The metacarpal bone in horses is a key component of the equine forelimb, consisting primarily of the third metacarpal bone, commonly referred to as the cannon bone, and the smaller second and fourth metacarpal bones, known as splint bones. These bones provide structural support and play a vital role in weight-bearing and locomotion. The third metacarpal bone is the largest and most prominent, extending from the carpus (knee) to the fetlock joint. Its strength and integrity are essential for the horse's ability to perform various physical activities. The second and fourth metacarpal bones are positioned on either side of the third metacarpal and are remnants of evolutionary development. They can be involved in conditions such as splints, where inflammation occurs due to stress or trauma. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, and clinical aspects of metacarpal bones in horses, including their role in equine biomechanics and common pathologies.
Powell SE, Ramzan PH, Head MJ, Shepherd MC, Baldwin GI, Steven WN.The proximal metacarpal region is a common site of origin of lameness in the performance horse. A number of disease entities are recognised as causes of proximal metacarpal lameness but a definitive diagnosis is often elusive. Magnetic resonance imaging (MRI) is hypothesised to offer advantages over traditional imaging modalities in the investigation of proximal metacarpal pain. Objective: To describe clinical and imaging features of cases of lameness in racehorses arising from the proximal metacarpal region in which standing MRI identified 'bone marrow oedema-type' (BMO-type) signal patterns....
Leahy PD, Smith BS, Easton KL, Kawcak CE, Eickhoff JC, Shetye SS, Puttlitz CM.Computed tomography (CT) data can be employed with respect to determining mechanical properties and has been used to predict parameters such as elastic modulus, yield strength, and ultimate strength of intact bone. Micro-computed tomography (muCT) possesses the resolution capable of detecting apparent bone density in extremely local regions and can characterize the trabecular structure. It has been asserted that this micro-structure is susceptible to micro-buckling and bending, which has a controversial role in predicting the global mechanical properties of bone. The current study measured the...
Panizzi L, Barber SM, Lang HM, Carmalt JL.To describe signalment, clinical, and radiographic changes associated with carpometacarpal osteoarthritis (CMC-OA) and to report long-term outcome. Methods: Case series. Methods: Horses (n=33) with CMC-OA. Methods: Medical records (1992-2007) of horses diagnosed with CMC-OA were reviewed and signalment, clinical, and radiographic findings retrieved. Owners were contacted for information on the impact of lameness on intended use, response to treatment, progression of lameness, outcome, and owner satisfaction with response to treatment. Results: CMC-OA identified in 39 limbs, occurred predominan...
Moorman VJ, Marshall JF, Devine DV, Payton M, Jann HW, Bahr R.Radiographic diagnosis of equine bone disease using digital radiography is prevalent in veterinary practice. However, the diagnostic quality of digital vs. conventional radiography has not been compared systematically. We hypothesized that digital radiography would be superior to film-screen radiography for detection of subtle lesions of the equine third metacarpal bone. Twenty-four third metacarpal bones were collected from horses euthanized for reasons other than orthopedic disease. Bones were dissected free of soft tissue and computed tomography was performed to ensure that no osseous abnor...
Nagy A, Dyson S.While low-field magnetic resonance (MR) images can provide useful information in the investigation of proximal metacarpal region pain, an in-depth knowledge of anatomy and comparison with more detailed high-field images are essential to understand the meaning of different signal intensities within tissues. This anatomic description is based on low-field and high-field MR examination of 30 cadaver metacarpal regions of mature horses with no history of carpal or proximal metacarpal pain. Normal MR anatomy is described and is illustrated by high-field and low-field MR images in transverse, sagitt...
Tabar-Rodriguez JJ, Cruz AM, Monteith G, Gordon K, Hurtig MB.OBJECTIVE-To use quantitative ultrasonography to evaluate the association between the speed of sound (SOS) at 9 sites in the third metacarpal bone (MCIII) of racing Thoroughbreds with workload accumulation and the effect that MCIII failure has on this association. ANIMALS-Sixty-two 2- and 3-year-old Thoroughbreds in racing condition. PROCEDURES-Cumulative work index (CWI) was used to calculate total workload (CWI(total)) and also 3 independent CWIs for the various gaits (ie, trot [CWI(trot)], gallop [CWI(gallop)], and race [CWI(race)]) used during training and racing. Speed of sound was monito...
