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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.
Comparison of radiography and computed tomography for identification of third metacarpal structural change and associated assessment of condylar stress fracture risk in Thoroughbred racehorses.
Equine veterinary journal    August 14, 2024   doi: 10.1111/evj.14131
Irandoust S, O'Neil LM, Stevenson CM, Franseen FM, Ramzan PHL, Powell SE, Brounts SH, Loeber SJ, Ergun DL, Whitton RC, Henak CR, Muir P.Catastrophic injury has a low incidence but leads to the death of many Thoroughbred racehorses. Objective: To determine sensitivity, specificity, and reliability for third metacarpal condylar stress fracture risk assessment from digital radiographs (DR) and standing computed tomography (sCT). Methods: Controlled ex vivo experiment. Methods: A blinded set of metacarpophalangeal joint DR and sCT images were prepared from 31 Thoroughbreds. Four observers evaluated the condyles and parasagittal grooves (PSG) of the third metacarpal bone for the extent of dense bone and lucency/fissure and assigned...
Clinical insights: Regenerative therapies in equine practice: Top 10 EVJ papers 2019-2024.
Equine veterinary journal    August 8, 2024   Volume 56, Issue 5 824-831 doi: 10.1111/evj.14136
Pezzanite L.No abstract available
Does the proximal screw type affect stress and strain in pastern arthrodesis with locking plate in horses?
Research in veterinary science    August 8, 2024   Volume 178 105378 doi: 10.1016/j.rvsc.2024.105378
de Souza AF, Pereira CAM, Fürst A, Kümmerle JM, De Zoppa ALDV.The implantation of unicortical cortex screws in the proximal hole of locking compression plates (LCP) has been recommended for proximal interphalangeal (PIP) arthrodesis in horses to prevent fractures resulting from stress risers in the proximal phalanx (P1). However, this cortex screw fixation technique may limit efficient dorsal compression of the PIP joint by the plate, potentially affecting the stability of the construct. In this study, we aimed to measure stress and strain in P1 and the plate using an ex vivo model of PIP arthrodesis in horses. We employed various implantation methods an...
Nerve entry points in the mimic musculature of the horse head.
Anatomia, histologia, embryologia    August 5, 2024   Volume 53, Issue 5 e13099 doi: 10.1111/ahe.13099
Wolschrijn CF, Smit IH, Schouten J, Moller Te NCR.Facial expressions are important in pain recognition in horses, but current observation-based pain scales remain subjective. A promising technique to quantitatively measure subtle changes in expression patterns, including changes invisible to the human eye, is surface electromyography (sEMG). To achieve high-quality and reliable sEMG signals, unilateral placement of bipolar electrodes is required in relation to the motor endplates (MEP). We aimed to localize the nerve entry points (NEPs; where the nerve branch first pierced the muscle belly) and the direction of the terminal nerve endings to e...
Effects of intra-articular anesthesia of the tarsometatarsal joint on skin sensation of the distal limb in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    August 2, 2024   Volume 65, Issue 8 808-812 
Osborne C, Elce YA, Byrant B, Meehan-Howard L.To determine with mechanical nociceptive threshold (MNT) testing whether distal limb skin sensation is affected by intra-articular anesthesia of the tarsometatarsal joint (TMTJ). Unassigned: This was a prospective cohort study. Ten client-owned horses that had intra-articular TMTJ anesthesia were included in the study. The MNT was measured at 6 sites on the distal limb at 3 time points: before anesthesia (T0) and at 10 min (T10) and 30 min (T30) post-injection. Linear mixed-model analyses were done, with the significance level set at P < 0.05. Unassigned: There was an increase in MNT (P = 0.00...
Return to sport activity following ultrasonographic diagnosis and conservative management of spontaneous injuries of the serratus cervicis ventralis and serratus thoracis ventralis muscles in 11 endurance horses.
