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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.
Clinical and radiological aspects of stifle bone cysts in the horse. Thirty-three cases with subchondral bone cysts in the stifle are reported. The condition was most commonly seen in young Thoroughbreds and produced intermittent lameness of varying degree. Radiographically distinct areas of radiolucency were found in the distal femur or proximal tibia adjacent to the femorotibial joint. Lesions were usually unilateral but 5 horses had cysts in both stifles. The cases could be divided into 2 distinct groups. Horses in Group A (28 cases) had a large circular or dome-shaped cyst in the medial femoral condyle with a distinct communication with the femorotibial joi...
Subchondral cystic and related lesions affecting the equine pedal bone and stifle. Twenty-nine horses were examined over a period of 8 years and found to have cystic lesions in the stifle (14 cases) or pedal bone (15 cases). The lesions are described and illustrated with radiographs. In the stifle 12 lesions were found on the femoral condyles (11 medially and one laterally) and 10 were typical subchondral cysts. One lesion was observed in the tibia and 3 in the patella. Bone cysts wee found unilaterally in the pedal bone (14 in the forelimbs and one in the hindlimb). All but 2 of the horses with lesions in the stifle or pedal bone were lame. The only treatment was rest. For ...
Management of slab fractures of the third tarsal bone in 5 horses. Five cases of fracture of the third tarsal bone in racehorses are reported. A method of surgical correction employing a cortical bone screw is described in 2 cases. Healing of the fractures was followed radiographically. Surgical repair permitted both horses to return to competition. The 3 cases treated conservatively suffered a prolonged healing time and excessive new bone formation. They were unable to return to training due to persistent lameness.
The cause and prevention of sacroiliac arthrosis in the Standardbred horse: a theoretical study. Sacroiliac arthrosis is a major cause of "hiking" lameness (often, so-called "stifle lameness") in Standardbred horses. The cause of this arthrosis is found in the moment forces generated as horses negotiate unbanked and underbanked turns and in the forces generated on cambered racing surfaces. The prediction is that such lameness could be virtually eliminated if racetrack and training track turns were properly banked and camber held to a minimum.
Corticosteroid and hyaluronic acid treatments in equine degenerative joint disease. A review. Degenerative arthrosis is perhaps the most common debilitating disease of performance horses. Treatment should be based upon a knowledge of the anatomy and physiology of normal joints and upon an understanding of the processes of degeneration and repair. These topics are briefly reviewed. Although rest is probably, the most beneficial therapy, physical and pharmaceutical treatments are often employed in an effort to speed recovery. The effects and relative benefits of intrasynovial injections of corticosteroids, hyaluronica cid, and Arteparon are considered in detail. Although local corticoste...
Haematological changes during development of acute laminitis hypertension. Experimental carbohydrate overload of 15 horses resulted in consistent haematological changes during development of laminitis hypertension. Significant alterations in packed cell volume, leucocyte differential count, serum glucose levels and protein values occurred before onset of Obel grade 3 lameness and hyperkinetic circulatory state. Blood platelets were significantly decreased 8 h after the onset of severe lameness. Findings in this study were indicative of haemoconcentration due to compartmental fluid shifts and leucocytic stress response consistent with increased circulating adrenogluco...
Osteochondrosis of the shoulder joint of the horse. Osteochondrosis of the shoulder joint in the horse was diagnosed radiographically in 54 shoulders of 38 horses. Clinical signs were those of an intermittent lameness characterized as a swinging leg shoulder lameness with pain elicited by extension, flexion or abduction of the limb. Diagnosis of shoulder lameness was supported by blocking the shoulder joint with local anesthetics. Radiographic changes consisted of: (1) alteration in the contour of the humeral head and glenoid cavity, (2) periarticular osteophyte formation, (3) sclerosis of the subchondral bone, and (4) bone cyst formation. The ...
[An unusual case of equine lymphoid leukosis (author’s transl)]. The case of a three-year-old mare is reported, in which clinical examination revealed the presence of haemorrhagic diathesis as a result of disseminated intravascular coagulation. The animal also showed severe lameness which was due to involvement of the long bones. The diagnosis was only established after death.
Evaluation of a surgical technique for repair of equine accessory carpal bone fractures. In 9 horses, osteotomies were performed to simulate accessory carpal bone fractures. Screw fixation, aided by a large C-clamp, was performed on 6 of the 9 horses. Three were treated conservatively, as controls, with fractures not repaired; they remained clinically lame throughout the 6-month study. Fibrocartilaginous nonunion developed in each of the 3 controls. At 150 days, the principals were free of lameness, with evidence of bony union. The results of clinical, radiographic, and pathologic evaluations showed surgical repair to be superior to prolonged rest in treating equine accessory carp...
Equine postanesthetic forelimb lameness: intracompartmental muscle pressure changes and biochemical patterns. Intracompartmental muscle pressures were recorded from the right and left forelimbs (extensor carpi radialis, triceps brachii) of healthy horses maintained in left lateral recumbency while under deep halothane anesthesia for 180 to 240 minutes. Cardiac output, blood pressure, blood gases, and acid-base status were monitored throughout the anesthesia, and electrolyte levels (Ca2+, P+, K+, Cl-, Na+) and enzyme activities (aspartate aminotransferase (AST), creatine phosphokinase (CPK), and blood lactate) were monitored for 7 days. Postanesthetic forelimb lameness was produced in 5 of the 6 horses...
