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Topic:Ligaments
Ligaments in horses are fibrous connective tissues that connect bones to other bones, providing stability and support to the skeletal structure. These structures are integral to maintaining joint function and facilitating movement. In equine anatomy, ligaments are involved in various functions, including supporting the limbs and allowing for efficient locomotion. Common ligaments in horses include the suspensory ligament, which plays a significant role in supporting the fetlock joint, and the nuchal ligament, which supports the head and neck. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, injury mechanisms, and rehabilitation of ligaments in horses.
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...
Mesenchymal stem cells in veterinary clinical practice: Evidence from naturally occurring diseases. Over the past two decades, the use of mesenchymal stem cells (MSCs) in veterinary medicine has expanded rapidly, although the clinical evidence remains in its early stages. This review discusses clinical studies involving client-owned animals with naturally occurring diseases in which MSCs or MSC-derived extracellular vesicles (EVs) were used as treatments. It covers musculoskeletal disorders, including osteoarthritis, tendon and ligament injuries, and bone diseases; soft-tissue and oral mucosal conditions; neurological disorders; ophthalmic diseases; and internal medicine disorders, such as i...
Musculoskeletal examination of the hind limb of the horse. The intention of this tutorial video is to illustrate the methods of examining the hind limb and back of a horse in order to identify abnormalities that may be associated with lameness or disease. Unassigned: An 18-year-old quarter horse stallion was used for examination. Unassigned: The horse was examined for abnormalities using physical examination. Unassigned: The examination of the hind limb and epaxial region of the horse was successfully completed. Unassigned: The techniques described are required to identify abnormalities in the equine hind limb and can be utilized during a lameness exa...
Evaluation of Microvascular Flow Imaging and Power Doppler Ultrasonography in an Equine Model of Induced Superficial Digital Flexor Tendonitis. Superficial digital flexor tendon (SDFT) injuries are common in athletic horses and are associated with prolonged healing and high reinjury rates. Conventional ultrasonography provides structural information but limited physiologic assessment. This study compared microvascular imaging (MVI) and Power Doppler (PD) for evaluating vascular changes in a collagenase-induced equine SDFT injury model and assessed the effect of scanning technique on vascular signal detection. Eight adult Thoroughbred horses underwent bilateral collagenase-induced SDFT injury, with one forelimb randomly assigned to int...
Straight sesamoidean ligament desmopathy commonly occurs with proximal interphalangeal joint osteoarthritis. Proximal interphalangeal joint osteoarthritis (PIPJ OA) is a common cause of poor performance in the equine athlete; however, the supporting soft tissue structures surrounding the joint are seldom evaluated. Straight sesamoidean ligament injuries have been previously hypothesised to be concomitant with PIPJ OA; however, the frequency of these lesions coinciding with PIPJ OA has not been fully investigated. Objective: To investigate the prevalence of straight sesamoidean ligament desmopathy (SSLD) in horses presenting with PIPJ OA. Methods: Retrospective clinical study. Methods: Horses presenti...
Ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis caused by chronic infection with Serratia odorifera in a racehorse. We investigated a case of severe infection in a racehorse. The horse had developed progressive lameness associated with swelling of the left tarsal region, which progressed to ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis. The plantar side of the superficial digital flexor (SDF) tendon was visible through the skin ulcer, and coalescing nodules were present in the dermis. The horse was euthanized and an autopsy was performed. Grossly, in addition to the changes described above, severe edema of the soft tissues was associated with the ulcer. Microscopically, necrotizing and ulc...
Comparison of palpation and ultrasonography findings in supraspinous ligaments of horses. The purpose of this study was to evaluate the utility of palpation as a diagnostic tool for supraspinous ligament injuries in horses. Diagnosis of SSL injuries typically relies on a combination of clinical examination and ultrasonographic findings. To the authors' knowledge, no previous studies have specifically investigated palpation as a diagnostic measure for these injuries. Unassigned: This retrospective study analyzed data from 126 horses resented to the University Veterinary Teaching Hospital for back pathology. Inclusion criteria required horses to have a documented descriptive palpator...
Outcomes and racing performance in thoroughbreds following a long-term injury sustained during a jump race in Great Britain. Limited literature is available about the career outcomes of horses sustaining a long-term injury (LTI) in a jump race. Methods: All Thoroughbreds that sustained an LTI, defined as any non-fatal musculoskeletal injury requiring a minimum 90-day break from racing, in a British jump race between May 2018 and April 2023 were followed up for at least 24 months and outcomes described. Pre-injury racing performance was compared between horses that did and did not return to racing, and post-injury racing performance was compared between horses that sustained tendon/ligament injuries and fractures. R...