Journal of the American Veterinary Medical Association    August 2, 2024   1-6 doi: 10.2460/javma.24.03.0211
Puccetti M, Pilati N, Beccati F, Denoix JM.To describe the clinical diagnosis, ultrasound findings, and outcome of 11 endurance horses with injuries to the serratus ventralis thoracis (SVT) or serratus ventralis cervicis (SVC) muscle. Methods: 11 endurance horses competing in medium- to high-level competitions and presenting with lameness caused by injuries to the SVT or SVC muscle, as confirmed by ultrasonography. Methods: Physical examinations revealed swelling caudal to the shoulder region associated with dorsocranial displacement of the scapula and edema of the ventral thorax for horses with SVT injuries. Swelling cranial to the sc...
Single injection of intra-articular autologous protein solution in horses with acute interleukin-1B-induced synovitis decreases joint pathology scores.
Equine veterinary journal    July 25, 2024   doi: 10.1111/evj.14203
Usimaki A, Ciamillo SA, Barot D, Linardi RL, Engiles JB, Ortved KF.Autologous protein solution (APS) has been shown to decrease lameness in horses with osteoarthritis (OA). Synovitis is an early driver of OA, providing an opportunity to intervene in the progression of disease via intra-articular (IA) therapeutics. Objective: The objective of this study was to investigate the effects of a single IA APS injection in horses with interleukin-1β (IL-1β)-induced synovitis. We hypothesised that APS would decrease joint swelling and lameness, improve synovial fluid parameters and improve joint pathology scores in horses compared with untreated controls. Methods: Ra...
Methodological approaches to assessing the genetic predisposition of osteochondrosis of the tarsocrural joint in the Pura Raza Española horses.
Animal : an international journal of animal bioscience    July 25, 2024   Volume 18, Issue 9 101255 doi: 10.1016/j.animal.2024.101255
Ripollés-Lobo M, Molina A, Novales M, Ziadi C, Hernández E, Valera M.Osteochondrosis (OC) is a developmental orthopaedic disease of significant concern in numerous sport horse breeds, with significant international relevance. Using digital radiographs, we assessed the occurrence of hock (tarsocrural joint) OC in 3 048 Pura Raza Española (PRE) horses which took part in a morpho-functional test, in three specific locations in the tarsus limbs: the Distal Intermediate Ridge of the Tibia (DIRT), the lateral trochlear ridges of the talus (LTT), and the medial trochlear ridges of the talus (MTT). An incidence rate of 13.3% was found for hock OC in the analysed samp...
Inertial Sensor-Based Quantification of Movement Symmetry in Trotting Warmblood Show-Jumping Horses after “Limb-by-Limb” Re-Shoeing of Forelimbs with Rolled Rocker Shoes.
Sensors (Basel, Switzerland)    July 25, 2024   Volume 24, Issue 15 doi: 10.3390/s24154848
Bark C, Reilly P, Weller R, Pfau T.Hoof care providers are pivotal for implementing biomechanical optimizations of the musculoskeletal system in the horse. Regular visits allow for the collection of longitudinal, quantitative information ("normal ranges"). Changes in movement symmetry, e.g., after shoeing, are indicative of alterations in weight-bearing and push-off force production. Ten Warmblood show jumping horses (7-13 years; 7 geldings, 3 mares) underwent forelimb re-shoeing with rolled rocker shoes, one limb at a time ("limb-by-limb"). Movement symmetry was measured with inertial sensors attached to the head, withers, and...
Roles of collagen cross-links and osteon collagen/lamellar morphotypes in equine third metacarpals in tension and compression tests.
The Journal of experimental biology    July 24, 2024   Volume 227, Issue 14 jeb247758 doi: 10.1242/jeb.247758
Skedros JG, Dayton MR, Cronin JT, Mears CS, Bloebaum RD, Wang X, Bachus KN.Many bones experience bending, placing one side in net compression and the other in net tension. Because bone mechanical properties are relatively reduced in tension compared with compression, adaptations are needed to reduce fracture risk. Several toughening mechanisms exist in bone, yet little is known of the influences of secondary osteon collagen/lamellar 'morphotypes' and potential interplay with intermolecular collagen cross-links (CCLs) in prevalent/predominant tension- and compression-loaded regions. Paired third metacarpals (MC3s) from 10 adult horses were prepared for mechanical test...
