...
Surgical and nonsurgical management of sagittal slab fractures of the third carpal bone in racehorses: 32 cases (1991-2001).
Journal of the American Veterinary Medical Association    March 25, 2005   Volume 226, Issue 6 945-950 doi: 10.2460/javma.2005.226.945
Kraus BM, Ross MW, Boston RC.To compare results (ie, return to racing and earnings per race start) of surgical versus nonsurgical management of sagittal slab fractures of the third carpal bone in racehorses. Methods: Retrospective study. Methods: 32 racehorses (19 Thoroughbreds, 11 Standardbreds, and 2 Arabians). Methods: Medical records and radiographs were reviewed to obtain information regarding signalment and treatment. Follow-up information was obtained from race records. Robust regression analysis was performed to evaluate earnings per start in horses that raced at least once before and after injury. Results: 22 (69...
[Focused extracorporeal shock wave therapy in an isolated calcification in the equine ligamentum nuchae–case report].
DTW. Deutsche tierarztliche Wochenschrift    March 25, 2005   Volume 112, Issue 2 70-73 
Braun S, Lafrenz R.In recent years extracorporeal shock wave therapy (ESWT) is used in veterinary medicine especially in equine orthopedics. Different ESWT generators are commonly used in equine medicine with varying energy density and depth of penetration. The presented case report described the treatment of a ligamentum nuchae calcification with focused extracorporeal shock wave therapy with SONOCUR Plus generator combined with SONOLINE Prima ultrasound. Negligible adverse effects, the non-invasive character of the treatment, the time-saving therapy, and the positive results make the focused extracorporeal sho...
Lameness associated with foot pain: results of magnetic resonance imaging in 199 horses (January 2001–December 2003) and response to treatment.
Equine veterinary journal    March 23, 2005   Volume 37, Issue 2 113-121 doi: 10.2746/0425164054223804
Dyson SJ, Murray R, Schramme MC.The diagnosis of foot-related lameness often remains elusive and it can be difficult to offer rational treatment, or to predict outcome. Objective: To describe the spectrum of injuries of the foot identified using magnetic resonance imaging (MRI), to determine their relative prevalence among MRI diagnoses and to establish the long-term results of treatment. Methods: The MR images of horses examined from January 2001--December 2003 were reviewed. Horses were selected for MRI if the pain causing lameness was localised to the foot using perineural analgesia but any clinical, radiological or ultra...
Problems in quantifying bone response to exercise in horses: a review.
New Zealand veterinary journal    March 16, 2005   Volume 52, Issue 5 216-229 doi: 10.1080/00480169.2004.36432
Firth EC.Detecting changes in bone during growth, training, rest from competition (spelling), and disease in horses requires imaging techniques that have a high level of accuracy and precision. Currently, most imaging techniques used in horses do not possess such characteristics and are more suitable for detecting end-stage disease than subtle changes. Some are incapable of detecting changes in bone size. Non-planar techniques should be used for estimating or determining bone strength. This review outlines available imaging techniques and shows why cross-sectional procedures are required to accurately ...
Musculoskeletal responses of 2-year-old Thoroughbred horses to early training. 2. Measurement error and effect of training stage on the relationship between objective and subjective criteria of training workload.
New Zealand veterinary journal    March 16, 2005   Volume 52, Issue 5 272-279 doi: 10.1080/00480169.2004.36439
Rogers CW, Firth EC.To identify the magnitude and sources of error involved in simply quantifying the workload of a group of Thoroughbred racehorses in training. Methods: Data were obtained from seven 2-year-old fillies trained for 13 weeks on sand and grass tracks at various cantering velocities, and at the gallop in the last 4 weeks. Four fillies completed training and comprised a 'high exercise intensity' subgroup; three fillies did not complete all gallops due to lameness or injury and comprised a 'medium exercise intensity' subgroup. The trainer recorded the distance, time, track used, and subjective gait (S...
Cloning and expression of type III collagen in normal and injured tendons of horses.
American journal of veterinary research    March 11, 2005   Volume 66, Issue 2 266-270 doi: 10.2460/ajvr.2005.66.266
Dahlgren LA, Brower-Toland BD, Nixon AJ.To clone the 5' end of type III collagen and describe its pattern of mRNA and protein expression in normal and healing tendons in horses. Methods: 14 healthy adult horses. Methods: The tensile region of collagenase-injured superficial digital flexor tendons was harvested at intervals from 1 to 24 weeks after injury. Total RNA was reverse-transcribed into cDNA for cloning and sequencing of type III collagen. Equine-specific nucleic acid probes were developed and used for northern blot analysis and in situ hybridization. Type III collagen protein and cyanogen bromide-cleaved collagen peptides we...
