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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.
Use of intra-articular administration of ethyl alcohol for arthrodesis of the tarsometatarsal joint in healthy horses.
American journal of veterinary research    May 3, 2006   Volume 67, Issue 5 850-857 doi: 10.2460/ajvr.67.5.850
Shoemaker RW, Allen AL, Richardson CE, Wilson DG.To evaluate the efficacy and safety of intra-articular administration of ethyl alcohol for arthrodesis of tarsometatarsal joints in horses. Methods: 8 healthy female horses without lameness or radiographic evidence of tarsal joint osteoarthritis. Methods: In each horse, 1 tarsometatarsal joint was treated with 4 mL of 70% ethyl alcohol and the opposite joint was treated with 4 mL of 95% ethyl alcohol. Lameness examinations were performed daily for 2 weeks, followed by monthly evaluations for the duration of the 12-month study. Radiographic evaluations of both tarsi were performed 1 month after...
In situ and ex vivo evaluation of an arthroscopic indentation instrument to estimate the health status of articular cartilage in the equine metacarpophalangeal joint.
Veterinary surgery : VS    April 26, 2006   Volume 35, Issue 3 259-266 doi: 10.1111/j.1532-950X.2006.00136.x
Brommer H, Laasanen MS, Brama PA, van Weeren PR, Helminen HJ, Jurvelin JS.To evaluate an arthroscopic indentation instrument (Artscan 200) for assessment of the health status of equine articular cartilage. Methods: In vitro experiment using equine isolated proximal phalanx (P1) specimens. Methods: P1 specimens from 39 horses (aged 1.5-22 years). Methods: Reproducibility was tested by determination of the coefficient of variation (CV). Dynamic modulus and cartilage degeneration index (CDI) values were measured at 2 predefined sites (site 1, joint margin; site 2, joint center) to assess the accuracy and to evaluate the relation with surface integrity. Results: CV was ...
Comparison of arthroscopic approaches and accessible anatomic structures during arthroscopy of the caudal pouches of equine femorotibial joints.
Veterinary surgery : VS    April 26, 2006   Volume 35, Issue 3 219-226 doi: 10.1111/j.1532-950X.2006.00140.x
Watts AE, Nixon AJ.To (1) describe a caudal approach to equine medial and lateral femorotibial (FT) joints and (2) illustrate the complex anatomic detail of the caudal compartments of the lateral FT joint. Methods: Prospective experimental study. Methods: Cadaveric equine hindlimbs (n = 36; 26 horses) and 6 horses (11 hind limbs). Methods: Stifles (n = 8) were dissected and 10 FT joints were injected with silicone. Arthroscopic exploration (n = 29) was performed, followed by dissection to determine sites and structures penetrated during entry. Results: A more caudal approach to the caudal pouch of the medial FT ...
Arthrodesis of the talocalcaneal joint for the treatment of two horses with talocalcaneal osteoarthritis.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 1 7-12 
Pauwels FE, Adams SB, Blevins WB.Two horses with lameness due to tolocalcaneal osteoarthritis that failed to respond to conservative management were treated by tolocalcaneal arthrodesis using cortex screws placed in lag fashion. The affected joint of one horse was arthrodesed by compressing and stabilizing the medial facet of the joint with three screws. In the second horse, the medial and lateral facets of the affected tolocalcaneal joint were each compressed and stabilized with two screws. The lameness of both horses improved markedly following surgery.
Pharmacokinetics of methylprednisolone acetate after intra-articular administration and its effect on endogenous hydrocortisone and cortisone secretion in horses.
American journal of veterinary research    April 4, 2006   Volume 67, Issue 4 654-662 doi: 10.2460/ajvr.67.4.654
Soma LR, Uboh CE, Luo Y, Guan F, Moate PJ, Boston RC.To determine the pharmacokinetics of methylprednisolone (MP) and develop a pharmacokinetic-pharmacodynamic model of the related changes in plasma concentrations of endogenous hydrocortisone (HYD) and cortisone (COR) following intra-articular administration of methylprednisolone acetate (MPA) in horses. Methods: 6 Thoroughbreds. Methods: In each horse, 200 mg of MPA was injected intrasynovially into a carpal joint, and plasma MP, HYD, and COR concentrations were determined via liquid chromatography-mass spectrometry. Results: A 5-compartment pharmacokinetic-pharmacodynamic model was used to des...
