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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.
The mechanical coupling of lung ventilation to locomotion in the horse. The phase relationship between the periods of the respiratory and limb cycles is demonstrated in the horse ridden in the field at the canter and gallop. Changes in intra-abdominal pressure, respiratory sounds, periods of ground contact of each foot and volume changes of the rib cage were measured in the normal horse exercised at the walk, trot, canter and gallop in the field. Correlation of these parameters identifies the major mechanical link establishing the coupling of lung ventilation and locomotion in the horse. The force and extent of contraction of the abdominal muscles couples the resp...
Biokinematic analysis of the Swedish Warmblood riding horse at trot. The trotting gait of 4 approved Swedish Warmblood stallions with a mean gait score > or = 8.67 (maximum score = 10) at official performance tests was recorded by high speed film (approximately 250 frames/sec). Angular patterns and hoof trajectories of the left fore and hind limbs were analysed, and presented as mean and standard deviation curves. The horses had a mean stride duration of 794.0 msec (sd 13.7) and the mean diagonal advanced placement was +29.8 msec (sd 7.6). The variation in angular patterns between the horses was greatest during the swing phase. The trajectory of the hind hoof r...
Torsion in quadrupeds and its impact on mammalian joints. Congenital and acquired torsion occur in the limbs of domestic animals. Congenital abnormalities are of clinical significance in foals; they are also seen in calves whose dams have ingested certain toxic plants that contain teratogenic agents. Acquired torsional deformities are most common in foals, but are also observed in adult horses, dogs, and llamas. Acquired rotational deformities are almost always associated with angular limb deformities. The clinical consequence of torsional deformities is the early development of degenerative joint disease.
Equine hyperkalemic periodic paralysis: review and implications. The purpose of this review is to present an up-to-date summary of the signs, diagnosis, treatment, and implications of equine hyperkalemic periodic paralysis. The review encompasses all original articles published between 1986 and early 1993. Hyperkalemic periodic paralysis is the result of a genetic mutation in the skeletal muscle sodium channel gene. It is inherited as an autosomal dominant trait; most affected horses are heterozygotes. The classical signs are muscle fasciculation, spasm, and weakness associated with hyperkalemia. However, these signs are only rarely observed in affected hor...
Ultrasonographic evaluation and long-term follow-up of flexor tendonitis/desmitis in the metacarpal/metatarsal region in Dutch warmblood horses and standardbred racehorses. Over a 2 year-period, the ultrasonographic localization and distribution of flexor tendinous and ligamentous injuries, the long-term follow-up, and the outcome were studied in 101 Dutch Warmblood horses (DW) with a mean age of 8.7 years and in 71 Standardbred racehorses (ST) with a mean age of 5.2 years. The ratio between forelimb and hind limb flexor tendonitis/desmitis in the DW-group was 4:1 and in the ST-group group 4:3. In the DW-group, tendonitis/desmitis of the suspensory ligament (32%), the superficial digital flexor tendon (29%), the distal carpal check ligament (17%) of the forelimb ...
Skeletal muscle characteristics in 2 year-old race-trained thoroughbred horses. Skeletal muscle samples were obtained by needle biopsy from two depths of the m. gluteus medius of 50, young race-trained thoroughbred racehorses. Histochemical and biochemical characteristics of the muscle samples were analysed. Fibres were classified as type I, type IIa or type IIb on the basis of the pH dependent lability of the myosin ATPase reaction. The activities of citrate synthase (CS) and glycogen phosphorylase (Phos) were determined. Muscle fibre composition varied markedly between deep and superficial muscle samples and this was reflected in differences in the activities of citrate...
Interaction of gentamycin and atracurium in anaesthetised horses. Evoked hind limb digital extensor tension (hoof twitch) was maintained at 40% of baseline for 1 h by atracurium infusion in 7 horses anaesthetised with halothane. After 1 h, atracurium was discontinued and hoof twitch allowed to recover to 75%. Atracurium was again given by infusion to maintain 40% twitch for a second hour, then 2 mg gentamycin/kg bwt were given i.v. Atracurium infusion was continued for a third hour, and then hoof twitch was again allowed to recover spontaneously to 75%. Gentamycin reduced twitch strength from 40 +/- 1% (mean +/- sem) to 29 +/- 4% within 7.0 +/- 1.5 min (P = ...
