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.
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.
Hago BE, Vaughan LC.Contrast radiography was used to determine the position, shape, relationship and capacity of a number of tendon sheaths and bursae which have clinical significance in the horse. It was possible to establish the normal range of radiographic anatomy for these structures. Some variation in the extent and form of tendon sheaths were found between individual horses and between foals and adults.
Townsend HG, Leach DH, Doige CE, Kirkaldy-Willis WH.The relationship between spinal biomechanics and pathological changes occurring in functionally normal equine thoracolumbar spines was studied in 23 horses. Ventrolateral vertebral body osteophytes occurred in 36 per cent of the spines. The majority occurred between the 10th and 17th thoracic vertebrae with the largest being found between the 11th and 13th thoracic vertebrae, the region of the thoracic spine where the greatest amount of lateral bending and axial rotation occurs. Impingement of the dorsal spinous processes was detected in 86 per cent of the spines with most lesions occurring be...
Richardson DW.A technique involving internal fixation guided by arthroscopy was used to repair third carpal slab fractures in 23 horses. The technique allowed good reduction and compression of the fractures, with minimal surgical trauma. Ten of 17 horses with a 6-month or longer follow-up have returned to race successfully.
Ott EA, Asquith RL.Three experiments using 63 Thoroughbred and Quarter Horse yearlings were conducted to evaluate the influence of level of feeding, and protein and calculated energy content of pelleted concentrates on growth and bone development. Animals were housed in drylot paddocks and individually fed concentrates twice daily. Coastal bermudagrass (Cynodon dyctylon) hay was group-fed. Yearlings offered a corn-based concentrate (3.56 Mcal digestible energy [DE]/kg) consumed levels of dry matter similar to yearlings fed a mixed-grain concentrate (3.32 Mcal DE/kg but consumed slightly more digestible energy. N...
Yovich JV, McIlwraith CW.Arthroscopic surgery for osteochondral fractures of the proximal phalanx was performed on 74 fetlock joints of 63 horses for a total of 87 fractures during a 2-year period. The medial dorsal proximal aspect of the proximal phalanx of the forelimbs was most commonly involved (59 fractures), followed by the lateral aspect (26 fractures), and 2 fractures occurred in the fetlock joint of the right hindlimb. At surgery, 82 fragments were removed and 5 fragments that had healed or were embedded in the joint capsule were not removed. Of the fragments removed, 15 were fixed firmly to the proximal phal...
van Weeren PR, Barneveld A.A method is presented for quantitative determination of skin movement over the underlying skeletal structures during normal locomotion of the horse. The principle of the method is simultaneous visualization of the position of the skin and the underlying bony structures, by marking the bones with implanted light-emitting diodes (LEDs) and the skin with self adhesive spot labels. Recordings were made using photography.
van Gurp M, Schamhardt HC, Hartman W, Crowe A.A dynamic model is developed to describe the swing phase of the hindlimb of a normally walking horse. The limb was represented by four rigid segments constrained to move in a sagittal plane only. The mathematical equations of motion of this four-element pendulum were formulated using Lagrange's theorem. The morphometric parameters from the hindlimb segments of 3 horses were determined using high-speed film analysis. Five muscle groups were incorporated in the model. Muscle activity was derived from earlier EMG measurements. Optimization of muscle moments resulted in a simulated swing movement ...
Firth EC.Low radial neurectomy in the left thoracic limb was performed in 4 mixed-breed weanling horses, with subsequent paralysis of the lateral and common digital extensor muscles. Weight bearing of the denervated and control limbs was discouraged by the use of special shoeing. Clinical signs of flexural deformity were not induced in the horses.
Dyson S.The results of a detailed investigation of 58 horses with suspected shoulder lameness are described. Lameness was found to originate distal to the shoulder region in 22 horses. No diagnosis was reached in five horses. Genuine shoulder problems occurred in 29 horses. The clinical signs of shoulder lameness are described and contrasted with lower limb lameness. The limitations of currently available diagnostic techniques are discussed. Problems identified in the shoulder region included osteochondritis dissecans, subchondral bone cysts, arthrosis, fracture, luxation, septic arthritis and soft ti...
Kold SE, Hickman J, Melsen F.Four full thickness cartilage defects, two linear and two elliptical, and four subchondral cavity defects were created at the point of weightbearing of the medial femoral condyle in four experimental ponies. This study showed that subchondral bone cysts can develop following full thickness (cartilage only) linear cartilage defects at a weightbearing location. Subchondral bone cysts did not develop following the removal of an elliptical piece of cartilage, exposing the subchondral bone. Primary subchondral defects created in communication with the joint cavity did not heal by replacement with b...
