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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.
Osseous sequestration in the horse. A review of 68 cases.
Veterinary surgery : VS    January 1, 1988   Volume 17, Issue 1 2-5 doi: 10.1111/j.1532-950x.1988.tb00267.x
Clem MF, DeBowes RM, Yovich JV, Douglass JP, Bennett SM.Sixty-eight cases of cortical bone sequestration in 67 equine patients were reviewed with regard to the clinical presentation, method of treatment, and outcome. All lesions were located in skeletal areas with minimal soft tissue coverage, with 53% of them in the metatarsal and metacarpal bones. At the time of admission, 60% of the patients with limb lesions were lame; the majority improved with therapy. After sequestrectomy, there was a trend for surgical wounds which could be managed by primary closure to heal more rapidly (3.8 weeks) than wounds which required second intention healing (6.4 w...
Borrelia burgdorferi infection in Wisconsin horses and cows.
Annals of the New York Academy of Sciences    January 1, 1988   Volume 539 235-243 doi: 10.1111/j.1749-6632.1988.tb31857.x
Burgess EC.Blood samples from Wisconsin horses and cows suspected of having clinical disease due to Borrelia burgdorferi infection were submitted by veterinary practitioners. All serum, milk, colostrum, and synovial samples were tested for B. burgdorferi antibodies by immunofluorescence. Whole blood, milk, colostrum, and synovial fluid samples were cultured for B. burgdorferi. Records were kept on the clinical signs of antibody-positive animals, date of sample, and location of the animal by county. Of the samples tested for antibodies 282/430 cow sera, 118/190 horse sera, 5/10 cow synovial fluids, 3/6 ho...
The use of H(orse) INDEX: a method of analysing the ground reaction force patterns of lame and normal gaited horses at the walk.
Equine veterinary journal    January 1, 1988   Volume 20, Issue 1 29-36 doi: 10.1111/j.2042-3306.1988.tb01448.x
Merkens HW, Schamhardt HC, Hartman W, Kersjes AW.The amplitudes, impulses and times of occurrence of a number of selected peaks in the ground reaction force tracings of 17 horses with various clinical histories were compared with those of 20 horses used to establish values for the 'standard' Dutch Warmblood horse. The resulting factors were combined, using different weighting factors, into indices characterising each limb. The symmetry between the loading of the forelimbs and the hindlimbs was used to calculate amplitude and peak-time symmetry indices. Limb and symmetry indices were combined in one H(orse) INDEX. This method of quantifying t...
[The progress of a fibrinolytic therapy with streptokinase, urokinase and warfarin in a thoroughbred with intermittent lameness with special reference to resonance thrombography].
Tierarztliche Praxis    January 1, 1988   Volume 16, Issue 4 377-383 
Pause B, Nolte I, Geiss V, Mayer H, Lasch HG.A thoroughbred horse, suffering from intermittent lameness was treated with streptokinase, urokinase and warfarin. The appearing fibrinolytic changes in coagulation were exhibited in a resonance thrombogram. In attendant coagulation studies fibrinogen- and fibrin-degradation products were demonstrated. The stallion does not show any lameness since the end of the treatment and is standing in a breeding station since March 1988.
Caudal cruciate ligament function and injury in the horse.
The Veterinary record    October 3, 1987   Volume 121, Issue 14 319-321 doi: 10.1136/vr.121.14.319
Baker GJ, Moustafa MA, Boero MJ, Foreman JH, Wilson DA.The caudal cruciate ligament assists the medial femorotibial ligament in supporting the medial aspect of the femorotibial joint. It also limits the outward rotation of the tibia during weight bearing. In two lame horses tearing of the caudal portion of the femoral attachment of the caudal cruciate ligament was recorded together with cracking and tearing of the medial meniscus. In one case, synovitis and restrictive fibrous periarthritis were the sequelae of secondary stifle sepsis.
Lameness attributable to osteochondral fragmentation of the plantar aspect of the proximal phalanx in horses: 19 cases (1981-1985).
Journal of the American Veterinary Medical Association    October 1, 1987   Volume 191, Issue 7 855-857 
Barclay WP, Foerner JJ, Phillips TN.Osteochondral fragmentation of the plantar aspect of the proximal phalanx was diagnosed as a cause of hind limb lameness in 19 horses. The lameness was evident at the upper levels of the horses' performance capabilities, and was isolated to the metatarsophalangeal joints by use of intra-articular or regional anesthesia. Fragments were surgically removed from 10 horses that later returned to full use. Seven horses were treated intra-articularly with polysulfated glycosaminoglycans or corticosteroids; only one horse was able to return to full use. One horse was retired from work at the time of d...
Use of a bone plate for treatment of middle phalangeal fractures in horses: seven cases (1979-1984).
