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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.
Nutritional management of laminitis in a horse.
The Veterinary record    June 2, 2009   Volume 164, Issue 22 694-695 doi: 10.1136/vr.164.22.694
Van Weyenberg S, Hesta M, Kalmar ID, Vandermeiren J, Janssens GP.No abstract available
Tendinitis of the proximal aspect of the superficial digital flexor tendon in horses: 12 cases (2000-2006).
Journal of the American Veterinary Medical Association    June 2, 2009   Volume 234, Issue 11 1432-1436 doi: 10.2460/javma.234.11.1432
Chesen AB, Dabareiner RM, Chaffin MK, Carter GK.To determine clinical signs, ultrasonographic findings, and outcome of horses with tendinitis of the proximal portion of the superficial digital flexor tendon (SDFT; group A horses) and to compare signalment, horse use, and outcome in these horses with that of horses with tendinitis of the midmetacarpal region of the SDFT (group B horses). Methods: Retrospective case series. Methods: 12 group A horses and 22 group B horses. Methods: Medical records were reviewed for signalment, horse use, and outcome information; data for group A horses also included severity of lameness, diagnostic results, a...
The use of force plate measurements to titrate the dosage of a new COX-2 inhibitor in lame horses.
Equine veterinary journal    May 28, 2009   Volume 41, Issue 3 309-312 doi: 10.2746/042516409x397118
Back W, MacAllister CG, van Heel MC, Pollmeier M, Hanson PD.Lameness is a highly prevalent condition in horses and the principal cause of removal from athletic activity. In clinical studies to evaluate nonsteroidal anti-inflammatory drug therapies, force plates are commonly used to assess improvement of lameness objectively. Objective: To use a force plate to determine the optimal dose of a new COX-2 inhibitor (firocoxib) that will reduce lameness, when administered orally to horses once daily. Methods: Sixty-four horses that exhibited chronic lameness presumed due to osteoarthritis, including navicular disease, in at least one of the frontlimbs and at...
Evaluation of discriminant analysis based on dorsoventral symmetry indices to quantify hindlimb lameness during over ground locomotion in the horse.
Equine veterinary journal    May 28, 2009   Volume 41, Issue 3 304-308 doi: 10.2746/042516409x397352
Church EE, Walker AM, Wilson AM, Pfau T.Advances in gait analysis techniques have led to assessment tools that can aid in detecting and quantifying lameness; here, bilateral tubera coxae and pelvic movement during over ground locomotion are compared in order to investigate a practical method to assess hindlimb lameness in the horse. Objective: To evaluate which parameters from anatomical landmarks on trunk and proximal hindlimbs are the best indicators of degree and side of hindlimb lameness. Methods: Fifteen horses (age 11-23 years, 6 nonlame and 9 unilaterally hindlimb lame horses 1/10 to 2/10 lame) were fitted with 4 inertial sen...
Influence of different exercise regimes on the proximal hoof circumference in young Thoroughbred horses.
Equine veterinary journal    May 28, 2009   Volume 41, Issue 3 233-236 doi: 10.2746/042516409x393220
Decurnex V, Anderson GA, Davies HM.Most lameness in horses relates to foot problems and may be associated with changes in hoof shape, but there is a lack of information on the influence of normal exercise on hoof shape. Objective: To investigate the effect of training on proximal hoof circumference in young Thoroughbred racehorses being prepared for racing. Methods: Thirty-seven young Thoroughbred racehorses were included in this study. Front hoof circumference immediately below the coronary band was measured weekly with a measuring tape in all horses present at the stable. Most horses accomplished a minimum of 2 training perio...
Fractures of the tuber coxa of the ilium in horses: 29 cases (1996-2007).
Journal of the American Veterinary Medical Association    May 16, 2009   Volume 234, Issue 10 1303-1307 doi: 10.2460/javma.234.10.1303
Dabareiner RM, Cole RC.To determine history; clinical, radiographic, ultrasonographic, and scintigraphic abnormalities; treatment; and outcome in horses with tuber coxae fractures and to describe a useful technique for obtaining a dorsomedial-ventrolateral 50 degrees oblique radiographic view of the tuber coxa of the ilium in standing horses. Methods: Retrospective case series. Methods: 29 horses with fractures of tuber coxa. Methods: Data collected from medical records included signalment; history; horse use; severity and duration of lameness; radiographic, ultrasonographic, and scintigraphic findings; treatment; a...