Wyn-Jones G, May SA.Over a period of seven years, 30 horses were treated by surgical arthrodesis for lameness resulting from osteoarthrosis of the proximal intertarsal, distal intertarsal and tarsometatarsal joints (bone and occult spavin). Twenty-five horses were affected in one hock only and five were affected bilaterally. Four different techniques for achieving arthrodesis were used. Fourteen out of 18 horses (78 per cent) with involvement of the distal intertarsal and tarsometatarsal joints only and six out of 11 horses (55 per cent) in which the proximal intertarsal joint was also involved became sound follo...
Palmieri G, Panu R, Asole A, Farina V, Sanna L, Gabbi C.The most developed and organized lamina running trough the biceps brachii muscle belly forms a well-marked tendinous intersection connecting the proximal tendon with the distal one. Moreover, the lacertus fibrosus arises from this lamina close to the distal tendon and blends with the fascia of the forearm and joins the extensor carpi radialis muscle. The nerve supply for the biceps tendinous intersection arises from the intramuscular rami of the musculo-cutaneous nerve, whereas the lacertus fibrosus is provided with some cutaneous rami of the same nerve. The biceps brachii tendinous intersecti...
Ronéus BO, Hakkarainen RV, Lindholm CA, Työppönen JT.Vitamin E requirements of adult Standardbred horses were evaluated by tissue depletion and repletion. All the horses used in the study were given the same basal feed low in vitamin E during the eight months of the experiment. After an initial depletion period of two-and-a-half months the horses were divided into groups according to the amounts of DL alpha-tocopheryl acetate given (0 mg, control; 200, 600, 1800 and 5400 mg, respectively) as a daily oral supplement. The supplement study was followed by a second depletion period. Total vitamin E content and individual natural tocopherol isomers a...
Elsner R.Examples of exercise performance and metabolic scope in non-human mammalian species are considered from the point of view of problems and questions which may provide insights into evolutionary processes influencing adaptations to muscular activity. Consideration of both aerobic and anaerobic performance is required. Some recent approaches, notably that concerned with the concept of symmorphosis, the integration of design for the accommodation of variations in activity, show promise of new ways for comparative investigations of the adjustments to exercise.
Dalin G, Jeffcott LB.Gait analysis can play an important role in exercise physiology, racetrack ergonomics, lameness prophylaxis, and assessment of performance potential in racehorses. This article concentrates on the methods used for gait analysis and considers some basic data on the different gaits of the horse.
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...
Bayly WM.A training program is designed with the aim of developing the specific physiologic capabilities required to perform a certain type of exercise. Such capabilities involve the psychologic familiarity with, and acceptance of, the required tasks, the development of the neuromuscular coordination to perform these tasks optimally, and the utilization of energy by the working muscles. This article presents some basic principles for the design of training programs and offers ideas on how these principles may be applied to the conditioning of horses.
Hodgson DR.Maintenance of muscular contraction during exercise requires large amounts of chemical energy. Although various sources of energy are available, adenosine triphosphate (ATP) is the universal intracellular vehicle of chemical energy within skeletal muscle. This article will focus on the various mechanisms of the production and breakdown of ATP.
Hodgson DR.This article provides an overview of the characteristics of skeletal muscle, with an emphasis on equine skeletal muscle. A discussion of many of the adaptive processes that can occur in this tissue in response to altered states of physical activity is also included.
Robinson NE.The primary function of the equine respiratory system is the exchange of oxygen and carbon dioxide at a rate that is matched to metabolism. Gas exchange requires ventilation, distribution of gas within the lung, perfusion of blood through pulmonary capillaries, matching of ventilation and blood flow, diffusion of gases between air and blood, and transport of gases to and from the muscles. In this article, the author reviews what is known about each of these processes in the resting and exercising horse.
Evans DL.The cardiovascular system provides the link between pulmonary ventilation and oxygen usage at the cellular level. During exercise, efficient delivery of oxygen to working skeletal and cardiac muscles is vital for maintenance of ATP production by aerobic mechanisms. The equine cardiovascular response to increased demand for oxygen delivery during exercise contributes largely to the over 35-fold increases in oxygen uptake that occur during submaximal exercise. Cardiac output during exercise increases greatly owing to the relatively high heart rates that are achieved during exercise. Heart rate i...
Chopin JB, Wright JD, Melville L, Robinson WF.This report describes traumatic avulsion of the lateral collateral ligament of the humeroradial joint in a horse. The history and diagnostic procedures are included with relevant radiographs and ultrasonographs. The poor prognosis associated with this injury is due to degenerative joint disease.
