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Topic:Lameness
Lameness in horses is a condition characterized by an abnormal gait or stance due to pain or mechanical dysfunction affecting the limbs or spine. It is a common issue in equine practice and can result from a variety of causes, including injury, infection, or degenerative diseases. Lameness can affect a horse's performance and quality of life, making accurate diagnosis and management important for equine health. Diagnostic techniques often include physical examination, imaging, and gait analysis. This page aggregates peer-reviewed research studies and scholarly articles that explore the etiology, diagnostic methods, and management strategies for lameness in horses.
Investigating horse owners’ confidence, ability and knowledge-seeking behaviour in recognising equine lameness. Undiagnosed lameness is common in horses, but little is known about which aspects of lameness identification owners find difficult. Objective: To explore horse owners' confidence and ability to identify equine lameness, and their knowledge-seeking behaviour. Methods: In this cross-sectional online survey, 509 UK horse/pony owners identified lameness from videos of sound, forelimb, hindlimb and bilaterally lame horses, reported their knowledge of clinical signs and knowledge-seeking behaviour, and rated their confidence (1, not confident at all, to 5, very confident). Mixed-effects logistic reg...
Clinical Outcomes and Safety of Tendon-Derived Mesenchymal Stem Cell Therapy in Equine Tendon and Ligament Injuries. Equine tendinopathies and desmopathies are common musculoskeletal disorders characterized by a limited regenerative capacity and a high risk of recurrence. Tendon-derived mesenchymal stem cells (TDSCs) represent a promising regenerative therapy due to their immunomodulatory and pro-regenerative properties. Objective: This preliminary prospective clinical study aimed to evaluate the safety and potential efficacy of allogeneic post-mortem TDSCs, for the treatment of superficial digital flexor tendon (SDFT) and suspensory ligament (SL) injuries in horses. Methods: Nine horses were monitored longi...
Inter-week Variation in Movement Asymmetry at Trot in Cavalry Horses in Training. The widespread use of objective motion analysis in lameness investigations has raised questions about whether movement asymmetries are caused by pain and when they are indicative of orthopaedic disease. The prevalence of motion asymmetries in horse populations in training is high, but longitudinal studies on variation in movement asymmetry are scarce. Objective: To investigate inter-week variation in movement symmetry during straight-line trot in horses in training over three weeks. Methods: Forty-nine cavalry horses in training were included in a longitudinal study. Horses were equipped with ...
Association of facial expression, biochemistry, and microRNAs with lameness in endurance horses. Lameness is common in endurance horses. Conventional gait-based assessment may not fully capture its various aspects. Facial expression scales can provide complementary, non-locomotor indicators of lameness-related pain. Objective: To evaluate the performance of facial expression scales Horse Grimace Scale (HGS) and Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP) for assessing pain-related lameness in endurance horses and their associations with the American Association of Equine Practitioners (AAEP) lameness grading system, biochemical, and molecular markers. Methods...
Exostosis of the sustentaculum tali causing tibiotarsal joint pathology in a Standardbred racehorse trotter. This report describes a novel case of exostosis on the medial aspect of the sustentaculum tali, (ST) associated with tibiotarsal joint (TTJ) pathology, without involvement of the tarsal sheath or lateral digital flexor tendon. A 5-year-old Standardbred gelding was presented with right TTJ effusion and exercise-induced hind-limb lameness. Diagnostic imaging identified a columnar periosteal proliferation on the medial ST, accompanied by synovial effusion and joint capsule thickening; however, the tarsal sheath and lateral digital flexor tendon remained unremarkable. Although TTJ arthroscopy conf...
Anatomical and computed tomographic study of equine cervical spinal nerves and intervertebral foramina. Osseous enlargement of the cervical articular process joints due to osteoarthropathy or developmental hypertrophy can narrow the intervertebral foramen (IF), resulting in compression and neuritis of the exiting spinal nerves. Associated clinical signs may include neck pain, forelimb lameness or muscle atrophy. Computed tomography (CT) is the gold standard for IF evaluation; however, to date, visualisation of the equine spinal nerves based on CT imaging is insufficient. Objective: To improve the diagnostic accuracy of foraminal stenosis and cervical spinal nerve (CSN) compression based on CT, t...
Use of 2.5% polyacrylamide hydrogel mitigates joint capsule stiffness and cartilage degradation in experimental equine osteoarthritis. To evaluate the symptom- and disease-modifying effects of injectable 2.5% polyacrylamide gel (iPAAG) in an experimental model of equine osteoarthritis (OA). Unassigned: 16 horses underwent osteochondral fragment creation (day 0) in 1 randomly-selected middle carpal joint (MCJ). On day 14, the MCJ was injected with 2 mL of phosphate-buffered saline (n = 8) or 2.5% iPAAG (8); high-speed treadmill exercise commenced on day 16 to induce OA. Clinical parameters (lameness, joint effusion, range of motion, flexion response) and synovial fluid were collected weekly and biweekly, respectively. Radiogra...
