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.
Hinged circular fixator construct for correction of congenital metatarsal deformity in a foal. A five-week-old American Quarter Horse colt was presented for evaluation of a left hindlimb deformity and lameness. Radiographs of the left hindlimb revealed a varus deformity with recurvatum originating in the mid-diaphysis of the third metatarsal bone. Surgical correction was undertaken by performing an osteotomy through the centre of rotation of angulation located within the mid-diaphysis of the third metatarsal bone, and a four-ring hinged circular external fixator construct was applied. Distraction of the osteotomy site was performed over an 11 day period. Notable complications included f...
Effects of shoeing on limb movement and ground reaction forces in Icelandic horses at walk, tölt and trot. Tölt is a symmetric four-beat gait with a speed range extending into that of trot and canter. Specific shoeing methods, such as unnaturally high and long hooves, are used to enforce individual gait predisposition. The aim of this study was to assess the consequences of this shoeing style on loading and movement of the limbs at walk, tölt and trot, and at different velocities. Simultaneous kinetic and kinematic gait analysis was carried out at walk (1.4m/s) and at two tölting and trotting speeds (3.3m/s and 3.9 m/s) on an instrumented treadmill. Thirteen sound Icelandic horses were first mea...
Directional asymmetry of facial and limb traits in horses and ponies. Current published data on directional asymmetry (DA) in horses refer to racing Thoroughbreds. The aim of this study was to identify whether horses and ponies exhibit directionality of trait asymmetries. Eleven functional (limb) and four non-functional (facial) bilateral traits were measured on left and right sides in a cohort of 100 horses and ponies using callipers. The population was investigated as pooled data and as horse (withers height >148 cm) and pony (withers height ≤ 148 cm) sub-groups. Within the pooled data, functional traits were longer on the right for the third metacarpal (MCI...
Longitudinal development of equine forelimb conformation from birth to weaning in three different horse breeds. There is limited published data on conformational changes in the forelimbs of growing foals. This study was designed to describe the changes in conformation of the carpus and distal forelimb from birth to weaning in foals of three different breeds. Evaluation of the conformation of the carpus, fetlock, pastern and foot was carried out in 134 Thoroughbreds, 162 French Trotters and 98 Selle Français (French Warmblood) within 1 month of age and then at approximately 2 month intervals until weaning at approximately 6 months of age. The prevalence of limb deviations decreased from birth to weaning...
A reliable severity scoring system for radiographic findings in the limbs of young horses. The validity of methods used to score the severity of radiographic findings (RFs) in horses is uncertain since only one or two joints are usually studied, classification criteria are heterogeneous and the internal validity is not assessed. The aim of this study was to assess the internal validity of a severity scoring system (SSS) of RFs by repeated scoring of a sample of radiographs. This SSS of RFs is based on four criteria that can be applied to every type of RF observed in limb joints. It consists of five weighted severity indexes (0, 1, 2, 4, 8) and was used to assess RFs found on the lim...
Evolution of radiological findings detected in the limbs of 321 young horses between the ages of 6 and 18 months. The objective of this study was to evaluate the spontaneous evolution of radiological findings (RF) indicative of juvenile osteochondral conditions (JOCC) in a field study. A radiographic survey was performed at the age of 6 and 18months in 321 young horses from three breeds (French Trotter Standardbred, Selle-Français Warmblood and Thoroughbred). Each RF identified at 6months was re-evaluated at 18months, and classified as (1) disappeared, (2) improved, (3) stable, (4) deteriorated or (5) new when it was not identified at 6months. Only 32.3% of all RF identified at the age of 6months were st...
Age-dependent effects of systemic administration of oxytetracycline on the viscoelastic properties of rat tail tendons as a mechanistic basis for pharmacological treatment of flexural limb deformities in foals. To describe the effect of systemically administered oxytetracycline on the viscoelastic properties of rat tail tendon fascicles (TTfs) to provide a mechanistic rationale for pharmacological treatment of flexural limb deformities in foals. Methods: TTfs from ten 1-month-old and ten 6-month-old male Sprague-Dawley rats. Methods: 5 rats in each age group were administered oxytetracycline (50 mg/kg, IP, q 24 h) for 4 days. The remaining 5 rats in each age group served as untreated controls. Five days after initiation of oxytetracycline treatment, TTfs were collected and their viscoelastic properti...