Journal of the American Veterinary Medical Association    September 1, 1987   Volume 191, Issue 5 575-578 
Doran RE, White NA, Allen D.Four adult horses and 3 foals with middle phalangeal fractures were treated by arthrodesis of the proximal interphalangeal joint, using a bone plate. Six of the 7 horses survived greater than 2 years; 2 of the 6 horses had intermittent lameness after hard work, and 4 horses didn't have evidence of lameness. The use of a bone plate for arthrodesis of the proximal interphalangeal joint was a successful treatment alternative for middle phalangeal fractures in horses.
Rhodococcus equi pneumonia in 48 foals: response to antimicrobial therapy.
Veterinary microbiology    August 1, 1987   Volume 14, Issue 3 329-336 doi: 10.1016/0378-1135(87)90120-9
Sweeney CR, Sweeney RW, Divers TJ.Case records of 48 foals with pneumonia due to Rhodococcus equi were reviewed. Twenty of the 48 foals survived and 28 died or were euthanized. There was no significant difference between the survivors and non-survivors in the age of onset of illness, duration of illness prior to admission, the mean white blood cell (WBC) count, or the mean plasma fibrinogen content. All foals had R. equi isolated from a tracheobronchial aspirate or lung specimens obtained at necropsy. All organisms were susceptible in vitro (Kirby-Bauer) to erythromycin and gentamicin. Susceptibilities to other drugs were: tri...
Laminitis and possible enterotoxaemia associated with carbohydrate overload in mares.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 344-346 doi: 10.1111/j.2042-3306.1987.tb01430.x
Carroll CL, Hazard G, Coloe PJ, Hooper PT.No abstract available
Arthroscopic surgery for the treatment of osteochondrosis in the equine shoulder joint.
Veterinary surgery : VS    July 1, 1987   Volume 16, Issue 4 303-311 doi: 10.1111/j.1532-950x.1987.tb00957.x
Bertone AL, McIlwraith CW, Powers BE, Trotter GW, Stashak TS.Osteochondritis dissecans (OCD) and subchondral cyst-like lesions in 13 shoulders of 11 horses were treated arthroscopically by curettage and lavage. Lameness decreased in all 11 horses. Nine horses were sound, five of them athletically sound, after 5 to 20 months. Complications included the development of subchondral cyst-like lesions and signs of degenerative joint disease. Arthroscopic surgery of the equine shoulder can be done through two portals, one for the arthroscope and one for an instrument. A few hand instruments such as a probe, Ferris-Smith rongeurs, and small, large, and right-an...
Luxation of the metacarpophalangeal and metatarsophalangeal joints in horses.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 295-298 doi: 10.1111/j.2042-3306.1987.tb01414.x
Yovich JV, Turner AS, Stashak TS, McIlwraith CW.Lateral or medial luxation of the metacarpophalangeal or metatarsophalangeal (fetlock) joint in 10 horses is presented. Closed and open fetlock luxation each occurred in five horses. Horses were treated by cast immobilisation after debridement of soft tissue and joint lavage in cases of open luxations. Suture apposition of a ruptured collateral ligament was attempted in three cases. Antibiotic therapy was used in all cases of open fetlock luxation but non-steroidal anti-inflammatory medication was used inconsistently. Whether closed or open, fetlock luxations had a good prognosis for return to...
Management of fractures and exostosis of the metacarpals and metatarsals II and IV in 25 horses.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 326-330 doi: 10.1111/j.2042-3306.1987.tb01422.x
Allen D, White NA.Twenty-five cases of fractures of the second and fourth metacarpal and metatarsal (splint) bones were reviewed. Fourteen fractures involved a thoracic limb and 11 involved a pelvic limb. Fractures of the proximal one-third of splint bones are reported in one of two forms: fractures that are closed, or fractures with a permanent or intermittent draining sinus. Thirteen of the fractures presented were closed fractures and the remaining 12 were open. All of the closed fractures were managed by surgical excision of the distal fragment and the exostosis at the fracture site, followed by primary sur...
Unilateral phalangeal dysgenesis and navicular bone agenesis in a foal.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 347-349 doi: 10.1111/j.2042-3306.1987.tb01431.x
Modransky P, Thatcher CD, Welker FH, Booth LC.This research journal article documents a rare case of a five-day-old foal suffering from a congenitally malformed hoof and the associated lameness. The disorders studied were unilateral navicular bone agenesis […]
Anatomic, hoof, and shoeing considerations for the treatment of laminitis in horses.
Journal of the American Veterinary Medical Association    May 15, 1987   Volume 190, Issue 10 1323-1332 
Goetz TE.No abstract available
Identification of hindleg lameness.