Contact area and pressure distribution changes of the equine third carpal bone during loading. Changes in contact area and pressure distribution with loading were evaluated on the proximal articulating surface of the equine third carpal bone using safranin-O dye staining and pressure sensitive film techniques. A significant increase in percentage contact area resulted as the applied load was increased from 3115 to 9000 N (54.93% +/- 7.99 vs 61.43% +/- 7.37 respectively, P = 0.016). The area in contact shifted towards the dorsal aspect of both the radial and intermediate facets of the third carpal bone. Changes were also detected in the mean pressure under the same loading conditions. Th...
Nerve supply of the proximal sesamoid bone in the horse. In chronical proximal sesamoid bone lameness it is difficult to localise the exact site of pain. A specific diagnostic analgesia is not available because of a deficiency of detailed information about the nerve supply to the proximal sesamoid bones and surrounding area. A macroscopic study of the nerve distribution to the proximal sesamoid bones of 10 foals and 5 adult horses revealed that these bones are innervated by two branches, in this study called the medial and lateral sesamoidean nerve, respectively, originating from the medial and lateral palmar nerve. Histology of the left forelimbs o...
Arthroscopic approach and intra-articular anatomy of the plantar pouch of the equine tarsocrural joint. Arthroscopic examination of structures within the plantar pouch of the tarsocrural joint was accomplished via portals in both the plantaromedial and plantarolateral aspects of the joint. Flexion and extension of the tarsus while examining the joint through either portal allowed observation of the proximal and plantar aspects of the lateral and medial trochlear ridges, the trochlear groove, the caudal aspect of the distal tibia, and the deep digital flexor tendon (DDFT) in its sheath. From a plantarolateral portal, the plantar talocalcaneal ligament and the plantar aspect of the lateral malleol...
Proximal suspensory desmitis in the hindlimb: 42 cases. Proximal suspensory desmitis of the hindlimb was diagnosed using local analgesic techniques and ultrasonography in 42 horses. Subtarsal analgesia resulted in substantial improvement in lameness in 36 of 41 horses in which local analgesic techniques were used. In the remaining five horses lameness was improved by perineural analgesia of the tibial nerve (three) or the tibial and fibular nerves. Intra-articular analgesia of the tarso-metatarsal joint produced a similar degree of improvement in two of 24 horses in which lameness had been improved by subtarsal analgesia. Ultrasonographic abnormali...
Kinematic detection of superior gait quality in young trotting warmbloods. This study was conducted to identify objective criteria to select young horses with a good gait, which is a prerequisite for good performance in adult horses. The trot of 24 26-month-old Dutch Warmbloods, led on a loose shank, was subjectively scored by a judge and objectively assessed on a treadmill by using kinematic analysis equipment. It appeared that forelimb and hind limb stride and swing duration, scapula rotation, forelimb maximal fetlock extension, forelimb maximal retraction, hind limb maximal protraction, maximal stifle flexion, and maximal tarsal flexion significantly correlated wi...
Histochemical and functional evidence for a cholinergic innervation of the equine ureter. The distribution of acetylcholinesterase (AChE)-positive nerve fibers and cells, as well as the effects of acetylcholine (ACh) on ureteral smooth muscle and small resistance arteries were investigated in the equine ureter by means of histochemical, classic organ baths and myograph techniques. AChE-positive nerve fibers were widely distributed throughout the ureteral wall forming muscular, subepithelial and perivascular nerve plexuses, whose density was highest at the intravesical ureter. AChE-positive nerve cells were also identified grouped as adventitial or intramural ganglia. ACh increased ...
The relationship between intra-articular and juxta-articular intraosseous pressures in the metatarsophalangeal region of the pony. Eight metatarsophalangeal (fetlock) joints were studied in anaesthetized young ponies. Pressure measurements were made in the joint and at various sites in the marrow cavity of the third metatarsal bone with simultaneous measurement of systemic arterial and venous blood pressures. Fetlock joint flexion was always associated with a statistically significant initial decrease in intra-articular pressure (p < 0.05) followed by a marked increase in pressure (p < 0.05). Subsequent extension was accompanied by a similar pressure pattern, although there appeared to be a hysteretic relationship. ...