The clinician’s eye view of hindlimb lameness in the horse: technology and cognitive evaluation.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 99-100 doi: 10.2746/042516409x399963
Dyson SJ.No abstract available
Evidence of the development of ‘domain-restricted’ expertise in the recognition of asymmetric motion characteristics of hindlimb lameness in the horse.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 112-117 doi: 10.2746/042516408x343000
Parkes RS, Weller R, Groth AM, May S, Pfau T.Visual assessment of horses' movements is subjective, affected by bias and dependent on the level of experience of the assessor. However, to date there are no data available on the ability of the human visual system to recognise (a)symmetry in moving objects. Objective: To investigate, using visual lameness assessment, the limits of human perception and the ability of experienced and nonexperienced individuals to detect asymmetry in 2 moving objects simulating hindlimb lameness in the horse. Methods: Twelve experienced individuals (equine and small animal clinicians), and 24 nonexperienced ind...
Heritability of foot conformation and its relationship to sports performance in a Dutch Warmblood horse population.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 139-143 doi: 10.2746/042516409x366130
Ducro BJ, Bovenhuis H, Back W.Warmblood horse studbooks aim to breed horses with a conformation that will enable elite future performance, but reduce the risk of injuries and lameness. Negative conformational traits, such as asymmetrical or 'uneven' forefeet would possibly diminish performance. Objective: To assess the prevalence and heritability of uneven feet and its genetic relationship to other conformation traits as well as to sporting performance later in life in Warmblood riding horses. Methods: The databases of the Royal Dutch Warmblood Studbook (KWPN, n = 44,840 horses) and Royal Dutch Equestrian Sports Federation...
Influence of foot conformation on duration of competitive life in a Dutch Warmblood horse population.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 144-148 doi: 10.2746/042516408x363800
Ducro BJ, Gorissen B, van Eldik P, Back W.Warmblood horse studbooks aim to breed horses with a conformation that will enable elite future sports performance, but reduce the risk of early retirement due to lameness. Negative conformational traits, such as asymmetrical or 'uneven' forefeet may possibly shorten the career of sporthorses. Objective: To investigate the significance of foot conformation at young age to duration of the career of sporthorses. Methods: Databases of the Royal Dutch Warmblood Studbook (KWPN) and of the Royal Dutch Equestrian Sports Federation (KNHS) were matched and resulted in a dataset comprising 23,116 record...
Prediction of incipient pasture-associated laminitis from hyperinsulinaemia, hyperleptinaemia and generalised and localised obesity in a cohort of ponies.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 171-178 doi: 10.2746/042516408x342975
Carter RA, Treiber KH, Geor RJ, Douglass L, Harris PA.The ability to predict ponies at increased risk of laminitic episodes, when exposed to nutrient dense pasture, would facilitate management to avoid disease. Objective: To identify variables and clinically useful cut-off values with reproducible diagnostic accuracy for the prediction of ponies that subsequently developed laminitis when exposed to nutrient dense pasture. Methods: A cohort of predominantly Welsh and Dartmoor ponies from a closed herd was evaluated in March 2006 (n = 74) and March 2007 (n = 57). Ponies were categorised as never laminitic or previously laminitic according to report...
Is there a relationship between clinical presentation, diagnostic and radiographic findings and outcome in horses with osteoarthritis of the small tarsal joints?
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 118-123 doi: 10.2746/042516408x345107
Byam-Cook KL, Singer ER.Despite the possibility that sound horses may have radiographic signs consistent with osteoarthritis of the small tarsal joints (OA-STJ), a diagnosis of 'bone spavin' as a cause of lameness is often made based only on radiographic examination. Objective: To determine whether severity of radiographic change and response to treatment are correlated with the duration and degree of lameness and the response to intraarticular anaesthesia in horses with OA-STJ. Methods: A retrospective study of all horses that showed a positive response to intra-articular anaesthesia of the STJ was performed. Detail...
Effects of low-dose oligofructose treatment administered via nasogastric intubation on induction of laminitis and associated alterations in glucose and insulin dynamics in horses.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 624-632 doi: 10.2460/ajvr.70.5.624
Kalck KA, Frank N, Elliott SB, Boston RC.To ascertain whether laminitis can be induced via administration of oligofructose (OF) at doses of 5.0 and 7.5 g/kg in horses and to assess glucose and insulin dynamics before and after treatment. Methods: 19 adult horses. Methods: Horses were fed OF (1.0 g/kg) mixed with oats for 6 days. Oligofructose at doses of 5.0 and 7.5 g/kg was then mixed with 4 L of water and administered (0 hours) to 8 (group A) and 4 (group B) horses, respectively, via nasogastric intubation; 8 horses received water alone. One horse in group A that did not develop laminitis was subsequently treated again and included...