Use of strain and shear wave elastography in the ultrasonographic evaluation of the intermediate patellar ligament in horses: comparison and consistency of data. The clinical significance and ultrasonographic features of intermediate patellar ligament (IPL) desmopathy in horses are still debated and considered nonspecific. Elastosonography allows assessment of tissue elasticity in response to an external stimulus. The aim of the study was to describe the elastosonographic characteristics of the equine IPL, evaluate the feasibility of both strain (SE) and two-dimensional shear wave elastography (2D-SWE), and assess the consistency of the data obtained from these techniques. 20 adult horses of mixed breed, sex and athletic use were selected and allocated...
Standing computed tomographic tenography is reliable in identifying soft tissue lesions within the digital flexor tendon sheath in horses. To determine the diagnostic performance of standing computed tomographic tenography (CTT) in detecting naturally occurring intrathecal lesions of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), manica flexoria (MF), and in identifying palmar/plantar annular ligament (PAL) desmitis and constriction in horses undergoing tenoscopy. Methods: Retrospective observational study. Methods: Client-owned horses of various breeds and use, median age of 12.5 years (range: 6-20 years). Methods: A total of 24 horses with inconclusive ultrasonographic and contrast tenograp...
Histological properties of the distal sesamoidean impar ligament in racing Thoroughbreds and Quarter horses. The distal sesamoidean impar ligament (DSIL) is a key component of the equine podotrochlear apparatus, yet its role in conditions such as caudal heel pain and navicular syndrome remains poorly understood. The objective of this study was to characterize the histological properties of the DSIL and evaluate how it is influenced by breed and age. Eighty-four cadaveric forelimb DSIL samples were collected from young, athletic Quarter horses (QHs), Thoroughbreds (TBs), and older, retired Quarter horses. Samples were stained and assessed for vessel size and count, number of nerve fascicles, and the r...
Macroscopic comparison of open Metzenbaum and ultrasound-guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study. To macroscopically characterize and compare the open Metzenbaum (FOM) and ultrasound-guided (FUG) plantar fasciotomy techniques for decompression of the hindlimb proximal suspensory ligament (PSL), and to determine whether either approach induces intraligamentous splitting (ILS). Methods: Cadaveric experimental study. Methods: Paired hindlimbs from 10 adult horses with no history of hindlimb lameness. Methods: Each horse contributed one limb to FOM and the contralateral to FUG. All procedures were performed by a single surgeon, and incision measurements were obtained by a blinded examiner. Ski...
[Cone beam computed tomography and cross-sectional anatomy of the carpal region in the horse]. Subject matter and objectiveThe aim of this study was to display clinically relevant anatomical structures of the carpal region in healthy horses with the help of cone beam computed tomography (CBCT).Materials and methods: Twenty-eight forelimbs from 15 adult horses without orthopedic diseases were examined. Following native CBCT examination a mixture of hyperattenuating contrast medium with blue epoxy resin dye was injected in the antebrachiocarpal joint and middle carpal joint and contrast-enhanced CBCT scans were also acquired. Subsequently, the limbs were frozen and sawed in different plan...
Ultrasound-guided intralesional tendon and ligament injections in the horse. To describe principles of ultrasound-guided injection techniques for intralesional delivery of regenerative orthobiologics into equine tendon and ligament core lesions. Unassigned: A university-owned horse and equine cadaver forelimbs. Unassigned: A reproducible protocol for ultrasound-guided injection is demonstrated with the superficial digital flexor tendon used as an example. Following diagnosis of the lesion, the horse should be sedated and the affected limb desensitized with perineural anesthesia. The lesion is identified ultrasonographically in transverse and longitudinal planes, marked...
Postmortem characterization of cranial nuchal bursa and ligament in healthy horses reveals subclinical gross and histopathologic abnormalities. To investigate the presence of subclinical cranial nuchal bursitis and characterize its histopathologic features and association with Borrelia burgdorferi. Unassigned: This was a prospective descriptive cadaver study on a convenience population of horses in a B burgdorferi-endemic region (15 horses: 5 geldings and 10 mares of various breeds; 4 to 29 years old). Horses without history or clinical signs of cranial nuchal bursitis underwent euthanasia and tissue donation. Cranial nuchal bursa, synovial fluid, and nuchal ligament were collected postmortem. The bursa and ligament were evaluated via...