Determinants of joint effusion in tarsocrural osteochondrosis of yearling Standardbred horses.
Frontiers in veterinary science    July 24, 2024   Volume 11 1389798 doi: 10.3389/fvets.2024.1389798
Bertuglia A, Pallante M, Pagliara E, Valle D, Bergamini L, Bollo E, Bullone M, Riccio B.Tarsocrural osteochondrosis (OCD) is a developmental orthopedic disease commonly affecting young Standardbreds, with different fragment localization and size. Clinically, it is characterized by variable synovial effusion in the absence of lameness, whose determinants are ill-defined. We hypothesized that localization and physical characteristics of the osteochondral fragments like dimensions, multifragmentation, and instability influence joint effusion and correlate with synovial markers of cartilage degradation and inflammation. Clinical data, synovial fluid and intact osteochondral fragments...
Concurrent radiological and ultrasonographical findings in the forelimb proximal sesamoid bones and adjacent suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses.
Equine veterinary journal    July 22, 2024   doi: 10.1111/evj.14120
Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP.Changes in the proximal sesamoid bones (sesamoids) and the insertional region of the adjacent suspensory ligament branch (branch) are of particular importance in young Thoroughbreds sold at public auction. Little is known about the prevalence of concurrent ultrasonographical branch change, relative to the various grades of radiological sesamoid appearance. Objective: To examine the existence of concurrent radiological and ultrasonographical findings in individual sesamoid-branch units in sales horses; to determine whether there are any radiological findings that are consistently accompanied by...
Trunk kinematics and limb movement of horses walking backwards and forwards in hand and lifting a single limb.
Veterinary journal (London, England : 1997)    July 20, 2024   Volume 306 106202 doi: 10.1016/j.tvjl.2024.106202
Jobst ID, Zsoldos RR, Licka TF.Equine physiotherapy commonly includes basic exercises such as walking backward (BW) and voluntary lifting of single limbs (SLL), but trunk movements during these have not been studied. In order to compare the trunk kinematics during BW and SLL with forward walking (FW), nine horses were measured in FW, BW and during SLL triggered by tactile cue. Kinematics were obtained from skin markers captured by ten high-speed video cameras. Trunk angles were calculated in sagittal and horizontal planes from withers, dorsal to spinous processes of the 16th thoracic vertebra (T16), 2nd and 4th sacral verte...
The efficacy of an eight-week exercise program for the management of chronic low back pain in the equestrian population.
The Journal of sports medicine and physical fitness    July 17, 2024   Volume 64, Issue 11 1188-1193 doi: 10.23736/S0022-4707.24.15830-6
Weeks RA, McLAUGHLIN PA, Vaughan BR.Equestrians (horse riders) are more susceptible to low back pain than the general population due to loads placed on their bodies during the activity. A specific eight-week exercise intervention program targeting the muscles used during horse riding was implemented for a group of equestrians with low back pain. Methods: Volunteers were invited to participate in the study through social media posts in Melbourne, Australia. The participants were required to complete an exercise screening test prior to enrolment in the study to ensure they were suitable to participate in the iteration program. Par...
Ultrasonography of the suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses: Prevalence, progression of findings and associations with racing performance.
Equine veterinary journal    July 15, 2024   doi: 10.1111/evj.14137
Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP, Selberg KT, Ojeda A.Equine suspensory ligament branch (branch) ultrasonography is becoming increasingly commonplace presale. No ultrasonographical branch reference data exists for Thoroughbred sales horses. Objective: To define the prevalence of ultrasonographical findings in the forelimb suspensory branches of yearling and 2-year-old sales Thoroughbreds and to analyse associations with racing performance. To track changes in branch findings between 1 and 2 years of age in horses that present for sale at both ages. Methods: Prospective cohort study using an enrolled sample. Methods: Horses were enrolled from a ...
Muscle-Driven Predictive Physics Simulations of Quadrupedal Locomotion in the Horse.