Scintigraphic and radiographic appearance of the sacroiliac region in horses with gait abnormalities or poor performance. Gorgas D, Luder P, Lang J, Doherr MG, Ueltschi G, Kircher P.Nuclear bone scintigraphy is commonly used in the diagnosis of sacroiliac disease in horses. The aim of the present retrospective study was to determine if there was an association between radiopharmaceutical uptake pattern and radiographic appearance of the sacroiliac region in horses. Seventy-nine horses undergoing bone scintigraphy with Tc-99 m-HDP and radiography of the pelvis because of lameness or poor performance were studied. Subjective and semiquantitative methods were used to characterize and compare radiopharmaceutical uptake between horses. Ventrodorsal radiographs of the region we...
Identification of risk factors for lameness in dressage horses.
Veterinary journal (London, England : 1997)    April 14, 2009   Volume 184, Issue 1 27-36 doi: 10.1016/j.tvjl.2009.03.020
Murray RC, Walters JM, Snart H, Dyson SJ, Parkin TD.The aim of this study was to describe the prevalence of illness and lameness at different anatomical sites in registered United Kingdom dressage horses and to identify risk factors for lameness. A questionnaire was sent to all 11,363 registered members of British Dressage in 2005, with one questionnaire assigned per horse. Four multivariable logistic regression models were developed for each section of the questionnaire. A final mixed effects logistic regression model was developed which combined the results from all prior models. Owners reported that 33% of horses had been lame at some time d...
Gene expression in the lamellar dermis-epidermis during the developmental phase of carbohydrate overload-induced laminitis in the horse.
Veterinary immunology and immunopathology    April 5, 2009   Volume 131, Issue 1-2 86-96 doi: 10.1016/j.vetimm.2009.03.019
Budak MT, Orsini JA, Pollitt CC, Rubinstein NA.Gene expression in the lamellar dermis and epidermis was compared between healthy horses and horses in the developmental phase of carbohydrate overload-induced laminitis, in order to better understand the local biochemical and cellular events involved in the pathogenesis of laminitis. Methods: Six healthy adult horses, with no history or clinical evidence of laminitis. Methods: Horses were randomly divided into two groups: control (n=3) and laminitis (n=3). Control horses received no treatment and were humanely euthanatized at the same time as the laminitis group. Horses in the laminitis group...
Outcomes of podotrochlear (navicular) bursa injections for signs of foot pain in horses evaluated via magnetic resonance imaging: 23 cases (2005-2007).
Journal of the American Veterinary Medical Association    April 2, 2009   Volume 234, Issue 7 920-925 doi: 10.2460/javma.234.7.920
Bell CD, Howard RD, Taylor DS, Voss ED, Werpy NM.To determine clinical outcome following intrathecal injection of the podotrochlear (navicular) bursa for signs of foot pain in horses evaluated via magnetic resonance imaging (MRI) and evaluate efficacy of corticosteroids administered with or without hyaluronate. Methods: Retrospective case series. Methods: 23 horses. Methods: Data collected included signalment, history, intended use, duration and severity of lameness, results of diagnostic anesthesia, radiographic abnormalities, MRI abnormalities, and outcomes for return to use. Results: MRI was conducted on 23 horses with lameness localized ...
Evaluation of the effect of extracorporeal shock wave treatment on experimentally induced osteoarthritis in middle carpal joints of horses.
American journal of veterinary research    April 2, 2009   Volume 70, Issue 4 449-454 doi: 10.2460/ajvr.70.4.449
Frisbie DD, Kawcak CE, McIlwraith CW.OBJECTIVE-To assess the clinical, biochemical, and histologic effects of extracorporeal shock wave therapy (ESWT) in the treatment of horses with experimentally induced osteoarthritis (OA). ANIMALS-Twenty-four 2- to 3-year-old horses without evidence of lameness. PROCEDURES-OA was induced arthroscopically in 1 middle carpal joint of each horse. Fourteen days after induction of OA, horses were treated with a sham ESWT probe (placebo; n = 8), polysulfated glycosaminoglycan (PSGAG) administered IM every 4 days for 28 days as a positive control treatment (8), or ESWT administered on days 14 and 28...
Association of growth, feeding practices and exercise conditions with the prevalence of Developmental Orthopaedic Disease in limbs of French foals at weaning.