Equine veterinary journal    May 1, 1987   Volume 19, Issue 3 185-188 doi: 10.1111/j.2042-3306.1987.tb01371.x
May SA, Wyn-Jones G.The use of markers placed over the tuber coxae on each side of a horse to aid identification of the relative movement of these structures at the trot, for teaching and research purposes, is described. In each case of hindleg lameness studied, the tuber coxae on the lame side showed a consistent increase in vertical displacement relative to that of the contralateral limb, and a characteristic pattern of movement throughout the stride irrespective of the site or cause of pain.
Pelvic fractures in horses: 19 cases (1974-1984).
Journal of the American Veterinary Medical Association    May 1, 1987   Volume 190, Issue 9 1203-1206 
Little C, Hilbert B.The clinical features of 19 horses with pelvic fractures were reviewed. The most common problem was a grade III or IV unilateral hind limb lameness. The prevalence of fractures was greater in females and horses less than 4 years old. All horses were treated with a combination of analgesic administration and stall rest for 2 to 6 months. Seven of 11 horses (64%) available for long-term follow-up evaluation recovered and 4 of 11 (36%) had no lameness when being ridden. Five of seven (71%) horses with fractures that involved the acetabulum recovered, and 4 (57%) had complete resolution of lamenes...
An induced synovitis disease model in ponies.
The Cornell veterinarian    April 1, 1987   Volume 77, Issue 2 107-118 
Firth EC, Wensing T, Seuren F.The effects of intra-articular injection of small amounts of E. coli lipopolysaccharide (LPS) into the intercarpal joint of 5 ponies were studied. The LPS induced predictable changes all of which were analogous to acute bacterial infection, except that the development of signs occurred sooner after the LPS injection, and subsided within 36 hours. Fever was monophasic and peaked at 5-7 hours. The ponies exhibited depression, reduced or absent appetite, increased pulse and respiration rates, and lameness. The lameness became evident between 1 and 2 hours after injection, at which time warmth, ar...
Condylar fracture of the cannon bone with axial sesamoid fracture in three horses.
The Veterinary record    March 7, 1987   Volume 120, Issue 10 223-225 doi: 10.1136/vr.120.10.223
Greet TR.The case histories of three young thoroughbred racehorses with displaced lateral condylar fractures combined with an axial fracture of the lateral sesamoid bone are described. In two cases the condylar fracture was repaired surgically but both horses developed severe degenerative joint disease and remained lame. The third horse was destroyed humanely. It is important that axial fractures of the sesamoid bone are recognised so that a poorer prognosis can be given for treatment of condylar fractures in racing thoroughbreds.
[Light and electron microscopy studies of acute hoof laminitis in the horse].
Berliner und Munchener tierarztliche Wochenschrift    March 1, 1987   Volume 100, Issue 3 82-88 
Marks G, Budras KD.No abstract available
Locomotion analysis technology for evaluation of lameness in horses.
Equine veterinary journal    March 1, 1987   Volume 19, Issue 2 97-99 doi: 10.1111/j.2042-3306.1987.tb02599.x
Leach DH.No abstract available
Possible antebrachial flexor compartment syndrome as a cause of lameness in two horses.
Equine veterinary journal    March 1, 1987   Volume 19, Issue 2 147-150 doi: 10.1111/j.2042-3306.1987.tb02613.x
Sullins KE, Heath RB, Turner AS, Stashak TS.No abstract available
[Interruption of the sensory nerve tract in chronically lame horses].
Tijdschrift voor diergeneeskunde    February 15, 1987   Volume 112, Issue 4 193-203 
Nemeth F.Within the framework of the series 'Papers of yesterday and today', two articles on neurotomy by Moubis (1876 and 1878) are used to evaluate the present status of neurectomy. In 1800 neurotomy was replaced by neurectomy because of the reinnervation which occurred after several weeks. On the basis of a literature review and clinical experience in the Department of Large Animal Surgery the indications, conditions, anatomy, operative techniques, complications and results of neurectomy are discussed. Post-operative neuroma formation is the most important complication following palmar digital neure...
Use of ultrasonography for the detection of aortic-iliac thrombosis in horses.
Journal of the American Veterinary Medical Association    February 1, 1987   Volume 190, Issue 3 286-288 
Reef VB, Roby KA, Richardson DW, Vaala WE, Johnston JK.Two dimensional ultrasonographic evaluation of the iliac arteries and terminal portion of the aorta was utilized in 18 horses with histories of exercise intolerance or hindlimb lameness. A plaque or thrombus was imaged in one or more of these vessels in 5 horses. In 2 horses, the initial rectal examination findings were normal and the thrombus may have been missed without the use of diagnostic ultrasonography.
Arterial hypotension and the development of postanesthetic myopathy in halothane-anesthetized horses.