Bubeck KA, García-López J, Maranda LS.To compare heat generation and time to finish between a new step drill and sequential drilling in order to create a 6.2 mm pilot hole for insertion of a positive profile transfixation pin into the equine third metacarpal bone. Methods: Nine pairs of equine third metacarpal bones from cadavers of adult horses were used. Maximum temperature rise of the bone was measured continuously at the cis- and trans-cortices 1, 2 and 3 mm from the final pilot hole during creation of a 6.2 mm hole using a step drill and sequential drilling with 4.5, 5.5 and 6.2 mm drill bits. Five holes were drilled into the...
Ramzan PH.Fractures involving the fetlock region are encountered commonly in Thoroughbred racehorses. Condylar fractures of the distal metacarpus/metatarsus and mid-sagittal fractures of the proximal phalanx account for the majority of fetlock injuries during both racing and training and clinical features, management and outcome of these injuries have been well described. Transverse fractures of the distal diaphysis of the third metacarpus, however, are seldom observed and have received little attention in the literature. This paper describes clinical and radiological findings associated with 6 cases en...
Vanderperren K, Martens A, Haers H, Duchateau L, Saunders JH.Arthroscopy of the fetlock joints is a routine surgical procedure in the horse. It is unclear how much of the articular surface of the condyles of the metacarpal (MCIII)/metatarsal (MTIII) bone can be visualised using either the dorsal or palmar/plantar arthroscopic approach. Objective: To investigate which part of the articular surface of the MCIII/MTIII condyles of the fetlock joints can be evaluated arthroscopically using: 1) dorsal approach in combination with flexion; 2) standard palmar/plantar approach; or 3) additional portal at the base of the sesamoid bone with joint extension. Method...
Firth EC, Doube M, Boyde A.To show that changes are present at the site of origin of metacarpal condylar fracture in young Thoroughbred horses before they enter race training. Methods: Bone slices, 2 mm thick, in three mediolateral planes through the centre of rotation of the metacarpo-phalangeal joint (MCPJ) of both distal third metacarpal bones (Mc3) of 12 Thoroughbred horses aged 17 months, were imaged using point-projection digital X-ray imaging (muXR). Results: In some horses, linear or ovoid radiolucency was found in articular calcified cartilage (ACC) and subchondral bone of the palmaro-distal aspect of the sagit...
Smith LC, Greet TR, Bathe AP.To describe a lateral approach for screw fixation in lag fashion of simple spiral medial condylar fractures of the third metacarpus/metatarsus (MC3/MT3). Methods: Case series. Methods: Thoroughbred racehorses (n=9). Methods: Nondisplaced medial MC3/MT3 condylar fractures (3 thoracic, 6 pelvic limbs), with mean length 126 mm (range, 91-151 mm) were repaired by internal fixation, under general anesthesia, using multiple 4.5 mm cortical screws inserted in lag fashion from the lateral aspect of the limb, using radiographic or fluoroscopic guidance. Horses were recovered from anesthesia in half-lim...
Wright IM, Smith MR.To report the technique, observations on fracture configurations and results of treatment by fixation lag screw following the fracture plane determined by an approach to the third metacarpal/metatarsal bone (MC3/MT3) that begins laterally over the metacarpo(metatarso)phalangeal joint and extends dorsally over the diaphysis of the bone. Methods: Case series. Methods: Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3. Methods: Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spi...
Hirvinen LJ, Litsky AS, Samii VF, Weisbrode SE, Bertone AL.To compare biomechanical strength, interface quality, and effects of bone healing in bone-implant interfaces that were untreated or treated with calcium phosphate cement (Ca-cement), magnesium phosphate cement (Mg-cement), or polymethylmethacrylate (PMMA) in horses. Methods: 6 adult horses. Methods: 4 screw holes were created (day 0) in each third metacarpal and third metatarsal bone of 6 horses. In each bone, a unicortical screw was placed in each hole following application of Ca-cement, Mg-cement, PMMA, or no treatment (24 screw holes/treatment). Screws were inserted to 2.82 N m torque. Hors...
Bischofberger AS, Fürst A, Auer J, Lischer C.Osteosynthesis of third metacarpal (McIII) and third metatarsal (MtIII) bone fractures in horses is a surgical challenge and complications surrounding the repair are common. Retrospective studies evaluating surgical repair, complications and outcome are necessary to increase knowledge and improve success of long bone fracture repair in the horse. Objective: To evaluate clinical findings, surgical repair, post operative complications and outcome of 10 mature horses and 11 foals with McIII or MtIII fractures that were treated with open reduction and internal fixation (ORIF). Methods: Medical rec...
