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Topic:Limb Deformities

Limb deformities in horses refer to abnormalities in the shape or alignment of the limbs, which can occur due to genetic factors, developmental issues, or trauma. These deformities can affect the horse's gait, performance, and overall health. Common types of limb deformities include angular limb deformities, such as valgus and varus, and flexural deformities, like contracted tendons. Diagnosis and management of limb deformities often involve clinical examination, imaging techniques, and sometimes corrective interventions. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, diagnosis, treatment, and implications of limb deformities in equine health.
Injury to the palmar supporting structures of the fetlock alters limb stiffness and fetlock angle.
Equine veterinary journal    September 1, 2024   doi: 10.1111/evj.14409
Hanousek K, Fiske-Jackson A, O'Leary L, Smith RKW.In vivo measurement of limb stiffness and conformation provides a non-invasive proxy assessment of superficial digital flexor tendon (SDFT) and suspensory ligament (SL) function. Here, we compared it in fore and hindlimbs and after injury. Objective: To compare the limb stiffness and conformation in forelimbs and hindlimbs, changes with age, and following injury to the SDFT and SL. Methods: Retrospective cohort study. Methods: Limb stiffness was calculated using floor scales and an electrogoniometer taped to the dorsal fetlock. The fetlock angle and weight were simultaneously recorded five tim...
Comparison of a hand-held high-end resolution infrared thermography (FLIR P640) and a smartphone infrared thermographic device (FLIR One) for the assessment of skin surface temperature after anaesthetising the median nerve in Healthy horses.
PloS one    August 30, 2024   Volume 19, Issue 8 e0309603 doi: 10.1371/journal.pone.0309603
Ferlini Agne G, Adamson K, McGlinchey L, Kravchuk O, Santos L, Schumacher J.Accuracy of a median nerve block is normally assessed by testing skin sensitivity on the medial and dorsal aspects of fetlock and pastern. The present study evaluated subjective and objective analysis of skin surface temperature obtained with two different infrared (IR) thermography cameras (a high-end [FLIR P640] and a smartphone IR thermography device [FLIR One®]) before and after anaesthesia of the median nerve. Thermographic images were obtained at 0, 30, 60 and 90 minutes after performing a median nerve block with 2% mepivacaine hydrochloride. The subjective analysis of thermographic ima...
2D Kinematic Analysis of the Esbarrada and Volta Sobre Patas Manoeuvres of Criollo Breed Horses Competing in Freio de Ouro.
Animals : an open access journal from MDPI    August 20, 2024   Volume 14, Issue 16 doi: 10.3390/ani14162410
Bonilla Lemos Pizzi GL, Holz K, Kowalski ÉA, Fonseca Ribeiro P, Blake R, Ferreira Martins C.The esbarrada and volta sobre patas manoeuvres are critical in Criollo horse equestrian activities, yet their kinematics remain largely unexplored. This observational study aimed to kinematically describe the manoeuvres in Criollo breed horses and explore the relationship between static goniometry and dynamics. A 2D kinematic analysis was conducted on 31 Criollo horses performing the manoeuvres using high-speed cameras. Joint angles were measured using static goniometry and analysed in relation to dynamic performance. The esbarrada covered a distance of 4.28 ± 0.99 m in 1.15 ± 0.11 s at a ve...
Concurrent radiological and ultrasonographical findings in the forelimb proximal sesamoid bones and adjacent suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses.
Equine veterinary journal    July 22, 2024   doi: 10.1111/evj.14120
Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP.Changes in the proximal sesamoid bones (sesamoids) and the insertional region of the adjacent suspensory ligament branch (branch) are of particular importance in young Thoroughbreds sold at public auction. Little is known about the prevalence of concurrent ultrasonographical branch change, relative to the various grades of radiological sesamoid appearance. Objective: To examine the existence of concurrent radiological and ultrasonographical findings in individual sesamoid-branch units in sales horses; to determine whether there are any radiological findings that are consistently accompanied by...
Athletic prognosis following arthroscopic removal of osteochondral fragments of the proximal dorsal sagittal ridge of the fetlock in Thoroughbreds intended for flat racing.
