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Topic:Joint Health

Joint health in horses involves the study of anatomical structures such as cartilage, synovial fluid, ligaments, and bones that contribute to the function and mobility of equine joints. Research in this area focuses on understanding the physiology of equine joints, the mechanisms of joint disorders, and the effects of wear and tear over time. Common joint issues in horses include osteoarthritis, synovitis, and joint effusion, which can impact performance and quality of life. Diagnostic techniques often involve imaging, synovial fluid analysis, and clinical evaluation to assess joint condition. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, pathology, diagnostics, and therapeutic approaches related to joint health in horses.
Comparison of three drilling techniques for carpometacarpal joint arthrodesis in horses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 990-997 doi: 10.1111/j.1532-950X.2009.00594.x
Lang HM, Panizzi L, Allen AL, Woodbury MR, Barber SM.To evaluate 3 drilling techniques for arthrodesis of the equine carpometacarpal (CMC) joint. Methods: Experimental study. Methods: Cadaveric equine forelimbs (n=15). Methods: Limbs were divided into 3 groups (5 limbs each) to evaluate 3 drilling techniques: (1) use of a 4.5 mm drill bit inserted into the joint through 4 entry points and moved in a fanning motion; (2) a 5.5 mm drill bit inserted through 2 entry points to create 3 nonfanned drill tracts (3 drill technique); and (3) a 4.5 mm drill bit used in a 3 drill technique. The CMC joint was disarticulated after drilling, and cartilage and ...
Treatment of carpometacarpal osteoarthritis by arthrodesis in 12 horses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 1006-1011 doi: 10.1111/j.1532-950X.2009.00590.x
Barber SM, Panizzi L, Lang HM.To evaluate arthrodesis as a treatment for carpometacarpal joint osteoarthritis (CMC-OA). Methods: Case series. Methods: Horses (n=12) with CMC-OA. Methods: Arthrodesis was facilitated by insertion and fanning of a drill bit into the CMC joint at several (3-5) locations in 15 limbs. Follow-up radiographs were obtained for 7 horses (9 limbs). Outcome was determined by telephone survey of owners based on postoperative pain, return to use, appearance of the limb, and success of treatment. Results: Postoperative pain was slight or moderate in 10 of 12 (83%) horses during the first 30 days, and 11 ...
Lameness and effusion of the tarsocrural joints after arthroscopy of osteochondritis dissecans in horses.
The Veterinary record    December 17, 2009   Volume 165, Issue 24 709-712 
Brink P, Dolvik NI, Tverdal A.The presence and degree of tarsocrural joint effusion and lameness, and the result of a hindlimb flexion test were scored subjectively in 79 horses before, and six weeks to 20 months after, arthroscopic surgery to remove osteochondritis dissecans fragments. The scores of all three variables improved significantly after surgery. The score reductions for the right and left hindlimbs, respectively, were 82 per cent and 95 per cent for lameness, 48 per cent and 41 per cent for joint effusion, and 89 per cent and 84 per cent for reaction to flexion (P < or = 0.01). The oldest horses reacted more...
An innovative technique for displaying three dimensional radiographic anatomy of synovial structures in the equine distal limb. Smith AJ, Felstead CW, Lawson JS, Weller R.Radiography is the most commonly applied imaging modality in equine practice and forms an essential part of the diagnostic work-up of lame horses. Radiographic signs of musculoskeletal pathology are frequently localized at sites of soft tissue attachment, which are often not clearly visible on radiographs. Different lesions carry different prognoses and require a variety of treatments, and a good knowledge of the position of the synovial structures in the distal limb of the horse is essential for practitioners in the interpretation of radiographs. This study describes a new technique for creat...
Effects of sodium hyaluronate and triamcinolone acetonide on glucosaminoglycan metabolism in equine articular chondrocytes treated with interleukin-1.
