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Topic:Musculoskeletal System

The musculoskeletal system in horses encompasses the bones, muscles, tendons, ligaments, and joints that facilitate movement and provide structural support. This system is essential for locomotion, athletic performance, and overall health in equine species. The equine skeleton consists of approximately 205 bones, which are connected by joints and supported by a network of muscles and connective tissues. Tendons connect muscles to bones, while ligaments link bones to other bones, contributing to joint stability. The musculoskeletal system is subject to various conditions, including injuries, degenerative diseases, and developmental disorders, which can impact a horse's mobility and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathology, and treatment of musculoskeletal conditions in horses.
Needle tenoscopy of the digital flexor tendon sheath in a standing equine cadaver model using a novel approach and guided palmar/plantar annular ligament desmotomy.
Veterinary surgery : VS    February 6, 2025   doi: 10.1111/vsu.14213
Breen LJ, Stack JD, Gillen AM, Baldwin CM.(1) To evaluate the feasibility of needle tenoscopy of the digital flexor tendon sheath (DFTS) using basisesamoid (BS) and proximolateral (PL) approaches in a standing equine cadaver model. (2) To report visualization of intrathecal DFTS anatomy via both approaches. (3) To determine the efficacy of needle scope-guided palmar/plantar annular ligament (PAL) desmotomy. (4) To report any iatrogenic damage associated with the procedure. Methods: Ex vivo experimental. Methods: Ten equine cadaver limbs. Methods: Limbs were placed in a Kimzey leg-saver splint and needle tenoscopy was performed using t...
Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis.
Veterinary surgery : VS    February 3, 2025   Volume 54, Issue 3 439-452 doi: 10.1111/vsu.14219
Orozco Lopez D, Garcia-Lopez JM, Carpenter R, Bras JJ, Richardson DW, Ortved KF.To describe the outcome of metacarpophalangeal (MCPJ) and proximal interphalangeal joint (PIPJ) arthrodesis using a locking compression-distal femur plate (LCP-DFP) in Thoroughbred racehorses with traumatic disruption of the suspensory apparatus (TDSA) at risk of PIPJ subluxation. Methods: Multicenter retrospective study. Methods: Twenty-six Thoroughbred racehorses. Methods: Records of Thoroughbred racehorses with TDSA that had undergone MCPJ and PIPJ arthrodesis using an LCP-DFP at three referral hospitals between 2020 and 2024 were reviewed for inclusion. The preoperative data collected incl...
Effects of Exercise Speed and Circle Diameter on Markers of Bone and Joint Health in Juvenile Sheep as an Equine Model.
Animals : an open access journal from MDPI    February 2, 2025   Volume 15, Issue 3 414 doi: 10.3390/ani15030414
Harbowy RM, Nielsen BD, Colbath AC, Robison CI, Buskirk DD, Logan AA.Though circular exercise is commonly used in equestrian disciplines, it may be at the detriment of horses' musculoskeletal system. To investigate the effects of circular exercise on bone and joint health, 42 lambs were randomly assigned to a non-exercised control, straight-line, small circle, or large circle exercise regime at a slow (1.3 m/s) or fast (2.0 m/s) speed for 12 wk. Blood samples were taken biweekly. Animals were humanely euthanized upon study completion, and the fused third and fourth metacarpals were collected for biomechanical testing and bone density analysis. Fast groups were ...
Biomechanical Assessment of the Collateral Ligament of the Distal Interphalangeal Joint of the Horse Following Alterations to the Palmar Angle-A Cadaveric Study.
Animals : an open access journal from MDPI    February 1, 2025   Volume 15, Issue 3 406 doi: 10.3390/ani15030406
Colla S, Johnson JW, McGilvray KC, Zanotto GM, Seabaugh KA.Therapeutic shoeing for horses is used to affect the palmar angle (PA) of the distal phalanx. These changes may influence the strain on the distal interphalangeal joint collateral ligaments (DIJCLs). This cadaveric study aimed to assess DIJCL strain under varying loads and PA adjustments. Using 26 cadaver forelimbs, eight optical markers were placed on one DIJCL for strain measurement under five different loads (1000-5000 newtons) at a neutral PA, followed by PA increases of 2°, 4°, and 6° and decreases of -2° and -4°. The results indicate that increases in PA corresponded to significantl...
