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.
Bain FT, Merritt AM.To investigate the possibility that a disorder of potassium balance may have a role in the development of equine rhabdomyolysis, the potassium concentration within erythrocytes (RBC [K+]) and plasma (P [K+]) was measured in 3 groups of horses: group 1, eight 2-year-old fillies that had postexercise muscle soreness within 48 hours of sample collection; group 2, ten 2-year-old fillies subjected to identical management and training conditions (as fillies of group 1) and that did not have signs of myopathy; and group 3, 32 yearlings of both sexes on the farm of origin of groups 1 and 2 that were p...
Genovese RL, Rantanen NW, Simpson BS, Simpson DM.A method to quantitate as well as to document SDFT pathology has been described. This report indicates that computer-assisted evaluation of SDFT damage can improve the accuracy of prognosis in clinical practice. It would appear that a 3.8 severity rating is a limit past which prognosis for successful racing starts to worsen rapidly.
Foerner JJ, McIlwraith CW.This article attempts to address what the authors consider to be the major orthopedic problems in the racehorse, with particular attention to their treatment and prognosis. These problems include fractures, osteochondral fragments, synovitis, degenerative joint disease, tendinitis, desmitis, osteochondritis dissecans, and subchondral cystic lesions of the joints.
Blevins WE, Widmer WR.This article focuses on the principles involved in making radiographs of equine limbs; understanding radiographic anatomy, including normal variations; and principles of radiographic interpretation. The influence of pathogenesis of disease on the radiographic image is considered. Diseases associated with racing as well as the developing racehorse are discussed.
Pool RR, Meagher DM.Many lesions of the musculoskeletal system of racing horses are either acute traumatic lesions or are chronic biomechanically induced lesions that become suddenly unstable and provoke acute clinical signs. The latter lesions along with those of DJD are much more common and are of much greater overall economic importance to the racing industry than are the acute traumatic injuries. Chronic biomechanical lesions occur at predictable sites and are the result of an imbalance between repetitive microtrauma sustained in athletic performance and adaptive repair mechanisms of skeletal tissues. The dis...
Honnas CM, Snyder JR, Meagher DM, Ragle CA.Traumatic disruption of the suspensory apparatus is a catastrophic injury in the horse. Although this injury has been described in the adult, little information is available in the foal. This paper describes 3 foals with metacarpophalangeal joint instability caused by traumatic disruption of the suspensory apparatus. Two foals had biaxial proximal sesamoid fractures in a single forelimb, and 1 foal had avulsion of the distal sesamoidean ligaments in 1 forelimb plus biaxial proximal sesamoid fractures in the other forelimb. The foals with single forelimb involvement were managed with splints, a...
Kannegieter NJ, Burbidge HM.The radiographic and arthroscopic findings in 150 carpal joints in 114 lame horses were compared. Chip, slab, or sagittal fractures were identified in 130 (87%) joints. In 101 (78%) of these there was good agreement between radiographic and arthroscopic findings on the number and position of fractures. In 23 (18%) joints, chip fractures additional to those seen radiographically were found arthroscopically. In one joint a large chip fracture from the craniolateral aspect of the distal radius was identified only by arthroscopy, while in 6 joints fractures were identified only by radiography. Obs...
Palmer SE.Lameness of the Standardbred racehorse is a function of rigorous training programs, year-round racing schedules, hard racetrack surfaces, and the draft load. In this article, principles of lameness diagnosis and treatment are reviewed, with emphasis upon common or unique problems of the trotter and pacer. The role of physical therapy as an adjunct to medical and surgical treatment of lameness is described. Options for management of chronic pain are discussed, and a limited glossary of descriptive terms that are unique to harness racing is provided.
Seeherman HJ, Morris E, O'Callaghan MW.Discovering the cause of poor performance in racehorses can often represent a considerable challenge eluding the more common diagnostic techniques available at the racetrack. Application of sports medicine techniques to these problem cases can aid in the diagnosis of poor performance. Central to the development of this capability has been the use of highspeed treadmills, allowing the racehorse to be evaluated in the controlled laboratory setting, at exercise intensities equivalent to those of racing. Video and cinematographic gait analysis can be used in the diagnosis of subtle lameness condit...
