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.
Riley CB, Yovich JV, Huxtable CR.A fusion defect of the proximal and middle phalanges of both hindlimbs, osteochondrosis dissecans of the distal interphalangeal joints of the forelimbs, and subluxation of all 4 distal interphalangeal joints occurred in a Standardbred filly. Lameness was the first abnormality noted and was observed at one week of age in the left forelimb and progressed until all 4 limbs were affected by 5 weeks of age. On radiographs of both forelimbs, the distal interphalangeal joints were subluxated with irregularity and lucency of subchondral bone. On radiographs of the distal hindlimbs, there was a subluxa...
Lalatta Costerbosa G, Barazzoni AM, Clavenzani P, Callegari E.In this study the histochemical fiber type analysis of the articularis humeri muscle of the horse was performed. This muscle is composed of type I and type IIA fibers. A large number of spindles has been observed and the presence of these receptors could help to understand the role played by this muscle.
Specht TE, Miller GJ, Colahan PT.The breaking strength (stress at failure) of equine third metacarpal bones, with and without clustered drill holes, was determined in vitro. Paired ossa metacarpalia II-IV of 39 horses (n = 39) between 2 and 7 years old were tested in palmarodorsal 3-point bending. Four treatments were compared. Clustered 2.7- or 3.5-mm drill holes, in a 4- or 7-hole pattern, were made in the dorsal cortex of the distal diaphysis of the left third metacarpal bone. Undrilled right third metacarpi were used as controls. Bones with clustered drill holes failed by an oblique fracture through 1 or more drill holes,...
Langton CM, Ali AV, Riggs CM, Evans GP, Bonfield W.A portable system using a direct contact for the measurement of ultrasonic velocity and broadband attenuation in bone is described (contact ultrasonic bone analyser, CUBA). Soft-tissue compensation is performed using an ultrasonic pulse-echo technique. CUBA has been successfully validated using reference materials, the precision of velocity and broadband attenuation measurements being typically 0.2% and 0.5% respectively. The clinical reproducibility has been assessed on the equine third metacarpal bone. The reproducibility of velocity measurement is typically 0.5% for cortical bone and 1% for...
Kannegieter NJ.Chronic proliferative synovitis of 27 metacarpophalangeal joints in 16 horses is described. The diagnosis was based on a history of lameness and, or, poor performance, pain on flexion of the metacarpophalangeal joint, the response to intra-articular anaesthesia, and plain and contrast radiography. Radiographic findings included concavity of the distal dorsal metacarpus proximal to the sagittal ridge, and an increase in size of the synovial tissue adjacent to the proximal, dorsal attachment of the joint capsule. Mineralisation of the synovial tissue was present in some joints, and chip fracture...
Schougaard H, Falk Ronne J, Phillipson J.This research study investigated the prevalence and potential genetic factors of tibiotarsal osteochondrosis, a joint condition, in trotting horses in Denmark through a radiographic survey. The study examined 325 yearlings, […]
Nixon AJ.An arthroscopic procedure for examination of the digital flexor tendons and tendon sheath was developed in 16 equine limbs and 12 horses. Distension of the tendon sheath and insertion of the arthroscope was accomplished through a cul-de-sac on the palmar or plantar surface of the tendon sheath 1 to 2 cm palmar or plantar to the digital neurovascular structures and between the annular ligament and proximal digital annular ligament. A single arthroscope entry point allowed examination of all regions of the tendon sheath cavity and most surfaces of the digital flexor tendons within the sheath. Di...
Nunamaker DM, Butterweck DM, Provost MT.The North American Thoroughbred racehorse was chosen as a model to study the pathogenesis of fatigue failure of bone. This species has a high incidence of spontaneous fatigue failure of bone (bucked shins) during its early training. In vivo strain gauge studies of the third metacarpal bone of four young racehorses running at racing speeds showed high principal compressive strains [-4,841 +/- 572 (SD) microstrain] while two older horses had lower principal compressive strains (-3,317 microstrain measured at racing speed, -3,250 microstrain extrapolated from a slower speed run). Previously repor...