Hobbs SJ, Mather J, Rolph C, Richards J.Radial strain in normal hooves has been found to vary with strain gauge location, limb posture and sample limb but reported magnitudes were considered to be low. More accurate measurement of radial strain may enhance the understanding of hoof function. Objective: To explore in vitro radial hoof strain in relation other kinetic and kinematic variables that may be related. Methods: Five normal forelimbs were removed at the proximal articular surface of the third metacarpal bone (McIII). The limbs were loaded using a modified Instron test machine. Six calibrated infrared cameras captured movement...
Den Hartog SM, Back W, Brommer H, van Weeren PR.Insight into the loading pattern of the articular cartilage surface during the complete stride is important as biomechanical factors play a pivotal role in the pathogenesis of joint trauma and osteoarthritis (OA). Objective: To determine the loading pattern in the equine MCP articulation in vitro during simulated walk. Methods: Eight cadaveric limbs from mature Dutch Warmblood horses were loaded in a pneumatic loading device in 6 different positions (A1-A6). The pressure distribution on the articular surface of the proximal phalanx (P1) was measured at 7 sites (S1-7) using intra-articularly pl...
Davies HM.Data are required to confirm that strain gauges recording high bone strains in Thoroughbred racehorses provide an accurate record of bone strain. Objective: To test the accuracy and reliability of very high in vivo strain recordings made during fast exercise in Thoroughbred racehorses. Methods: Strains were recorded during exercise from rosette gauges implanted onto the mid-shaft dorsal cortex of each third metacarpal bone (MC3) in 6 yearling and 6 mature Thoroughbreds in a previous experiment. Bulk elastic modulus (E(US)) was calculated from ultrasound speed and single photon absorptiometry m...
Morgan DD, McClure S, Yaeger MJ, Schumacher J, Evans RB.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...
Science (New York, N.Y.)March 7, 2009
Volume 323, Issue 5919 1332-1335 doi: 10.1126/science.1168594
Outram AK, Stear NA, Bendrey R, Olsen S, Kasparov A, Zaibert V, Thorpe N, Evershed RP.Horse domestication revolutionized transport, communications, and warfare in prehistory, yet the identification of early domestication processes has been problematic. Here, we present three independent lines of evidence demonstrating domestication in the Eneolithic Botai Culture of Kazakhstan, dating to about 3500 B.C.E. Metrical analysis of horse metacarpals shows that Botai horses resemble Bronze Age domestic horses rather than Paleolithic wild horses from the same region. Pathological characteristics indicate that some Botai horses were bridled, perhaps ridden. Organic residue analysis, usi...
Launois MT, Vandeweerd JM, Perrin RA, Brogniez L, Desbrosse FG, Clegg PD.3 horses with lameness localized to the proximal aspect of the metacarpus or metatarsus. Results: All horses had evidence of problems that originated from the proximal aspect of the suspensory ligament (PASL), including signs of pain on palpation, positive results of diagnostic nerve blocks, ultrasonographic detection of enlargement and diffuse areas of reduced echogenicity in the proximal region of insertion of the ligament, and radiographic detection of increased mineral opacity in the proximal aspect of the metacarpus or metatarsus. Desmitis of the PASL was diagnosed in each horse; however,...
Nunamaker DM, Nash RA.To report development, configuration, application, and results of a tapered-sleeve transcortical pin external skeletal fixation device (TSP ESFD) for use on fractures of the distal aspect of the equine limb. Methods: Optimization analysis of a TSP ESFD was carried out with mechanical testing and review of clinical case outcomes. Methods: Cadaveric adult third metacarpal bones (MC3) for mechanical testing; horses (n=7) with severely comminuted proximal (6; P1) or second (1) phalanx fractures. Methods: Mechanical testing of methods for attachment of TSP to the sidebars were tested as well as opt...
Muir P, Peterson AL, Sample SJ, Scollay MC, Markel MD, Kalscheur VL.Repetitive bone injury and development of stress fracture is a common problem in humans and animals. The Thoroughbred racehorse is a model in which adaptive failure and associated development of stress fracture is common. We performed a histologic study of the distal end of the third metacarpal bone in two groups of horses: young Thoroughbreds that were actively racing (n = 10) and a group of non-athletic horses (n = 8). The purpose of this study was to determine whether development of articular microcracks was associated with specific alterations to subchondral plate osteocytes. Morphometric ...
