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.
Snow DH, Munro CD, Nimmo MA.The effects of 7 weekly injections of the anabolic steroid nandrolone phenylpropionate (400 mg) were investigated in 4 healthy, mature geldings. Measurement of body weight, nitrogen retention and plasma urea failed to demonstrate a consistent anabolic effects. Examination of biopsies from the semitendinosus and biceps femoris muscles showed no alteration in water content or glycogen concentration with treatment. Similarly no changes were found in the activities of 6 muscle enzymes. However, a significant increase in the proportion of fast twitch low oxidative fibres of the biceps femoris was o...
Nimmo MA, Snow DH, Munro CD.The effect of 11 weekly injections of nandrolone phenylpropionate (400 mg) on some skeletal muscle parameters was investigated in 6 Thoroughbred geldings undergoing training. Three muscles were sampled, the middle gluteal, the biceps femoris and the semitendinosus. Training alone produced increases in the percentage of fast twitch high oxidative fibres (FTH), glycogen content and the activities of citrate synthase, 3-hydroxyacl CoA dehydrogenase and cytochrome oxidase. In contrast the training programme did not alter water content, total protein content, the activities of lactate dehydrogenase...
Biewener AA.Measurements of the cross-sectional geometry and length of bones from animals of different sizes suggest that peak locomotory stresses might be as much as nine times greater in the limb bones of a 300 kg horse than those of a 0.10 kg chipmunk. To determine if the bones of larger animals are stronger than those of small animals, the bending strength of whole bone specimens from the limbs of small mammals and bipedal birds was measured and compared with published data for large mammalian cortical bone (horses and bovids). No significant difference (P greater than 0.2) was found in the failure st...
Trotter GW, McIlwraith CW, Norrdin RW, Turner AS.Degenerative joint disease of the proximal interphalangeal joint was diagnosed in 9 joint of 6 horses. All of the horses were 3 years old or younger and the affected joints were in the hindlimbs. Radiographic evidence of osteochondrosis involving the distal end of the proximal phalanx was apparent in 5 joints. Lameness and local soft tissue swelling were prominent in all cases. In 1 horse euthanatized tissues because of lameness, histologic examination of joint tissues revealed osteochondrosis as well as severe osteoarthritis. Surgical arthrodesis of the affected joint was performed on 2 horse...
Bramlage LR, Hanes GE.A 3-year-old Thoroughbred mare was examined because of hindlimb lameness from incomplete fracture of the tibia, which became a complete diaphyseal fracture during the examination. The fracture was repaired by open reduction and internal fixation with lag screws and 2 neutralization plates. A cranial approach was used and the plates were placed craniolateral and medial on the tibia. At 18 months after surgery, there was no evidence of complications resulting from the fracture or its repair. It was concluded that a cranial approach with craniolateral and medial plate placement allows easier inse...
Edwards GB.During a 3 year period 20 horses with bone spavin were treated by surgical arthrodesis of the affected joints. The horses chosen for surgery were those with osteoarthritis, but with little or no evidence of periostitis. Whenever possible they were examined periodically during the postoperative period to evaluate the lameness and to assess the progress of ankylosis by radiography. Three of the horses were still lame 12 months later. The remainder returned to normal work, although one subsequently developed spavin in the other hock and was destroyed. The earliest return to soundness was 3 1/2 mo...
Quinlan TJ, Goulden BE, Barnes GR, Anderson LJ, Cahill JI.The nerve supply to the intrinsic laryngeal muscles of the horse was studied by gross dissection and by electromyography which was carried out before, during and after section of various intralaryngeal nerve branches. The anatomical relationships and passage of the laryngeal nerves throughout the larynx were defined. Unlike the dog and man there was no evidence of the passage of motor nerve fibres from one side of the larynx to the other.