American journal of veterinary research    December 3, 2009   Volume 70, Issue 12 1494-1501 doi: 10.2460/ajvr.70.12.1494
Schaefer EC, Stewart AA, Durgam SS, Byron CR, Stewart MC.OBJECTIVE-To determine whether the effects of a high-molecular-weight sodium hyaluronate alone or in combination with triamcinolone acetonide can mitigate chondrocyte glyocosaminoglycan (GAG) catabolism caused by interleukin (IL)-1 administration. SAMPLE POPULATION-Chondrocytes collected from metacarpophalangeal joints of 10 horses euthanized for reasons unrelated to joint disease. PROCEDURES-Chondrocyte pellets were treated with medium (negative control), medium containing IL-1 only (positive control), or medium containing IL-1 with hyaluronic acid only (0.5 or 2.0 mg/mL), triamcinolone aceto...
Low quality of evidence for glucosamine-based nutraceuticals in equine joint disease: review of in vivo studies.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 706-712 doi: 10.2746/042516409x424153
Pearson W, Lindinger M.Nutraceuticals are increasingly applied to the management of equine arthritis and joint disease, particularly those based upon glucosamine and chondroitin sulphate. While the first report of using glucosamine in horses appeared more than 25 years ago, it was not until 1992 that isolated studies began to be reported. Since that time, 15 in vivo papers have been published in the equine literature, usually on products already commercially available and often seeking evidence for efficacy. These studies demonstrate an encouraging trend to manufacturers of these products investing in research, but ...
Comparison of radiography and ultrasonography for the diagnosis of osteochondritis dissecans in the equine femoropatellar joint.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 685-692 
Bourzac C, Alexander K, Rossier Y, Laverty S.Osteochondritis dissecans (OCD) lesions of the femoropatellar (FP) joint are diagnosed routinely by radiography, but lesions located in the trochlear groove or without accompanying subchondral bone changes can be difficult to visualise. Ultrasonography allows evaluation of articular cartilage and subchondral bone in the FPjoint. Objective: To document the radiographic and ultrasonographic appearance of OCD lesions in the equine FP joint, grade ultrasonographic lesions and compare their accuracy in the diagnosis of these lesions. Methods: The medical records of all horses diagnosed with FP OCD ...
In vivo effects of meloxicam on inflammatory mediators, MMP activity and cartilage biomarkers in equine joints with acute synovitis.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 693-699 doi: 10.2746/042516409x436286
de Grauw JC, van de Lest CH, Brama PA, Rambags BP, van Weeren PR.Meloxicam is a commonly used nonsteroidal anti-inflammatory drug in equine practice, but little is known about its in vivo effects on joint inflammation and cartilage turnover. Objective: To study the effects of meloxicam on biomarkers of inflammation, matrix metalloproteinase (MMP) activity, and cartilage biomarkers in joints with experimental synovitis. Methods: In a 2-period cross-over study, synovitis was induced at T = 0 h in the L or R intercarpal joint of 6 horses by intraarticular injection of 0.5 ng lipopolysaccharide (LPS). Horses received once daily meloxicam (0.6 mg/kg bwt per os) ...
Cartilage shear dynamics during tibio-femoral articulation: effect of acute joint injury and tribosupplementation on synovial fluid lubrication.
Osteoarthritis and cartilage    November 23, 2009   Volume 18, Issue 3 464-471 doi: 10.1016/j.joca.2009.11.008
Wong BL, Kim SH, Antonacci JM, McIlwraith CW, Sah RL.To determine the effects of acute injury and tribosupplementation by hyaluronan (HA) on synovial fluid (SF) modulation of cartilage shear during tibio-femoral articulation. Methods: Human osteochondral blocks from the lateral femoral condyle (LFC) and tibial plateau (LTP) were apposed, compressed 13%, and subjected to sliding under video microscopy. Tests were conducted with equine SF from normal joints (NL-SF), SF from acutely injured joints (AI-SF), and AI-SF to which HA was added (AI-SF+HA). Local and overall shear strain (E(xz)) and the lateral displacement (Deltax) at which E(xz) reached ...
