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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.
Unusual presentation of cyathostomiasis in an adult Thoroughbred mare.
The Canadian veterinary journal = La revue veterinaire canadienne    November 2, 2017   Volume 58, Issue 11 1221-1223 
Zakrajsek E.A recently purchased 16-year-old Thoroughbred mare with a history of recurrent colic and low body weight, also had lameness in 3 limbs, pain at the sacro-iliac joint, and increased corneal opacity of the right eye. Response to supportive therapy was poor and euthanasia was elected. A postmortem examination and histopathology confirmed cyathostomiasis within the large colon and cecum and chronic anterior uveitis of the right eye. Une jument Thoroughbred, âgée de 16 ans et récemment achetée, avec une anamnèse de coliques récurrentes et de faible poids corporel souffrait aussi de boiterie ...
Quantification of the effect of instrumentation error in objective gait assessment in the horse on hindlimb symmetry parameters.
Equine veterinary journal    November 1, 2017   Volume 50, Issue 3 370-376 doi: 10.1111/evj.12766
Serra Bragança FM, Rhodin M, Wiestner T, Hernlund E, Pfau T, van Weeren PR, Weishaupt MA.Objective gait analysis is becoming more popular as a tool assisting veterinarians during the clinical lameness exam. At present, there is only limited information on the effect of misplacement of markers/motion-sensors. Objective: To investigate and describe the effect of marker misplacement on commonly calculated pelvic symmetry parameters. Methods: Experimental study. Methods: Each horse was equipped with custom-made devices consisting of several reflective markers arranged in a predefined manner with a reference marker correctly positioned regarding the anatomical landmark and several misp...
Assessment of a novel equine tarsocrural experimental joint disease model using recombinant interleukin-1β and arthroscopic articular sampling of the medial malleolus of the tibia on the standing sedated horse.
Veterinary journal (London, England : 1997)    October 31, 2017   Volume 229 54-59 doi: 10.1016/j.tvjl.2017.10.021
Nelson BB, King MR, Frisbie DD.Joint disease and osteoarthritis are common problems in the horse and numerous experimental studies have been developed to determine the safety and efficacy of new therapies. Synovitis, a critical component of joint disease, has been experimentally induced using recombinant interleukin-1 beta (reIL-1β) to investigate new joint therapies in a controlled environment, although the use of reIL-1β has not been reported in the equine tarsocrural joint. A common consequence of performing controlled experiments is that articular tissue collection typically requires general anesthesia or euthanasia. ...
Evaluation of oral sugar test response for detection of equine metabolic syndrome in obese Crioulo horses.
Domestic animal endocrinology    October 31, 2017   Volume 63 31-37 doi: 10.1016/j.domaniend.2017.10.006
Cantarelli C, Dau SL, Stefanello S, Azevedo MS, De Bastiani GR, Palma HE, Brass KE, De La Côrte FD.Owing to the high prevalence of obesity in Crioulo horses, information allowing early diagnosis of equine metabolic syndrome (EMS) and prevention of the associated laminitis is of great value. The aim of this study was to evaluate the occurrence of EMS and the response to an oral sugar test (OST) in obese Crioulo horses. Twenty-two Crioulo horses were allocated into 3 groups according to their body condition score (BCS out of 9) and presence or absence of laminitis as follows: CON (6/22), BCS < 7; OB (8/22), BCS ≥ 7; and LAM (8/22), BCS ≥7 with clinical and/or radiographic signs of lam...
Novel gene therapy gives competition horses new lease of life after lameness.
The Veterinary record    October 28, 2017   Volume 181, Issue 17 437 doi: 10.1136/vr.j4994
No abstract available
Clinical characteristics and muscle glycogen concentrations in warmblood horses with polysaccharide storage myopathy.