Mortality of Swedish horses with complete life insurance between 1997 and 2000: variations with sex, age, breed and diagnosis.
The Veterinary record    March 28, 2006   Volume 158, Issue 12 397-406 doi: 10.1136/vr.158.12.397
Egenvall A, Penell JC, Bonnett BN, Olson P, Pringle J.The aim of this study was to evaluate the potential usefulness of the database maintained by the Swedish insurance company Agria for providing mortality statistics on Swedish horses. Mortality statistics (incidence rates and survival) were calculated, both crudely and stratified by sex, age, breed, breed group and diagnosis, for the horses with complete life insurance, which covers most health problems. The total mortality was 415 (95 per cent confidence interval [CI] 399 to 432) deaths per 10,000 horse-years at risk, and the diagnostic mortality, including only deaths with an assigned diagnos...
Comparison of amikacin concentrations in normal and inflamed joints of horses following intra-articular administration.
Equine veterinary journal    March 16, 2006   Volume 38, Issue 2 189-191 doi: 10.2746/042516406776563233
Taintor J, Schumacher J, DeGraves F.No abstract available
Gentamicin concentrations in synovial fluid and joint tissues during intravenous administration or continuous intra-articular infusion of the tarsocrural joint of clinically normal horses.
American journal of veterinary research    March 2, 2006   Volume 67, Issue 3 409-416 doi: 10.2460/ajvr.67.3.409
Lescun TB, Ward MP, Adams SB.To compare gentamicin concentrations achieved in synovial fluid and joint tissues during IV administration and continuous intra-articular (IA) infusion of the tarsocrural joint in horses. Methods: 18 horses with clinically normal tarsocrural joints. Methods: Horses were assigned to 3 groups (6 horses/group) and administered gentamicin (6.6 mg/kg, IV, q 24 h for 4 days; group 1), a continuous IA infusion of gentamicin into the tarsocrural joint (50 mg/h for 73 hours; group 2), or both treatments (group 3). Serum, synovial fluid, and joint tissue samples were collected for measurement of gentami...
Vancomycin for the treatment of methicillin-resistant staphylococcal and enterococcal infections in 15 horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    February 17, 2006   Volume 69, Issue 4 278-286 
Orsini JA, Snooks-Parsons C, Stine L, Haddock M, Ramberg CF, Benson CE, Nunamaker DM.We retrospectively reviewed the cases of 15 foals and adult horses in which vancomycin was used, alone or in combination with an aminoglycoside, to treat methicillin-resistant staphylococcal and enterococcal infections. Signalment, presenting complaint, history (including history of treatment for the current complaint), results of bacterial culture and antimicrobial susceptibility testing, treatment, and outcome were reviewed. The average vancomycin dosage was 7.5 mg/kg q8h, administered by intravenous infusion over 30 min. The infection resolved in all 7 horses with soft tissue infections and...
Therapy for osteoarthritis in the horse – how do we know that it works?
Veterinary journal (London, England : 1997)    January 24, 2006   Volume 171, Issue 1 9-10 doi: 10.1016/j.tvjl.2005.02.003
Clegg PD.No abstract available
Evaluation of glucosamine levels in commercial equine oral supplements for joints.
Equine veterinary journal    January 18, 2006   Volume 38, Issue 1 93-95 doi: 10.2746/042516406775374306
Oke S, Aghazadeh-Habashi A, Weese JS, Jamali F.No abstract available
Osteochondral graft fixation using a bioresorbable bone cement.