Preventive veterinary medicine    March 28, 2009   Volume 89, Issue 3-4 167-177 doi: 10.1016/j.prevetmed.2009.02.018
Lepeule J, Bareille N, Robert C, Ezanno P, Valette JP, Jacquet S, Blanchard G, Denoix JM, Seegers H.Developmental Orthopaedic Disease (DOD) in limb joints of horses is frequent and is a common cause of pain and lameness. DOD is a multifactorial disease involving genetics, growth, feeding practices and exercise conditions leading to joint injuries. However, there is no clear understanding of the contribution of each factor. The aim of this cohort study was to assess the adjusted effects of breed and gender, growth, feeding practices and exercise conditions on the prevalence of DOD in the limbs of foals at weaning and on the prevalence restricted to osteochondrosis (OC). Twenty-one farms in No...
Variations of plasmatic concentrations of Insulin-like Growth Factor-I in post-pubescent horses affected with developmental osteochondral lesions.
Veterinary research communications    March 25, 2009   Volume 33, Issue 7 701-709 doi: 10.1007/s11259-009-9219-2
Verwilghen DR, Vanderheyden L, Franck T, Busoni V, Enzerink E, Gangl M, Lejeune JP, van Galen G, Grulke S, Serteyn D.Developmental osteochondral lesions are often encountered in the equine population and are a major cause of lameness. Different growth factors that act systemically as well as locally regulate the growth of cartilage. Among them is Insulin-like Growth Factor I that has been demonstrated to promote chondrocyte growth and differentiation and that has been shown to influence cartilage repair. The aims of this study were to investigate differences in circulating plasma levels of Insulin-like Growth Factor-I in post-pubescent horses affected with developmental osteochondral lesions compared to unaf...
Pasture-associated laminitis.
The Veterinary clinics of North America. Equine practice    March 24, 2009   Volume 25, Issue 1 39-vi doi: 10.1016/j.cveq.2009.01.004
Geor RJ.Laminitis is a painful and debilitating condition of horses and ponies that has major economic and welfare implications. Anecdotal observations and the results of survey studies have indicated that most laminitis cases occur in horses and ponies kept at pasture (hence, the term pasture-associated laminitis). Risk for development of pasture-associated laminitis represents a dynamic interaction between animal predisposing factors (an insulin-resistant phenotype commonly termed equine metabolic syndrome) and environmental conditions, particularly the nonstructural carbohydrate (simple sugars, sta...
Lesions of the deep digital flexor tendon in the digit: a correlative MRI and post mortem study in control and lame horses.
Equine veterinary journal    March 24, 2009   Volume 41, Issue 1 25-33 doi: 10.2746/042516408x343028
Blunden A, Murray R, Dyson S.Lameness associated with lesions of the deep digital flexor tendon (DDFT) in the digit is now recognised as an important cause of lameness, but there is currently limited information about the pathological nature of the lesions. Objective: To compare: signal intensity changes on magnetic resonance images with histopathology; and histopathological changes in the DDFT from horses with no history of foot-related lameness (Group C) and horses with lesions of the DDFT confirmed using magnetic resonance imaging (MRI) (Group D). Methods: Transverse sections of the DDFT were harvested from 3 sites in ...
Use of kinetic gait analysis for detection, quantification, and differentiation of hind limb lameness and spinal ataxia in horses.
Journal of the American Veterinary Medical Association    March 3, 2009   Volume 234, Issue 5 644-651 doi: 10.2460/javma.234.5.644
Ishihara A, Reed SM, Rajala-Schultz PJ, Robertson JT, Bertone AL.To evaluate use of kinetic gait analysis for detection, quantification, and differentiation of hind limb lameness and spinal ataxia in horses. Methods: Prospective clinical study. Methods: 36 horses. Procedures-Kinetic gait analysis with a force plate was performed for 12 clinically normal horses, 12 horses with hind limb lameness, and 12 horses with spinal ataxia. Kinetic variables were compared among groups, correlated to subjective grading, and used to build predictive models to assess the accuracy of discrimination. Results: Subsets of kinetic variables were characteristically altered in a...
Limb fracture during recovery from general anaesthesia: an often tragic complication of equine anaesthesia.
Journal of the South African Veterinary Association    February 28, 2009   Volume 79, Issue 3 145-148 doi: 10.4102/jsava.v79i3.262
Dzikiti TB, Bester L, Cilliers I, Carstens A, Stegmann GF, Hubert J.A 10-year-old Thoroughbred mare was presented for lameness of the left hindlimb as a result of an apical fracture of the lateral proximal sesamoid bone. The mare was ultimately euthanased after suffering catastrophic fractures of the 3rd and 4th metatarsal bones of the contra-lateral hindlimb during an uncoordinated attempt to rise during recovery from general anaesthesia after undergoing arthroscopic surgery. The case report focuses mostly on horse anaesthesia-related mortality, anaesthetic procedure in the horse, possible causes of fractures in horses during recovery and ways in which rate o...