Hago BE, Plummer JM, Vaughan LC.The structure of equine synovial tendon sheaths and bursae has been examined by light and scanning electron microscopy. Tissue samples were obtained from horses of various types and ages with no clinical evidence of sheath or bursal disorders. The interior of both structures was lined by a cellular layer superimposed on a vascular zone supported by a fibrous layer. The pattern of cell distribution of the lining varied from site to site within the same structure depending on the nature of the underlying tissue and on the amount of movement to which the structure was subjected. The cellular laye...
Nishita T, Matsushita H.A sensitive sandwich enzyme immunoassay (EIA) for measuring equine carbonic anhydrase III (CA-III) was established using a microplate as a solid-phase and peroxidase as a labelling enzyme. The assay can detect concentrations as low as 5 ng/ml using 20 microliters of sample sera. Within-run coefficients of variation obtained using standard equine CA-III were less than 5 per cent. CA-III levels in equine serum ranged from 5 to 50 ng/ml (n = 370), and apparently abnormal levels of CA-III from 100 to 1900 ng/ml (n = 27) were observed. The concentrations of immunoreactive CA-III in the extracts of ...
Carlin JI, Harris RC, Cederblad G, Constantin-Teodosiu D, Snow DH, Hultman E.Treadmill exercise of 2-min duration and increasing intensity resulted in increased formation of acetyl-CoA and acetylcarnitine in working muscle of Thoroughbred horses. At high work intensities a plateau was reached for both acetyl-CoA (approximately 50 mumols/kg dry muscle) and acetylcarnitine (approximately 20 mmol/kg dry muscle). Postexercise concentrations were significantly (P less than 0.001) correlated; [acetylcarnitine] = 349.[acetyl-CoA] + 2.4. The results indicate that approximately 350 mumols acetylcarnitine were accumulated for every 1 mumol acetyl-CoA. Under the conditions of exe...
Barrey E.A greater knowledge of the biomechanics is necessary in equine orthopaedics, therapeutics, farriery and for the selection of athletic horses. The purpose of this study was to determine the normal distribution of the vertical component of the hoof force using a measuring boot. The measurements were carried out using 20 sound horses walking and trotting on a straight hard track. A force measuring horseshoe, attached to the foot with a boot, provided continuous recording of vertical forces at four locations on the hoof. For each measuring location, a computer program produced curves and calculate...
van Weeren PR, van den Bogert AJ, Barneveld A, Hartman W, Kersjes AW.The function of the reciprocal apparatus in the hind limb of the horse was studied by kinematic gait analysis. For recording purposes a modified opto-electronic CODA-3 kinematic analysis system was used. The raw kinematic data were corrected for skin displacement artifacts by use of recently developed correction models. It was concluded that contradictory findings about the coupling of tarsal and stifle joints by the reciprocal apparatus, when comparing in vitro and in vivo studies, can be fully attributed to artifacts due to the movement of the skin markers over the underlying bony structures...
Clayton HM.High speed cinematography was used to measure the timing and distance characteristics of the trot in five sound horses. Two farriery treatments were compared: (1) normal, in which the dorsal hoof wall was aligned with the pastern axis in all four feet and (2) acute hind hoof angulation, in which the hind toes were allowed to grow relatively longer than the heels, so that the angulation was approximately 10 degrees lower than the normal hind hoof angle for the individual animal. Comparison between the two treatments showed that the acute hind hoof angulation was associated with significant incr...
van Weeren PR, van den Bogert AJ, Barneveld A.Displacement of skin over the underlying skeletal structures in the proximal parts of the limbs was investigated in four walking Dutch Warmblood horses. Movement of the skin was visualised with self adhesive spot labels whereas that of the skeletal parts was visualised indirectly by means of a plastic strip connected to a transcutaneous Steinmann pin, driven into the bone of interest. Consistent results for all four horses were found. Individual and mean total displacements ranged from 1 to 4 cm (distal scapula) to 13 to 17 cm (caudal part of the greater trochanter of the femur). Displacements...
