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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.
A two-year participatory intervention project with owners to reduce lameness and limb abnormalities in working horses in Jaipur, India. Participatory methods are increasingly used in international human development, but scientific evaluation of their efficacy versus a control group is rare. Working horses support families in impoverished communities. Lameness and limb abnormalities are highly prevalent in these animals and a cause for welfare concern. We aimed to stimulate and evaluate improvements in lameness and limb abnormalities in horses whose owners took part in a 2-year participatory intervention project to reduce lameness (PI) versus a control group (C) in Jaipur, India. Results: In total, 439 owners of 862 horses part...
Improvement in Bilateral Carpal Valgus Deviation in 9 Foals After Unilateral Distolateral Radial Periosteal Transection and Elevation. To evaluate the effect of periosteal transection and elevation in foals with naturally occurring carpal valgus deviation. Methods: Prospective clinical study. Methods: Foals (n = 9) with bilateral carpal valgus. Methods: Foals with bilateral carpal valgus had distolateral radial periosteal transection and elevation (PE) including distal ulnar transection on 1 limb. Foals were stall confined until the skin incisions healed, and then allowed free exercise in a small paddock or round pen. Dorsopalmar carpal radiographs were obtained at 14 day intervals to determine the carpal valgus angle (CV...
The effect of weightbearing and limb load cycling on equine lamellar perfusion and energy metabolism measured using tissue microdialysis. Lamellar perfusion is thought to be affected by weightbearing and limb load cycling; this may be critical in the development of supporting limb laminitis. Objective: To document the effects of unilateral weightbearing and altered limb load cycling on lamellar energy metabolism and perfusion. Methods: Randomised, controlled (within subject), experimental trial. Methods: Nine Standardbred horses were instrumented with microdialysis probes in the foot lamellar tissue and skin (over the tail base). Urea (20 mmol/l) was added to the perfusate. Samples were collected every 15 min for a 1 h con...
[Congenital foot abnormalities]. The foot may be the site of birth defects. These abnormalities are sometimes suspected prenatally. Final diagnosis depends on clinical examination at birth. These deformations can be simple malpositions: metatarsus adductus, talipes calcaneovalgus and pes supinatus. The prognosis is excellent spontaneously or with a simple orthopedic treatment. Surgery remains outstanding. The use of a pediatric orthopedist will be considered if malposition does not relax after several weeks. Malformations (clubfoot, vertical talus and skew foot) require specialized care early. Clubfoot is characterized by an ...
Endoscopic adhesiolysis of the flexor hallucis longus muscle. Flexor hallucis longus muscle can adhere to the distal tibia after tibial fracture. The patient may complain of deep posteromedial ankle pain, checkrein deformity of the hallux, hallux flexus or development of hallux rigidus. Surgical treatment of release of the FHL muscle or lengthening of the FHL tendon has been proposed. We described an endoscopic approach of release of the FHL muscle from the distal tibia with the advantage of minimal soft tissue dissection. Methods: Therapeutic Level V: Expert Opinion/Technique.
Regional disturbances in blood flow and metabolism in equine limb wound healing with formation of exuberant granulation tissue. As in other fibroproliferative disorders, hypoxia has been suggested to play a key role in the pathogenesis of exuberant granulation tissue (EGT). The purpose of this study was to investigate metabolism and blood flow locally in full-thickness wounds healing with (limb wounds) and without (body wounds) formation of EGT. Microdialysis was used to recover endogenous metabolites from the wounds, and laser Doppler flowmetry was used to measure blood flow. Measurements were performed before wounding and 1-28 days after wounding. Blood flow was consistently lower in limb wounds than in body wounds t...
Effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs. To determine the effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs. Methods: Evaluation study. Methods: 14 forelimbs from 9 adult horses. Methods: Each horse was in standing position with its forelimbs positioned on blocks. Dorsopalmar radiographs of each foot were obtained with the forelimbs positioned squarely (the metacarpus of both forelimbs was perpendicular to the ground as determined by visual examination [abducted 0°]; baseline) and abducted 5° and 1...
Distal limb desensitisation following analgesia of the digital flexor tendon sheath in horses using four different techniques. Controversy exists about the desensitisation obtained after diagnostic analgesia of the digital flexor tendon sheath (DFTS) during lameness examinations. Objective: To determine whether DFTS analgesia results in inadvertent desensitisation of the palmar/plantar digital nerves and whether this depends on the injection technique used. Methods: Crossover experimental study. Methods: The DFTS of 9 horses were injected with local anaesthetic solution and radiodense contrast medium using one of the following techniques: Proximal (at lateral proximal recess of the DFTS), Axial (axial to the lateral p...
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...