Nonexertional Rhabdomyolysis.
The Veterinary clinics of North America. Equine practice    January 31, 2025   Volume 41, Issue 1 95-110 doi: 10.1016/j.cveq.2024.11.002
Valberg SJ.Although horses most commonly develop exertional rhabdomyolysis, there are numerous causes for nonexertional rhabdomyolysis (nonER) that pose a serious health threat to horses. Their etiologies can be broadly categorized as toxic, genetic, inflammatory/infectious, nutritional, and traumatic and a variety of diagnostic tests are available to discern among them. This study discusses causes of nonER as well as diagnostics and treatments that are specific to each etiology. General treatment of acute rhabdomyolysis is covered in detail in the study in this issue on sporadic and recurrent exertional...
Therapeutic Exercises for Rehabilitation of Muscle Injury.
The Veterinary clinics of North America. Equine practice    January 31, 2025   Volume 41, Issue 1 213-225 doi: 10.1016/j.cveq.2024.11.011
King MR, Colla S.Successful rehabilitation of muscle injury requires a comprehensive understanding of the injury process, healing phases, and resources to be employed. The initial phase is characterized by acute inflammatory signs, followed by the regenerative and remodeling phases. Therapeutic exercises can be utilized in all 3 phases, progressing from isometric exercises to aquatic therapies. The classification and phase of injury and the individual response to the applied therapies will guide the progression of the therapeutic exercises through the rehabilitation program.
Vitamin E and Selenium-Related Manifestations of Muscle Disease.
The Veterinary clinics of North America. Equine practice    January 29, 2025   S0749-0739(24)00094-4 doi: 10.1016/j.cveq.2024.11.001
Finno CJ, McKenzie E.Nutritional deficiencies of vitamin E and selenium can occur alone or concurrently. Prolonged and sustained deficiency of either or both nutrients can lead to profound clinical disease. Selenium deficiency can also result in signs of cardiac disease, upper gastrointestinal dysfunction, and abortion or the birth of weak foals. Deficiencies can usually be readily established by evaluating the dietary intake of individuals and by measurement of blood concentrations of these nutrients. Treatment of clinical disease is not always successful and prolonged morbidity and mortality can be encountered; ...
Clinical Examination of the Muscle System.
The Veterinary clinics of North America. Equine practice    January 29, 2025   S0749-0739(24)00087-7 doi: 10.1016/j.cveq.2024.10.001
McKenzie E.The equine muscle system is complex and prone to a large range of hereditary and acquired diseases that often have overlapping clinical signs with orthopedic, neurologic, and other disorders. Obtaining a clinical history that fully outlines the client concerns and any known information about the disorder and following with a comprehensive physical examination and screening clinical pathology tests are fundamental to achieve definitive diagnosis. A methodical and comprehensive approach aids accurate diagnosis and development of an optimal treatment and management plan. This article describes th...
Traumatic Muscle Injuries.
The Veterinary clinics of North America. Equine practice    January 29, 2025   S0749-0739(24)00102-0 doi: 10.1016/j.cveq.2024.11.009
McGowan C.Traumatic muscle injuries are likely to be frequent in athletic horses yet are often overlooked. These injuries usually involve internal (intrinsic) trauma, and particularly occur in athletic horses exercising at higher intensities, at unaccustomed workloads, or performing work requiring sudden acceleration, deceleration, and/or direction changes. These injuries can present with signs ranging from acute pain and lameness in a localized region to unexplained elevations of muscle enzymes on routine blood tests with or without poor performance. They include exercise-induced muscle damage such as ...
Genetics of Muscle Disease.