American journal of veterinary research    February 1, 1987   Volume 48, Issue 2 192-197 
Grandy JL, Steffey EP, Hodgson DS, Woliner MJ.The effect of halothane-induced hypotension on the development of postanesthetic myopathy was studied, using 6 healthy adult horses. Horses were anesthetized with halothane in oxygen for 3.5 hours on each of 2 occasions. Intermittent positive-pressure ventilation was used to maintain PaCO2 of 45 to 55 mm of Hg throughout both anesthetic exposures. By regulating the inspired halothane concentration, a mean arterial blood pressure of 85 to 95 mm of Hg (normotension) was maintained throughout the 1st anesthetic exposure, and a mean arterial blood pressure of 55 to 65 mm of Hg (hypotension) was ma...
Quantification of equine ground reaction force patterns.
Journal of biomechanics    January 1, 1987   Volume 20, Issue 4 443-446 doi: 10.1016/0021-9290(87)90051-0
Schamhardt HC, Merkens HW.A method was developed to quantify the ground reaction force pattern of the horse. A number of selected force amplitudes and peak-time positions in the normalized stance phase of left and right contralateral limbs were used to calculate symmetry indices. Data from each limb were compared with those of a 'standard horse' resulting in limb indices. The combination of amplitude and peak-time symmetry and limb indices yielded one H(orse)INDEX. These indices were useful for comparison of different horses and for the evaluation of lameness and treatment.
[Hoof correction in foals].
Tierarztliche Praxis    January 1, 1987   Volume 15, Issue 1 43-45 
Reinhard F.The conformation of a foal's limbs is of interest beginning in the first days of life. The hoof also must not be neglected. Management and hoof care necessary for normal hoof development are discussed. In addition, pathological hoof shapes and their appropriate treatments are outlined.
Acetabular osteochondrosis dissecans in a foal.
The Cornell veterinarian    January 1, 1987   Volume 77, Issue 1 75-83 
Miller CL, Todhunter R.Osteochondrosis affecting the acetabula in horses is rarely reported. Osteochondrosis dissecans in foals only a few weeks old is also an uncommon finding. Lesions compatible with osteochondrosis dissecans in the acetabulum were found to be the cause of a chronic coxofemoral lameness in a 3-week-old Arabian filly. The history, physical examination findings, joint fluid analysis, gross pathologic and histopathologic findings are described.
Diagnostic and surgical arthroscopy of the equine shoulder joint.
Veterinary surgery : VS    January 1, 1987   Volume 16, Issue 1 44-52 doi: 10.1111/j.1532-950x.1987.tb00912.x
Nixon AJ.An arthroscopic technique for examination and surgical treatment of conditions of the shoulder joint was evaluated in eight normal horses and two horses with osteochondrosis lesions. A single arthroscope entry point caudal to the infraspinatus tendon allowed inspection of the cranial, lateral, and caudal surfaces of the shoulder joint. With the humeral head and glenoid cavity distracted by a curved forceps, the entire cartilage surface of the shoulder could be examined. The caudomedial portion of the humeral head was seen better with a 70 degree angled arthroscope. Instruments for intra-articu...
Plasma endotoxin levels in horses subjected to carbohydrate induced laminitis.
Equine veterinary journal    January 1, 1987   Volume 19, Issue 1 25-28 doi: 10.1111/j.2042-3306.1987.tb02571.x
Sprouse RF, Garner HE, Green EM.Thirteen (65 per cent) of 20 horses subjected to carbohydrate overload developed Obel Grade 3 lameness within 56 h. Increases in plasma endotoxin from control levels of less than 0.1 ng/litre to values ranging from 2.4 to 81.53 ng/litre were measured in 11 (85 per cent) of 13 horses during the onset of Obel Grade 3 lameness. Obel Grade 3 lameness was associated with rises in plasma Gram-negative endotoxin levels in 11 (92 per cent) of 12 horses. Two peak increases separated by 16 h were verified in five (45 per cent) of 11 horses that exhibited both endotoxaemia and Obel Grade 3 lameness. The ...
Cellulitis associated with coagulase-positive staphylococci in racehorses: nine cases (1975-1984).
Journal of the American Veterinary Medical Association    December 15, 1986   Volume 189, Issue 12 1600-1603 
Markel MD, Wheat JD, Jang SS.Nine Thoroughbred racehorses were admitted with cellulitis (of one or more limbs) associated with coagulase-positive staphylococci. The right hindlimb was affected in 4 horses, the right forelimb in 2, the left hindlimb in 1, and both hindlimbs in 2. Typical abnormalities included high values for rectal temperature (9 horses) and heart rate (5 horses), hyperfibrinogenemia (7 horses), leukocytosis (7 horses), and neutrophilia (6 horses). The staphylococcal isolants were speciated in 3 horses and classified as Staphylococcus aureus. Complications included skin loss (5 horses), laminitis of the a...
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