Veterinary surgery : VS    June 24, 2024   doi: 10.1111/vsu.14129
Luick ML, Khouzam NA, Pérez-Nogués M.To establish racing prognosis in Thoroughbred yearlings with proximal sagittal ridge osteochondral lesions and compare them to dorsoproximal and palmar/plantar first phalanx osteochondral lesions. Methods: A total of 47 horses had proximal sagittal ridge lesions, 34 had palmar/plantar first phalanx lesions, and 115 had dorsoproximal first phalanx lesions. Methods: Retrospective case series. Methods: Medical records of Thoroughbred yearling racing prospects treated arthroscopically for fetlock osteochondral lesions were reviewed. Data were collected from a public database, including the ability...
The difference in radiographic findings in the distal limbs of working Lipizzan horses, used for dressage or driving.
Frontiers in veterinary science    May 29, 2024   Volume 11 1393325 doi: 10.3389/fvets.2024.1393325
Zalig V, Vengust M, Blagus R, Berner D, Sandow C, Hanna A, Miklavcic M.Lameness originating from the distal limb is common in sport horses and can vary depending on the dynamics of movement and the surface, with differences in shoeing exacerbating this variability. Driving horses work primarily on hard surfaces (pavement), whereas dressage horses work primarily on soft surfaces (riding arenas with sand). Driving horses are traditionally shod with small fixed studs made of hard metal, which are attached to the horseshoe at 4 points, while dressage horses are shod with a simple horseshoe. We investigated the hypothesis that there is a difference in the pathological...
Equine Talocalcaneal subluxation.
Journal of equine veterinary science    May 19, 2024   Volume 138 105101 doi: 10.1016/j.jevs.2024.105101
Bertelsen L.A Quarter horse filly was evaluated for a two-week old wound of the right hind cannon bone after the mare stepped on her. A sequestrum was noted radiographically and was surgically debrided. After continued follow-up a left hind varus deformity was noted and was corrected with a lateral transphyseal screw in the distal left tibia. After the varus deformity was improved, a lateromedial radiograph was taken of the distal left tibia and tarsus and talocalcaneal subluxation was seen. The same view was taken of the right tarsus and the same deformity was noted. After finding no case reports on the ...
Radiographic analysis in Thoroughbreds reveals morphological changes in healthy maturing stifle joints and possible association between subchondral lesions and femoral condyle width.
American journal of veterinary research    May 13, 2024   1-11 doi: 10.2460/ajvr.23.12.0291
Wadbled L, Finck C, Santschi EM, Morehead JP, Fogarty U, Lemirre T, Beauchamp G, Richard H, Laverty S.Assess femorotibial features in foals with and without medial femoral condyle (MFC) subchondral radiolucencies (SR+ and SR-). Methods: 3 independent, sequential radiographic studies were performed. Study 1 retrospectively measured femorotibial morphological parameters in repository radiographs (SR- and SR+). Study 2 qualitatively compared drawings of intercondylar notch shape in postmortem radiographs (SR-). Study 3 prospectively measured femorotibial parameters in 1-month-old foals (SR-). In studies 1 and 3, 13 morphologic parameters were measured. Limb directional asymmetry was assessed in 2...
Gestation length is associated with early-life limb deformities in Thoroughbred foals.
Journal of equine veterinary science    August 2, 2023   doi: 10.1016/j.jevs.2023.104896
Mouncey R, Arango-Sabogal JC, de Mestre AM, Verheyen KL.Flexural and angular limb deformities (LD) are an important cause of early-life morbidity and mortality/euthanasia in Thoroughbred foals. The majority are congenital in origin but, to date, their precise aetiology is poorly understood. We hypothesised that maternal- and pregnancy-level factors, particularly those with potential to influence in-utero growth and development, could play an important role. The aim of this study was therefore to investigate associations between such factors and early-life LD in Thoroughbred foals. A birth cohort was established on seven farms across the United King...
An Investigation into the Effects of Changing Dorso-Plantar Hoof Balance on Equine Hind Limb Posture.