American journal of veterinary research    October 28, 2017   Volume 78, Issue 11 1305-1312 doi: 10.2460/ajvr.78.11.1305
Lewis SS, Nicholson AM, Williams ZJ, Valberg SJ.OBJECTIVE To characterize clinical findings for polysaccharide storage myopathy (PSSM) in warmblood horses with type 1 PSSM (PSSM1; caused by mutation of the glycogen synthase 1 gene) and type 2 PSSM (PSSM2; unknown etiology). SAMPLE Database with 3,615 clinical muscle biopsy submissions. PROCEDURES Reported clinical signs and serum creatine kinase (CK) and aspartate aminotransferase (AST) activities were retrospectively analyzed for horses with PSSM1 (16 warmblood and 430 nonwarmblood), horses with PSSM2 (188 warmblood and 646 nonwarmblood), and warmblood horses without PSSM (278). Lameness e...
Pharmacokinetics and antinociceptive effects of the soluble epoxide hydrolase inhibitor t-TUCB in horses with experimentally induced radiocarpal synovitis.
Journal of veterinary pharmacology and therapeutics    October 25, 2017   Volume 41, Issue 2 230-238 doi: 10.1111/jvp.12463
Guedes AGP, Aristizabal F, Sole A, Adedeji A, Brosnan R, Knych H, Yang J, Hwang SH, Morisseau C, Hammock BD.This study determined the pharmacokinetics, antinociceptive, and anti-inflammatory effects of the soluble epoxide hydrolase (sEH) inhibitor t-TUCB (trans-4-{4-[3-(4-Trifluoromethoxy-phenyl)-ureido]-cyclohexyloxy}-benzoic acid) in horses with lipopolysaccharide (LPS)-induced radiocarpal synovitis. A total of seven adult healthy mares (n = 4-6/treatment) were administered 3 μg LPS into one radiocarpal joint and t-TUCB intravenously (i.v.) at 0 (control), 0.03, 0.1, 0.3, and 1 mg/kg in a blinded, randomized, crossover design with at least 3 weeks washout between. Two investigators independe...
The Contribution of Adipose Tissue-Derived Mesenchymal Stem Cells and Platelet-Rich Plasma to the Treatment of Chronic Equine Laminitis: A Proof of Concept.
International journal of molecular sciences    October 11, 2017   Volume 18, Issue 10 doi: 10.3390/ijms18102122
Angelone M, Conti V, Biacca C, Battaglia B, Pecorari L, Piana F, Gnudi G, Leonardi F, Ramoni R, Basini G, Dotti S, Renzi S, Ferrari M, Grolli S.Laminitis, a highly debilitating disease of the foot in ungulates, is characterized by pathological changes of the complex lamellar structures that maintain the appendicular skeleton within the hoof. Laminitis is a multifactorial disease that involves perturbation of the vascular, hematological, and inflammatory homeostasis of the foot. Interestingly, the pathogenesis of the disease resembles what is observed in metabolic syndromes and sepsis-induced organ failure in humans and animals. We hypothesized that local administration of mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP) mi...
Incidence of laminitis and survey of dietary and management practices in pleasure horses and ponies in south-eastern Australia.
Australian veterinary journal    September 28, 2017   Volume 95, Issue 10 370-374 doi: 10.1111/avj.12635
Potter SJ, Bamford NJ, Harris PA, Bailey SR.The aims of this study were to (1) report the incidence of laminitis among a population of horses and ponies attending Pony Clubs in Victoria, Australia, and (2) describe the dietary and management practices of the sample population. Methods: Researchers visited 10 Pony Clubs over a 10-month period. Horse and pony owners completed a questionnaire to provide information on management relating to diet and exercise. Owners were also asked to report their animal's history of laminitis, if any. Results: From a survey population of 233 horses and ponies, 15.0% of animals (35 individuals) were report...
Tenogenically Induced Allogeneic Peripheral Blood Mesenchymal Stem Cells in Allogeneic Platelet-Rich Plasma: 2-Year Follow-up after Tendon or Ligament Treatment in Horses.