Jeffcott LB, Dalin G, Drevemo S, Fredricson I, Björne K, Bergquist A.Back pain was induced in Standardbred horses by multiple intramuscular injections of a concentrated lactic acid solution into the left longissimus dorsi muscle. The investigation was divided into 2 parts. In Stage 1, 2 trotters were exercised on a treadmill and filmed by high speed cinematography before and after the induction of back pain. No signs of hindlimb lameness were evident and no quantitative changes in the components of the gait resulted, but a noticeable reduction was seen in performance capacity. Stage 2 involved a more intensive clinical and cinematic analysis of 3 horses. In the...
Nimmo MA, Snow DH.To ascertain the effects of sprint and endurance exercise on the time course of skeletal muscle mitochondrial changes, an ultrastructural study was conducted on four Thoroughbred horses. Skeletal muscle biopsies were taken at various intervals during and after the exercise. Transient mitochondrial alterations of varying degrees were observed following both types of exercise and were considered to be related to the development of fatigue. The degree of distortion of mitochondrial structure is considered not to represent the in vivo condition but the state of responsiveness to the fixation mediu...
Fedak MA, Heglund NC, Taylor CR.This is the second paper in a series examining the link between energetics and mechanics of terrestrial locomotion. In this paper, the changes in the kinetic energy of the limbs and body relative to the centre of mass of an animal (EKE, tot) are measured as functions of speed and body size. High-speed films (light or X-ray) of four species of quadrupeds and four species of bipeds running on a treadmill were analysed to determine EKE, tot. A mass-specific power term, EKE, tot/Mb was calculated by adding all of the increments in EKE during an integral number of strides and dividing by the time i...
Steiss JE, Yuill GT, White NA, Bowen JM.A force plate system for measurement of the vertical component of the force applied by a horse's limb on ground contact was modified. The modifications included use of steel supporting posts for improved durability and an additional strain gauge on each arm of the Wheatstone bridge for increased sensitivity and temperature compensation. Data from clinically normal horses are provided to indicate the performance obtained with these modifications of the force plate system.
Stick JA, Jann HW, Scott EA, Robinson NE.We reviewed 91 cases of laminitis in horses admitted to the Michigan State University Veterinary Clinical Center between Jan 1, 1973 and Dec. 30, 1978. From information in the case records and from the results of a telephone questionnaire, cases were classified into 4 categories on the basis of return to athletic function. The degree of pedal bone rotation was inversely correlated with return to athletic performance. Horses with less than 5.5 degrees rotation returned to former athletic function, whereas horses with more than 11.5 degrees rotation lost their use as performance animals. Ponies ...
Stewart B, Reid CF.Osseous cyst-like lesions of the medial femoral condyle were found in 32 horses admitted to the University of Pennsylvania between 1971 and 1978. Sex or breed predilection was not found. In 12 horses, osseous cysts were found in both hindlimbs. Of the 25 horses on which follow-up information was obtained, 16 became sound and useful between 4 months and 1 year after diagnosis. Horses that became lame before 3 years of age had a better chance for later soundness. Horses that became sound had significantly smaller cysts than those that remained lame.
Riemersa DJ, Schamhardt HC.A clamp designed for holding tendons in force/elongation studies is described. No slippage occurred when tensile forces up to 13,800 N were applied to horses digital flexor tendons fixed in this clamp.
Adams SB, Fessler JF, Thacker HL.FIBROMAS arise from connective tissue and occur in all domestic animals (Smith, Jones and Hunt 1972; Stannard and Pulley 1978). They are most frequently noted in the dermis or subcutis, but may be present wherever connective tissue occurs. In the dermis and subcutis of the horse fibromas are grossly similar to sarcoids and may be difficult to differentiate (Baker and Leyland 1975). Fibromas have been described as tumours of the tendon sheath or tendon proper in man (Flynn 1975), but have not been described in this location in the horse.
Jakovljevic S, Gibbs C, Yeats JJ.The clinical features, radiographic findings, management and outcome in 13 cases of traumatic fracture of the hock joint are reported. The principal fracture sites were the distal tibial malleoli (5 cases), the fibular tarsal bone (4 cases), the tibial tarsal bone (3 cases) and the proximal end of metatarsal IV (one case). An additional small chip fracture of the central tarsal was noted in 2 cases. Three horses were destroyed immediately after diagnosis, 2 failed to recover following surgical intervention and one remained lame and was destroyed after 3 months' rest. Seven horses recovered com...