Animals : an open access journal from MDPI    November 24, 2022   Volume 12, Issue 23 3275 doi: 10.3390/ani12233275
Sharp Y, Tabor G.Links between poor hind hoof balance, pathologies in the hind limb and associated altered posture have been suggested but not quantified. The hoof is proposed as a neuro-sensory organ responsible for informing equine stance with implications for musculoskeletal health in the hind limb and trunk of the horse. This study aims to quantify equine limb posture and its relationship with hoof balance. Twelve horses presenting with negative plantar angles were photographed and limb posture documented before and after the creation of positive plantar angles and improved three-dimensional proportions ar...
Welfare assessment of horses and mules used in recreational and muleteer work in the Colombian coffee region.
Frontiers in veterinary science    November 17, 2022   Volume 9 1031192 doi: 10.3389/fvets.2022.1031192
Romero MH, Meneses F, Sanchez JA.The welfare of working equids in developing countries is sometimes threatened due to the limited resources and/or knowledge of their owners. The objective of this study is to evaluate the welfare of creole horses and mules using a validated protocol that assesses animal-based indicators. A total of 160 horses and 40 mules from three municipalities in the Colombian coffee-growing region were evaluated by means of direct observation of health and behavioral parameters. A descriptive analysis of the variables expressed in proportions was performed. Interactions between the different measurements ...
Computed tomographic evaluation of the distal limb in the standing sedated horse: Technique, imaging diagnoses, feasibility, and artifacts. Mathee N, Robert M, Higgerty SM, Fosgate GT, Rogers AL, d'Ablon X, Carstens A.In several veterinary institutions, adjustments of CT machines have been made that allow for imaging of the standing horse. The risk of general anesthesia is eliminated and the shorter scan completion time reduces cost to clients. The objective of this retrospective, analytical study was to evaluate the technique, imaging diagnoses, feasibility, and image artifacts of multi-slice helical CT of horses' distal limbs acquired under standing sedation. The CT images of 250 horses of various breeds, aged 3-23 years, that underwent standing distal limb CT were evaluated. Three observers assessed the ...
Clinical and imaging findings, treatment details and outcomes in foals with extensor tendon rupture-A multicentre retrospective study.
Equine veterinary journal    October 28, 2022   Volume 55, Issue 5 777-787 doi: 10.1111/evj.13893
Mokry A, Bernhard C, Faulkner J, Colgate VA, Dumoulin M, Pille F, Vanderperren K, Delling U, Oosterlinck M.Forelimb extensor tendon rupture (ETR) in foals is sparsely documented. Objective: To describe clinical and imaging findings, treatment details, and long-term outcome in foals with ETR. Methods: Multicentre retrospective case-series. Methods: Clinical record review of foals with ETR, presented to Faculty of Veterinary Medicine at Ghent University (Belgium), the Clinic for Horses at the University of Veterinary Medicine Hannover (Germany), and Rossdales Equine Hospital (UK) between 2009-2021. Long-term outcome based on structured telephone interview with the owner at the university hospitals an...
Single-incision drilling technique to achieve hemiepiphysiodesis of the distal metacarpus – complications and outcome in 207 foals with metacarpophalangeal varus deformities.
Veterinary surgery : VS    September 25, 2022   Volume 52, Issue 1 26-32 doi: 10.1111/vsu.13888
Boorman S, Rodgerson DH.To report the outcome of foals treated for metacarpophalangeal varus deformity with a single-incision drilling technique for hemiepiphysiodesis of the distal lateral metacarpal physis. Methods: Retrospective case-control cohort study. Methods: Thoroughbred foals (n = 207), 171 age- and sex-matched maternal siblings. Methods: Medical records (2017-2020) were reviewed for signalment, limb(s) treated, location of the surgery, and any reported complications. Follow-up radiographs obtained for the yearling sale were assessed for abnormalities. Horses were matched to maternal siblings using an onl...
Evaluation of the Solution Volume Associated With Lidocaine for Intravenous Regional Limb Perfusion: A Venographic Study in Horse.
Journal of equine veterinary science    September 13, 2022   Volume 118 104125 doi: 10.1016/j.jevs.2022.104125
Melo-Neto GB, Mattos LS, Alonso JM, Rosa GS, Silva JRB, Lima WF, Mendes AF, Machado VMV, Alves ALG, Watanabe MJ, Rodrigues CA, Hussni CA.No abstract available
Effect of Water Depth on Limb and Back Kinematics in Horses Walking on a Water Treadmill.