Catastrophic distal sesamoidean ligament rupture in 72 racehorses in California. Rupture of major distal sesamoidean ligaments (DSLs) in racehorses results in suspensory apparatus failure. Our objective was to describe postmortem findings and exercise histories for Thoroughbred (TB) and Quarter Horse racehorses that had DSL rupture as the sole cause of catastrophic musculoskeletal and suspensory apparatus failure. We described horse signalment, activity at the time of injury, and postmortem findings and compared the exercise histories with those of event-matched control horses. In 72 racehorses, predominantly ≥4-y-old, catastrophic rupture of forelimb DSLs (41 left, 29 r...
Harnessing the Horse for Human Osteoarthritis: microRNA-181a-5p Antisense Oligonucleotides in Clinically Normal Equine Fetlock Joints Are Safe and Well Tolerated. Horses serve as a translational model for human osteoarthritis (OA) due to their comparable joint size, cartilage thickness, and incidence of naturally occurring disease. Overexpression of microRNA-181a-5p has been implicated in cartilage degradation in OA, and its inhibition using locked nucleic acid antisense oligonucleotides (LNA-miR-181a-5p ASOs) represents a potential therapeutic strategy. This study evaluated the safety of intraarticular (IA) LNA-miR-181a-5p ASO injection in clinically normal horse fetlock joints. Twelve horses were randomized to receive two IA injections, 28 days apart,...
Heel movement and foot biomechanics in aluminium nail-on and indirect glue-on fabric cuff shoes in horses. Heel movement is critical to shock absorption and vascular perfusion of the equine digit. Conventional horseshoeing techniques are suspected to restrict natural hoof deformation, affecting hoof biomechanics. Several studies have explored the effects of shoeing on hoof function, though many have been limited to artificial conditions, cadavers, or homogenous populations. Objective: We aimed to compare the effects of two aluminium shoeing techniques, nail-on versus indirect glue-on fabric cuff shoes, on heel movement in horses. Our objective was to determine which technique allowed greater heel m...
Clinical Efficacy of Varying Dosages of Intravenous Phenylbutazone in a Reversible Model of Equine Foot Lameness. The objective of this experiment was to compare the clinical efficacy of various dosages of phenylbutazone (PBZ) with a negative control. The hypothesis was that higher PBZ doses would result in improved efficacy in a dose-dependent manner. Eight horses were shod with adjustable heart bar shoes on one front foot. Grade 4.0/5.0 lameness was induced every 2 to 4 weeks by tightening a set screw against the heart bar. Heart rate (HR) and lameness score (LS) were monitored at rest; every 20 min after lameness induction for 5 h; and hourly for another 8 h. One hour after lameness induction, treatmen...
Changes in hoof morphology in racing Thoroughbreds during a period of ninety days unshod. Low hoof angles and discrepancies in the dorsal heel are linked to musculoskeletal breakdown, suspensory apparatus failure, and retirement in Thoroughbred racehorses. Evidence-based research on correcting hoof adaptations is limited, which leads to a reliance on therapeutic shoeing. Unassigned: This study aimed to test the hypothesis that morphological changes occur during active unshod training and that trimming immediately affects hoof angles. Unassigned: This is a controlled, quantitative, longitudinal study that uses a convenience sample. Unassigned: A total of 36 racehorses were divided i...
Low-Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse. A 7-year-old Warmblood mare used for show jumping was evaluated for progressive left hindlimb lameness of 5 weeks' duration, localized clinically to the metatarsophalangeal region. Radiography revealed ill-defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low-field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract...
Phenotypic associations between young horse assessments and orthopaedic diagnoses in insured Swedish Warmblood horses. Lameness is the most common health problem in riding horses, and insurance data have previously been used to investigate the prevalence of orthopaedic diagnoses in Swedish Warmblood (SWB) horses. Young horse performance testing is an important part of the SWB breeding programme and contributes data to the genetic evaluation. Assessed traits from these tests have been shown to be useful indicator traits of performance in show jumping and dressage, but their associations with orthopaedic health have not previously been investigated. Objective: To study the associations between assessed traits fr...
Serum osteocalcin is associated with scintigraphic abnormalities in lame and clinically sound racehorses. Musculoskeletal injury is a major welfare and economic challenge in racehorses, with stress-related bone injury contributing to training interruption and catastrophic failure. Advanced imaging modalities can detect early skeletal pathology but remain limited in routine screening environments. Circulating biomarkers of bone turnover may provide complementary indicators of skeletal remodelling but require validation against objective imaging findings. Objective: Evaluate whether osteocalcin (OC) and C-terminal telopeptide of type I collagen (CTX), or the CTX/OC ratio, are associated with scintig...