The basics of farriery as a prelude to therapeutic farriery. Domesticated horses need hoof care, because it is rare for wear and growth of the hooves to be in perfect equilibrium. During the shoeing interval, the hoof grows downwards and forward in the direction of the horn tubules, losing some degree of angle. Few horses have perfect limb conformation. The shape of a hoof of a limb with conformation defects adapts in a predictable way. If, for therapeutic or performance reasons, the hoof-shoe combination is modified, there is a not a lot of leeway in the trim of a particular foot, whereas the applied shoe type, placement, and adjustments provide endles...
Farriery for the hoof with a high heel or club foot. A club foot or flexural deformity may affect a horse at any stage of life from neonate through adulthood. The emphasis of this article is on defining and recommending the appropriate farriery for flexural deformities involving the deep digital flexor tendon and the distal interphalangeal joint. Clinical management of the flexural deformity is influenced by the severity, duration, and etiology of the club foot as well as the degree and source of lameness. Also discussed is the management of mismatched hoof angles, which remains a controversial subject for both farrier and veterinarian.
The biomechanics of the equine foot as it pertains to farriery. Shoes were originally applied to horses' feet to protect against excessive wear. Over the years, countless types of shoes and farriery techniques have been developed not only as a therapeutic aid to treat lameness but also to maintain or enhance functionality. The past 3 decades have provided equine veterinarians and farriers with new information relating to limb biomechanics and the effects of various farriery methods. This article describes the principles of foot biomechanics and how they are affected by some of the more common farriery and shoeing techniques.
Farriery for the hoof with a sheared heel. Sheared heels develop as an adaptation-distortion of the hoof capsule as a result of an abnormal strike and loading pattern of the foot, which is generally a consequence of limb conformation. The growth rate around the circumference of the hoof should be approximately uniform, but regional disturbances in growth rate can occur to either increase or decrease growth. The primary conformational trait that is observed in horses that develop sheared heels is a rotational deformity of the distal limb and a narrow chest. Farriery is directed toward improving the hoof capsule distortion and decreasing...
[Influence of exercise on horses’ limb volume, measured by an optoelectronic device]. This study tested for the first time an optoelectronic device (Perometer*) measuring limb volume of horses. An analysis of its application was performed regarding the influence of different types of physical exercise on the volume of the extremities. 40 horses were divided into four groups often horses, each group being exposed to exercise, differing in kind and duration of lunging, horse-ridden and riderless. The volume measurement was performed by determining the inactive value (I) after a twelfe-hour standing period, the load value (II) immediately after exercise and recovery value (III) on...
Complications after two transphyseal bridging techniques for treatment of angular limb deformities of the distal radius in 568 Thoroughbred yearlings. Surgical correction of carpal angular limb deformities by growth retardation is commonly undertaken with a screws and tension band wire loop technique (S&W) or a single transphyseal screw (STS). This study compares complications after S&W and STS bridging in the distal radius of Thoroughbred yearlings. Objective: To compare the prevalence of complications serious enough to require follow-up radiographs following either S&W or STS surgery for growth manipulation in the distal radius of Thoroughbred yearlings. Methods: Medical records and radiographs from Thoroughbred yearlings (age ...
Possible role of carpal hyperextension in superficial digital flexor tendinopathy. The specific biomechanical circumstances that induce excessive superficial digital flexor tendon (SDFT) strain in horses are unknown. Objective: Carpal joint hyperextension during axial limb loading during the middle of stance disproportionately enhances SDFT strains compared to suspensory ligament (SL) strains. Methods: Superficial digital flexor tendon and SL strains were measured in 7 cadaver limbs during in vitro loading that maintained carpal extension or allowed carpal hyperextension by constraining, or allowing rotation of, the radius during loading conditions that simulated the middle ...