Journal of equine veterinary science    May 29, 2022   Volume 115 104025 doi: 10.1016/j.jevs.2022.104025
Tranquille C, Tacey J, Walker V, Mackechnie-Guire R, Ellis J, Nankervis K, Newton R, Murray R.Water treadmill (WT) exercise is frequently used for training/rehabilitation of horses. There is limited study into the effect of water depth on limb/back kinematics warranting investigation. The objective was to determine the effect of walking in different water depths, at the same speed, on limb/back kinematics measured simultaneously in a group of horses. Six horses (age:15 ± 6.5 years) completed a standardized WT exercise session (19 minutes duration; speed:1.6 m/s; water depths: 0.0/7.5/21.0/32.0/47.0 cm). Ten waterproof light-emitting-diode tea-light-markers and reflective-spheres were ...
The influence of equine limb conformation on the biomechanical responses of the hoof: An in vivo and finite element study.
Journal of biomechanics    August 28, 2021   Volume 128 110715 doi: 10.1016/j.jbiomech.2021.110715
Akbari Shahkhosravi N, C R Bellenzani M, M S Davies H, Komeili A.Hoof conformation plays a key role in equine locomotion. Toe-in conformation is an abnormal condition characterized by inward deviation of the limb from its frontal axis. Several studies have documented differences in hoof deformation and hoof kinematics in horses with toe-in and normal hoof conformations. However, the reason behind this has yet to be understood. The present study hypothesizes that a different center of pressure (COP) path underneath the hoof is the cause of different deformation patterns and hoof kinematics in toe-in hooves. In vivo measurements and finite element (FE) analys...
Use of Negative Pressure Wound Therapy in the Treatment of Limb Wounds: A Case Series of 42 Horses.
Journal of equine veterinary science    July 31, 2021   Volume 106 103725 doi: 10.1016/j.jevs.2021.103725
Launois T, Moor PL, Berthier A, Merlin N, Rieu F, Schlotterer C, Siegel A, Fruit G, Dugdale A, Vandeweerd JM.Traumatic limb injuries are common in horses. Negative pressure wound therapy (NPWT) has been proven to promote wound healing in human medicine. It has also been described for the treatment of wounds in horses. In this retrospective study, clinical records of 42 (n = 42) animals were assessed. Categories of wounds, duration of NPWT application, frequency of resetting the NPWT device, technical complications, and tolerance to the procedure were recorded. 42 wounds were classified as bony (n = 15; 36 %), articular (n = 14; 33 %), tenosynovial (n = 9; 21%), muscular (n = 2; 5%) and cuta...
Long-term athletic performance in sport horses after desmotomy of the accessory ligament of the deep digital flexor tendon.
Equine veterinary journal    June 29, 2021   Volume 54, Issue 3 495-501 doi: 10.1111/evj.13472
Wismann ES, Jacobsen S, Thøfner M, Ladefoged S, Ekstrøm C, Lindegaard C.Outcome after desmotomy of the accessory ligament of the deep digital flexor tendon (AL-DDFT) to treat flexural deformity of the distal interphalangeal joint has been reported to be excellent. However, no studies have compared long-term athletic performance of sport horses exposed to desmotomy of the AL-DDFT to that of matched controls. Objective: The objective of this study is to compare long-term athletic performance in sports horses subjected to desmotomy of the AL-DDFT with the performance of matched controls. Methods: This is an observational multicentre retrospective matched cohort study...
Intravenous Regional Limb Perfusion in Standing and Recumbent Horses: A Comparative Radiographic Study.
Journal of equine veterinary science    January 7, 2021   Volume 98 103373 doi: 10.1016/j.jevs.2021.103373
Garcia AFS, Dória RGS, Arantes JA, Reginato GM, Neubauer FG, Ribeiro G.Although pharmacokinetic studies of drugs administered by intravenous regional limb perfusion (IRLP) to treat equine orthopedic infections suggest efficient drug distribution in the limbs, it remains unclear whether drug perfusion is affected by the position of the horse during the procedure. This study compared the perfusion of a radiopaque contrast into tissues of the extremities of horses maintained in standing and recumbent positions during an IRLP. Radiopaque contrast was administered through IRLP into the cephalic vein of 10 healthy adult horses under general anesthesia and right lateral...