Aboul-Enein HY, Van Overbeke A, Vander Weken G, Baeyens W, Oda H, Deprez P, De Kruif A.Racemic ketoprofen is a non-steroidal anti-inflammatory drug used to treat musculoskeletal and colic conditions in horses. The enantioselective chiral inversion of ketoprofen administered to horses has been studied by use of cellulose tris(4-methylbenzoate), also known as Chiralcel OJ-R, as chiral stationary phase; acetonitrile - 0.02 M perchlorate buffer (pH 2.0)-methanol, 60:15:25 (v/v/v) was used as mobile phase. Before chromatography, to effect adequate chiral interaction with the chiral stationary phase ketoprofen was derivatized with 9-aminophenanthrene, under acid conditions, after soli...
Hobbs SJ, Mather J, Rolph C, Richards J.Radial strain in normal hooves has been found to vary with strain gauge location, limb posture and sample limb but reported magnitudes were considered to be low. More accurate measurement of radial strain may enhance the understanding of hoof function. Objective: To explore in vitro radial hoof strain in relation other kinetic and kinematic variables that may be related. Methods: Five normal forelimbs were removed at the proximal articular surface of the third metacarpal bone (McIII). The limbs were loaded using a modified Instron test machine. Six calibrated infrared cameras captured movement...
Sullins KE.Indications for performing orthopedic surgery on the standing horse include inability to tolerate general anesthesia, risk of worsening an injury during recovery from anesthesia, and cost. The surgeon should be aware that performing surgery in the standing horse can be more demanding and require more experience than the same procedures when the time and convenience of general anesthesia are available. Improved sedatives and analgesics have allowed more latitude because the horses now are more tolerant than when older agents were used. Common sense should be applied to each situation before the...
McClintock SA, Hutchins DR, Laing EA, Brownlow MA.Six adult horses with normal blood gas values, normal thoracic radiographs and free from overt signs of respiratory disease were confined in flotation tanks for periods from one to seven weeks. With one exception, they all coughed, had a variable amount of nasal discharge and, at autopsy, showed cranio-ventral alterations to their lungs which were characterised by patchy irregular areas of absorption atelectasis with or without an inflammatory reaction and an accompanying alveolar emphysema.
Kotzé SH, Soley JT.Spirally arranged bundles of sub-endothelial smooth muscle enfold the small to medium-sized submucosal veins in the equine ileocecal junction. The muscle bundles, accompanied by the endothelial lining, bulge into the lumen of the vessels, partly occluding the latter. Transmission electron microscopy of the muscle cells reveals features consistent with vascular smooth muscle ultrastructure. It is proposed that the throttling effect of the muscle bundles causes engorgement of the submucosal venous plexus, which then assists in the closing of the ileocecal orifice.
Davidson EJ, Martin BB.Stress fracture of the scapula in two horses is described. Both horses had a history of acute lameness after strenuous exercise. Using elective nuclear scintigraphy focal increased radiopharmaceutical uptake in the affected scapula consistent with a fracture was identified. Standing radiography was nondiagnostic in both horses. Ultrasonographic findings in one horse were consistent with a minimally displaced incomplete fracture. Both horses were treated conservatively and returned to train and race successfully postinjury. Veterinary
Eizema K, van der Wal DE, van den Burg MM, Dingboom EG, Everts ME.An optimal developed musculoskeletal system is vital for the performance of the horse. Previously, we showed that in the m. gluteus medius from adult untrained horses, identical mRNA and protein expression patterns were found in the majority of fibres. However, co-expression of IIa and IId/x myosin heavy chain (MyHC) was substantially more common at the protein than at the mRNA level, suggesting a transcriptionally controlled fine-tuning of these 2 genes. Objective: To analyse the MyHC transcripts and proteins (including the cardiac alpha isoform) in the same muscle during post natal developme...
Colahan P, Lindsey E, Nunier C.The pressure exerted on a flat level surface by recently trimmed, unshod hoofs of the front limbs of 23 sound, adult horses was measured using pressure-sensitive film and a specially built cassette. The horses were tranquilized and stood with one foot on the 2.9-cm-thick cassette and the other on a block of equal height. The hoofs were observed for motion during the measurement, and the developed film was examined for improper alignment of the film or slipping of the hoof. The center of pressure was located using the method of weighted proportions of Barrey. This static measurement system with...
Parker RA, Bladon BM, Parkin TD, Fraser BS.Increased radio-isotope uptake (IRU) in the subchondral bone of the plantaro-lateral condyle of the third metatarsus (MTIII) is a commonly reported scintigraphic finding and potential cause of lameness in UK Thoroughbred racehorses in training and has not been fully documented. Objective: To characterise lameness attributable to IRU of the subchondral bone of MTIII, compare the scintigraphic findings of these horses with a normal population and evaluate the use of scintigraphy as an indicator of prognosis. Objective: IRU will be in significantly higher in horses with subchondral bone injury an...