Frontiers in veterinary science    September 26, 2017   Volume 4 158 doi: 10.3389/fvets.2017.00158
Beerts C, Suls M, Broeckx SY, Seys B, Vandenberghe A, Declercq J, Duchateau L, Vidal MA, Spaas JH.Poor healing of tendon and ligament lesions often results in early retirement of sport horses. Therefore, regenerative therapies are being explored as potentially promising treatment for these injuries. In this study, an intralesional injection was performed with allogeneic tenogenically induced mesenchymal stem cells and platelet-rich plasma 5-6 days after diagnosis of suspensory ligament (SL) (n = 68) or superficial digital flexor tendon (SDFT) (n = 36) lesion. Clinical, lameness and ultrasonographic evaluation was performed at 6 and 12 weeks. Moreover, a survey was performed 12 ...
Magnetic resonance imaging findings of the proximal metacarpus in Quarter Horses used for cutting: Retrospective analysis of 32 horses 2009-2012.
Equine veterinary journal    September 21, 2017   Volume 50, Issue 2 172-178 doi: 10.1111/evj.12746
Barrett MF, Manchon PT, Hersman J, Kawcak CE.Injury to the proximal suspensory ligament is a common cause of lameness in cutting horses. Radiographic and ultrasonographic imaging of lesions responsible for lameness can provide ambiguous results. MRI provides the most comprehensive diagnostic imaging evaluation of lesions specifically affecting cutting horses. Objective: To describe the distribution and severity of bone and soft tissue lesions present in the proximal metacarpus of Quarter Horse cutting horses and to assess the impact of these lesions on return to competition. Methods: Retrospective case series. Methods: Retrospective anal...
Characteristic findings of magnetic resonance imaging (MRI) and computed tomography (CT) for severe chronic laminitis in a Thoroughbred horse.
Journal of equine science    September 20, 2017   Volume 28, Issue 3 105-110 doi: 10.1294/jes.28.105
Yamada K, Inui T, Itoh M, Yanagawa M, Sato F, Tominari M, Mizobe F, Kishimoto M, Sasaki N.A Thoroughbred horse with severe chronic laminitis of both forelimbs was evaluated on the same day with magnetic resonance imaging (MRI) and computed tomography (CT). Both MRI and CT revealed loss of the dorsal aspect of the cortical bone of the 3rd phalanx and sclerosis. CT reflected the status of the horny layer and bone of the affected feet, while MRI depicted inflammation of the laminar corium, together with tendon edema. On the 3-dimensional CT venogram, vessels were visualized in both the right and left forelimbs, although there was a difference in the vasculature of the coronary plexus ...
Signal changes in standing magnetic resonance imaging of osseous injury at the origin of the suspensory ligament in four Thoroughbred racehorses under tiludronic acid treatment.
Journal of equine science    September 20, 2017   Volume 28, Issue 3 87-97 doi: 10.1294/jes.28.87
Mizobe F, Nomura M, Kato T, Nambo Y, Yamada K.Problems associated with the proximal metacarpal region, such as an osseous injury associated with tearing of Sharpey's fibers or an avulsion fracture of the origin of the suspensory ligament (OISL), are important causes of lameness in racehorses. In the present study, four Thoroughbred racehorses (age range, 2-4 years) were diagnosed as having forelimb OISL and assessed over time by using standing magnetic resonance imaging (sMRI). At the first sMRI examination, all horses had 3 characteristic findings, including low signal intensity within the trabecular bone of the third metacarpus on T1-we...
Atlanto-axial malformation in an adult Quarter horse gelding.
The Canadian veterinary journal = La revue veterinaire canadienne    September 8, 2017   Volume 58, Issue 9 923-925 
Cole R, Taintor J, Hanson R.An adult gelding was evaluated for bilateral intermittent forelimb lameness of approximately 2 years duration. The horse was found to have grade 2/5 upper motor neuron-general proprioception ataxia with no cranial nerve deficits. During radiographic and gross necropsy examinations a novel atlanto-axial malformation of possible congenital etiology was found. Un hongre adulte a été évalué pour une boiterie intermittente de la jambe avant présente depuis environ 2 ans. On a constaté que le cheval avait une ataxie de proprioception générale des motoneurones supérieurs de grade 2/5 sans d...