Diagnostic Performance of Digital Tomosynthesis for Detecting Osteophytes and Subchondral Bone Changes in the Equine Distal Interphalangeal and Metacarpophalangeal Joints. Osteoarthritis is a common cause of equine lameness and can involve periarticular osteophytes and subchondral bone (SB) changes. This exploratory ex vivo study evaluated the diagnostic performance of digital tomosynthesis (DT) for detecting these findings in the distal interphalangeal and metacarpophalangeal joints, using computed tomography (CT) classifications as the reference. Sixteen distal forelimbs from nine adult horses underwent imaging with both modalities under simulated weight-bearing conditions. Three independent observers graded osteophytes and SB changes, and the scores were dich...
Context-aware machine learning for lameness side and severity prediction in trotting horses: A proof-of-concept study. In clinical practice, lameness evaluation often relies on visual assessment under different examination conditions, including ground and figures, and remains subjective. Although objective symmetry indices provide quantitative measures of gait asymmetry, their interpretation across multiple conditions remains challenging because several complementary indices are required and their thresholds vary with context. Objective: To assess the ability of a context-aware machine learning approach to predict lameness side and severity at the trot using trunk-mounted IMUs. Methods: Retrospective observati...
Anatomy and Ultrasound-Guided Injection of the Deep Branch of the Lateral Palmar Nerve in the Horse: A Cadaveric Study. Proximal suspensory ligament (PSL) injuries are a common cause of lameness in horses. Localization of pain in the proximal metacarpal and carpal region remains challenging. Current diagnostic analgesic techniques are not PSL-specific. The aim of this study was to investigate the nerve supply of the PSL, with particular focus on the deep branch of the lateral palmar nerve (DBLPaN), and to develop a landmark-based, ultrasound-guided injection technique targeting this nerve. Unassigned: Eighteen limbs from euthanized horses were dissected to describe the anatomy of the DBLPaN and branches, measur...
Use of wooden shoes for the treatment of chronic laminitis in an American quarter horse. An 11-year-old American quarter horse mare with bilateral forelimb lameness was examined at a mixed-animal veterinary clinic. Radiographs revealed rotation and distal displacement of the 3rd phalanx in each front foot, confirming chronic laminitis. Wooden shoes (Steward Clogs) were used successfully to manage the lameness. The findings from this case support the use of wooden shoes as part of the treatment of chronic laminitis in a general veterinary practice setting. Utilisation de sabots pour le traitement de la fourbure chronique chez un quarter horse américainUne jument quarter horse amé...
Race Performance Following Arthroscopic Surgery for Femoropatellar and Tarsocrural Osteochondrosis in Juvenile Thoroughbreds. The objective of this study is to evaluate racing performance of Thoroughbred yearlings following arthroscopic surgery for osteochondrosis (OC) of the femoropatellar (FP) and tarsocrural (TC) joints. Unassigned: This is a retrospective study of Thoroughbreds 0.05). In both groups, no significant performance differences were found between unilateral and bilateral cases ( > 0.05). Unassigned: Racing performance after FP or TC OC surgery was comparable to that of unaffected controls. Bilateral cases performed as successfully as unilateral.
Successful outcome of open distal interphalangeal joint luxation in equids treated by surgical debridement without internal implants. The distal interphalangeal joint (DIPJ) plays a crucial role in the function of the hoof and digit. Dislocations and subluxations in this region are rare and primarily of traumatic origin. Methods: This case report aims to describe two unusual cases of open DIPJ dislocation, including clinical presentation, diagnostic workup, treatment, and long-term follow-up. Both animals presented with open traumatic distal interphalangeal joint (DIPJ) luxation. In Case 1, the animal received initial care on the property 5 h post-trauma and presented with joint exposure and articular surface contact with th...
Hidden Tarsal Lesions: The Role of Flexed and Oblique Radiographs in Young Horses. Radiographically apparent tarsal lesions associated with developmental orthopedic disease and joint sepsis are common in young horses. Standard radiographic projections are routinely used to identify osseous changes but may fail to detect lesions due to superimposition and complex anatomy. This retrospective case series describes plantar trochlear ridge lesions in young horses that were not identified on standard four projection radiograph series but were detected using flexed lateromedial and flexed oblique projections. Cases were selected based on persistent clinical signs localizing to the ...