Dzongowska-Dzongu T, Kotoński B, Hutny J.Alpha-1,4 leads to 1,4-glucosyltransferase preparations from horse muscles and serum were studied. The enzyme proteins from both tissues are very similar. Both proteins have a molecular weight of 240 000 and consist of four subunits of 60 000 daltons each. pH 5,0 is optimal for the activity. Only substrates with alpha-1, 4-linkages can serve as glucosyl donors for transferase reactions. Km values for both enzymes differ very slightly. At low substrate concentrations the hydrolytic activity can be found in addition to transferase reactions. At the concentration of the substrate higher than 40 m...
Attenburrow DP.Techniques developed for the detection and simultaneous recording of certain events in the respiratory and limb cycles are presented. The respiratory cycle and limb cycle were found to be in-phase only at the canter and gallop. The significance of any time relationship between events in respiration and in locomotion is discussed.
Schutten KJ.A 12-year-old Standardbred mare was diagnosed with a ruptured prepubic tendon 1 month prepartum. The mare was treated with analgesia, stall rest, and an abdominal support wrap that was tightened daily. Both a live foal born 1 month later and the mare are doing well. Poulinage réussi par une jument Standardbred ayant une rupture du tendon prépubien. Un mois avant la parturition, une rupture du tendon prépubien a été diagnostiquée chez une jument Standardbred âgée de 12 ans. La jument a été traitée à l’aide d’analgésiques, d’un repos en stalles et d’un pansement de soutien r...
Shamis LD, Sanders-Shamis M, Bramlage LR.A 3-week-old Standardbred filly had a non-weightbearing forelimb lameness caused by scapular neck fracture. The fracture was repaired with 2 dynamic compression plates placed 90 degrees to each other. A 10-hole 4.5-mm narrow dynamic compression plate was placed on the cranial aspect of the scapular spine, and a 10-hole 3.5-mm dynamic compression plate was placed caudal to the scapular spine. One year after surgery, the filly was not lame when exercising in the pasture, and muscle atrophy was not evident on the affected limb. Eighteen months after surgery, the filly was in race training with no...
Crowhurst RC.Diseases of the back of horse and man are not comparable owing to the great difference in anatomy and posture. Veterinary surgeons, particularly in the United Kingdom, are often requested to account for a poor performance due to suspected "back trouble" but a complete examination of the horse's back is most difficult and care must be taken first to exclude any limb or foot lesions. Diseases of the bones, nerves and muscles are briefly discussed. Diagnosis must be improved by new radiographic and biochemical tests before the significance of back lesions can be assessed or even treated.
Lucas JM, Ross MW, Richardson DW.A retrospective study of 176 Standardbred horses that had arthroscopic surgery for carpal chip fractures over a 7 year period was done in order to determine fracture location and post operative performance. Chip fractures of the proximal third carpal bone and the distal radiocarpal bone occurred with equal frequency (49.2 and 49.6% respectively), and chip fractures involving the antebrachiocarpal joint were rare. Trotters had significantly more third carpal bone lesions than radiocarpal bone lesions when compared to pacers (P = 0.0304). Seventy-four per cent of horses made at least one start f...
Beroza GA, Gentile DG, Goodness P, Charles R.A Robert Jones bandage modified to include a steel walking bar frame and, in one case, side-supporting bars, was applied as a splinting device in 4 horses with hindlimb fractures (3 tarsal and 1 middle phalangeal). The modification was used as an adjunct to previous casting therapies or as a means for handling casting failures or soft tissue problems encountered during the casting period. This means of stabilization is easily adapted to replace a problematic cast in various clinical settings, is easily applied in the standing patient, is easily changed and adjusted on a regular basis, has mini...
Weaver MP, Wilant L.A postal survey of the owners of Clydesdale horses in the UK and USA was conducted to obtain information on tarsocrural effusion ('bog spavin') as an indicator of osteochondrosis from 935 horses. Additional information requested included details of how this condition was investigated and treated. The reported tarsocrural effusion incidence was 10 per cent. The majority of respondents believed the condition to be of concern to Clydesdale owners, but only a minority were aware of the implications of tarsocrural effusion, suggesting that owner education would be of benefit.