Journal of biomechanics    January 4, 2006   Volume 39, Issue 15 2887-2892 doi: 10.1016/j.jbiomech.2005.10.007
Changoor A, Hurtig MB, John Runciman R.Multiple osteochondral grafts can be used to resurface large joint defects in both humans and horses. In humans, immediate postoperative weight bearing can be prevented, however in the equine, it is unavoidable. Early weight bearing can create detrimental graft micromotion. The aim of this study was to investigate the role of a bioresorbable cement in improving the initial stability of multiple osteochondral graft repairs of large subchondral cystic lesions in the horse. Configurations employed for filling a 20mm diameter cylindrical defect included: (A) twelve 4.5mm diameter grafts with cemen...
Synovial fluid and plasma concentrations of ceftiofur after regional intravenous perfusion in the horse.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 610-617 doi: 10.1111/j.1532-950X.2005.00095.x
Pille F, De Baere S, Ceelen L, Dewulf J, Croubels S, Gasthuys F, De Backer P, Martens A.To determine radiocarpal (RC) joint synovial fluid and plasma ceftiofur concentrations after regional intravenous perfusion (RIP) and systemic intravenous (IV) administration. Methods: Experimental cross-over study. Methods: Five normal adult horses. Methods: One RC joint was randomly selected for RIP and the contralateral RC joint was sampled to determine intrasynovial ceftiofur concentrations after IV administration. Wash-out between IV and RIP was > or = 14 days. After surgical introduction of an intraarticular catheter, ceftiofur (2 g) was administered under general anesthesia either IV...
Measurement of articular cartilage stiffness of the femoropatellar, tarsocrural, and metatarsophalangeal joints in horses and comparison with biochemical data.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 571-578 doi: 10.1111/j.1532-950X.2005.00090.x
Garcia-Seco E, Wilson DA, Cook JL, Kuroki K, Kreeger JM, Keegan KG.To determine normal cartilage stiffness values in different weight-bearing and non-weight-bearing areas of 3 different equine joints, and to evaluate the relationship between cartilage stiffness and glycosaminoglycan (GAG) and collagen content. Methods: Compressive stiffness of the articular cartilage was measured in 8 horse cadaver femoropatellar (FP), tarsocrural (TC), and metatarsophalangeal (MT) joints. Gross evaluation, collagen content, GAG content, and histologic appearance were assessed for each measurement location. Methods: Eight equine cadavers (4 intact females, 4 castrated males; ...
Luxation of the shoulder joint in a horse recovering from general anaesthesia.
The Veterinary record    December 6, 2005   Volume 157, Issue 23 748-749 doi: 10.1136/vr.157.23.748
Zilberstein LF, Tnibar A, Coudry V, Moens YP, Jones RS.No abstract available
Intra-articular injections for joint disease in horses.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 559-v doi: 10.1016/j.cveq.2005.07.003
Caron JP.Lameness remains an important source of reduced performance in many types of horses. Pain referable to joints is among the most common causes, and intra-articular injections remain a common and important means of addressing lameness referable to joints in horses.
Closing in on the equine joint.
Equine veterinary journal    November 22, 2005   Volume 37, Issue 6 493-494 doi: 10.2746/042516405775314907
van Weeren PR, Nixon AJ.No abstract available
Arthrodesis techniques in horses.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 691-vii doi: 10.1016/j.cveq.2005.07.004
Zubrod CJ, Schneider RK.When medical therapy and surgical treatments of an injured joint fail to return the animal to athletic performance or comfortable use of the limb, arthrodes is is a final option for some joints. Arthrodesis refers to the surgical fusion of a joint, resulting in bony ankylosis. Successful arthrodesis requires debridement of the articular cartilage through the calcified cartilage layer, exposing the subchondral bone; alignment of the joint into a weight-bearing position; and stabilization. The methods by which these steps are accomplished are variable, depending on the individual joint. There ar...
Future directions in treatment of joint disease in horses.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 713-viii doi: 10.1016/j.cveq.2005.07.001
Frisbie DD.Osteoarthritis is one of the most economically important diseases facing equine practitioners. The loss of use associated with joint disease is a leading problem in the equine industry. Although osteoarthritis in all species is believed to be a multifactorial disease that is not well understood, significant advances are being made. This article presents areas of research that are relatively well developed but have not made it to commercialization or routine clinical practice and looks at new applications being investigated for peo-ple that may have an equine application.