Sasaki N, Minami T, Yamada K, Yamada H, Inoue Y, Kobayashi M, Tabata Y.To evaluate the effect of intra-articular injection of gelatin hydrogel microspheres containing basic fibroblast growth factor (bFGF) on experimentally induced defects in third metacarpal bones (MC3s) of horses, in vivo. Methods: 6 healthy adult Thoroughbreds. Methods: Horses were anesthetized, and a hole (diameter, 4.5 mm) was drilled into the medial condyle of both MC3s of each horse. One milliliter (100 microg) of a solution of gelatin hydrogel microspheres (2 mg) containing bFGF was injected into the joint capsule of the right metacarpophalangeal joint of each horse (bFGF joint). One milli...
Rubio-Martínez LM, Cruz AM, Gordon K, Hurtig MB.To characterize the mechanical properties of subchondral bone (SCB) of the distopalmar aspect of the condyles of the third metacarpal bone (MC3) and their correlations with structural aspects of MC3s in Thoroughbred racehorses. Methods: 12 pairs of MC3s from Thoroughbred racehorses euthanized for various reasons. Methods: MC3s were collected from horses with mild (n = 6) and with severe (6) SCB changes, as determined by micro-computed tomography (CT). Specimens of SCB plate and trabecular bone were cut from the distopalmar aspect of condyles and sagittal ridge and examined with 3-dimensional m...
Rubio-Martínez LM, Cruz AM, Gordon K, Hurtig MB.To characterize the microstructure of subchondral bone (SCB) plate and trabecular bone (TBB) of the distopalmar aspect of the condyles of third metacarpal bones (MC3s) from Thoroughbred racehorses at 2 different stages of SCB disease via micro-computed tomography (CT). Methods: 12 pairs of MC3s from Thoroughbred racehorses euthanized for various reasons. Methods: MC3s were collected from horses with mild (n = 6) or severe (6) SCB disease, as determined via micro-CT. Cubic (6 x 6 x 6-cm) specimens of SCB plate and TBB were cut from the palmar aspect of condyles and sagittal ridges and examined ...
Tsitsimpikou C, Spyridaki MH, Georgoulakis I, Kouretas D, Konstantinidou M, Georgakopoulos CG.Flurbiprofen and its main acidic metabolites were detected in equine urine after a single-dose administration of 500 mg flurbiprofen to two 2.5-3.5-years-old mares, in order to be used in equine doping control routine analysis. The urine levels of the parent drug were determined using GC/MS. Five acidic metabolites were found in the urine. The structure of the proposed metabolites was confirmed by HRMS accurate mass measurements. The highest flurbiprofen concentration was 204 mug ml(-1) at 1-3 h post administration. Flurbiprofen could be detected for 24-37 h in urine using the standard screeni...
Amaniti EM, Diakakis N, Patsikas M, Savvas I.Epiphyseal fracture, also known as epiphysiolysis, is the loosening or separation, either partial or complete, of an epiphysis from the shaft of a long bone. Distal epiphyseal fractures in foals pose a substantial challenge due to their guarded prognosis. This report describes the clinical signs, diagnosis, successful conservative treatment of an 1-month-old, male Skyros pony with an epiphyseal fracture of the right third metacarpal bone (type II Salter-Harris). The owner declined surgical treatment because of financial considerations along with the unfavorable prognosis. Conservative fracture...
Drum MG, Les CM, Park RD, Norrdin RW, McIlwraith CW, Kawcak CE.The purpose of this study was to compare subchondral bone density obtained using quantitative computed tomography with ash density values from intact equine joints, and to determine if there are measurable anatomic variations in mean subchondral bone density. Five adult equine metacarpophalangeal joints were scanned with computed tomography (CT), disarticulated, and four 1-cm(3) regions of interest (ROI) cut from the distal third metacarpal bone. Bone cubes were ashed, and percent mineralization and ash density were recorded. Three-dimensional models were created of the distal third metacarpal...
Ferguson VL, Bushby AJ, Firth EC, Howell PG, Boyde A.Impact exercise has a profound effect in increasing volumetric density of epiphyseal bone, as clearly shown in 2 year old thoroughbred racehorses from which we derived the tissue studied in the present investigation. Here, we asked the question whether the fabric-level properties of the mineralised tissues immediately below hyaline articular cartilage which transmit the extra loads are themselves altered in consequence. We therefore studied the nanoindentation elastic modulus and its relationship to the concentration of mineral determined by quantitative backscattered electron imaging in the h...