The Veterinary clinics of North America. Equine practice    January 28, 2025   S0749-0739(24)00088-9 doi: 10.1016/j.cveq.2024.10.002
Finno CJ.In the field of equine muscle disorders, many conditions have a genetic basis. Therefore, genetic testing is an important part of the diagnostic evaluation. Validated genetic tests are currently available for 5 equine muscle disorders: hyperkalemic periodic paralysis, malignant hyperthermia, glycogen branching enzyme disease, type 1 polysaccharide storage myopathy, and myosin heavy chain myopathy. These diseases should be tested for in the appropriate breeds with clinical signs of disease or as part of breeding management. Genetic testing in veterinary medicine is not regulated, and therefore,...
Myosin Heavy Chain Myopathy and Immune-Mediated Muscle Disorders.
The Veterinary clinics of North America. Equine practice    January 28, 2025   Volume 41, Issue 1 61-75 doi: 10.1016/j.cveq.2024.10.005
Durward-Akhurst SA, Valberg SJ.Several inflammatory myopathies have an infectious or immune-mediated basis in the horse. Myosin heavy chain myopathy is caused by a codominant missense variant in MYH1 and has 3 clinical presentations: immune-mediated myositis, calciphylaxis, and nonexertional rhabdomyolysis in Quarter Horse-related breeds. An infarctive form of purpura hemorrhagica affects numerous breeds, presenting with focal firm, painful muscle swelling, and subsequent infarction of multiple tissues. While Streptococcus equi equi is often the inciting cause, anaplasmosis, sarcocystis, piroplasmosis, viruses, and vaccines...
Disorders of Muscle Mass and Tone.
The Veterinary clinics of North America. Equine practice    January 28, 2025   Volume 41, Issue 1 47-60 doi: 10.1016/j.cveq.2024.10.004
Aleman M.Muscle disease has various clinical manifestations that range from exertional and non-exertional rhabdomyolysis, fasciculations, weakness, rigidity, stiffness, gait abnormalities, poor performance, and alterations in muscle mass and tone. Neurogenic disorders and non-neurogenic disorders such as primary muscle disease can cause muscle atrophy and changes in muscle tone. Myotonic disorders can have a genetic (eg, inherited channelopathies) or acquired (eg, electrolyte derangements) origin. Normal muscle enzyme activities do not rule out a myopathic disorder as the underlying cause of muscle atr...
Vertical Movement of Head, Withers, and Pelvis of High-Level Dressage Horses Trotting in Hand vs. Being Ridden.
Animals : an open access journal from MDPI    January 16, 2025   Volume 15, Issue 2 doi: 10.3390/ani15020241
Clayton HM, Hobbs SJ, Rhodin M, Hernlund E, Peterson M, Bos R, Bragança FS.Prior to international competitions, dressage horses are evaluated for fitness to compete while trotting in hand on a firm surface. This study compares the kinematics of experienced dressage horses trotting under fitness-to-compete conditions vs. performing collected and extended trot when ridden on a sand-fiber arena surface. The hypotheses are that the vertical range of motion (ROM) and left-right asymmetries in minimal and maximal heights of axial body segments at ridden trot exceed those when trotting in hand. Inertial measurement units (IMUs) attached mid-dorsally to the head, withers, an...
Rhythmic categories in horse gait kinematics.
Journal of anatomy    January 15, 2025   doi: 10.1111/joa.14200
Laffi L, Bigand F, Peham C, Novembre G, Gamba M, Ravignani A.Anecdotally, horses' gaits sound rhythmic. Are they really? In this study, we quantified the motor rhythmicity of horses across three different gaits (walk, trot, and canter). For the first time, we adopted quantitative tools from bioacoustics and music cognition to quantify locomotor rhythmicity. Specifically, we tested whether kinematics data contained rhythmic categories; these occur when adjacent temporal intervals are categorically, rather than randomly, distributed. We extracted the motion cycle duration (t) of two ipsilateral hooves from motion data of 13 ridden horses and calculated th...
Changes in pressure distribution of the solar surface after a single trimming event are associated with external hoof measurements in the equine fore foot.