Morgan JM, Galuppo LD.Management of fractures in the field starts with successful assessment and stabilization of the patient by the practitioner on the front lines. A careful examination is vital to succesful patient management. This includes identifying the fracture location and severity, evaluating skin integrity and potential contamination of the fracture, and treating any ongoing hemorrhage, hypovolemia or stress. Appropriate application of splints in the field will minimize ongoing tissue damage and improve patient comfort. This ultimately aids further assessment, facilitates referral, and improves opportunit...
Chou CC, Webb AI, Brown MP, Gronwall RR, Vickroy TW.Concentrations of caffeine (CA) and two metabolites were measured simultaneously in venous blood and splenius muscle of adult horses using a semi-automated in vivo microdialysis sampling technique. Dialysates from muscle and jugular vein were collected continuously for 48 h and drug levels were determined by high performance liquid chromatography (HPLC). Following i.v. injection, CA (3 mg/kg) attained a peak blood level of nearly 5400 +/- 600 ng/mL and decreased with a half-life of 15.3 +/- 0.7 h. Pharmacokinetic and statistical comparisons between CA concentrations in jugular dialysates and p...
Juzwiak JS, Milton JL.A 4-day-old foal underwent repair of a proximal metaphyseal fracture of the tibia. After closed reduction, fixation was achieved by use of blind cross-pinning. Thirty-five days after surgery, radiography demonstrated complete healing. The foal was mildly lame 4 months after repair of the fracture. Blind cross-pinning may be considered as a method of repair for certain long bone fractures in small foals.
Fürst A, Kaegi B, Haas Ch.Symptoms, diagnosis, therapy and clinical outcome of 2 horses which acquired a complete rupture of the extensor carpi radialis tendon by accident are described. The resulting gait abnormalities are very typical, so that the problem can be diagnosed already by clinical examination. With the help of ultrasound the diagnosis could be confirmed and the degree of damage quantified. The open wounds in the carpal region were surgically treated in a standing position and the limbs of both horses were kept under a splint bandage for 6 to 8 weeks. Prognosis in these cases was good, as both horses return...
Mitchell C, Riley CB.Humeral fractures are rare and usually carry a guarded prognosis in adult horses. This paper describes the evaluation and the successful surgical management of a fracture of the lateral supracondyloid crest and part of the epicondyle of the humerus in an adult quarter horse.
French jockeys suffer more severe injuries when they fall off their horses than their British counterparts. While it has been shown that jockeys suffer high rates of fatal and non-fatal injuries, little is known about differences in injury rates between countries. To investigate this, researchers from Australia, France and the UK used prospectively collected data on the rates of fatal and non-fatal injuries in flat and jump jockeys in France and compared them with data from the UK.
Tabar-Rodriguez JJ, Cruz AM, Monteith G, Gordon K, Hurtig MB.OBJECTIVE-To use quantitative ultrasonography to evaluate the association between the speed of sound (SOS) at 9 sites in the third metacarpal bone (MCIII) of racing Thoroughbreds with workload accumulation and the effect that MCIII failure has on this association. ANIMALS-Sixty-two 2- and 3-year-old Thoroughbreds in racing condition. PROCEDURES-Cumulative work index (CWI) was used to calculate total workload (CWI(total)) and also 3 independent CWIs for the various gaits (ie, trot [CWI(trot)], gallop [CWI(gallop)], and race [CWI(race)]) used during training and racing. Speed of sound was monito...
Aoki O.Most of the principles of farriery have been derived from practical experience and traditional skills of individual farriers. To date, there has been little done in the way of good science and few publications have appeared to advance the discipline. Therefore, opinions or policies on horse shoeing vary greatly between farriers and members of the veterinary profession. The aim of this workshop was to present the latest information on biomechanical analysis of horse shoeing as it relates to modern day farriery and could have direct benefits for the future of shoeing in performance horses.