The pharmacokinetics of the weakly protein-bound anionic compound diatrizoate in serum and synovial fluid of the horse.
Pharmaceutical research    October 30, 2009   Volume 27, Issue 1 143-150 doi: 10.1007/s11095-009-9988-x
Frost AB, Larsen F, Larsen SW, Østergaard J, Thomsen MH, Stürup S, Andersen PH, Larsen C.To establish a pharmacokinetic model for the model drug, sodium diatrizoate (DTZ), allowing joint disappearance kinetics to be estimated from serum appearance kinetics following intra-articular administration, and to calculate the relative joint exposure after intravenous and intra-articular DTZ administration (F(iv/IA)). Methods: Each of five horses received an aqueous solution of 3.9 mg/kg sodium diatrizoate both intravenously and intra-articularly separated by a one-week wash out period. Serum and synovial samples were collected over 7 h and analyzed for content of model compound using indu...
A first case of ehrlichiosis in a horse in Poland.
DTW. Deutsche tierarztliche Wochenschrift    October 10, 2009   Volume 116, Issue 9 330-334 
Adaszek Ł, Winiarczyk S, Łukaszewska J.The study was aimed at determining the cause of a disease in a horse exhibiting symptoms of fever, joint effusion, weakness, and extravasations on the mucous membranes. Blood was drawn from the animal for haematological and biochemical molecular tests. The PCR technique revealed the presence of 16S RNA Ehrlichia spp. genetic material in the blood samples. DNA amplification by means of primers EHR 521 and EHR 747 gave a product with a volume of 247 bp.The sequence of the PCR product obtained showed a 97.6% similarity with a sequence of a fragment of 16S RNA Ehrlichia phagocytophila, gene number...
Early enhanced exercise: damaging or beneficial to joints?
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 515-516 doi: 10.2746/042516409x443413
Adams MA, Silver IA.No abstract available
Arthroscopic visualisation of the third metacarpal and metatarsal condyles in the horse.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 526-533 doi: 10.2746/042516409x386976
Vanderperren K, Martens A, Haers H, Duchateau L, Saunders JH.Arthroscopy of the fetlock joints is a routine surgical procedure in the horse. It is unclear how much of the articular surface of the condyles of the metacarpal (MCIII)/metatarsal (MTIII) bone can be visualised using either the dorsal or palmar/plantar arthroscopic approach. Objective: To investigate which part of the articular surface of the MCIII/MTIII condyles of the fetlock joints can be evaluated arthroscopically using: 1) dorsal approach in combination with flexion; 2) standard palmar/plantar approach; or 3) additional portal at the base of the sesamoid bone with joint extension. Method...
Influence of exercise and joint topography on depth-related spatial distribution of proteoglycan and collagen content in immature equine articular cartilage.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 557-563 doi: 10.2746/042516409x424162
Brama PA, Holopainen J, van Weeren PR, Firth EC, Helminen HJ, Hyttinen MM.There is ample evidence on topographical heterogeneity of the principal biochemical components of articular cartilage over the surface of the joint and the influence of loading thereon, but no information on depth-related zonal variation in horses. Objective: To study depth-related zonal variation in proteoglycan (PG) and collagen content in equine articular cartilage. Methods: Two techniques (safranin-O densitometry and Fourier transform infrared spectroscopy) were applied to sections of articular cartilage from the proximal phalangeal bone of the metacarpophalangeal joint of 18-month-old Tho...
High-mobility group box chromosomal protein 1 as a potential inflammatory biomarker of joint injury in Thoroughbreds.
American journal of veterinary research    October 3, 2009   Volume 70, Issue 10 1230-1235 doi: 10.2460/ajvr.70.10.1230
Brown MP, Trumble TN, Merritt KA.To investigate effects of osteochondral injury on high-mobility group box chromosomal protein 1 (HMGB-1) concentrations in synovial fluid (SF) from Thoroughbreds and to compare these results with radiographic and arthroscopic scores of severity of joint injury. Methods: 40 clinically normal rested Thoroughbreds (group 1) and 45 Thoroughbreds with osteochondral injury as a result of racing. Methods: SF was obtained from the metacarpophalangeal (MCP) joints, metatarsophalangeal (MTP) joints, middle carpal joints, and radiocarpal joints. For group 2, radiographic and arthroscopic scores were dete...