The use of nutraceuticals for osteoarthritis in horses.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 575-vi doi: 10.1016/j.cveq.2005.08.004
Trumble TN.In horses, lameness is often attributable to some degree of osteoarthritis (OA), a complex disease process that is highlighted by eventual degradation of articular cartilage. Conventional therapies for OA in horses are designed to relieve pain and discomfort and often include pharmacologic intervention with nonsteroidal anti-inflammatory drugs or intra-articular steroids. Oral administration of nutraceutical products to the horse is common and easy and is perceived to be a benign treatment for OA in horses. The main goal for use of nutraceuticals is to use them in OA cases to attempt to lower ...
Radiographic anatomy of the soft tissue attachments of the equine stifle.
Equine veterinary journal    November 22, 2005   Volume 37, Issue 6 530-535 doi: 10.2746/042516405775314862
Maulet BE, Mayhew IG, Jones E, Booth TM.Radiography is a very important aspect of equine stifle imaging. The precise radiographic anatomy of the soft tissue structures of the equine stifle has not been described previously. Objective: To describe the anatomical relationship between sites of attachment of soft tissue structures of the equine stifle and their locations on standard radiographic views. Methods: The sites of bony attachments of the tendons, ligaments and fibrous portion of the joint capsules of equine stifles were determined by gross dissection. These sites of attachment were transposed onto one set of bones deprived of ...
Equine rehabilitation therapy for joint disease.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 599-vi doi: 10.1016/j.cveq.2005.08.002
Porter M.The principles of physical rehabilitation therapy can be applied to the horse to provide a reduction in discomfort and dysfunction associated with the various forms of joint disease. Physical agents,such as ice, heat, electricity, sound, light, magnetic fields, compression, and movement, can be used by the rehabilitation therapist to attempt to control pain, reduce swelling, and restore optimal movement and function in the affected joint. The equine therapist's attention is focused not only on the affected joint but on the body as a whole to manage secondary or compensatory problems.
Systemic therapies for joint disease in horses.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 547-v doi: 10.1016/j.cveq.2005.07.002
Fortier LA.Systemic therapies for joint disease may be prescribed when a single joint is involved or when multiple sites are affected. The precise therapeutic regimen recommended depends on the duration,cause, and site(s) of injury and is often an adjunct to intra-articular or supportive therapies. If the clinical signs of joint disease are acute and moderate in severity, nonsteroidal anti-inflammatory drugs are often administered to alleviate pain and inflammation. When aiming for more of a generalized maintenance or chondro-protective regimen, an alternative medication, such as hyaluronan,polysulfated ...
Evaluation of subchondral bone mineral density associated with articular cartilage structure and integrity in healthy equine joints with different functional demands.
American journal of veterinary research    November 9, 2005   Volume 66, Issue 10 1823-1829 doi: 10.2460/ajvr.2005.66.1823
Lewis CW, Williamson AK, Chen AC, Bae WC, Temple MM, Wong WV, Nugent GE, James SP, Wheeler DL, Sah RL, Kawcak CE.To determine and correlate subchondral bone mineral density and overlying cartilage structure and tensile integrity in mature healthy equine stifle (low magnitude loading) and metacarpophalangeal (high magnitude loading) joints. Methods: 8 healthy horses, 2 to 3 years of age. Methods: Osteochondral samples were acquired from the medial femoral condyle (FC) and medial trochlear ridge (TR) of the stifle joint and from the dorsal (MC3D) and palmar (MC3P) aspects of the distal medial third metacarpal condyles of the metacarpophalangeal joint. Articular cartilage surface fibrillation (evaluated via...
Role of endochondral ossification of articular cartilage and functional adaptation of the subchondral plate in the development of fatigue microcracking of joints.