Ramzan PH.Fractures involving the fetlock region are encountered commonly in Thoroughbred racehorses. Condylar fractures of the distal metacarpus/metatarsus and mid-sagittal fractures of the proximal phalanx account for the majority of fetlock injuries during both racing and training and clinical features, management and outcome of these injuries have been well described. Transverse fractures of the distal diaphysis of the third metacarpus, however, are seldom observed and have received little attention in the literature. This paper describes clinical and radiological findings associated with 6 cases en...
Pintea V, Ganţă C.The mm. lumbricales and the mm. capsulares of the shoulder and hip joints of the horse are rich in neuromuscular spindles (NMS). The mm. interossei of the pig, but not of the horse, have NMS too. In the m. orbicularis of the eye, m.hyo-epiglotticus and the m. palatinus of the horse NMS are absent. In the vestigial muscles, as m. extensor digitorum brevis and m. of Thiernesse, NMS are absent too. A role of modulator for the proximal muscles of the limbs by the distal muscles is hypothesized, as well as the absence of NMS in striated muscles not involved in locomotion.
Aljuboori Z, Sieg E.Gunshot wound (GSW) injuries to the spinal column are correlated with potentially severe neurological damage. Here, we describe a GSW to the thoracolumbar junction (e.g., T12/L1 level) which resulted in a cauda equina syndrome that resolved once the bullet was removed. Methods: A 29-year-old male presented with a T12-L1 GSW; the bullet traversed the right chest and liver, entered the spinal canal at T12, and then settled at L1. He experienced excruciating burning pain in the right lower extremity/perineum and had urinary retention. On neurological examination, he exhibited severe weakness of t...
Hertsch B.Jumping and military (three days events) horses are exposed, during sports activities, to a particularly high stress especially in the region of the extremities (limbs). The genesis of tendon, joint and bone diseases are traced in accordance to the centers of the load during movement sequence. A special statistics on injuries concerning the German competition horses does not exist yet. Out of the available statistics about the German competition horses it is not obvious that as a result of its use as sports horses a particular high loss occur among these horses.
Fritsch R.Ultrasonography has established itself as an invaluable diagnostic aid in surgical diseases. In addition to the diagnosis of thoracic and abdominal disease, ultrasonography is increasing in importance in the examination of muscles, tendons and joints in small animals. In the horse, the application of the technique is being extended from tendon conditions to organ diseases. The optimal diagnostic information can only be achieved through the use of different scanner types.
Kelmer G, Kramer J.Shortening of the deep digital flexor tendon was performed by tenotomy, overlapping and anastomosis. The procedure was performed on a two-year-old Quarter Horse Mare with distal interphalangeal joint hyperextension with subluxation and metatarsophalangeal joint hyperextension. These problems originated from damage to the digital flexor tendons, presumably due to previous distal limb trauma. The procedure markedly improved the mare's level of comfort, degree of ambulation and limb conformation. Two years following surgery the mare was comfortable at pasture.
Deane NJ, Davies AS.A photographic study of the angles of 71 carpal joints of horses at the end of a race has shown that overextension of the joint is normal at this stage. Further study is needed to determine the factors which may influence hyperextension, and whether they are relevant to carpal injury.
Pérez W, Martin E.Thirteen fresh equine heads were dissected in an attempt to determine the cause of a groove frequently found on the dorsal border and medial side of the nasal process of the incisive bone. This groove appeared on both sides in 40 out of 44 equine skulls. The sulcus seems to be caused by the combined action of the lateralis nasi muscle and the medial accessory cartilage of the nose (cartilago nasalis accessoria medialis). Other sulci found on the nasal process of the bone may be explained as impressions caused by nerves.
Marks D.The most common causes of back pain and their medical treatment are discussed. These include: dermatologic problems and conditions resulting from saddle trauma; discomfort and stiffness owing to injured paraspinal muscles; pain associated with supraspinous ligament damage; osseous pain and nerve dysfunction related to the spine and sacroiliac area; and neurologic diseases that can manifest as back pain. Bitting problems, cervical pain, and coexisting lameness are also considered.