Comparison of Ultrasonography, Contrast Radiographic Tenography, Cone-Beam Computed Tomographic Tenography, and Tenoscopy for Lesion Detection Within the Digital Flexor Tendon Sheath of Horses-A Prospective Clinical Trial. Lesions of the tendons and manica flexoria (MF) within the digital flexor tendon sheath (DFTS) are a common cause for lameness in horses. This prospective study compared and quantified the agreement and disagreement of positive contrast computed tomographic tenography (CTT), positive contrast radiographic tenography (RXT), ultrasonography (US) and tenoscopy for diagnosing naturally occurring lesions within the DFTS, without application of a gold standard. Lesions affecting the deep (DDFT) and/or superficial digital flexor tendon (SDFT), and/or the MF and/or constriction of the palmar/plantar a...
Extracorporeal shock wave therapy in equine and canine practice. To describe the proposed mechanism of action of shock wave therapy and discuss treatment considerations and guidelines for use in equine and canine practice. Unassigned: Client-owned animals with owner consent. Unassigned: Shock wave therapy is proposed to stimulate healing by generating forces that cause cells to undergo microtrauma and release anti-inflammatory cytokines and growth factors into the treated tissues. While the 4 types of shock wave therapies are discussed, electrohydraulic and piezoelectric are described in detail, as they are most utilized in veterinary medicine for the treat...
Systematic review and meta-analysis of adult multipotent stromal/stem cell treatment for equine tendinopathy and desmopathy. Over the last few decades, cell and cell-based therapies emerged as treatment options for equine tendinopathy and desmopathy. The objective of this study was to critically evaluate outcomes following treatment of equine tendinopathy or desmopathy with adult multipotent stromal/stem cells (MSCs). Unassigned: The PubMed and Web of Science databases were searched for "equine/horse," "tendon/tendinopathy/tendonitis/ligament/ligamentopathy/desmopathy/desmitis," "stem/stromal/mesenchymal/multipotent," and "cell" from January 2001 to June 2025. Studies were identified according to PRISMA guidelines, ...
Biomechanics of the Head and Neck. The horse's head and neck account for about 10% of body weight, and this, combined with the fact that they are cantilevered in front of the trunk, produces considerable leverage around the joints at the base of the neck. During locomotion, the neck is moved primarily by gravitational and inertial forces controlled by eccentric-concentric cycles of contraction in the topline muscles assisted by energy-saving, stretch-recoil cycles in the nuchal ligament. The functional part of the nuchal ligament is the caudal funicular region and the lamellae to the second cervical vertebra that acts as the po...
Three-Dimensional Reconstruction of the Equine Palmar Metacarpal Region Using E12 Plastinated Sections. Digital technologies have improved the visualization of anatomical structures for veterinary education and clinical practice. In this study, a detailed three-dimensional anatomical model of the equine palmar metacarpal region was generated using E12-based epoxy sheet plastination combined with digital reconstruction in Amira V5.6 software. Serial cross-sections of the metacarpal region provided high-resolution visualization of bones, tendons, ligaments, nerves, vessels, fasciae, and synovial structures, with minimal shrinkage or deformation, ensuring improved anatomical accuracy. These section...
Extracorporeal shock wave therapy for equine musculoskeletal disorders: from biological mechanisms to clinical applications. Musculoskeletal injuries represent a primary cause of suboptimal performance and early retirement in equine athletes. To address this challenge, the veterinary community has long endeavored to develop safer and more effective therapeutic strategies. Extracorporeal shock wave therapy (ESWT), as a treatment for equine musculoskeletal injuries, has garnered substantial attention among equine veterinarians. Focused on the theme ESWT Therapy for Equine Musculoskeletal Disorders: From biological mechanisms to clinical applications, this article systematically reviews existing literature on the biolo...
Radiographic imaging of the entheses of the equine thoracic foot. An injury of a tendon or ligament of the equine foot is frequently a cause of lameness. The optimal radiographic projections delineating the entheses of five commonly injured tendons and ligaments of the foot should be described. Methods: The entheses of the collateral ligaments of the distal interphalangeal joint, the collateral sesamoidean ligaments of the navicular bone, the deep digital flexor tendon, the common digital extensor tendon and the distal sesamoidean impar ligament were isolated from a thoracic foot of three cadavers. Three standard radiographic projections (60-degree, dorsopro...