Equine veterinary journal    January 9, 2025   doi: 10.1111/evj.14463
Seery S, Gardiner J, Bates KT, Pinchbeck G, Clegg P, Ireland JL, Milner PI.Trimming is critical for a functioning equine hoof. Pressure distribution provides information on loading; however, information on the effects of trimming on pressure distribution is lacking. Objective: To describe the pressure changes of equine fore feet following trimming. Methods: Cross-sectional cohort study. Methods: Fifty sound horses were recruited. Eighteen external hoof measures of the dorsal, lateral, medial and solar aspects were obtained before and after trimming from 94 fore feet. Horses were walked over a pressure mat before and after trimming and pressure maps of the solar surfa...
Effectiveness of acupuncture for equine laminitis: Systematic review and meta-analysis.
Veterinary world    January 9, 2025   Volume 18, Issue 1 60-66 doi: 10.14202/vetworld.2025.60-66
Fikri F, Purnomo A, Maslamama ST, Purnama MTE.In the past 20 years, acupuncture has been utilized as an alternative therapy for equine laminitis despite a lack of clinical evidence to support its effectiveness. Information from previous studies needs to be evaluated holistically to verify the effectiveness of acupuncture. This meta-analysis aimed to comprehensively investigate the effectiveness of acupuncture as a treatment for laminitis in horses. Unassigned: A total of 7 studies out of 145 were selected in the PubMed, Scopus, Cochrane Library, and ProQuest databases using the keywords "equine laminitis," "acupuncture," "horses," and "la...
Distribution of race and training-related musculoskeletal injuries by track and location in Thoroughbred and Arabian racehorses.
Equine veterinary journal    January 7, 2025   doi: 10.1111/evj.14457
Yildirim İG, Karaarslan S, Erkan A.Musculoskeletal injuries (MSI) are a major concern in the horse racing industry, often leading to career-ending outcomes. Contributing factors include conformation, limb and joint defects, hoof structure, age, and hard track surfaces. Objective: This study aimed to evaluate the distribution of MSI in Thoroughbred and Arabian racehorses during racing and training, categorised by breed and track surface. Methods: Retrospective cohort study. Methods: The data from 2018 to 2023 were collected at the Turkish Jockey Club's Şirinyer Hippodrome (38°23'03.7″ N 27°09'01.0″ E), covering 553 MSI ca...
Anesthesia and Myopathies of Horses.
The Veterinary clinics of North America. Equine practice    December 30, 2024   Volume 41, Issue 1 165-180 doi: 10.1016/j.cveq.2024.11.008
Castro D, Clark-Price S.Pre-existing muscle disorders in horses can often be subtle and may only become evident during or after anesthesia. Advancements in veterinary medicine, along with increased knowledge and research in this field, help minimize anesthesia-related problems. Adequate preanesthesia assessment, early disease diagnosis, and proper management are crucial in minimizing risks to the neuromuscular system during general anesthesia.
Radiographic Morphometric Measurements of the Donkey’s Distal Hind Limb.
Animals : an open access journal from MDPI    December 25, 2024   Volume 15, Issue 1 doi: 10.3390/ani15010022
Schaus K, Wacker J, Jandowsky A, Büttner K, Röcken M, Bartmann CP.Morphometric measurements of the toe serve as a reference for the objective assessment of the presence of a pathological condition and as a guide for the correct trimming of the hooves. Therefore, the anatomical differences between horses and donkeys oblige an autonomous database with reference values for the donkey. The aim of this study was therefore to provide readings of the distal hind limb on radiographs of donkeys. Radiographs of the distal hind limb in two projections of 41 generally sound donkeys without lameness in walk were taken after previous hoof trimming and preparation accordin...
Exploring Adhesive Performance in Horseshoe Bonding Through Advanced Mechanical and Numerical Analysis.
Biomimetics (Basel, Switzerland)    December 24, 2024   Volume 10, Issue 1 2 doi: 10.3390/biomimetics10010002
Ferreira CMC, Simões BD, Marques EAS, Carbas RJC, da Silva LFM.Despite technological advancements in various industries, the equine sector still relies on old methods like horseshoeing. Although traditional, the industry is dynamic and well-funded. Therefore, there is a need to modernize these methods with more reliable and less invasive solutions for attaching horseshoes to horse hooves. There are currently several commercial adhesive solutions in the market specifically tailored to this application. In this work, the mechanical properties of two acrylic adhesives were characterized under quasi-static conditions. In the characterization process, tensile,...