Histological changes in the proximal suspensory ligament after neurectomy of the deep branch of the lateral palmar nerve of horses with induced proximal suspensory desmitis.
Veterinary journal (London, England : 1997)    September 1, 2017   Volume 227 46-48 doi: 10.1016/j.tvjl.2017.08.008
Lopez-Navarro G, Trigo-Tavera FJ, Rodriguez-Monterde A, Gutierrez-Ospina G, Arechavaleta-Velasco M, Schumacher J, Schumacher J.Proximal suspensory desmitis (PSD) is a common cause of lameness in the pelvic limb, but could also affect the thoracic limb of competing and non-competing horses. Most horses diagnosed with PSD in a thoracic limb respond to rest followed by controlled exercise, but in a small percentage of affected horses, lameness persists. In one study, four horses chronically lame because of PSD in a thoracic limb became sound after neurectomy of the deep branch of the lateral palmar nerve (DBLPaN), which innervates the proximal aspect of the suspensory ligament (SL; Guasco et al., 2013). Whether neurectom...
Do we have to redefine lameness in the era of quantitative gait analysis?
Equine veterinary journal    August 15, 2017   Volume 49, Issue 5 567-569 doi: 10.1111/evj.12715
van Weeren PR, Pfau T, Rhodin M, Roepstorff L, Serra Bragança F, Weishaupt MA.No abstract available
Fracture of the medial intercondylar eminence of the tibia in horses treated by arthroscopic fragment removal (21 horses).
Equine veterinary journal    August 15, 2017   Volume 50, Issue 1 60-64 doi: 10.1111/evj.12720
Rubio-Martínez LM, Redding WR, Bladon B, Wilderjans H, Payne RJ, Tessier C, Geffroy O, Parker R, Bell C, Collingwood FA.Fractures of the medial intercondylar eminence of the tibia (MICET) are scarcely reported in horses. Objective: To report the clinical and diagnostic findings, surgical treatment and outcome in a series of horses presented with MICET fracture and treated with arthroscopic fragment removal. Methods: Multicentre retrospective case series. Methods: Case records of horses diagnosed with MICET fractures that had undergone surgical treatment were reviewed. Follow-up information was obtained from re-examination visits and/or owners. Results: Twenty-one cases were identified at 9 equine hospitals betw...
Veterinary student competence in equine lameness recognition and assessment: a mixed methods study.
The Veterinary record    August 13, 2017   Volume 181, Issue 7 168 doi: 10.1136/vr.104245
Starke SD, May SA.The development of perceptual skills is an important aspect of veterinary education. The authors investigated veterinary student competency in lameness evaluation at two stages, before (third year) and during (fourth/fifth year) clinical rotations. Students evaluated horses in videos, where horses were presented during trot on a straight line and in circles. Eye-tracking data were recorded during assessment on the straight line to follow student gaze. On completing the task, students filled in a structured questionnaire. Results showed that the experienced students outperformed inexperienced s...
Response to acupuncture treatment in horses with chronic laminitis.
The Canadian veterinary journal = La revue veterinaire canadienne    August 2, 2017   Volume 58, Issue 8 823-827 
Faramarzi B, Lee D, May K, Dong F.There is a need for evidence-based scientific research to address the question of the effectiveness of acupuncture in improving clinical signs of laminitis in horses. The objective of this study was to compare lameness levels before and after 2 acupuncture treatments in horses with chronic laminitis. Twelve adult horses with chronic laminitis received 2 acupuncture treatments 1 week apart. The points were treated using dry needling, hemo-acupuncture, and aqua-acupuncture. Lameness level was objectively evaluated using an inertial sensor-based lameness evaluation system (Lameness Locator), as w...
Application of the Hands-On Donkey Tool for Assessing the Welfare of Working Equids at Tuliman, Mexico.