Limb position, not exercise or sedation, affects power Doppler neovascularization detection in equine superficial digital flexor tendon core lesions. To determine the effect of limb position, exercise, and sedation on neovascularization detectability with the use of power Doppler ultrasonography (PDU) in superficial digital flexor tendon core lesions of the equine forelimb. Unassigned: 9 Thoroughbred horses with superficial digital flexor tendon core tendinopathies were assessed with PDU before lesion induction (week 0) and 12 weeks after lesion induction, with 5 horses in the study period ranging from January to April 2024 and 4 horses from January to April 2025. During weeks 0 and 12, ultrasound examinations were performed 24 hours apart,...
Walking prior to contrast tenogram radiograph acquisition improves radiological identification of equine digital flexor tendon sheath pathology. the protocol for mobilization of the fetlock region prior to acquiring a contrast tenogram radiograph is not clearly defined. Objective: to determine if walking exercise improves identification of DFTS pathology on contrast tenography. Methods: Prospective cohort study. Nineteen horses that underwent contrast tenography and subsequent surgical tenoscopy were included. A tenogram protocol was developed to enable comparison of diagnostic accuracy after increasing mobilization of the affected limb post-injection. Following contrast injection three tenogram radiographs were taken, (1) immediately ...
Multi-Detector Helical Computer Tomography, Transrectal Ultrasonography and Histology of the Lumbosacral Area: A Comparative Study in Warmblood Horse Cadavers. Pain arising from the lumbosacral region is a recognized cause of poor performance and impaired welfare in horses. However, structural changes in the intertransverse joints (ITJs), lumbar articular process joints (APJs), and lumbosacral intervertebral discs (LSDs) may also occur in asymptomatic horses, complicating interpretation of imaging findings.This study evaluated these structures in 14 middle-aged Warmblood cadavers that were not lame according to the owners prior the onset of the problem that resulted in euthanasia or slaughter and correlated ultrasonographic (US) and computed tomograp...
Factors affecting veterinary perception of the prevalence of back pain and dysfunction in dogs and horses. The prevalence of back pain in humans has been extensively reported, but in dogs it is unknown. In horses, research on the prevalence of back pain exists, but with reports ranging from 1% to 94%, indicating a data deficiency. Unassigned: Veterinarians were surveyed about their perception of the prevalence of back pain and dysfunction in dogs and horses for 6 different clinical scenarios. The respondents' education background and physical examination techniques were recorded. Unassigned: Perceptions of the prevalence of back pain and dysfunction varied widely both within and between education g...
Epidural 0.125% ropivacaine is safe but insufficient for induced tibiotarsal joint pain. Epidural injection of a low concentration of the local anaesthetic ropivacaine produces analgesia without neurological deficits or ileus in people. Objective: To determine if epidural 0.125% ropivacaine mitigates induced hindlimb lameness in horses while preserving neurological function and gastrointestinal (GI) motility. Methods: Randomised, blinded, controlled, crossover study. Methods: Eight healthy, sound horses underwent two treatments in random order, separated by at least 3 weeks: epidural saline or epidural ropivacaine. For each treatment, an epidural catheter was inserted at the fir...
Radiographic abnormalities in the fetlock joints of equestrian horses in Tehran province, Iran. Disorders and injuries of the fetlock joint, encompassing both bone and soft tissue, are significant causes of limb pain and lameness in horses. Over time, these conditions can lead to joint dysfunction and a diminished quality of life. This study aimed to identify fetlock joint disorders using radiological examinations conducted during pre-purchase evaluations of horses and to evaluate the influence of age and sex on their incidence rates. 100 horses were selected from equestrian centers in Tehran Province during 2017 - 2020. As part of pre-purchase examinations, standard radiographic project...
Quantifying the Equine Pain Response to Paracetamol Administration in Horses With Chronic Lameness Already Receiving Non-Steroidal Anti-Inflammatories. Paracetamol is used in horses alongside non-steroidal anti-inflammatories (NSAIDs) for multi-modal analgesia; however to date there are few studies published which have investigated its analgesic effect in the horse. Horses were recruited to this study from a population of geriatric horses at The Horse Trust. Horses were selected based on the following inclusion criteria; documented naturally occurring chronic lameness and being treated with an NSAID at the licensed dose and dosing interval. This population was assessed with a five-point subjective lameness grading system performed live by two...
Endocrinopathic Laminitis. Endocrinopathic laminitis is a consequence of persistent hyperinsulinemia, therefore insulin control is the key to prevention and effective treatment. This form of laminitis is commonly subclinical and therefore early diagnosis requires metabolic screening to establish risk and radiographic screening to detect early laminitic changes that may not yet be clinically apparent. Management changes can be used in conjunction with medication to control insulin and effectively prevent and treat endocrinopathic laminitis.