Development of an ultrasound-guided proximo-medial approach for injection of the carpal flexor tendon sheath in horses and comparison with the conventional proximo-lateral ´blind` technique.
Journal of equine veterinary science    December 20, 2024   105258 doi: 10.1016/j.jevs.2024.105258
Dörner CA, Vargas V, Castellón CH.The aim of this prospective case-control study was to describe and implement a reliable, accurate, and straightforward ultrasound-guided proximo-medial approach technique for injecting the carpal flexor tendon sheath in horses. The proximo-medial ultrasound-guided approach for intrathecal access to the carpal canal, as described in this study, was firstly developed on ten cadaveric limbs using an undiluted ionic iodinated contrast medium. Landmarks were identified, and the access point was established. Subsequently, the technique was validated in ten horses, and its efficacy was compared with ...
Bayesian Recursive and Structural Equation Models to Infer Causal Links Among Gait Visual Scores on Campolina Horses. Bussiman F, Richter J, Hidalgo J, Silva FFE, Ventura RV, Carvalho RSB, Mattos EC, Ferraz JBS, Eler JP, de Carvalho Balieiro JC.Gait visual scores are widely applied to horse breeding because they are a fast and easy phenotyping strategy, allowing the numeric interpretation of a complex biological process such as gait quality. However, they may suffer from subjectivity or high environmental influence. We aimed to investigate potential causal relationships among six visual gait scores in Campolina horses. The data included 5475 horses with records for at least one of the following traits: Dissociation (Di), Comfort (C), Style (S), Regularity (R), Development (De), and Gait total Scores (GtS). The pedigree comprised thre...
Prevalence of Lower Back Pain and Risk Factors in Equestrians: A Systematic Review.
Sports (Basel, Switzerland)    December 19, 2024   Volume 12, Issue 12 doi: 10.3390/sports12120355
Duarte CR, Raimundo A, Sousa JP, Fernandes O, Santos R.This systematic review aimed to determine the prevalence of lower back pain (LBP) in equestrian athletes (EAs) and identify associated risk factors. Following the PRISMA guidelines, observational studies published between 2004 and 2024 in English, Portuguese, Spanish, and German were included. The review identified relevant studies through the Web of Science, EBSCO, MEDLINE, and SCOPUS (last search performed on 30 October 2024), yielding 14 studies with a total of 4527 participants. The question format for the included studies specified the population as equestrian athletes, the exposure as eq...
Clinical application and prognostic value of computed tomography examination in foals diagnosed with osteomyelitis: Forty-four cases. Buyck C, Zani DD, Robert M, Gustafsson K.Computed tomography (CT) is increasingly recognized as superior to conventional imaging methods for diagnosing osteomyelitis in foals. However, comprehensive studies in this area are limited. This study aims to report on clinical cases of osteomyelitis in foals, establishing a relationship between CT findings and survival outcomes. Additionally, it compares CT imaging with conventional methods such as radiography and ultrasound. We hypothesized that CT variables would more accurately predict survival than other clinical factors and provide more detailed information about osteomyelitis lesions....
Clinical application and prognostic value of computed tomography examination in foals diagnosed with osteomyelitis: Forty-four cases. Buyck C, Zani DD, Robert M, Gustafsson K.Computed tomography (CT) is increasingly recognized as superior to conventional imaging methods for diagnosing osteomyelitis in foals. However, comprehensive studies in this area are limited. This study aims to report on clinical cases of osteomyelitis in foals, establishing a relationship between CT findings and survival outcomes. Additionally, it compares CT imaging with conventional methods such as radiography and ultrasound. We hypothesized that CT variables would more accurately predict survival than other clinical factors and provide more detailed information about osteomyelitis lesions....
Analgesic efficacy of tapentadol in chronic joint disorders in horses: plasma serotonin concentration and adrenocortical response as biomarkers of pain-induced stress.