Drum MG, Les CM, Park RD, McIlwraith CW, Kawcak CE.To evaluate whether cutting equine subchondral bone to demarcate specific regions of interest (ROIs) influences the mean density for that bone as measured via quantitative computed tomography (QCT). Sample population-2 metacarpophalangeal joints from equine cadavers. Methods: The distal portion of the third metacarpal bone of each intact metacarpophalangeal joint was scanned via CT to simulate in vivo conditions. Each joint was subsequently disarticulated and dissected, and the distal portion of the dissected third metacarpal bone in air was scanned. Then, six 1-cm(2) areas representing ROIs w...
Delguste C, Doucet M, Gabriel A, Guyonnet J, Lepage OM, Amory H.This study assessed the feasibility of measuring tiludronate in horses using a minimally invasive bone biopsy technique. Eight horses were treated with intravenous (IV) tiludronate [1 mg/kg bodyweight (BW)], either once (n = 4) or twice, 28 d apart (n = 4). The horses that were treated once were euthanized on days 1, 43, 57, or 92 and those that were treated twice, were euthanized on days 112, 154, 194, or 364. Bone samples were taken bilaterally from each horse at 4 sites: the third metacarpal bone (MCIII), the 13th rib (R13), the tuber coxae (TC), and the cuboid bone (CB). Test samples were ...
Liley H, Zhang J, Firth EC, Fernandez JW, Besier TF.The objective of this study was to describe the three-dimensional shape and subchondral bone mineral density (BMD) variation of the equine distal third metacarpal bone (MC3) using a statistical shape model. The association between form and function builds upon previous two-dimensional observations of MC3 epiphyseal structure. It was expected that the main source of variation would be an increase in overall MC3 bone size, correlated to an increase in subchondral BMD. Geometry and bone mineral density was obtained from CT image data of 40 healthy Thoroughbred horses. This was used to create a st...
Bani Hassan E, Mirams M, Mackie EJ, Whitton RC.To investigate the prevalence of microscopic subchondral bone injury in the distal metacarpi/tarsi of Thoroughbred racehorses and associations with recent and cumulative training history. Methods: Metacarpi/metatarsi were obtained from postmortem examination of Thoroughbred racehorses. The severity of palmar/plantar osteochondral disease (POD) was graded in forelimbs from 38 horses and in hindlimbs from a separate cohort of 45 horses. Forelimb samples were embedded in methyl methacrylate and examined using backscattered scanning electron microscopy. Microfracture density in the condylar subcho...
Smith KJ, Bertone AL, Weisbrode SE, Radmacher M.To identify patterns and correlations of gross, histologic, and gene expression characteristics of articular cartilage from horses with osteoarthritis. Methods: 10 clinically normal horses and 11 horses with osteoarthritis of the metacarpal condyles. Methods: Metacarpophalangeal joints were opened and digitally photographed, and gross lesions were scored and quantified. Representative cartilage specimens were stained for histologic scoring. Total RNA from dorsal and palmar articular surfaces was processed on an equine gene expression microarray. Results: Histologic scores were greater in both ...
McClure SR, Glickman LT, Glickman NW, Weaver CM.To determine the accuracy and precision of dual energy x-ray absorptiometry (DEXA) for measuring bone mineral density in horses in situ. Sample Population-12 randomly selected forelimbs from 12 horses. Methods: Metacarpi were scanned in 2 planes and DEXA measurements obtained for 6 regions of interest (ROI). Each ROI was isolated and bone density measured by Archimedes' principle. Linear regression analysis was used to determine the correlation between the 2 measurements at each ROI. An additional metacarpus was measured 10 times to determine the coefficient of variation for both techniques. R...
Barrett E, Arkins S.Few studies are available concerning prevalences of abnormalities in the Thoroughbred horse population. Objective: Determine the prevalence of commonly observed abnormalities in a National Hunt Thoroughbred population using results of pre-purchase examinations conducted at Thoroughbred sales venues. Methods: Retrospective cross-sectional study. Methods: Veterinary pre-purchase examination certificates for 13,603 3- and 4-year-old Thoroughbred National Hunt horses from Tattersalls Ireland, Goffs Ireland and Doncaster Bloodstock Sales Ltd. (DBS) Sales were analysed. All conditions noted by the v...