van Weeren PR, van den Bogert AJ, Barneveld A.Skin displacement was investigated at 16 sites in the front and hind limbs of four Dutch Warmblood horses at the trot. For visualisation of the bone under the skin, a measuring device mounted on a Steinmann pin driven into the bone under investigation, was employed. Mean displacements ranged from 8 mm (X-displacements proximal and distal metacarpus) to 142 mm (Y-displacement caudal part of greater trochanter). When compared with previously determined skin displacement patterns at walk, mean displacements at trot were of the same magnitude whereas the shape of the time-displacement curve was di...
Clayton HM.High speed cinematography was used to describe the stride kinematics in a group of six, sound horses subjected to two farriery treatments, designated 'normal' and 'acute' hoof angulation. Normal was defined as having the dorsal hoof wall aligned with the pastern axis, whereas the acute hoof angulation was approximately 10 degrees lower than the normal angle for the individual horse. The acute angle was achieved by allowing the toes to grow relatively longer than the heels. The results of a multivariate analysis of variance showed significant differences between the two farriery treatments in t...
Lanyon LE.The skeleton consists of a series of elements with a variety of functions. In locations such as the skull, where shape or protection are of prime importance, the bone's architecture is achieved during growth under predominant genetic control. In locations such as the limbs, where the ability to withstand repetitive loading is important, only the general form of the bone will be achieved as a result of growth alone, the remaining characteristics resulting from an adaptive response to functional load bearing. In the horse, this functional load-bearing will be provided by the animal's natural act...
Barber SM.A 2 month old quarter horse colt had multiple skeletal abnormalities of the left fore limb, including two supernumerary metacarpal bones, two supernumerary carpal bones, abnormal carpal bone development, and a valgus deformity originating at the carpal joint. The largest supernumerary metacarpal bone was removed completely, a portion of the smaller supernumerary metacarpal bone was removed, and the leg was placed in a tube cast. Surgical treatment improved the clinical appearance and prevented further injury to the limb. The carpal joint width remained increased but the carpal valgus deformity...
Caron JP, Fretz PB, Bailey JV, Barber SM.Arthrodesis of the proximal interphalangeal joint was used to treat lameness resulting from osteoarthrosis and for closed subluxation in 35 horses. Six horses had bilateral arthrodeses. Several conventional internal fixation techniques and a three converging screw method were used. Criteria for success included the horse performing its previous or intended athletic activity and the owner being satisfied with the outcome. Using these criteria, a successful outcome was obtained in 65% of the 26 animals in which adequate follow-up was available. A successful outcome was observed in four of six ho...
Jones AJ, Bee JA.The digital flexor tendons of the neonate and adult horse have been compared with respect to variation in extracellular matrix composition along their length. Two pepsin-sensitive, acetic acid soluble proteins, molecular weight (Mr) 52 kD (np 52) and Mr 54 kD (np 54), were prominent throughout the length of neonatal tendons. In adult tendon, np 52 and np 54 were less abundant and restricted to the cannon (metacarpal) region. In contrast, a single pepsin- and collagenase-resistant protein of Mr 55 kD (fp 55) was exclusive to the fetlock (metacarpophalangeal joint) region regardless of age, alth...
Barr AR, Sinnott MJ, Denny HR.The clinical signs and radiographic appearance of 19 cases of fracture of the accessory carpal bone of horses are described. In 17 cases the fractures were in the frontal plane and occurred palmar to the groove on the lateral aspect of the bone. In six cases radiographs taken six months to three years after the fracture occurred showed no evidence of bony union; nevertheless, these and five other horses for which follow-up information was available for up to seven years all became sound, and seven of them returned to competitive activity.