Descriptive epidemiology of long-term injuries in jump racing Thoroughbreds in Great Britain. Race-related injuries in horse racing, especially those requiring extended recovery, are a welfare concern and threaten the sport's social licence. Previous studies predominantly report on fatalities; however, serious non-fatal musculoskeletal injuries often end horses' racing careers or have a high recurrence risk. No recent studies have described or quantified long-term injuries (LTIs) in racing Thoroughbreds, which is essential to inform targeted risk prevention strategies. Objective: To describe the types, frequencies and incidences of LTIs in British jump racing. Methods: Retrospective co...
Ultrasonographic measurement of the collateral ligaments of the distal interphalangeal joint in the Argentine Polo Horse. The collateral ligaments of the distal interphalangeal joint (CL-DIPJ) are important structures for athletic horses. Ligament injuries can cause lameness, but ultrasound imaging can detect such lesions, which usually present with changes in echogenicity and an increase in the cross-sectional area (CSA) of the ligament. Measurements of these structures vary among authors, which complicates the diagnosis. Thus, this study aimed to describe the ultrasound measurements (dorsopalmar diameter [DPD], lateromedial diameter [LMD], and CSA) of the CL-DIPJ in Argentine Polo horses. We measured the CL-DIP...
Complications of Equine Musculoskeletal Surgery and Procedures. Complications of equine musculoskeletal procedures and surgery are an inevitable occurrence. This article summarizes complications principally encountered by primary equine veterinarians who perform and manage musculoskeletal procedures and surgeries. Topics discussed include complications of musculoskeletal diagnostic procedures, angular/flexural limb deformities, and muscle, tendon, and ligament surgery; surgery of the foot, orthopedic and arthroscopic surgery, and cast management. Each section lists complications encountered and includes diagnostic and treatment considerations. Awareness of...
Distal interphalangeal joint capsule enthesopathy of the middle phalanx and articular cartilage loss. Significant distal interphalangeal joint (DIPJ) pathology, particularly affecting soft tissue and articular cartilage, is often not identifiable on radiographs but can be accompanied by joint capsule enthesopathy on the middle phalanx (P2), which can be readily identified. Objective: To explore frequency and correlations between DIPJ capsule enthesopathy identified on magnetic resonance imaging (MRI) and radiographs and DIPJ articular cartilage abnormalities and other concurrent soft tissue or osseous pathology within the foot found on MRI. Methods: Retrospective descriptive case series. Metho...
Tenoscopically guided proximal digital annular ligament desmotomy for the treatment of proximal digital annular ligament desmitis. To describe a tenoscopically guided technique for desmotomy of the proximal digital annular ligament (PDAL). Methods: Ex vivo study and clinical case series. Methods: A total of 10 normal cadaver equine hindlimbs and five clinical cases of PDAL desmitis. Methods: The digital flexor tendon sheath (DFTS) was approached via a lateral basisesamoid portal and a palmar/plantar annular ligament (PAL) desmotomy was performed to improve maneuverability in the DFTS. Additional proximolateral and distal midline instrument portals were created to facilitate transection of the proximolateral attachment, th...
Clinical and ultrasonographic findings in horses with desmopathy of the palmar/plantar abaxial ligaments of the proximal interphalangeal joint: 20 cases. To describe the clinical and ultrasonographic findings in horses with desmopathy of the abaxial palmar/plantar ligament (APL) of the proximal interphalangeal joint and the prevalence of concurrent musculoskeletal injuries in the pastern and foot. Unassigned: Horses presenting to New Bolton Center between March 2017 and November 2022 with an age ranging from 5 to 20 years that underwent lameness evaluation in which lameness was localized to the distal limb and had an ultrasonographic diagnosis of APL desmopathy. Unassigned: Horses included were those that (1) presented for a lameness examinatio...
Comparison of Two Surgical Techniques for the Treatment of Equine Hindlimb Proximal Suspensory Desmopathy. Suspensory desmopathy is a frequently documented cause of lameness in performance horses; proximal suspensory desmopathy is the most frequent site of injury in dressage horses [...].
Autologous conditioned serum IRAP efficacy for tendon and ligament injuries in horses: An observational study. Tendon and ligament injuries in equine athletes pose significant challenges, often leading to prolonged recovery, reduced performance, and increased risk of reinjury. Current treatment strategies, including conservative and surgical approaches, have shown limited success in fully restoring tendon integrity. Autologous blood derivatives, such as autologous conditioned serum (ACS), have emerged as potential regenerative therapies. However, the clinical efficacy of ACS in the treatment of equine tendinopathies remains under investigation. Unassigned: This study aimed to compare the clinical outco...