Frontiers in veterinary science    December 17, 2024   Volume 11 1505398 doi: 10.3389/fvets.2024.1505398
Costa GL, Tabbì M, Bruschetta G, Spadola F, Leonardi F, Bruno F, Iannelli NM, Licata P, Macrì F, Passino ES, Macrì D, Interlandi C.The study aimed to evaluate the analgesic efficacy of tapentadol in horses, by determining plasma serotonin concentration and adrenocortical response, as biomarkers of pain stress in chronic joint disorders. Thirty-six horses (20 females and 16 males) were divided into three groups of 12 subjects each: group A, osteoarthritis (OA), grade 3-4 lameness; group B, OA, grade 5 lameness; and group C, no OA, no lameness, were enrolled. The orthopedic examination included flexion tests, and radiological and ultrasound examinations. The degree of lameness has been estimated from 0 to 5 according to the...
Traumatic Hemothorax With Rib Fixation in a Professional Jockey Following a Horse Stomping Incident.
Cureus    December 8, 2024   Volume 16, Issue 12 e75349 doi: 10.7759/cureus.75349
Cervantes-Sevilla JR, Ramírez-Cervera M, Guzman-Ruvalcaba MJ.Traumatic hemothorax is a serious condition requiring immediate intervention. We present a case of a 48-year-old male professional jockey who suffered traumatic hemothorax, bilateral pulmonary contusions, and multiple rib fractures after being stomped by a horse. Management included intercostal drainage placement, costal fixation from the 5th to the 10th rib, and intensive care unit admission. Postoperative complications included, acute kidney injury, rhabdomyolysis, and severe acute respiratory distress syndrome. This case highlights the importance of a multidisciplinary approach in managing ...
Effect of hay nets on subluxations, pain-pressure thresholds, and cervical range of motion in the axial skeleton of adult horses.
Journal of equine veterinary science    December 5, 2024   Volume 145 105256 doi: 10.1016/j.jevs.2024.105256
DeBoer M, Rieck T, Johnson L, Redenius H, Martinson K.Horses have become more intensively managed, including the use of hay nets to increase intake time and reduce hay waste, but their impact on health is not well known. The objectives were to compare changes in subluxations, range of motion, and the pain-pressure threshold in the axial skeleton of horses fed hay with (NET) or without (CON) hay nets. In September 2021, 13 adult horses were blocked by bodyweight (BW) and randomly assigned to the NET or CON treatments for one year. After one year, horses switched treatments and the trial concluded in September 2023. Horses were housed in dry lots w...
Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases.
Equine veterinary journal    December 5, 2024   doi: 10.1111/evj.14437
Blatter M, Chapman HS, Heinzel-Gutenbrunner M, von Plato G, Rijkenhuizen A.Desmotomy of the accessory ligament of the superficial digital flexor tendon (AL-SDFT) has been described for the treatment of superficial digital flexor tendon (SDFT) tendinopathy in Thoroughbred and Standardbred racehorses, and in event horses. To our knowledge, the outcome of this procedure has not been described in a population of warmblood horses. Objective: To report on the outcome of treatment of SDFT tendinopathy in warmblood horses using tenoscopic desmotomy of the main part of the AL-SDFT. Methods: Prospective observational case series. Methods: All 62 horses included in the case ser...
Bilateral coxofemoral dysplasia in a Mangalarga Marchador foal.
Journal of equine veterinary science    December 4, 2024   Volume 144 105253 doi: 10.1016/j.jevs.2024.105253
Kneipp MLA, Sousa LN, Cota LO, Malacarne BD, Winter IC, Santana CH, Santos RL, Xavier ABS, Faleiros RR, Carvalho AM.Coxofemoral dysplasia is a condition characterized by the abnormal development and flattening of the femoral head and deformities in the acetabulum, leading to joint instability. Although described in various animal species, it is uncommon and rarely reported in horses. This article presents a case of incapacitating coxofemoral dysplasia diagnosed in a four-month-old foal Mangalarga Marchador, which exhibited lameness in the hind limbs, thoracolumbar kyphosis, gluteal muscle atrophy, and pronounced sensitivity during pelvic limb flexion. The clinical diagnosis indicative of bilateral coxofemor...
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