Osseous lesions in the metacarpo(tarso)phalangeal joint diagnosed using low-field magnetic resonance imaging in standing horses. Sherlock CE, Mair TS, Ter Braake F.We report the use of low-field standing magnetic resonance imaging in the standing horse for the diagnosis of osseous lesions in the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joint that were not apparent using standard radiography. Thirteen horses were studied and all had thickening of the subchondral bone plate and abnormal signal intensity in the adjacent spongiosa in either the condyles of metacarpal/metatarsal III or the proximal phalanx or both. Abnormalities were characterized by diffuse decreased signal intensity on T1-weighting adjacent to the subchondral bone and within t...
Magnetic resonance imaging of the initial active stage of equine laminitis at 4.7 T. Arble JB, Mattoon JS, Drost WT, Weisbrode SE, Wassenaar PA, Pan X, Hunt RJ, Belknap JK.Equine laminitis is a severely debilitating disease. There is a poor understanding of the underlying pathophysiology, and traditional imaging modalities have limited diagnostic capacity. High field strength magnetic resonance (MR) imaging allows direct visualization of the laminae, which other modalities do not. This would prove useful both in assessment of clinical patients and in further investigation into the pathophysiology of the disease. The objective of this study was to characterize the anatomic changes within the equine foot associated with the initial active stage of laminitis. Image...
Study on equine laminitis.
The Veterinary record    February 24, 2009   Volume 164, Issue 8 250 doi: 10.1136/vr.164.8.250-b
Wylie C, Collins S, Newton R, Verheyen K, Durham A, Rendle D.No abstract available
Evaluation of topically administered diclofenac liposomal cream for treatment of horses with experimentally induced osteoarthritis.
American journal of veterinary research    February 24, 2009   Volume 70, Issue 2 210-215 doi: 10.2460/ajvr.70.2.210
Frisbie DD, McIlwraith CW, Kawcak CE, Werpy NM, Pearce GL.To assess the clinical, biochemical, and histologic effects of topically administered diclofenac liposomal cream (DLC) in the treatment of horses with experimentally induced osteoarthritis. Methods: 24 horses. Methods: Osteoarthritis was induced arthroscopically in 1 middle carpal joint of all horses. Eight horses treated with DLC were given 7.3 g twice daily via topical application. Eight horses treated with phenylbutazone were given 2 g orally once daily. Eight control horses received no treatment. Evaluations included clinical, radiographic, magnetic resonance imaging, synovial fluid, gross...
Evaluation of polysulfated glycosaminoglycan or sodium hyaluronan administered intra-articularly for treatment of horses with experimentally induced osteoarthritis.
American journal of veterinary research    February 24, 2009   Volume 70, Issue 2 203-209 doi: 10.2460/ajvr.70.2.203
Frisbie DD, Kawcak CE, McIlwraith CW, Werpy NM.To assess clinical, biochemical, and histologic effects of polysulfated glycosaminoglycan (PSGAG) or sodium hyaluronan administered intra-articularly in treatment of horses with experimentally induced osteoarthritis. Methods: 24 horses. Methods: Osteoarthritis was induced arthroscopically in 1 middle carpal joint of all horses. Eight horses received hyaluronan (20 mg) and amikacin (125 mg) intra-articularly on study days 14, 21, and 28. Eight horses received PSGAG (250 mg) and amikacin (125 mg) intra-articularly on study days 14, 21, and 28. Eight control horses received 2 mL of saline (0.9% N...
Use of computed tomography to diagnose new bone formation associated with desmitis of the proximal aspect of the suspensory ligament in third metacarpal or third metatarsal bones of three horses.
Journal of the American Veterinary Medical Association    February 19, 2009   Volume 234, Issue 4 514-518 doi: 10.2460/javma.234.4.514
Launois MT, Vandeweerd JM, Perrin RA, Brogniez L, Desbrosse FG, Clegg PD.3 horses with lameness localized to the proximal aspect of the metacarpus or metatarsus. Results: All horses had evidence of problems that originated from the proximal aspect of the suspensory ligament (PASL), including signs of pain on palpation, positive results of diagnostic nerve blocks, ultrasonographic detection of enlargement and diffuse areas of reduced echogenicity in the proximal region of insertion of the ligament, and radiographic detection of increased mineral opacity in the proximal aspect of the metacarpus or metatarsus. Desmitis of the PASL was diagnosed in each horse; however,...
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