Goodman NL, Baker BK.Lameness problems constitute a major part of racing Quarter Horse practice. This article considers the diagnosis, prognosis, and treatment of the frequently encountered lamenesses. The main conditions included are synovitis, intra-articular fractures, osteochondritis dissecans, and degenerative joint disease as they relate to the coffin, fetlock, carpal, and tarsal joints. Intra-articular injection techniques and medications are discussed because of the frequency of joint disease. Bucked shins and stress fractures are also reviewed.
Brice AG, Forster HV, Pan LG, Lowry TF, Murphy CL.We determined the effect of acute hypoxia on the ventilatory (VE) and electromyogram (EMG) responses of inspiratory (diaphragm) and expiratory (transversus abdominis) muscles in awake spontaneously breathing ponies. Eleven carotid body-intact (CBI) and six chronic carotid body-denervated (CBD) ponies were studied during normoxia (fractional inspired O2 concn [FIO2] = 0.21) and two levels of hypoxia (FIO2 approximately 0.15 and 0.12; 6-10 min/period). Four CBI and five CBD ponies were also hilar nerve (pulmonary vagal) denervated. Mean VE responses to hypoxia were greater in CBI ponies (delta a...
Nixon AJ.Periarticular anatomy and techniques for arthroscopic access to the equine elbow were studied in six joints from cadavers. Caudomedial and craniolateral approaches were evaluated subsequently in 11 anesthetized horses. The caudomedial approach was made between the flexor carpi radialis and flexor carpi ulnaris muscle bellies. Most of the caudal articular surfaces of the humeral condyles, the caudal perimeter of the radius, and the trochlear notch and portions of the anconeal process of the ulna could be identified. The voluminous caudal joint capsule cul-de-sac proximal to the anconeal process...
Easley KJ, Stashak TS, Smith FW, Van Slyke G.Thirty-six superficial digital flexor tendons from nine fresh equine cadavers were transected and sutured with size 2 monofilament nylon. Nine tendons were repaired with each of four suture patterns: single-locking loop, double-locking loop, triple-locking loop, or three-loop pulley. The times required for application, tensile strengths, resistance to distraction (gap), and modes of failure were analyzed. The mean times required were: single-locking loop, 3 mins, 15 secs; double-locking loop, 4 mins, 15 secs; triple-locking loop, 10 mins, 50 secs; and three-loop pulley, 4 mins. The double-lock...
Lawrence L, Kline K, Miller-Graber P, Siegel A, Kurcz E, Fisher M, Bump K.Twenty-two Standardbred horses in race training were used in a crossover experiment to determine the effect of oral sodium bicarbonate (NaHCO3) administration on performance and metabolic responses to a 1.6-km (1-mile) race. Horses were paired and one horse in each pair was treated with either NaHCO3 (300 mg/kg BW) or a placebo, 2.5 h before they raced against each other. Each horse was scheduled to compete in two races, approximately 1 wk apart, one on each treatment. Horses always raced in the same pairs. Fourteen horses successfully completed both races. Jugular blood samples were obtained ...
Garrett PD.Thoracic limbs from 8 horses were dissected. The dorsoscapular ligament was determined to consist of a collagenous part that fused to the surface of the thoracolumbar fascia and of an elastic part that extended laterally from the collagenous part to attach to the medial surface of the scapula and interdigitate with fibers of the serratus ventralis thoracis muscle.
Ohshima K, Satake S, Ono M, Ajito T, Okada K, Numakunai S.A pathological study was performed on osteoarthrosis detected at autopsy in 20 horses whose ages ranged from 21 days to 17 years old. They were asymptomatic on the joints except in 3 animals, and autopsied after death or sacrificed due to accidental fracture or other diseases. Lesions of osteoarthrosis were recognized in all horses, which tended to increase in incidence and severity according to age. Lesions were concentrated at hinged joints such as the elbow, fetlock, and hock. Synovial fossae and ulcerative lesions were observed on each opposite articular cartilage, forming the so-called mi...