Relationship Between Magnitude and Direction of Asymmetries in Facial and Limb Traits in Horses and Ponies.
Journal of equine veterinary science    July 24, 2020   Volume 93 103195 doi: 10.1016/j.jevs.2020.103195
Leśniak KG, Williams JM.Directionality of limb and facial asymmetries in nonelite equine populations has been previously reported with results indicating strong similarities to those reported in racehorses. This investigation aimed to consider the relationship between the magnitude of the asymmetries presented within the general equine population, and their previously reported directionality. Direct measurements of 15 bilateral traits (four facial and 11 limb) were captured from a mixed population of 100 horses and ponies. The pooled (whole) population was considered further as horse (withers height >148 cm) and ...
Relationships between morphometric measurements and musculoskeletal disorders in jumping Thoroughbred horses.
Journal of equine science    June 24, 2020   Volume 31, Issue 2 23-27 doi: 10.1294/jes.31.23
Mostafa MB, Elemmawy YM.There is limited knowledge about causes of musculoskeletal injury in jumping Thoroughbred horses. The objective of this study was to describe the relationships between musculoskeletal disorders and linear and angular limb measurements acquired from photographs of horses with markers at specific reference points. The diagnosed musculoskeletal disorders in either fore or hind limbs were flexor tendonitis, suspensory ligaments desmitis, and osteoarthritis of the distal intertarsal and tarso-metatarsal and carpometacarpal joints. Lengths and angles in 17 clinically normal jumping Thoroughbred hors...
Prematurity and Dysmaturity Are Associated With Reduced Height and Shorter Distal Limb Length in Horses.
Journal of equine veterinary science    May 22, 2020   Volume 91 103129 doi: 10.1016/j.jevs.2020.103129
Clothier J, Small A, Hinch G, Brown WY.The long-term effects of gestational immaturity in the premature (defined as < 320 days gestation) and dysmature (normal term but showing some signs of prematurity) foal have not been thoroughly investigated. Studies have reported that a high percentage of gestationally immature foals with related orthopedic issues such as incomplete ossification may fail to fulfill their intended athletic purpose, particularly in Thoroughbred racing. In humans, premature birth is associated with shorter stature at maturity and variations in anatomical ratios, linked to alterations in metabolism and timing of...
Hoof conformation in Icelandic competition horses and its interrelationship with hoof pathologies and tölt performance.
Veterinary journal (London, England : 1997)    May 17, 2020   Volume 259-260 105462 doi: 10.1016/j.tvjl.2020.105462
Herbrecht V, Waldern NM, Mikkelsen SE, Kjaer M, Dittmann MT, Wiestner T, Weishaupt MA.In order to improve the four-beat-rhythm and forelimb action of the tölt in Icelandic horses (ICE), special shoeing techniques are applied particularly in the front hooves by increasing hoof length and height, or by adding weight to the distal limbs. Although regulations limit dorsal hoof wall length (LDHW) in competition ICE, their shoeing often deviates from a biomechanically optimal distal limb conformation. This study aimed to qualitatively and quantitatively describe current shoeing practices of ICE in competition. Moreover, the influence of LDHW on the occurrence of deviations from a st...
Single-incision percutaneous drilling technique to achieve hemiepiphysiodesis of the distal metacarpus in foals with metacarpophalangeal varus deformities.
Veterinary surgery : VS    April 27, 2020   Volume 49, Issue 5 940-946 doi: 10.1111/vsu.13418
Dubois BB, Rodgerson DH.To describe a drilling technique for hemiepiphysiodesis of the distal lateral metacarpal physis and report the outcome of treated foals. Methods: Retrospective case series. Methods: Eleven thoroughbred foals. Methods: While horses were under general anesthesia, the lateral aspect of the distal metacarpal physis was approached through a single small incision by using a power drill. The drill bit was placed at the level of the physis under radiographic guidance. A 4.5-mm drill bit was passed several times through the lateral growth plate to remove the cartilage in a fan-like pattern. Postoperati...