Musculoskeletal disorders of the neonate. Musculoskeletal disorders in newborn foals are complex, multifactorial, and associated with prematurity, dysmaturity, and twinning. They include incomplete ossification of cuboidal bones, tendon laxity, congenital angular limb deformities, septic arthritis, osteomyelitis, and septicemia. Other deformities associated with nutrition, large size, and rapid growth include osteochondrosis, physitis, ruptured tendons, acquired flexural deformities, and postnatal angular limb deformities. Optimal management of the complexly interrelated musculoskeletal disorders of the neonate also is discussed.
Systemic bone growth factors in light breed mares and their foals. There is a high incidence of bony pathology in race horses. Thus, plasma GH, IGF-1, osteocalcin (OC), calcium (Ca) and inorganic phosphorus (P) concentrations were measured in 12 healthy Selle Français foals and their dams during the first five months after birth. Plasma IGF-1 and OC concentrations were higher in foals than in mares (336 +/- 25 vs 230 +/- 18 ng/ml, P < 0.05; 52.5 +/- 3.2 vs 4.9 +/- 0.1 ng/mg, P < 0.01, respectively). A significant positive linear relationship could be established between these two parameters in foals (IGF-1 = 19 + 0.619 OC; P < 0.05). Another strikin...
Fracture of the wing of the ilium, adjacent to the sacroiliac joint, in thoroughbred racehorses. During a two year period, sagittal fractures of the wing of the ilium were diagnosed in 10 Thoroughbred horses. All were spontaneous fractures sustained during normal exercise in training and racing, with no history of inciting trauma. When ultrasound scans of the surface of the pelvis were performed, the fracture was clearly visible as a discontinuity of the sacral wing of the ilium. In 3 horses, an irregular contour suggestive of periosteal callus was seen in the vicinity of the acute fracture. All horses examined by gamma scintigraphy had a focal increase in uptake of isotope just lateral t...
Skeletal muscle mitochondrial myopathy as a cause of exercise intolerance in a horse. Although exertional myopathies are commonly recognized in horses, specific etiologies have not been identified. This is the first report in the horse of a deficiency of Complex I respiratory chain enzyme associated with profound exercise intolerance. Physical examination, routine blood tests, endoscopy, and ultrasonograms of the heart and iliac arteries were unremarkable. With slow, incremental exercise (speeds 1.5-7 m/s), the Arabian mare showed a marked lactic acidosis, increased mixed venous PVO2, and little change in oxygen consumption. Muscle biopsies contained large accumulations of mito...
Progression and association with lameness and racing performance of radiographic changes in the proximal sesamoid bones of young standardbred trotters. Radiographic examination of the metacarpo- and metatarsophalangeal joints was performed on 753 Standardbred trotters (6-21 months of age): 21 showed obvious changes in 26 proximal sesamoid bones on lateromedial projection. The radiographic changes were divided into 6 different types: (1) irregular abaxial margin (8 horses); (2) enlargement of the sesamoid bone (6 horses); (3) 'fracture' or separate centre of ossification of the apex (4 horses); (4) vertical, non-articular fracture of the plantar part of the sesamoid bone (1 horse); (5) a small bony fragment located in a defect in the apical pa...
[The oxygen pathway: how well-built is the respiratory system?]. The question is explored of how the structural systems that constitute the pathway for oxygen from the air through the lung and the circulation of blood to the mitochondria in muscle cells affect the O2 flow rate, and whether their quantitative structural characteristics conform to the hypothesis of symmorphosis which postulates a match of structural design to overall functional demand. By combining physiological and morphometric studies, it is first demonstrated that the diffusing capacity of the human lung is slightly larger than that needed for maximal O2 uptake. Comparative studies of smal...
Prevalence of, and factors associated with, musculoskeletal racing injuries of thoroughbreds. All horses diagnosed by a commission veterinarian of the Kentucky Racing Commission as having sustained a musculoskeletal injury, defined as an obvious change in soundness immediately before, during, or after a race held between Jan 1, 1992 and May 31, 1993 were included in a study to determine the prevalence of and factors associated with racing injuries involving the musculoskeletal system of horses competing at 4 Thoroughbred racetracks in Kentucky. During the 17-month study, there were 35,484 racing starts among 7,649 horses in 3,824 official Kentucky Racing Commission races. During this p...