Scintigraphic assessment of the metacarpophalangeal and metatarsophalangeal joints of horses with joint pain. Biggi M, Dyson SJ, Murray RC.Our aims were to evaluate the pattern of radiopharmaceutical uptake in horses with lameness related to the metacarpophalangeal and/or metatarsophalangeal joint and compare the results with similar information from sound horses. It was hypothesized bthat there would be a difference in radiopharmaceutical uptake between the lame and contralateral limb in unilaterally lame horses and that there would be a difference between lame and sound horses. Nuclear scintigraphic images of 43 horses with forelimb lameness and 30 horses with hindlimb lameness were evaluated. In all horses lameness was improve...
The elastin network: its relationship with collagen and cells in articular cartilage as visualized by multiphoton microscopy.
Journal of anatomy    October 1, 2009   Volume 215, Issue 6 682-691 doi: 10.1111/j.1469-7580.2009.01149.x
Mansfield J, Yu J, Attenburrow D, Moger J, Tirlapur U, Urban J, Cui Z, Winlove P.A combination of two-photon fluorescence (TPF), second harmonic generation (SHG) and coherent anti-Stokes Raman scattering (CARS) imaging has been used to investigate the elastin fibre network in healthy equine articular cartilage from the metacarpophalangeal joint. The elastin fibres were identified using their intrinsic two-photon fluorescence and immuno-staining was used to confirm the identity of these fibres. SHG was used to reveal the collagen matrix and the collagen fibre orientations were determined from their SHG polarization sensitivity, while CARS was used to clearly delineate the c...
Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of two parallel headless, tapered, variable-pitched, titanium compression screws and two parallel 5.5 mm stainless-steel cortical screws.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 861-867 doi: 10.1111/j.1532-950X.2009.00574.x
Wolker RR, Carmalt JL, Wilson DG.To compare the biomechanical characteristics, failure mode, and effects of side (left or right limb) and end (forelimb or hindlimb) of different screws in 2-screw, parallel-screw proximal interphalangeal joint arthrodesis constructs in horses. Methods: In vitro experimental study. Methods: Twenty limbs from 6 cadavers (4 complete limb sets, 2 partial sets-total of 4 forelimb and 6 hindlimb pairs). Methods: Two parallel 5.5 mm cortical (AO) screws were inserted in lag fashion in 1 randomly allocated limb of a pair, and 2 parallel headless, tapered, variable-pitched, titanium compression screws ...
Interleukin-1beta-induced extracellular matrix degradation and glycosaminoglycan release is inhibited by curcumin in an explant model of cartilage inflammation.
Annals of the New York Academy of Sciences    September 3, 2009   Volume 1171 428-435 doi: 10.1111/j.1749-6632.2009.04687.x
Clutterbuck AL, Mobasheri A, Shakibaei M, Allaway D, Harris P.Osteoarthritis (OA) is a degenerative and inflammatory disease of synovial joints that is characterized by the loss of articular cartilage, for which there is increasing interest in natural remedies. Curcumin (diferuloylmethane) is the main polyphenol in the spice turmeric, derived from rhizomes of the plant Curcuma longa. Curcumin has potent chemopreventive properties and has been shown to inhibit nuclear factor kappaB-mediated inflammatory signaling in many cell types, including chondrocytes. In this study, normal articular cartilage was harvested from metacarpophalangeal and metatarsophalan...
The effects of oral glucosamine on joint health: is a change in research approach needed?