Transient pelvic limb neuropathy following proximal metatarsal and tarsal magnetic resonance imaging in seven horses.
Equine veterinary journal    October 1, 2019   Volume 52, Issue 3 359-363 doi: 10.1111/evj.13181
Moreno KL, Scallan EM, Friedeck WO, Simon BT.Pelvic limb neuropathy is a rare post-anaesthetic complication. In the authors' experiences, the incidence of post-anaesthesia neuropathy is increased following MRI of the proximal metatarsus and tarsal regions when compared with previously reported incidences of post-anaesthetic neuropathy. Objective: This study reports the incidence, diagnosis, treatment and outcome of seven horses with post-anaesthesia neuropathy following proximal metatarsal and tarsal MRI. Methods: Retrospective case series. Methods: Case record review of horses receiving general anaesthesia for MRI between 1 January 2012...
Effect of inbreeding on the “Club Foot” disorder in Arabian Pureblood horses reared in Italy.
Open veterinary journal    September 29, 2019   Volume 9, Issue 3 273-280 doi: 10.4314/ovj.v9i3.14
Comparini L, Podestà A, Russo C, Cecchi F."The Club Foot" (or "Mismatched Foot") is an acquired or congenital flexural deformity of the distal interphalangeal joint, caused by a shortening of the musculotendinous unit of the deep digital flexor tendon. The aim of this research was to detect the incidence of the disorder in Arabian Pureblood horses, attempting to understand its causes and to analyze a possible role of inbreeding in its expression. In this breed, in fact, the pathology is widespread because in the environment of origin, the rocky desert, a hard and almost goat's hoof is not disabling so the selection against this disord...
Water treadmill exercise reduces equine limb segmental accelerations and increases shock attenuation.
BMC veterinary research    September 13, 2019   Volume 15, Issue 1 329 doi: 10.1186/s12917-019-2075-6
Greco-Otto P, Baggaley M, Edwards WB, Léguillette R.Equine water treadmills (WTs) are growing in popularity because they are believed to allow for high resistance, low impact exercise. However, little is known about the effect of water height on limb loading. The aim of this study was to evaluate the effect of water height and speed on segmental acceleration and impact attenuation during WT exercise in horses. Three uniaxial accelerometers (sampling rate: 2500 Hz) were secured on the left forelimb (hoof, mid-cannon, mid-radius). Horses walked at two speeds (S1: 0.83 m/s, S2: 1.39 m/s) and three water heights (mid-cannon, carpus, stifle), ...
Partial resection of bilateral ulnar remnants for treatment of carpus valgus in a 3-week-old Hanoverian foal.
The Canadian veterinary journal = La revue veterinaire canadienne    August 9, 2019   Volume 60, Issue 8 864-868 
Dubuc J, Da Silveira EA.A 3-week old Hanoverian foal was presented with bilateral moderate to severe carpal valgus. The deviations were 10 and 14 degrees, respectively for the left and right carpi and orthogonal radiographs of both front limbs highlighted bilateral persistent ulnar remnants. A partial resection of the ulnar remnants and periosteal transection on the disto-lateral aspect of the radius were performed bilaterally under general anesthesia. The valgus deviations began to improve within the first month and the limbs were almost straight (2 degrees for the left and right carpi) 5 1/2 months after surgery. T...
Using Movement Sensors to Assess Lying Time in Horses With and Without Angular Limb Deformities.
Journal of equine veterinary science    January 31, 2019   Volume 75 55-59 doi: 10.1016/j.jevs.2019.01.011
Clothier J, Small A, Hinch G, Barwick J, Brown WY.Chronic musculoskeletal pathologies are common in horses, however, identifying related effects can be challenging. This study tested the hypothesis that movement sensors and analgesics could be used in combination to confirm the presence of restrictive pathologies by assessing lying time. Four horses presenting a range of angular limb deformities (ALDs) and four nonaffected controls were used. The study comprised two trials at separate paddock locations. Trial A consisted of a 3-day baseline phase and 2 × 3-day treatment phases, during which two analgesics were administered to two ALD horses...