Manohar M.The present study was carried out on seven healthy ponies to examine the extent of blood flow in various inspiratory and expiratory muscles at rest and during maximal exertion as well as to determine the proportion of cardiac output needed to perfuse respiratory muscles during these conditions. Tissue blood flow was studied with 15 micron-diameter radionuclide-labeled microspheres injected into the left ventricle during steady conditions. The inspiratory and expiratory muscles comprised 2.41 and 3.05% of body weight, respectively, and received 6.17 and 3.75% of the cardiac output at rest. With...
van den Bogert AJ, van Weeren PR, Schamhardt HC.In movement analysis of the horse, large errors result from movements of the skin with respect to the underlying bones. A generally applicable, two-dimensional, method for correction of these skin-movement errors in kinematic data has been developed. It was tested on a kinematic analysis of the hindlimb in a walking pony. The results indicate that without correction for skin-movement errors, misreadings of up to 15 degrees in the knee angle and 30% in the moment arm of the gastrocnemius muscle can be expected.
Harris RC, Marlin DJ, Dunnett M, Snow DH, Hultman E.1. Muscle buffering capacity (beta m) and dipeptide content were measured in locomotory muscles of the Thoroughbred horse, Greyhound dog and Man. 2. Beta m and carnosine contents were highest in the horse. Anserine was only found in dog muscle. 3. The higher beta m in horse and dog muscle, compared with man, appears to be predominantly due to higher muscle contents of histidine containing dipeptides in these species.
Harris RC, Foster CV.Treadmill exercise in Thoroughbred horses of 2 min duration and increasing intensity resulted in increased formation and accumulation of acetylcarnitine in the working middle gluteal muscle. At high work intensities a plateau in acetylcarnitine formation was reached corresponding to approximately 70% of the total carnitine pool (approx. 30 mmol.kg-1 dry muscle). Formation of acetylcarnitine was mirrored by an equal fall in the free carnitine content, which stabilised, at the highest work intensities, at around 8 mmol.kg-1 dry muscle. Acetylcarnitine and carnitine reached their point of maximum...
Hegreberg GA, Reed SM.A progressive neuromuscular disorder in young horses, clinically apparent as early as 1 month of age, is characterized by generalized myotonia, muscle stiffness, muscle weakness and atrophy. Myotonia is identified by percussion dimpling and myotonic EMG discharges. Changes in one case included testicular hypoplasia, cataract formation, and glucose intolerance, indicating a systemic involvement. Pathologic changes in skeletal muscles from three affected foals were examined. Sarcoplasmic masses, ringed fibers, internal positioning of sarcolemmal nuclei, and nuclear rowing were among the primary ...
Gill KK, Kroeger EA.Equine airway smooth muscle is innervated by vagal efferents and, in addition, displays spontaneous mechanical activity. The preparation thus appears to contain at least two discrete excitable components, the cholinergic neural elements and the smooth muscle membrane. Indomethacin (INDO), a cyclooxygenase (CO) inhibitor, exerts a considerable potentiation of function in this preparation. The latter may be effected indirectly, through loss of the inhibitory effect of endogenous prostaglandin E2 (PGE2) on neural acetylcholine release and through direct effects on smooth muscle of the generally a...
Hermanson JW, Hurley KJ.The biceps brachii of horses is a complex muscle subdivided into two heads which may subserve distinct functions. The lateral head contains a large percentage of type I myofibers. This region is largely composed of short fibers (5-7 mm long) arranged in a pinnate fashion and heavily invested with connective tissue. The medial head contains fewer type I fibers and is composed of relatively longer myofibers (15-20 mm long), also arranged in a pinnate fashion but less heavily invested with connective tissue. It is hypothesized that the lateral muscle head of biceps brachii contributes to the post...