Osteoarthritis and cartilage    September 1, 2009   Volume 18, Issue 1 5-11 doi: 10.1016/j.joca.2009.07.005
Block JA, Oegema TR, Sandy JD, Plaas A.Oral glucosamine (GlcN) has been widely studied for its potential therapeutic benefits in alleviating the pain and disability of osteoarthritis (OA). Its popularity has grown despite ongoing controversy regarding its effectiveness vs placebo in clinical trials, and lack of information regarding possible mechanisms of action. Here, we review the state of knowledge concerning the biology of GlcN as it relates to OA, and discuss a framework for future research directions. Methods: An editorial "narrative" review of peer-reviewed publications is organized into four topics (1) Chemistry and pharmac...
What is your diagnosis? Subsolar abscess with secondary distal interphalangeal joint synovitis.
Journal of the American Veterinary Medical Association    August 18, 2009   Volume 235, Issue 4 377-378 doi: 10.2460/javma.235.4.377
Carmalt JL.No abstract available
Ex vivo serotype-specific transduction of equine joint tissue by self-complementary adeno-associated viral vectors.
Human gene therapy    August 1, 2009   Volume 20, Issue 12 1697-1702 doi: 10.1089/hum.2009.030
Goodrich LR, Choi VW, Carbone BA, McIlwraith CW, Samulski RJ.Cell transplantation for the treatment of joint disease is an important clinical tool. Genetic modification of cells before transplantation has shown enhanced healing. Ex vivo genetic modification of joint tissue cells with various adeno-associated virus (AAV) serotypes has not been investigated. The transduction efficiencies of self-complementary AAV serotypes (1-6 and 8) were determined in joint tissue containing chondrocytes and synoviocytes isolated from equine models. When comparing scAAV serotypes for efficient transduction ex vivo, in chondrocytes versus synoviocytes, serotypes 6 and 2,...
Arthroscopic removal of metallic foreign body from the talocrural joint using a magnetic retriever in a horse.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 620-622 doi: 10.1111/j.1532-950X.2009.00538.x
Jansson N.To report use of a magnetic retriever for arthroscopic removal of a metallic foreign body from the equine talocrural joint. Methods: Clinical report. Methods: A 2-year-old Warmblood stallion. Methods: A metallic foreign body was removed from a talocrural joint using a 10-mm magnetic retriever under arthroscopic guidance. Preoperative radiographs were used to locate the intra-articular position of the foreign body. Results: Six months after surgery, the horse was no longer lame. Conclusions: A magnetic retriever can be used for arthroscopic removal of metallic foreign bodies from the equine tal...
Comparison of ultrasonography versus radiography for the diagnosis of dorsal fragmentation of the metacarpophalangeal or metatarsophalangeal joint in horses.
Journal of the American Veterinary Medical Association    July 2, 2009   Volume 235, Issue 1 70-75 doi: 10.2460/javma.235.1.70
Vanderperren K, Martens AM, Declercq J, Duchateau L, Saunders JH.To compare clinical usefulness of ultrasonography versus radiography for detection of fragmentation of the dorsal aspect of the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints in horses. Methods: Cross-sectional study. Methods: 36 horses with fragmentation of the MCP (n = 19) and MTP (29) joints. Methods: In all joints, radiography (4 standard projections) and ultrasonography were performed prior to arthroscopic examination and fragment removal. Number and location of fragments identified radiographically and ultrasonographically were compared with arthroscopic findings. Results...
Evaluation of inflammatory responses induced via intra-articular injection of interleukin-1 in horses receiving a dietary nutraceutical and assessment of the clinical effects of long-term nutraceutical administration.
American journal of veterinary research    July 2, 2009   Volume 70, Issue 7 848-861 doi: 10.2460/ajvr.70.7.848
Pearson W, Orth MW, Lindinger MI.To evaluate inflammatory responses induced via intra-articular recombinant human interleukin (IL)-1beta treatment in horses receiving a dietary nutraceutical (DN; composed of mussel, shark cartilage, abalone, and Biota orientalis lipid extract) and assess the clinical effects of long-term DN administration. Methods: 22 healthy horses. Methods: 12 horses were fed 0, 15, 45, or 75 mg of DN (3 horses/treatment) daily for 84 days. General health and clinicopathologic variables were monitored at intervals. Ten other horses received 0 or 15 g of DN/d (5 horses/treatment) for 29 days (beginning day -...