Grzeskowiak RM, Alghazali KM, Hecht S, Donnell RL, Doherty TJ, Smith CK, Anderson DE, Biris AS, Adair HS.To determine the effect of a novel scaffold, designed for use in bone regeneration, on healing of splint bone segmental defects in mares. Methods: In vivo experimental study. Methods: Five adult mares (4-10 years old; mean weight, 437.7 kg ± 29 kg). Methods: Bilateral 2-cm full-thickness defects were created in the fourth metacarpal bones (MCIV) of each horse. Each defect was randomly assigned to either a novel scaffold treatment (n = 5) or an untreated control (n = 5). The scaffold was composed of polyurethane, hydroxyapatite, and decellularized bone particles. Bone healing was...
Smith LC, Greet TR, Bathe AP.To describe a lateral approach for screw fixation in lag fashion of simple spiral medial condylar fractures of the third metacarpus/metatarsus (MC3/MT3). Methods: Case series. Methods: Thoroughbred racehorses (n=9). Methods: Nondisplaced medial MC3/MT3 condylar fractures (3 thoracic, 6 pelvic limbs), with mean length 126 mm (range, 91-151 mm) were repaired by internal fixation, under general anesthesia, using multiple 4.5 mm cortical screws inserted in lag fashion from the lateral aspect of the limb, using radiographic or fluoroscopic guidance. Horses were recovered from anesthesia in half-lim...
Fretz PB, Donecker JM.The outcome of surgical treatment of angular limb deformities in 29 foals was evaluated through long-term monitoring of athletic performance. Foals were placed into 1 of 2 groups, depending on the site of the angular limb deformity. In group 1 foals, the deformity involved the carpus of distal end of the radius. In group 2 foals, the deformity involved the distal end of the 3rd metacarpal or metatarsal bone. Group 1 contained 20 foals and group 2 contained 11 foals. Two foals were in both groups. Sixteen foals in group 1 and 4 foals in group 2 progressed to some form of athletic use. The under...
Korosue K, Endo Y, Murase H, Ishimaru M, Nambo Y, Sato F.Flexural deformities are common conditions of growing horses and are suggested to have a relationship with the contraction of musculotendinous units. However, limited studies have documented the changes in each tendon and ligament in the metacarpal region with age. Objective: To investigate the changes in the cross-sectional area (CSA) of each tendon and ligament in the metacarpal region with age by ultrasonographic examination. Methods: Longitudinal study of foals from Day 1 to age 24 months. Methods: The CSA of the superficial digital flexor tendon, deep digital flexor tendon, accessory liga...
White KK.Angular limb deformities in 3 foals were found to originate in the diaphyseal region of the 3rd metacarpal (2) and metatarsal (1) bones. In each case, treatment consisted of wedge ostectomy followed by compression plating. Two foals survived for useful performance; the 3rd was euthanatized because of ischemia of the operated limb. The condition appeared to resemble a similar syndrome in man involving tibial curvature.
Peterson PR, Pascoe JR, Wheat JD.Fractures of Metacarpal and Metatarsal II and IV (the splint bones) were treated in 283 horses over an 11 year period. In 21 cases the proximal portion of the fractured bone was stabilized with metallic implants. One or more cortical bone screws were used in 11 horses, and bone plates were applied in 11 horses. One horse received both treatments. Complications of screw fixation included bone failure, implant failure, radiographic lucency around the screws, and proliferative new bone at the ostectomy site. Only two of the horses treated with screw fixation returned to their intended use. Compli...
Nóbrega FS, Selim MB, Arana-Chavez VE, Correa L, Ferreira MP, Zoppa ALV.OBJECTIVE To evaluate the efficacy of castor oil polyurethane polymer with calcium carbonate for use in a unicortical ostectomy on the dorsal surface of the third metacarpal bone of horses. ANIMALS 6 adult horses. PROCEDURES A unicortical ostectomy was created on the dorsal surface of both third metacarpal bones of each horse. Castor bean (Ricinus communis) oil polyurethane polymer with calcium carbonate was implanted into the ostectomy on 1 limb, and the ostectomy of the contralateral limb was left unfilled and served as a control sample. Ostectomy sites were evaluated histologically 120 days...
Gray SN, Spriet M, Garcia TC, Uzal FA, Stover SM.We characterized features of complete diaphyseal fractures of third metacarpal bones in Thoroughbred racehorses. Given that stress fractures are known to occur in the third metacarpal bone, an additional aim was to determine if complete fractures are associated with signs of a preexisting incomplete stress fracture. Bilateral metacarpi from 12 Thoroughbred racehorses euthanized because of complete unilateral metacarpal diaphyseal fracture were examined visually and radiographically. Open, comminuted, transverse or short oblique fractures occurred in the middle of the diaphysis or supracondylar...