Profiling the New Zealand Thoroughbred racing industry. 2. Conditions interfering with training and racing.
New Zealand veterinary journal    February 26, 2005   Volume 53, Issue 1 69-76 doi: 10.1080/00480169.2005.36471
Perkins NR, Reid SW, Morris RS.To describe and enumerate conditions that interrupted training and racing in a population of Thoroughbred racehorses in New Zealand. Methods: A longitudinal study design was used to collect data on horses training under the care of 20 licensed racehorse trainers from venues in the mid to lower regions of the North Island between October 1997 and July 2000. Incidence rates were reported for first and second occurrences for different categories of musculoskeletal injury (MSI), and first occurrences of upper and lower respiratory tract disease, using training days as time-at-risk. The proportion ...
Heel bulb lacerations in horses: 101 cases (1988-1994).
Journal of the American Veterinary Medical Association    February 11, 2005   Volume 226, Issue 3 418-423 doi: 10.2460/javma.2005.226.418
Janicek JC, Dabareiner RM, Honnas CM, Crabill MA.To determine clinical history, structures involved, treatment, and outcome of lacerations of the heel bulb and proximal phalangeal region (pastern) in horses. Methods: Retrospective study. Methods: 101 horses. Methods: Medical records of horses with lacerations of the heel bulb and pastern were reviewed, and follow-up information was obtained. Results: 75 horses were Quarter Horses. Most horses were not treated with antimicrobial drugs prior to referral. Mean +/- SD time from injury to referral was 24 +/- 45 hours (range, 1 to 168 hours). Lacerations were most frequently caused by contact with...
Injury of the collateral ligaments of the distal interphalangeal joint diagnosed by magnetic resonance. Zubrod CJ, Farnsworth KD, Tucker RL, Ragle CA.We describe the clinical, imaging, and necropsy findings of two horses with severe injury of the collateral ligaments of the distal interphalangeal (DIP) joint diagnosed using magnetic resonance (MR) imaging. In MR images it was possible to examine the collateral ligaments of the DIP joint from the origin at the middle phalanx to the insertion on the distal phalanx. Both horses in this report had abnormal high signal intensity within the collateral ligaments of the DIP joint, and one horse had abnormal high signal intensity within the bone of the distal phalanx on short tau inversion recovery ...
Principles of early wound management.
The Veterinary clinics of North America. Equine practice    February 5, 2005   Volume 21, Issue 1 45-vi doi: 10.1016/j.cveq.2004.11.005
Wilson DA.The equine practitioner can positively influence wound healing by dispensing appropriate treatment in the first few hours after injury. Positive actions in the early period include hemostasis, meticulous cleansing and debridement of the wound, the use of effective but nonirritating products to disinfect the wound, closure (if indicated)with minimal tension on the suture line, the judicious use of drains,and ensuring adequate tetanus protection. Furthermore, a thorough assessment of the wound and the patient in the initial period after trauma provides pertinent information on prognosis. Finally...
Factors that affect equine wound repair.
The Veterinary clinics of North America. Equine practice    February 5, 2005   Volume 21, Issue 1 33-44 doi: 10.1016/j.cveq.2004.11.002
Hendrickson D, Virgin J.The rate and outcome of wound healing are determined by many factors,some of which are already in effect when the horse is first presented to the veterinarian. A thorough understanding of wound healing principles,coupled with clear client communication, should enable the practitioner to minimize the number of additional factors that may exacerbate the initial situation.
Wounds of the distal limb complicated by involvement of deep structures.
The Veterinary clinics of North America. Equine practice    February 5, 2005   Volume 21, Issue 1 145-viii doi: 10.1016/j.cveq.2004.11.008
Jann H, Pasquini C.The authors describe the clinically relevant structures of the distal limb and the current diagnostic and treatment modalities. Specific problems include tendon laceration, septic tenosynovitis, and sep-tic arthritis of the distal joints. A detailed description of tendon repair, tendon sheath lavage, and postoperative convalescent methodology is provided. This article makes available to the reader information necessary to appropriately diagnose and treat wounds of the distal equine limb involving deep structures. Information on the overall prognosis is also provided.
Use of dressings and bandages in equine wound management.
The Veterinary clinics of North America. Equine practice    February 5, 2005   Volume 21, Issue 1 91-vii doi: 10.1016/j.cveq.2004.11.004
Gomez JH, Hanson RR.The use and aims of various wound dressings are discussed. Application and indications in the horse vary according to the type and location of the wound as well as the nature and availability of the dressing material. Coaptation and immobilization are essential to promote healing in certain locations. Techniques used for bandage application in horses are described, with special emphasis on problem areas.
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