In vitro and in vivo evaluation of ferric-hyaluronate implants for delivery of amikacin sulfate to the tarsocrural joint of horses.
Veterinary surgery : VS    June 23, 2009   Volume 38, Issue 4 498-505 doi: 10.1111/j.1532-950X.2009.00518.x
Cribb NC, Bouré LP, Hanna WJ, Akens MK, Mattson SE, Monteith GJ, Weese JS.To assess the antimicrobial elution characteristics, toxicity, and antimicrobial activity of amikacin-impregnated ferric-hyaluronate implants (AI-FeHAI) for amikacin delivery to the tarsocrural joint of horses. Methods: Experimental study. Methods: AI-FeHAI implants, equine cartilage, and synovium, and horses (n=6). Methods: In vitro study: Five AI-FeHAI were placed in saline solution with daily replacement until implant degradation. Eluent was tested for amikacin concentration and bioactivity. Synovial and cartilage explants were incubated in the presence or absence of AI-FeHAI for 72 hours a...
A limited surgical approach for pastern arthrodesis in horses with severe osteoarthritis.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    June 23, 2009   Volume 22, Issue 4 303-308 doi: 10.3415/VCOT-08-03-0027
Jones P, Delco M, Beard W, Lillich JD, Desormaux A.Osteoarthritis of the proximal interphalangeal joint (PIPJ) is a common cause of chronic lameness in the horse that requires surgical arthrodesis when medical management is no longer able to alleviate pain. Surgical principles for successful PIPJ arthrodesis include articular cartilage debridement and rigid fixation. To completely debride articular cartilage, the collateral ligaments and extensor tendon are transected, disarticulating the joint. The purpose of this study was to demonstrate that in chronically lame horses with periarticular new-bone formation and osteoarthritis, successful arth...
Evaluation of adipose-derived stromal vascular fraction or bone marrow-derived mesenchymal stem cells for treatment of osteoarthritis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    June 23, 2009   Volume 27, Issue 12 1675-1680 doi: 10.1002/jor.20933
Frisbie DD, Kisiday JD, Kawcak CE, Werpy NM, McIlwraith CW.The purpose of this study was the assessment of clinical, biochemical, and histologic effects of intraarticular administered adipose-derived stromal vascular fraction or bone marrow-derived mesenchymal stem cells for treatment of osteoarthritis. Osteoarthritis was induced arthroscopically in the middle carpal joint of all horses, the contralateral joint being sham-operated. All horses received treatment on Day 14. Eight horses received placebo treatment and eight horses received adipose-derived stromal vascular fraction in their osteoarthritis-affected joint. The final eight horses were treate...
‘It works so it’s fine’: beyond clinical efficacy in treating joint disease in the horse.
Veterinary journal (London, England : 1997)    June 16, 2009   Volume 183, Issue 2 121-122 doi: 10.1016/j.tvjl.2009.05.013
van Weeren PR.No abstract available
The effects of limb posture on relationships between in vitro radial hoof strain, load and joint angles.
Equine veterinary journal    May 28, 2009   Volume 41, Issue 3 229-232 doi: 10.2746/042516409x395967
Hobbs SJ, Mather J, Rolph C, Richards J.Radial strain in normal hooves has been found to vary with strain gauge location, limb posture and sample limb but reported magnitudes were considered to be low. More accurate measurement of radial strain may enhance the understanding of hoof function. Objective: To explore in vitro radial hoof strain in relation other kinetic and kinematic variables that may be related. Methods: Five normal forelimbs were removed at the proximal articular surface of the third metacarpal bone (McIII). The limbs were loaded using a modified Instron test machine. Six calibrated infrared cameras captured movement...
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