Bigley RF, Gibeling JC, Stover SM, Hazelwood SJ, Fyhrie DP, Martin RB.Volume effects are a fundamental determinant of structural failure. A material exhibits a volume effect if its failure properties are dependent on the specimen volume. Many brittle ceramics exhibit volume effects due to loading a structure in the presence of "critical" flaws. The number of flaws, their locations, and the effect of stress field within the stressed volume play a role in determining the structure's failure properties. Since real materials are imperfect, structures composed of large volumes of material have higher probabilities of containing a flaw than do small volumes. Consequen...
Pownder SL, Koff MF, Shah PH, Fortier LA, Potter HG.Post operative imaging in subjects with orthopaedic implants is challenging across all modalities. Magnetic resonance imaging (MRI) is preferred to assess human post operative musculoskeletal complications, as soft tissue and bones are evaluated without using ionising radiation. However, with conventional MRI pulse sequences, metal creates susceptibility artefact that distorts anatomy. Assessment of the post operative equine patient is arguably more challenging due to the volume of metal present, and MRI is often not performed in horses with implants. Novel pulse sequences such as multiacquisi...
Rubio-Martínez LM, Cruz AM, Inglis D, Hurtig MB.To determine the anisotropic characteristics of the microarchitecture of the subchondral bone (SCB) plate and trabecular bone (TBB) of the distopalmar aspect of the metacarpal condyles in horses with different stages of SCB disease. Methods: 12 third metacarpal bone pairs from racing Thoroughbreds euthanized for diverse reasons. Methods: Both metacarpi were collected from horses with SCB changes that were mild (sclerosis and focal radiolucencies; n=6) or severe (multifocal radiolucencies and articular surface defects; 6). Sample blocks of SCB plate and TBB were collected from the distopalmar a...
Walter LJ, Davies HM.Accuracy and limitations of a radiographic technique were established for measurement of metacarpal bone shape in horses. A radiographic index (RI) has been used to measure changes in third metacarpal (Mc3) bone shape in response to training in young racehorses. The aim of these experiments was to determine the effects of positioning of the radiographic equipment on RI measurements from lateromedial radiographs of a left ex vivo metacarpus. Repeatability of the RI measurement in left lateromedial and right mediolateral view Mc3s were evaluated. The width of the dorsal cortex (DC), palmar corte...
Mouloodi S, Rahmanpanah H, Burvill C, Davies HMS.Shape is a key factor in influencing mechanical responses of bones. Considered to be smart viscoelastic and inhomogeneous materials, bones are stimulated to change shape (model and remodel) when they experience changes in the compressive strain distribution. Using reverse engineering techniques via computer-aided design (CAD) is crucial to create a virtual environment to investigate the significance of shape in biomechanical engineering. Nonetheless, data are lacking to quantify the accuracy of generated models and to address errors in finite element analysis (FEA). In the present study, rever...
Koblik PD, Hornof WJ, Seeherman HJ.Review of 121 bone scintigrams obtained on racing Thoroughbred horses with clinical histories indicative of forelimb lameness revealed 3 scintigraphic patterns of stress-induced trauma to the dorsal cortex of the third metacarpal bone: (1) focal, intense uptake associated with recent stress fracture; (2) regional uptake of varying intensity or a mixed pattern of uptake associated with chronic stress fracture; and (3) diffuse, mild to moderate uptake associated with periostitis (bucked shins). The latter scintigraphic pattern appeared to be an exaggerated manifestation of the normal remodeling ...
Janczarek I, Kędzierski W, Tkaczyk E, Kaczmarek B, Łuszczyński J, Mucha K.This study aimed to assess the impact of various types of warm-up on the metacarpal and metatarsal surface temperature in jumping sport horses in comparison to leisure horses, which work usually less intensively. Six clinically healthy sport geldings, contestants in showjumping competitions, and six geldings used for leisure riding were included in the study. The experiment was conducted for four consecutive days, during which the horses were warmed up by walking and trotting for various durations. Images were taken with a FLUKE Ti9 thermal imager to determine the resting, post-effort, and rec...
Journal of biomechanicsNovember 27, 2021
Volume 130 110888 doi: 10.1016/j.jbiomech.2021.110888
Shaffer SK, Shelly K, Garcia TC, Samol MA, Hill AE, Fyhrie DP, Stover SM.Proximal sesamoid bone (PSB) fractures in racehorses are likely fatigue fractures that occur due to repetitive loads and stress remodeling. The loading circumstances that may induce damage in the PSBs are not well understood. The goal of this study was to determine in three-dimensions, PSB motions relative to the opposing metacarpal condyle during simulated mid-stance loads. Seven equine cadaveric forelimbs were axially loaded in a material testing system to simulate standing and mid-stance walk, trot, and gallop load conditions (1.8-10.5 kN). Joint angles were determined by tracking the posit...