Integrative and comparative biology    July 14, 2024   Volume 64, Issue 3 694-714 doi: 10.1093/icb/icae095
van Bijlert PA, Geijtenbeek T, Smit IH, Schulp AS, Bates KT.Musculoskeletal simulations can provide insights into the underlying mechanisms that govern animal locomotion. In this study, we describe the development of a new musculoskeletal model of the horse, and to our knowledge present the first fully muscle-driven, predictive simulations of equine locomotion. Our goal was to simulate a model that captures only the gross musculoskeletal structure of a horse, without specialized morphological features. We mostly present simulations acquired using feedforward control, without state feedback ("top-down control"). Without using kinematics or motion captur...
Ultrasound-guided caudal cervical articular process arthrocentesis is accurate in live horses with and without arthropathy.
Equine veterinary journal    July 11, 2024   doi: 10.1111/evj.14133
Davidson EJ, Stefanovski D, Slack J, Manzi TJ.Cervical articular process joint (CAPJ) therapy is advocated for horses with neck disorders. Several ultrasound-guided CAPJ techniques have been described in cadaver studies with 72%-89% intra-articular injection accuracy; however, the CAPJ injection accuracy in clinical equine practice has not been extensively reported. Objective: To describe a modified cranial approach for ultrasound-guided caudal CAPJ injections, to investigate the accuracy of this CAPJ injection technique in live horses, and to assess the effect of CAPJ injection location, laterality, operator, and radiographic CAPJ enlarg...
Ex vivo biomechanical evaluation of tissue construct strength in an equine colopexy model.
Veterinary surgery : VS    July 8, 2024   Volume 54, Issue 1 189-198 doi: 10.1111/vsu.14117
Gaitan HM, Mudge MC, Litsky AS, Arruda AG, Gardner AK.To compare strength of left paramedian colopexies using various techniques in equine ex vivo models. Methods: Experimental study. Methods: Equine cadavers euthanized for nongastrointestinal pathology (36 specimens derived from 9 horses). Methods: Colopexies were performed after euthanasia. Suture pattern (horizontal mattress vs. cruciate) and incorporation of dorsal sheath of the rectus abdominis (partial-thickness) versus incorporation of dorsal and ventral sheath of the rectus abdominis (full-thickness) were evaluated. Single cycle load to failure, work to peak load, stiffness, and mode of f...
Ex vivo evaluation of the soft tissue components of the equine stifle using 3 Tesla magnetic resonance imaging under flexion, extension, and loading. Stedman JM, Lutter JD, Hallman C, Laverty S, Richard H, Santschi EM.High-field MRI of the equine stifle provides high-resolution information about soft tissues that is useful in the diagnosis of stifle lameness. The aim of this prospective anatomic study was to describe the appearance, position, size, and shape of the equine femorotibial ligaments, meniscal ligaments, and menisci using 3 Tesla MRI under extended, extended-loaded, and flexed conditions. Additionally, histologic examination of the collateral and cruciate ligaments (CLs) of a single stifle was performed to compare with MRI images. In extension, mild variations in MRI signal intensity were apparen...
Characterisation of phenotypic patterns in equine exercise-associated myopathies.
Equine veterinary journal    July 5, 2024   doi: 10.1111/evj.14128
Lindsay-McGee V, Massey C, Li YT, Clark EL, Psifidi A, Piercy RJ.Equine exercise-associated myopathies are prevalent, clinically heterogeneous, generally idiopathic disorders characterised by episodes of myofibre damage that occur in association with exercise. Episodes are intermittent and vary within and between affected horses and across breeds. The aetiopathogenesis is often unclear; there might be multiple causes. Poor phenotypic characterisation hinders genetic and other disease analyses. Objective: The aim of this study was to characterise phenotypic patterns across exercise-associated myopathies in horses. Methods: Historical cross-sectional study, w...
Cone beam computed tomography and cross-sectional anatomy of the region of the fetlock in the horse (Equus caballus).