Correction of Lower Limb Deformities Using Ilizarov’s Technique. India accounts for approximately 10 million orthopaedically handicapped children and adults with limb deformity. Ilizarov ring fixator could treat most of these deformities. Methods: Twenty cases of deformities of lower limb managed with Ilizarov technique during period between March 2001 and February 2003 were studied. Results: 55% were in the age group of 11-30 years. Out of the 20 cases studied, 6 were congenital talipes equino varus, 8 were fixed flexion deformity of knee, 4 were equines deformity of the ankle and 2 were malunited fracture shaft of tibia.4 patients who had recurrence were ...
Kinematic characteristics of hoof landing in jumping horses at elite level. Biomechanical events of the distal limb during the landing phase of a jump have been proposed to be risk factors for injury, indicating need for further characterisation of the landing and the hoof-surface interaction. This is essential also for valid testing of arena surfaces when simulating actual conditions. Objective: To investigate the hoof landing characteristics for different limbs of elite showjumping horses during the landing phase when jumping 1.30-1.50 m competition fences on 2 different arena surfaces. Methods: A single, fixed high speed camera (1000 frames/s) was aimed at landing ...
Ground reaction force and kinematic analysis of limb loading on two different beach sand tracks in harness trotters. Although beach training is commonly used in horses, limb loading on beach sand has never been investigated. A dynamometric horseshoe (DHS) is well adapted for this purpose. Objective: To compare ground reaction force (GRF) and fetlock kinematics measured in harness trotters on 2 tracks of beach sand with different water content. Methods: Two linear sand tracks were compared: firm wet sand (FWS, 19% moisture) vs. deep wet sand (DWS, 13.5% moisture). Four French trotters (550 ± 22 kg) were used. Their right forelimb was equipped with a DHS and skin markers. Each track was tested 3 times at 7 m/...
Racing and sales performance after unilateral or bilateral single transphyseal screw insertion for varus angular limb deformities of the carpus in 53 thoroughbreds. To evaluate the racing and sales performance of Thoroughbred horses with varus angular limb deformities of the carpus treated by unilateral or bilateral single transphyseal screw (STS) placement. Methods: Case series. Methods: Thoroughbred horses (n=53). Methods: Medical records (January 1, 2005-December 31, 2006) of yearling Thoroughbreds treated for carpal angular limb deformity by transphyseal screw insertion in the distal aspect of the radius were reviewed. Retrieved data were sex, surgery, and screw removal dates, surgical site, appearance, limb(s) affected, type of angular limb deformity...
Lateralised motor behaviour leads to increased unevenness in front feet and asymmetry in athletic performance in young mature Warmblood horses. Foot stance in grazing significantly influences hoof conformation and development from foal to yearling age. Objective: To conduct a longitudinal study to establish if the relationship between motor laterality and uneven front feet persisted in 3-year-old horses at the time of studbook selection and to investigate if such laterality and unevenness might influence the horses' ability to perform symmetrically while trotting, cantering and free jumping. Methods: Seventeen clinically sound but untrained (with only minimal experience of handling) and sound Warmblood horses that had participated in ...
Physical and clinicopathologic findings in foals derived by use of somatic cell nuclear transfer: 14 cases (2004-2008). To describe the health status of foals derived by use of somatic cell nuclear transfer (NT) at a university laboratory. Methods: Retrospective case series. Methods: 14 live-born NT-derived foals. Methods: Medical records from 2004 through 2008 were evaluated to identify all pregnancies resulting in live-born NT-derived foals. Information obtained included gestation length, birth weight, foaling complications, gross abnormalities of the fetal membranes, appearance of the umbilicus, mentation of the foal, limb deformities, and any other abnormalities detected in the neonatal period. Clinicopatho...