Journal of applied animal welfare science : JAAWS    August 1, 2017   Volume 21, Issue 1 93-100 doi: 10.1080/10888705.2017.1351365
Galindo F, de Aluja A, Cagigas R, Huerta LA, Tadich TA.Equids are still used for diverse chores in Mexico and are essential for the livelihoods of numerous families. Appropriate health and behavior are prerequisites for performing work without affecting welfare. This study aimed to assess the welfare of working equids in Tuliman, applying the hands-on donkey tool. This tool evaluates five dimensions (behavior, body condition score [BCS], wounds, lameness, and other health issues) and was applied to 438 working equids (horses, mules, and donkeys). The Kruskall-Wallis test was applied to investigate differences between species and sex. Donkeys were ...
Gestation length and racing performance in 115 Thoroughbred foals with incomplete tarsal ossification.
Equine veterinary journal    July 20, 2017   Volume 50, Issue 1 29-33 doi: 10.1111/evj.12712
Haywood L, Spike-Pierce DL, Barr B, Mathys D, Mollenkopf D.Incomplete ossification of the cuboidal bones of the carpus and tarsus in foals has the potential for significant consequences including chronic lameness and decreased athletic ability. Objective: To determine if the degree of ossification of the cuboidal bones is associated with gestational length and if the diagnosis of incomplete ossification is a predictor of performance in Thoroughbred racehorses. Methods: Retrospective cohort study. Methods: The medical records of Thoroughbred foals less than 90 days of age from 1994 to 2011 were examined and records containing tarsal radiographs identif...
Duration of action of mepivacaine and lidocaine in equine palmar digital perineural blocks in an experimental lameness model.
Veterinary surgery : VS    July 13, 2017   Volume 46, Issue 7 986-993 doi: 10.1111/vsu.12689
Hoerdemann M, Smith RL, Hosgood G.To establish and compare the onset and duration of action of 2 local anesthetics based on objective lameness and skin sensitivity assessment. Methods: Interventional crossover experimental trial with balanced randomization. Methods: Eight horses. Methods: Reversible forelimb lameness was induced in 8 horses. A palmar digital nerve block (PDNB) was applied with mepivacaine or lidocaine (both 2%). Quantitative lameness and skin sensitivity data were collected with an inertial sensor system and a force gauge, respectively. The times to lameness resolution/skin desensitization (T1), consistent lam...
Circulating miR-23b-3p, miR-145-5p and miR-200b-3p are potential biomarkers to monitor acute pain associated with laminitis in horses.
Animal : an international journal of animal bioscience    July 10, 2017   Volume 12, Issue 2 366-375 doi: 10.1017/S1751731117001525
Lecchi C, Dalla Costa E, Lebelt D, Ferrante V, Canali E, Ceciliani F, Stucke D, Minero M.Circulating microRNAs (miRNAs) are emerging as promising biomarkers for several disorders and related pain. In equine practice, acute laminitis is a common disease characterised by intense pain that severely compromises horse welfare. Recently, the Horse Grimace Scale (HGS), a facial expression-based pain coding system, was shown to be a valid welfare indicator to identify pain linked to acute laminitis. The present study aimed to: determine whether miRNAs can be used as biomarkers for acute pain in horses (Equus caballus) affected by laminitis; integrate miRNAs to their target genes and to ca...
Physeal Fractures in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 417-430 doi: 10.1016/j.cveq.2017.03.008
Levine DG, Aitken MR.Physeal fractures are common musculoskeletal injuries in foals and should be included as a differential diagnosis for the lame or nonweightbearing foal. Careful evaluation of the patient, including precise radiographic assessment, is paramount in determining the options for treatment. Prognosis mostly depends on the patient's age, weight, and fracture location and configuration.
Routine Orthopedic Evaluation in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 253-266 doi: 10.1016/j.cveq.2017.03.011
Hunt RJ, Baker WT.In order to recognize abnormalities on the physical evaluation, it is mandatory to understand normal developmental variations of the musculoskeletal system. Many abnormalities are self-limiting and, therefore, it is important to recognize which problems require intervention for a successful outcome and which may be complicated by treatment. The importance of a complete and thorough physical evaluation cannot be overemphasized and is the most productive diagnostic tool for recognizing most abnormalities of the skeletal system whether as a component of an after-foaling examination or for lamenes...