Soft tissue masses in the fetlock joint of horses. Eight cases of sessile, intra-articular soft tissue masses originating from the cranio-dorsal attachment of the capsule of the fetlock joint of horses are presented. In 4 of these cases an osteochondral fracture of the first phalanx was also present. Clinically the condition closely resembled villonodular synovitis; however the microscopic changes did not correspond to those reported. The clinical signs included lameness after exercise, joint effusion and pain on manipulation. The offending masses were surgically resected and their histology indicated a chronic proliferative synovitis. The res...
Correlation of dermal-epidermal laminar lesions of equine hoof with various disease conditions. Dermal and epidermal laminar lesions were correlated with acute intestinal, primary hepatic, septicemic, chronic laminar, and acute laminar diseases. Horses with acute intestinal disease had edema in the secondary dermal laminae. Those with hepatic disease had increased keratinization of the secondary epidermal laminae. Septicemia caused increased keratin formation in the primary and secondary epidermal laminae. Chronic laminitis caused architectural changes of the epidermal laminae characterized by hyperplasia and keratin formation of the basal epidermal layer. Horses with acute laminitis had...
Bicipital bursitis in a mare. A case of bicipital bursitis in a six-year-old mare is described. The horse was presented with acute lameness, pyrexia and hot swelling over the right shoulder region. Although antibiotic treatment relieved these signs, a firm cold swelling remained which had to be removed by surgical resection and drainage.
Disorders of the thoracolumbar spine of the horse–a survey of 443 cases. The survey comprised 443 horses, referred to the clinical department of the Equine Research Station, with a history of a thoracolumbar (TL) complaint. A wide range of lesions were capable of producing back problems and more than one condition or site of injury was found in 75 animals (17 per cent). There were 103 horses (19.7 per cent) with no evidence of damage to the TL spine or its associated structures. In 66 of these cases, clinical signs were attributed to a variety of hindlimb lamenesses and, in 37, no specific diagnosis could be made. Soft tissue injury was diagnosed in 203 cases (38.8...
Repair of digital flexor tendon lacerations in the horse, using carbon fiber implants. Flexible medical grade carbon fiber was surgically implanted in tenectomized or lacerated superficial and deep digital flexor tendons of 13 horses (7 clinical cases and 6 experimental), ranging in age from 15 months to 10 years and weighing 300 to 500 kg. The 6 experimental horses were euthanatized at 30-, 45-, 60-, and 90-day intervals for gross and histologic evaluation of the results. Three of the experimental horses served as their own controls. Of the 7 clinically affected horses, 3 were euthanatized because they developed laminitis or the wound failed to heal. The remaining 4 horses in t...
Clinical approach to determine the contribution of the palmar and palmar metacarpal nerves to the innervation of the equine fetlock joint. To determine the sensory nerve supply of the metacarpophalangeal joint, lameness was induced in eight horses by injecting the joint with a glycerin suspension of glass micropheres. When the medial and lateral palmar nerves were anesthetized in 4 horses, there was noticeable improvement in the gait, but each horse remained lame. When the medial and lateral palmar metacarpal nerves were also anesthetized, 3 of the 4 horses became sound. To confirm the results of local anesthesia, neurectomies were performed on a second group of four horses. The lameness was alleviated only upon resection of both...
Induced juglone toxicosis in ponies and horses. Juglone, a toxic compound found in all parts of plants of the walnut tree family Jugans, was evaluated as the possible toxin involved in black walnut shaving-associated laminitis in the horse. Large amounts (up to 1 g) of this chemical administered per os inconsistently caused mild signs of laminitis in ponies. Topical application of juglone to the digits of horses caused local skin irritation but did not cause laminitis. Intravenous administration of juglone caused acute pulmonary edema in some individuals previously exposed to the compound per os or IV.
Avulsion fractures of the origin of the suspensory ligament of the horse. Five horses with avulsion fractures of the proximal origin of the suspensory ligament were examined for lameness. The horses in the series each had lameness of acute onset; four were severely lame, and one was moderately lame. The condition was difficult to diagnose because commonly used local anesthetic blocks did not result in improvement during the routine examination. Local infiltration of the area with local anesthetic returned the horses to soundness. After a period of rest, varying from a few weeks in the acute injury to 6 months in the chronic injuries, the horses were returned to raci...
Lameness caused by inflammation in the distal hock. Since horses ridden at a gallop have a high incidence of bone spavin, and harness horses (Standardbred pacers and trotters) have a different
syndrome, they will be discussed separately. Osteoarthritis (bone spavin) apparently is caused by impact and compression on the distal tarsal
bones, which occurs most forcefully at the gallop (canter). Shear stresses, which occur in the joint between these bones, are most severe at the trot
or pace, and probably cause the usual cunean-tarsitis problem in
Standardbreds. Obviously some of each force occurs at each gait.