Ayala I, Rodríguez MJ, Aguirre C, Buendía AJ, Belda E, Laredo FG.This report describes a case of postanesthetic brachial triceps myonecrosis affecting only the left forelimb of a horse. A fatal unilateral postanesthetic myonecrosis has not been previously reported in the horse. This article describes the factors in the horse's history, the anesthetic protocol, and the treatment that may have led to this condition. Ce rapport décrit un cas de myonécrose postanesthésique du triceps brachial affectant seulement la patte avant gauche. Une myonécrose postanesthésique unilatérale mortelle n’avait pas encore été signalée chez le cheval. Le présent art...
O'Connor CI, Nielsen BD, Schott HC, Clayton HM.Weight training is commonly used by human athletes to increase strength and fitness. This study was performed to examine the effect of weight-carrying and nutritional supplementation on muscle development and growth in young horses. This study examined the effect of weight-carrying and nutritional supplementation on muscle development and growth. Seventeen horses were divided into 3 groups: controls exercised in a free-flow exerciser, a weight group that performed the same exercise, carrying progressively increasing weight up to 45 kg, and a weight-supplement group, that also received a myo-an...
Barr AR, Sridhar B, Denny HR.Five horses with long incomplete longitudinal fractures of the third metacarpal bone and three horses with similar fractures of the third metatarsal bone were examined. In three of the metacarpal fractures a long incomplete fissure extended proximomedially, in association with the more common lateral condylar fracture of the third metacarpal bone, and in the other two cases the fracture originated from the medial aspect of the distal articular surface. In the three horses with fractures of the third metatarsal bone the fractures had a consistent spiral configuration.
Jalim SL, McKinnon AO, Russell TM.A Monteggia fracture is a humero-radial luxation combined with a fracture of the ulna. It is a rare injury, infrequently reported in the horse. This case report describes the surgical repair of such a fracture in a 4-month-old filly.
Vaughan LC.Local disorders of bone growth form an important group of the orthopaedic problems that occur in foals. The recognition of the condition presented is essential so that the appropriate corrective measures may be instituted, and an accurate prognostication made. A knowledge of the applied anatomy of the growth plate is essential to the understanding of these cases. Consideration is given to epiphyseal separation and to angular deformity, from the point of view of diagnosis, prognosis and treatment.
Davies PC.An 11-year-old mare presented with neuromuscular deficits and what resembled shivering in the left hind limb. On necropsy, there was no evidence of denervation atrophy of the left hind gastrocnemius muscle. The spinal cord had a small, right-sided lesion at C3-C4 and C4-C5. Tests for equine herpesvirus-1 and Sarcocystis spp. were negative.
Perkins JD, Raffetto J, Thompson C, Weller R, Piercy RJ, Pfau T.To investigate the influence of simulated contraction of the cricoarytenoideus dorsalis (CAD) muscle on the 3-D motion of the arytenoid cartilage. Methods: 5 larynges from equine cadavers. Methods: Serial computed tomographic scans of each larynx were conducted at 7 incremental forces simulating contraction of medial, lateral, and combined bellies of the left CAD muscle. Three-dimensional reconstruction of radiopaque markers placed at anatomic landmarks on the left arytenoid and cricoid cartilages enabled quantification of marker displacement according to a Cartesian coordinate system. Rotatio...
Wijnberg ID, Franssen H, van der Kolk JH, Breukink HJ.To evaluate the application of analysis of motor unit action potentials (MUAP) in horses and to obtain values of MUAP for the subclavian muscle of horses. Methods: 10 healthy adult Dutch Warmblood horses. Methods: Electromyographic examination of the subclavian muscle in conscious nonsedated horses was performed to evaluate insertional activity, spontaneous activity, MUAP variables, and recruitment patterns. Muscle and body temperatures were measured at the beginning and end of the procedure. Amplitude, duration, number of phases, and number of changes in direction (ie, turns) for all represen...