Palmero J, Hollingsworth S, Kass P, Moore S, Pusterla N.N-butylscopolammonium bromide (NBB), an anticholinergic muscarinic antagonist, was assessed as a mydriatic agent for field examination of equine eyes. Six adult horses were randomly assigned to four treatments with 2 weeks washout between treatments: (1) topical saline/IV saline (negative control); (2) topical tropicamide/IV saline (positive control); (3) topical NBB/IV saline; or (4) topical saline/IV NBB. Horizontal and vertical pupil diameters, temperature, pulse, respiration, pupillary light reflexes (PLRs) and mydriasis sufficient to perform complete fundic examination were recorded. Trop...
Smith MR, Wright IM.A minimally invasive arthroscopic technique for removal of fractures of the lateral malleolus of the tibia is considered to be beneficial but data to this effect are required. Objective: Arthroscopic removal of fractures of the lateral malleolus of the tibia is technically feasible, provides a comprehensive evaluation of the tarsocrural joint and enables removal of remote comminuted fragments and disrupted short collateral ligaments. The technique is associated with low patient morbidity, requires only short periods of hospitalisation and affords a good prognosis to affected horses. Methods: T...
McDonell WN, Pascoe PJ, Lindsay WA, Burgess ML.The use of the wick catheter to measure intracompartmental muscle pressure in equine muscle was documented. The presence of muscle compartments involving the extensor carpi radialis muscle and the long head of the triceps brachii was demonstrated by anatomic dissection and radiographic technique. The wick catheter was capable of accurately measuring pressures within both of these compartments. Furthermore, the wick catheter was sensitive to pressure changes resulting from external compression of muscle compartments. Manipulation of systemic blood pressure and PaCO2 in 1 anesthetized horse did ...
Stieger-Vanegas SM, Kippenes-Skogmo H, Nilsson E.An enostosis-like lesion was diagnosed in the left femur of a Swedish Warmblood horse that had a left hindlimb lameness of 3 weeks duration. With scintigraphy using technetium 99m-hydroxymethylene diphosphonate (99mTc-HDP) a marked regional focal increase in radioactivity was identified in the medullary cavity of the left femur. Radiographically there was a corresponding focal increase in bone opacity in the middiaphysis of the left femur. Histopathologically, a 5cm area of bone matrix was present in the diaphysis of the left femur and confirmed as an enostosis-like lesion. Enostosis-like lesi...
Webb AI, Weaver BM.The density of the following equine tissues was measured: white and grey brain matter, myocardium, lung parenchyma, liver, spleen, gastrointestinal tract and contents, renal medulla and cortex, muscle, fat, tendon and bone. Statistical analysis indicated that there were highly significant differences in the values for density between horses and between tissues within horses. Values for density of eight different muscles were obtained for 18 horses and these were shown to differ highly significantly between horses and between muscles within horses. The values for splenic density differed highly...
Schröter C, Bielefeld M, Bielefeld D, Macke C, Winkelmann C, Mommsen P, Krettek C, Zeckey C.The upper limb is one of the most frequently injured body regions in equestrian sports, but it is unclear which injuries are involved, and there are no data on the associated accident mechanism. The present study is aimed at evaluating the accident mechanisms, injuries of the upper limbs, and the circumstances of the accident in equestrian sports. We included 218 patients who were all treated between 2006 and 2014 at the level I trauma center at the Medical University in Hannover because of equestrian-related accidents. The most frequent injuries were fractures and bruising in the shoulder ...
Soana S, Gnudi G, Bertoni G, Botti P.The aim of this study is to point out the time of appearance of the carpal and tarsal bones in the fetal horse, considering an estimated fetal age, to follow their morphological development through to birth, and to characterize possible abnormal shape and/or delay of their ossification. The right carpal and tarsal region of 140 equine fetuses of both sexes (71 males, 69 females) and different ages (from 70 to 340 days of gestation) were examined radiographically in order to identify the sites of ossification from their earliest appearance. The times of appearance of the sites of ossification o...