Clinical, magnetic resonance, and sonographic imaging findings in horses with proximal plantar metatarsal pain. Sonography is commonly used for diagnosis of desmopathy of the proximal part of the suspensory ligament in horses. However, magnetic resonance (MR) imaging has been stated to be superior for detecting disease and localizing lesions. In this retrospective study of 39 horses or 46 hind limbs with lameness due to proximal plantar metatarsal pain, the clinical and diagnostic findings are discussed and sonography and MR imaging compared for examination of the proximal part of the suspensory ligament. With MR imaging interpreted as the clinical gold standard, desmopathy of the proximal part of the s...
Skeletal forelimb measurements and hoof spread in relation to asymmetry in the bilateral forelimb of horses. Research has highlighted a high frequency of skeletal asymmetries in horses. In addition, research into hoof asymmetries has shown that within a bilateral pair, the hoof with the smaller angle is often subjected to greater loading. There has been limited attention paid to understanding compensatory mechanisms for skeletal asymmetries in the horse; the dynamic structure of the hoof could potentially be acting in a compensatory capacity. Objective: To investigate the relationship between morphometry of forelimb segments and hoof spread and their incidence of asymmetry. Methods: Ten bilateral mea...
Heritability of foot conformation and its relationship to sports performance in a Dutch Warmblood horse population. 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. 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...
Effects of extracorporeal shock wave therapy on wounds of the distal portion of the limbs in horses. To evaluate the effects of focused, extracorporeal shock wave therapy (ESWT) on the healing of wounds of the distal portion of the limbs in horses. Methods: Randomized controlled trial. Methods: 6 healthy adult horses. Methods: In each horse, a 4-cm-diameter full-thickness wound that included underlying periosteum was created on the dorsomedial aspect of each metacarpus and two 3-cm-diameter full-thickness wounds that included underlying periosteum were created on the dorsomedial aspect of each metatarsus. One randomly selected metacarpal wound and a randomly selected pair of metatarsal wounds...
Use of a stand-alone pressure plate for the objective evaluation of forelimb symmetry in sound ponies at walk and trot. Subtle lameness in horses may be difficult to diagnose and methods to evaluate lameness objectively are useful when equine clinicians fail to reach a consensus. The aim of this study was to determine whether equine pressure plate measurements are repeatable when used to calculate forelimb loading (peak vertical pressure [PVP], peak vertical force [PVF], vertical impulse [VI]) and symmetry ratios, and to establish if these data are similar to the 'gold standard' force plate values. Since plate dimensions are relatively small, ponies were used to enable recordings to be taken from both forelimbs...
Multiple-trait selection for radiographic health of the limbs, conformation and performance in Warmblood riding horses. Information on 26 434 German Warmblood horses born between 1992 and 2001 was used for multivariate genetic analyses of radiographic health, conformation and performance traits to compare different modes of single- and multiple-trait selection of sires. Results of standardized radiological examinations of 5155 Hanoverian Warmblood horses, conformation evaluations from studbook inspections of 20 603 mares, and performance evaluations from mare performance tests and auction horse inspections of 16 098 horses were used for multivariate genetic analyses. Genetic parameters were estimated with restr...
Boots on horses: limb protection or hyperflexion training aids in the showjumping horse. Showjumping riders regularly employ various schooling strategies to control the horse's jump stride kinematics (JSK). Strategies include plyometric training regimes with fences of different heights and widths set at specific distances. Gymnastic grids teach the horse to jump cleanly. Rapping, once used almost routinely, is no longer in vogue. However, the use of performance enhancing (PE) boots on the distal hind limbs to alter equine JSK has become popular. There are two broad categories of PE boots: weighted and pressure. Some riders use so-called weighted boots on the horses' hind limbs dur...
Surgical treatment of carpal flexural deformity in 72 horses. Carpal flexural deformities (CFD) are frequently encountered in the horse, with both congenital and acquired forms described. The success of surgical correction of CFD, both in terms of the ability to achieve a straight palmar carpal angle and the impact on future athletic performance, requires further investigation. Objective: To report the surgical management and outcome of treatment of flexural deformity of the carpus in 72 horses up to 12 months of age. Methods: Information was obtained from the medical records of horses surgically treated for CFD and through follow-up contact with owners....