Anatomia, histologia, embryologia    July 5, 2024   Volume 53, Issue 4 e13079 doi: 10.1111/ahe.13079
Bierau J, Rott P, Röcken M, Staszyk C.This study aimed to delineate the detailed anatomy of the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints in healthy horses using cone beam computed tomography (CBCT). The fetlock region of 15 cadaveric forelimbs and 14 cadaveric hindlimbs from nine adult horses without orthopaedic disease underwent CBCT scanning. Additionally, arthrography CBCT scans were conducted following intra-articular injection of a radiopaque contrast medium containing blue epoxy resin dye. Subsequently, limbs were frozen and sectioned to visualize anatomical structures in sectional planes corresponding ...
Radiographic texture of the trabecular bone of the proximal phalanx in horses with metacarpophalangeal osteoarthritis.
Journal of equine science    July 3, 2024   Volume 35, Issue 2 21-28 doi: 10.1294/jes.35.21
Pereira LO, DE Souza AF, Spagnolo JD, Yamada ALM, Salgado DMRA, DE Zoppa ALDV.Osteoarthritis (OA) is a prevalent condition in horses, leading to changes in trabecular bone structure and radiographic texture. Although fractal dimension (FD) and lacunarity have been applied to quantify these changes in humans, their application in horses remains nascent. This study evaluated the use of FD, bone area fraction (BA/TA), and lacunarity in quantifying trabecular bone differences in the proximal phalanx (P1) in 50 radiographic examinations of equine metacarpophalangeal joints with varying OA degrees. In the dorsopalmar view, regions of interest were defined in the trabecular bo...
Interobserver agreement during clinical magnetic resonance imaging of the equine foot.
Equine veterinary journal    June 30, 2024   Volume 57, Issue 2 406-418 doi: 10.1111/evj.14126
Byrne CA, Voute LC, Marshall JF.Agreement between experienced observers for assessment of pathology and assessment confidence are poorly documented for magnetic resonance imaging (MRI) of the equine foot. Objective: To report interobserver agreement for pathology assessment and observer confidence for key anatomical structures of the equine foot during MRI. Methods: Exploratory clinical study. Methods: Ten experienced observers (diploma or associate level) assessed 15 equine foot MRI studies acquired from clinical databases of 3 MRI systems. Observers graded pathology in seven key anatomical structures (Grade 1: no pathology...
Histological and Histopathological Features of the Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove in Thoroughbred Horses with Racing History.
Animals : an open access journal from MDPI    June 30, 2024   Volume 14, Issue 13 1942 doi: 10.3390/ani14131942
Lin ST, Foote AK, Bolas NM, Sargan DR, Murray RC.Information regarding the histopathology of the proximal phalanx (P1) sagittal groove in racehorses is limited. Twenty-nine cadaver limbs from nine Thoroughbred racehorses in racing/race-training underwent histological examination. Histological specimens of the third metacarpal/metatarsal (MC3/MT3) parasagittal grooves and P1 sagittal grooves were graded for histopathological findings in hyaline cartilage (HC), calcified cartilage (CC), and subchondral plate and trabecular bone (SCB/TB) regions. Histopathological grades were compared between (1) fissure and non-fissure locations observed in a ...
Physiological comparison of conditioned and non-conditioned university horses following semester break.
Journal of equine veterinary science    June 28, 2024   105143 doi: 10.1016/j.jevs.2024.105143
Stellmack JM, Logan AA, Higgins AH, Hoffman RM.Periods of limited activity during semester break may reduce performance during return to ridden work. This study evaluated fitness and muscling of horses when returning to work, following a 12-week period during which horses either continued (conditioned) or discontinued (non-conditioned) ridden work. It was hypothesized that non-conditioned horses would have a lower level of fitness, resulting in higher resting and peak heart rates and lower levels of muscling. Twelve mature, stock type horses aged 16 ± 5 years were assigned to either a conditioned group that maintained light-to-moderate ri...
Influence of surgical intervention at the level of the dorsal spinous processes on the biomechanics of the equine thoracolumbar spine.