Davies HM.To confirm that the midshaft dorsal cortex of the third metacarpal bone experienced higher compressive strains during fast exercise than the medial or lateral cortices, and that the strain peak occurred earlier in the hoof-down phase of the stride on the dorsal cortex than the medial or lateral cortices. Methods: Observations of a single horse. Methods: Strains were collected from a single, sound, 3-year-old Thoroughbred mare during treadmill exercise from rosette strain gauges implanted onto the medial, lateral and dorsal surfaces of the midshaft of the right cannon bone, simultaneously with ...
Posukonis MN, Daglish J, Wright IM, Kawcak CE.To evaluate bone mineral content patterns between fracture configurations using novel CT image analysis. Methods: CT images from 97 Thoroughbred racehorses with third metacarpal/tarsal condyle fractures provide the case population for analysis. Methods: Fractures were grouped by radiographic appearance. Image analysis objectively measured area of highly attenuating pixels (aHAP), areal density of highly attenuating pixels (dHAP) utilizing novel convex hull analysis, and subjective assessment of apparent attenuation intensity ranking (AAIR) for each fracture. Differences between fracture config...
Den Hartog SM, Back W, Brommer H, van Weeren PR.Insight into the loading pattern of the articular cartilage surface during the complete stride is important as biomechanical factors play a pivotal role in the pathogenesis of joint trauma and osteoarthritis (OA). Objective: To determine the loading pattern in the equine MCP articulation in vitro during simulated walk. Methods: Eight cadaveric limbs from mature Dutch Warmblood horses were loaded in a pneumatic loading device in 6 different positions (A1-A6). The pressure distribution on the articular surface of the proximal phalanx (P1) was measured at 7 sites (S1-7) using intra-articularly pl...
Barclay WP, Foerner JJ, Phillips TN.Axial sesamoid injuries were found in 4 of 18 horses with lateral condylar fractures of the metacarpus or metatarsus. The injuries appeared as axial sesamoid fractures or progressive demineralization of the axial border of one of the sesamoids. None of the horses with axial sesamoid injuries returned to performance soundness. Axial sesamoid injury appeared to be an indication of severe fetlock trauma due to condylar fracture. Such injuries appeared to indicate a poor prognosis for return to performance soundness.
Panizzi L, Barber SM, Lang HM, Carmalt JL.To describe signalment, clinical, and radiographic changes associated with carpometacarpal osteoarthritis (CMC-OA) and to report long-term outcome. Methods: Case series. Methods: Horses (n=33) with CMC-OA. Methods: Medical records (1992-2007) of horses diagnosed with CMC-OA were reviewed and signalment, clinical, and radiographic findings retrieved. Owners were contacted for information on the impact of lameness on intended use, response to treatment, progression of lameness, outcome, and owner satisfaction with response to treatment. Results: CMC-OA identified in 39 limbs, occurred predominan...
Singer E, Garcia T, Stover S.The biomechanical circumstances that promote sagittal fracture of the equine proximal phalanx (P1) are poorly understood. In order to improve our understanding of equine metacarpophalangeal joint (MCPJ) biomechanics and potential aetiologies of sagittal P1 fractures, the study objectives were to quantify P1 bone strains, collateromotion and axial rotation during MCPJ extension under controlled loading circumstances. Unilateral limbs from six cadavers were instrumented with bone reference markers for measurement of P1 movement relative to third metacarpal bone positions during axial limb loadin...
Seabaugh KA, Hubert JD, Kawcak CE, McGilvray KC, Santoni BG, Rao S, Baxter GM.To quantify changes in biomechanical stability and stiffness within the equine carpus after removal of 50%, 80%, and 100% of the second metacarpal bone (MC2). Methods: In vitro biomechanical study. Methods: Cadaveric equine forelimbs (n = 16) were evaluated. Intact constructs were loaded in axial compression from 0 to 5000 N and compression + torsion (5000 N ± 20°) for 5 cycles. This was repeated after removal of 50%, 80%, and 100% of MC2. The primary biomechanical outcome variables were the compressive stiffness and compressive + torsional stiffness of the carpus. Relative kinematic motion ...