Bone    November 4, 2005   Volume 38, Issue 3 342-349 doi: 10.1016/j.bone.2005.08.020
Muir P, McCarthy J, Radtke CL, Markel MD, Santschi EM, Scollay MC, Kalscheur VL.The mechanisms that regulate functional adaptation of the articular ends of long bones are poorly understood. However, endochondral ossification of articular cartilage and modeling/remodeling of the subchondral plate and epiphyseal trabeculae are important components of the adaptive response. We performed a histologic study of the distal end of the third metacarpal/metatarsal bone of Thoroughbreds after bones were bulk-stained in basic fuchsin and calcified sections were prepared. The Thoroughbred racehorse is a model of an extreme athlete which experiences particularly high cyclic strains in ...
Effects of the omega-3 fatty acid, alpha-linolenic acid, on lipopolysaccharide-challenged synovial explants from horses.
American journal of veterinary research    November 3, 2005   Volume 66, Issue 9 1503-1508 doi: 10.2460/ajvr.2005.66.1503
Munsterman AS, Bertone AL, Zachos TA, Weisbrode SE.To determine the effects of pretreatment with alpha-linolenic acid, an omega-3 polyunsaturated fatty acid, on equine synovial explants challenged with lipopolysaccharide (LPS). Methods: 8 mature mixed-breed horses (4 mares and 4 geldings). Methods: Synovial explants were assigned to receive 1 of 7 concentrations of alpha-linolenic acid, ranging from 0 to 300 microg/mL. At each concentration, half of the explants were controls and half were challenged with 0.003 microg of LPS as a model of synovial inflammation. Cell inflammatory response was evaluated by measurement of prostaglandin E2 product...
Radiographic diagnosis: foreign body in the distal interphalangeal joint. Giraldo L, Redding WR.No abstract available
Specific causes of morbidity among Swedish horses insured for veterinary care between 1997 and 2000.
The Veterinary record    October 18, 2005   Volume 157, Issue 16 470-477 doi: 10.1136/vr.157.16.470
Penell JC, Egenvall A, Bonnett BN, Olson P, Pringle J.The principal aim of this study was to analyse the incidence of disease due to general and more specific causes among over 100,000 horses covered by complete insurance for veterinary care by a Swedish insurance company during 1997 to 2000. The database was used to calculate the rate of cause-specific morbidity in horses of different ages, sexes and breed groups kept in different regions with different human population densities. The joints were the most commonly affected part of the body, followed by unspecified/whole body, the skin and the digestive system. The most common specific diagnosis ...
Synovial membrane microarthroscopy of the equine midcarpal joint.
Veterinary surgery : VS    October 11, 2005   Volume 34, Issue 4 310-317 doi: 10.1111/j.1532-950X.2005.00048.x
Serena A, Hanson RR, Kincaid SA.To evaluate the value of microarthroscopy in the equine midcarpal joint using the vital stains methylene blue, trypan blue, neutral red, and Janus green B to observe components of the synovial lamina propria, vascular architecture, and synoviocytes. Methods: Experimental. Methods: Ten horses. Methods: Microarthroscopy of left and right midcarpal joints was performed with and without vital staining of the synovium. Four vital stains (methylene blue, trypan blue, neutral red, and Janus green B) were evaluated, with each stain used in 5 joints. Synovial biopsy specimens were collected from the do...
Prevalence of osseous fragments in distal and proximal interphalangeal, metacarpo- and metatarsophalangeal and tarsocrural joints of Hanoverian Warmblood horses.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    September 24, 2005   Volume 52, Issue 8 388-394 doi: 10.1111/j.1439-0442.2005.00753.x
Stock KF, Hamann H, Distl O.The prevalence of osseous fragments in different limb joints was analysed in 3749 young Warmblood riding horses, which were pre-selected for sale at auction from 1991 to 1998 by the Association of Hanoverian Warmblood Breeders (Verband hannoverscher Warmblutzüchter e.V.) in Verden (Aller), Germany. The evaluation of these horses was based on a standardized radiological examination, including the distal interphalangeal (DIJ), the proximal interphalangeal (PIJ), the metacarpo- and metatarsophalangeal (MC/MTJ) and the tarsocrural joints (TCJ). In 32% of all horses at least one osseous fragment w...
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