Surgical Management of Osteochondrosis in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 379-396 doi: 10.1016/j.cveq.2017.03.010
Ortved KF.Osteochondrosis is common in young, athletic horses. Some lesions respond to conservative therapy. Surgical management is the mainstay of treatment. Arthroscopic debridement is useful in the femoropatellar joint, tarsocrural joint, fetlock joint, and shoulder joint. Debridement is associated with good outcomes, except in the shoulder joint. Osteochondrosis lesions in the elbow may be difficult to access arthroscopically, thereby transosseous debridement. Surgical management of subchondral cystic lesions of the medial femoral condyle consists of debridement, debridement with grafting, transcond...
The impact of subchondral bone cysts on local bone stresses in the medial femoral condyle of the equine stifle joint.
Medical engineering & physics    July 6, 2017   Volume 48 158-167 doi: 10.1016/j.medengphy.2017.06.019
Frazer LL, Santschi EM, Fischer KJ.Subchondral lucency (SCL), also referred to as subchondral bone cysts, can cause clinical problems in horses and humans. In humans, SCLs occur in youths and adolescents [1] due to mechanical factors (often related to athletics) and in skeletally mature individuals secondary to osteoarthritis (OA). In horses, SCL most commonly occurs in the medial femoral condyle (MFC) of growing horses (without OA), and causes lameness. The cause of equine SCL is debated, but bone trauma due to overload is the likely mechanism. Investigating the biomechanics of the healthy and cystic MFC is important to unders...
Assessment of horse owners’ ability to recognise equine laminitis: A cross-sectional study of 93 veterinary diagnosed cases in Great Britain.
Equine veterinary journal    July 3, 2017   Volume 49, Issue 6 759-766 doi: 10.1111/evj.12704
Pollard D, Wylie CE, Verheyen KLP, Newton JR.Use of owner-reported data could further epidemiological knowledge of equine laminitis. However, owner recognition of laminitis has not previously been assessed. Objective: The primary objective was to establish whether cases of owner-suspected laminitis would be confirmed as laminitis by the attending veterinary surgeon. Secondary objectives were to compare owner- and veterinary-reported information from veterinary-confirmed cases of equine laminitis. Methods: Cross-sectional study. Methods: Twenty-five British veterinary practices were invited to submit laminitis reporting forms (LRFs) for a...
Head, withers and pelvic movement asymmetry and their relative timing in trot in racing Thoroughbreds in training.
Equine veterinary journal    July 3, 2017   Volume 50, Issue 1 117-124 doi: 10.1111/evj.12705
Pfau T, Noordwijk K, Sepulveda Caviedes MF, Persson-Sjodin E, Barstow A, Forbes B, Rhodin M.Horses show compensatory head movement in hindlimb lameness and compensatory pelvis movement in forelimb lameness but little is known about the relationship of withers movement symmetry with head and pelvic asymmetry in horses with naturally occurring gait asymmetries. Objective: To document head, withers and pelvic movement asymmetry and timing differences in horses with naturally occurring gait asymmetries. Methods: Retrospective analysis of gait data. Methods: Head, withers and pelvic movement asymmetry and timing of displacement minima and maxima were quantified from inertial sensors in 16...
Isolated limb perfusion electrochemotherapy for the treatment of an advanced squamous cell carcinoma of the hoof in a mare.
Open veterinary journal    June 28, 2017   Volume 7, Issue 2 192-196 doi: 10.4314/ovj.v7i2.18
Spugnini EP, Bolaffio C, Scacco L, Baldi A.A twenty-year-old female saddle horse was referred for evaluation of a seven month, non-healing erosive lesion of the right hind hoof with proliferation and bleeding of the underlying soft tissues. This lesion had been twice surgically treated as a canker but rapidly recurred. Histological examination of the second excision revealed a well-differentiated squamous cell carcinoma. At presentation, the horse was mildly depressed, lame and partially non-weight-bearing on the right hind leg, which exhibited a 10 x 10 cm erosive and proliferative lesion remodeling the hoof. After completing staging ...
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