Equine veterinary journal    June 27, 2024   doi: 10.1111/evj.14123
Baudisch N, Singer E, Jensen KC, Eichler F, Meyer HJ, Lischer C, Ehrle A.Surgical treatment options for horses with overriding dorsal spinous processes include interspinous ligament desmotomy and partial spinous process ostectomy. The impact of spinal surgery on the three-dimensional biomechanics of the equine thoracolumbar spine and the epaxial musculature is unclear. Objective: To investigate the influence of interspinous ligament desmotomy and cranial wedge ostectomy on the biomechanics of the equine thoracolumbar spine and the paraspinal Musculi multifidi. Methods: Ex-vivo experiments. Methods: Twelve equine thoracolumbar spine specimens were mounted in a custo...
Vertical pelvic movement asymmetry and lameness location in ipsilateral combined forelimb and hindlimb lameness cases.
Equine veterinary journal    June 25, 2024   doi: 10.1111/evj.14117
Means K, Hayden L, Kramer J, McCracken MJ, Reed SK, Wilson DA, Keegan KG.Compensatory vertical head and pelvis movement asymmetry may occur in trotting horses with a primary cause of lameness in one end of the body due to the weight shifting between limbs, leading to apparent combined forelimb and hindlimb lameness (CFHL). Little is known about CFHL patterns observed with body-mounted inertial sensors (BMIS) and regardless of their underlying mechanisms, compensatory and secondary lameness may complicate the definitive identification of the primary causes of lameness. Objective: Determine associations between vertical pelvic movement asymmetry and location of prima...
Clinically relevant doses of tiludronate do not affect bone remodelling in pasture-exercised horses.
Equine veterinary journal    June 25, 2024   Volume 57, Issue 2 513-521 doi: 10.1111/evj.14119
Tippen SP, Metzger CE, Sacks SA, Allen MR, Mitchell CF, McNulty MA.Bisphosphonates are widely used in equine athletes to reduce lameness associated with skeletal disorders. Widespread off-label use has led to concern regarding potential negative effects on bone healing, but little evidence exists to support or refute this. Objective: To investigate the influence of clinically relevant doses of tiludronate on bone remodelling and bone healing. Methods: Randomised, controlled in vivo experiments. Methods: Each horse had a single tuber coxae biopsied (Day 0), then were divided into a treatment (IV tiludronate) or control (IV saline) group. Treatments were admini...
Athletic prognosis following arthroscopic removal of osteochondral fragments of the proximal dorsal sagittal ridge of the fetlock in Thoroughbreds intended for flat racing.
Veterinary surgery : VS    June 24, 2024   doi: 10.1111/vsu.14129
Luick ML, Khouzam NA, Pérez-Nogués M.To establish racing prognosis in Thoroughbred yearlings with proximal sagittal ridge osteochondral lesions and compare them to dorsoproximal and palmar/plantar first phalanx osteochondral lesions. Methods: A total of 47 horses had proximal sagittal ridge lesions, 34 had palmar/plantar first phalanx lesions, and 115 had dorsoproximal first phalanx lesions. Methods: Retrospective case series. Methods: Medical records of Thoroughbred yearling racing prospects treated arthroscopically for fetlock osteochondral lesions were reviewed. Data were collected from a public database, including the ability...
Using accelerometers to identify a high risk of catastrophic musculoskeletal injury in three racing Thoroughbreds.
Journal of the American Veterinary Medical Association    June 21, 2024   1-9 doi: 10.2460/javma.24.02.0114
Sweeney DM, Holmström M, Donohue KD, Lambert DH, Bayly WM.To describe the process whereby the screening of racing Thoroughbreds with accelerometer-based inertial measurement unit (IMU) sensors followed by clinical evaluation and advanced imaging identified potentially catastrophic musculoskeletal injuries in 3 horses. Methods: 3 Thoroughbred racehorses. Methods: All cases demonstrated an abnormal stride pattern either during racing (cases 1 and 2) or while breezing (case 3) and were identified as being at very high risk of catastrophic musculoskeletal injury by an algorithm derived from IMU sensor files from > 20,000 horses' race starts. Veterinary e...
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