Albu I, Georgia R, Georoceanu M.The Haversian canal system in the diaphysial compacta of the femur in 4 mammalian species (dog, pig, bovine, horse) was studied on the decalcified bone using a method developed by the authors. In the microscopic studies we found that in all species the network aspects vary with the depth of the compacta layer. In all layers, there is a background of longitudinal canals with more or less regular trajectories describing large curves. The anastomoses linking them are main elements that define the variety of the network aspects both from layer to layer and from species to species. The canal densit...
Verschooten F, Picavet TM.Desmitis of the fetlock annular ligament was diagnosed in 30 horses during a period of eight years. Most of the horses had been lame for a prolonged period and had chronically distended digital flexor tendon sheaths. Air tendograms demonstrated thickened palmar or plantar annular ligaments. In 25 horses the ligament was cut longitudinally; of these, 16 horses returned to full work without any difficulty and one became sound after a second operation. Follow up time varied from three months to seven-and-a-half years. None of the five untreated horses returned to work.
Valentine BA, Rousselle SD, Sams AE, Edwards RB 3drd .Three horses with fibrotic myopathy were examined for neuromuscular disease. In 2 horses, concentric needle electromyography was performed. Dense spontaneous activity suggestive of denervation, was found in multiple thigh muscles of 1 of the 2 horses. All 3 horses were euthanatized. Histochemical and histologic examination of tissue specimens was performed. All horses had degenerative lesions in peripheral and intramuscular nerves. Angular atrophy of type-1 and type-2 muscle fibers, indicative of denervation atrophy, was seen in multiple muscle specimens from all 3 horses. One horse was found ...
Lovell DK.Through the study of equine exercise physiology, one can learn more about what happens to the body of the performance horse during all forms of exercise. Better understanding of skeletal, joint, tendon, and ligament adaptations to loading and stress may allow adjustments to be made in training techniques to reduce the incidence of injury. The information obtained from exercise research may also facilitate the investigation of questions such as the following: What makes one horse perform better than another? How can one bring out the optimal performance in each horse? How can one tell when a ho...
Bischofberger AS, Hadidane I, Wereszka MM, Perkins NR, Jeffcott LB, Dart AJ.To determine the effect of horse age and laryngeal prosthesis location on rima glottidis area in cadaveric larynges. Methods: Experimental study. Methods: Cadaveric equine larynges (n = 40). Methods: Specimens were grouped by age: group 1, ≤5 years (n = 18); group 2, >5 to ≤10 years (n = 12); group 3, >10 years (n = 10). A cranial prosthesis was placed through the dorsal cricoid spine at 70% of the distance of the total cricoid length measured from the caudal rim. A dorsal prosthesis was placed through the caudal rim of the cricoid on the dorsal midline. A lateral prosthesis was plac...
Denac M, Bebié P, Scharrer E.The effects of various neurotransmitters and electrical field stimulation on muscle strips from the distal equine esophagus were studied. Acetylcholine (ACH) caused concentration dependent (1.1-55 x 10(-6) mol/l) contractions of the longitudinal and circular muscle strips from the distal esophagus as well as from the lower esophageal sphincter (LES). Atropine (10(-5) mol/l) blocked these contractions. Noradrenaline (NA) induced concentration related (1.1-55 x 10(-6) mol/l) contractions of the muscle strips from the LES. This excitatory effect of noradrenaline was antagonized by the alpha 1-rec...
Silva MAB, Lupianhes AFG, Lage JB, Sande LAP, Rosa RC, Lombardi LA, Espindula AP.Activation of the trunk and lower limb muscles, namely the multifidus, rectus abdominis, rectus femoris, and tibialis anterior, was analyzed using surface electromyographyin 40 young, healthy, and sedentary individuals. Methods: Data were collected from sneaker-clad subjects with independent gait and during hippotherapy using saddles and blankets, with the feet in and out of the stirrups. Results: Surface electromyography results demonstrated a statistically significantly greater activation of the rectus femoris comparison to tibialis anterior muscle during hippotherapy. No statistically signi...