Scintigraphic and ultrasonographic diagnosis of soft tissue injury in a thoroughbred horse. A 2.5-year-old female Thoroughbred horse was referred to the veterinary teaching hospital for right front limb lameness of 1 year duration. Physical examination and diagnostic nerve blocks failed to localize the origin of the lameness. Scintigraphy with 99mTc-MDP suggested increased radionuclide uptake in the palmar metacarpal soft tissues of the right front limb. Ultrasonographic examination revealed hypoechoic lesions in the superficial digital flexor tendon and the suspensory ligament, suggesting tendinitis and desmitis. Combined imaging modalities improved detection and characterization of...
Kinetic evaluation of muscle damage during exercise by calculation of amount of creatine kinase released. To quantify the extent of muscle alteration during prolonged exercise, the release rate of creatine kinase (CK) from striated muscle was measured in six horses during a rest period (6 h) and during three exercise tests (15, 30, and 60 km) at a constant speed of 200 m/min. CK clearance was measured after intravenous bolus administration (150 U/kg) of a CK solution obtained from horse muscle. The CK steady-state volume of distribution was 0.059 +/- 0.0215 l/kg, the terminal half-life was 123 +/- 28 min, and the plasma clearance was 0.36 +/- 0.10 ml.kg-1 x min-1. After an intramuscular CK adminis...
Effect of oxytetracycline on metacarpophalangeal and distal interphalangeal joint angles in newborn foals. Thirty-five newborn foals were assigned to 1 of 3 groups and treated with 0.9% NaCl solution (saline; group 1; n = 12), oxytetracycline (44 mg/kg of body weight; group 2; n = 12), or 2-pyrrolidone (oxytetracycline vehicle; group 3; n = 11) in saline solution during the first 36 hours after birth. Serum biochemical analyses were performed on samples obtained from group-1 and group-2 foals before treatment and 24 and 96 hours after treatment. Lateral to medial radiographic views of the forelimbs were obtained before treatment and 24 and 96 hours after treatment in all foals. Metacarpophalangeal ...
Muscular changes in Venezuelan wild horses naturally infected with Trypanosoma evansi. Skeletal muscle biopsy specimens were taken from 10 male horses naturally infected with Trypanosoma evansi and from 10 uninfected males. An indirect fluorescent antibody test was used to provide a rapid and reliable indication of infection. Histological, histochemical and transmission electron microscopical techniques were used to examine skeletal muscle. The ultrastructural features in muscle fibres were those usually seen in autoimmune disease, namely fibre and capillary necrosis and mononuclear cell infiltration, consisting of macrophages. Changes in fibre-type percentages did not occur in ...
Age-related storage of iron in the liver of horses. The non-haem iron concentration was estimated in post-mortem liver samples from 51 horses (age range 1-25 years). Two were normal and 49 had been suffering from conditions that were not expected to have had long-term effects on iron metabolism. Muscle samples (splenius and biceps femoris) from 23 of these horses were also analysed. There was a highly significant age-related increase in the non-haem iron concentration in the liver (r = 0.635, p < 0.001), but not in the muscles, in which the iron concentration was much lower than in the liver.
Idiopathic peripheral neuropathy in a horse with knuckling. We report the pathological findings of the skeletal muscle and peripheral nerves from a male 14-months-old thoroughbred horse showing idiopathic knuckling. The affected animal, when in staining position, presented knuckling at the fetlock joint of both forelegs, and dragged both fore- and hindlegs when attempting forward movement. The skeletal muscles demonstrated neurogenic atrophy characterized by the scattering of single angular fibers, groups consisting of five to ten angular fibers, and multiple fascicles of atrophic and hypertrophic fibers. The severity of changes tended to be a distal g...
Effect of central or marginal location and post-operative exercise on the healing of osteochondral defects in the equine carpus. The effects of osteochondral defect location and post-operative walking exercise on structural repair and recovery of joint function were examined in the midcarpal joints of ponies. Functional recovery was monitored by measuring ground reaction forces using a force plate. Structural repair was evaluated histologically and by measuring the total collagen and uronic acid content and relative proportions of Type I and II collagen in the repair tissue. Central defects tended to cause a more marked functional disturbance but were repaired with fibrocartilage rather than fibrous tissue in 3 out of 6...
