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.
Svalastoga E, Nielsen K.The histopathological changes in the synovial membrane of bursa podotrochlearis are described in horses with navicular disease. The changes are compared to the histopathological findings in synovial membrane of arthrotic pastern joints in horses and of arthrotic hips in man. A high degree of concordance is demonstrated and this suggests that navicular disease is an arthrotic disease.
Svalastoga E, Smith M.The subchondral bone pressure in the navicular bone of horses with navicular disease is compared with corresponding pressures in normal horses. An increased intraosseous pressure and a lengthened pressure drop time was demonstrated in patients with navicular disease, which indicates the existence of a venous stasis. Compared with similar investigations in humans with arthrosis it is concluded that navicular disease is a condition resembling arthrosis. The classical clinical symptoms are explained as an expression of resting pains. Treatments are suggested which theoretically can render the pat...
Côté GP.The non-muscle tropomyosins (TMs), isolated from such tissues as platelets, brain and thyroid, are structurally very similar to the muscle TMs, being composed of two highly alpha-helical subunits wound around each other to form a rod-like molecule. The non-muscle TMs are shorter than the muscle TMs; sequence analysis demonstrates that each subunit of equine platelet TM consists of 247 amino acids, 37 fewer than for skeletal muscle TM. The major differences in sequence between platelet and skeletal muscle TM are found near the amino and carboxyl terminal ends of the proteins. Probably as the re...
Yovich JV, Hilbert BJ, McGill CA.Nineteen cases of fracture of the distal phalanx in horses are reviewed. This represented 1.1% of the total number of horses seen at Murdoch University Veterinary Hospital (MUVH) over a 32-month period. All horses were managed conservatively. Eight horses made a complete recovery. Three are being trained again and are not lame. Four horses made a limited recovery. Two horses are still resting and one horse was killed humanely when it still showed lameness after 2 years. One horse was killed humanely after the fracture was first diagnosed.
Rubin CT, Lanyon LE.Rosette strain gauges were attached to the midshaft of the radius and tibia of two horses and two dogs, which ran on a treadmill through their entire range of speed and gait. The relative magnitudes of the principal strains on the opposite cortices of each bone remained constant through the stance phase of the stride, and their orientation varied by a maximum of only 14 degrees through the entire speed range. The maximum strain rate increased linearly with speed, but the peak strain magnitude was also dependent upon the gait used, increasing incrementally by up to 59% at the transition from wa...
Heizmann CW, Berchtold MW, Rowlerson AM.The physiological role of the Ca2+-binding protein parvalbumin in skeletal muscle has been investigated by measuring the parvalbumin content by HPLC in a variety of mammalian muscles, including man, and comparing the results with the respective muscle relaxation properties and fiber type compositions. The parvalbumin concentrations were highest in the skeletal muscles of the smallest animal investigated (mouse, gastrocnemius: 4.9 g/kg), which has the highest relaxation speed, and lowest in the larger animals (horse, deep gluteal muscle: less than or equal to 0.001 g/kg) and man (vastus, tricep...
Sønnichsen HV, Kristoffersen J, Falk-Rønne J.Joint mice in the horse is a wellknown condition, but during the last years diagnosed with increasing frequency. Ethiology and prognosis thus become of major interest. 53 cases of mice in the fetlock are examined and divided in 3 groups on the basis of localization and appearance. On one group characterised by a localization in the plantar aspect of the joint and clearly separated from the tuberosites of the first phalanx histological investigations were carried out resulting in the statement that the mice can be the result of osteochondrosis. Surgical intervention in cases with clinical sympt...
Williams IF, Heaton A, McCullagh KG.The connective tissue composition and organisation of the "equine sarcoid" was compared with that of normal adult equine skin to determine whether the cells which produce their respective connective tissue matrices show similar biosynthetic characteristics. No major qualitative difference could be found between the collagen compositions of skin and sarcoid material, although the organisation into fibres of Type III collagen in the sarcoid was markedly greater than that of skin.
Auer JA, Martens RJ, Williams EH.Seventeen foals with angular limb deformities of the distal end of the radius (valgus: 26 limbs), distal end of the tibia (valgus: 6 limbs), and distal end of the 3rd metacarpal bone/metatarsal bone (varus: 4 limbs) were treated surgically by means of hemicircumferential division of the periosteum proximal to the involved growth plate, at the concave side of the bone. There was some correction in all cases. The best results were seen in the radius, where 22 of 25 limbs were corrected to a deviation of 4 degrees or less. Satisfactory correction was obtained in the 6 tibias, the 2 third metacarp...
Dewes HF.Fractures of the central tarsal and/or third tarsal bones involving both limbs of six foals are described. Five of the subjects were born either premature or of twin pregnancies. Fractures occurred in the neonatal period and coincided with disablement. Features of behaviour, posture and gait are described, together with gross radiographic findings, bone ash determination and blood chemistry. Lesions observed on the articular faces of tarsal bones recovered from adult horses may have originated during the neonatal-period.
Schneider RK, Milne DW, Gabel AA, Groom JJ, Bramlage LR.Rosette strain gauges were applied to the equine radius and tibia. Three sites were examined on each bone on separate occasions (proximal metaphysis, middiaphysis, and distal metaphysis). At each site, 4 rosette gauges were applied around the bone (ie, cranial, caudal, medial, and lateral). Strain recordings were made while walking the horse with and without a full-limb plaster cast. The principal axis of tensile strain was on the craniolateral aspect of the radius. Distally, on the radius, the largest strains were torsional. The cast changed the principal axis of tensile strain on the radius ...
Caudron I, Grülke S, Gabriel A, Serteyn D.This study is a part of a work to design a radiographical method to objectively define the conformation of an equine digit and to assess the individual appropriate trimming of a horse. Various angles were measured directly from the phalangeal bones. The authors observed that the bone relief of the sesamoid ligament insertions on the proximal phalanx was an essential landmark to determine the phalangeal alignment. The same angles were measured from specific radiographs and made it possible to quantify the rotation imposed to the proximal phalanx. The authors also noticed that the phalangeal rot...
Lindsay WA, Horney FD.During a 6-year period, carpal arthrotomies were performed on 89 horses with carpal fractures. Fifty-two percent of the fractures involved the left forelimb; the 3rd carpal bone was most often involved (42%), followed by the radial carpal bone (30%). The effect of surgery on the performance of a subgroup of 48 thoroughbreds was evaluated by comparing the number of starts, level of racing (claiming value), and earnings for the 12 months of racing preceding and following arthrotomy. The data indicated that carpal arthrotomy in the Thoroughbred carries with it a favorable prognosis inasmuch as 80...
Orsini JA, Buonanno AM, Richardson DW, Nunamaker DN.A Salter-Harris type-II fracture of the distal portion of the femur in a 1-year-old Pony of America was repaired by use of lateral plating combined with interfragmentary compression. The configuration of the fracture and the method of internal fixation with a condylar buttress plate were unique and resulted in primary bone healing, seen at the 5-month follow-up examination.
Denoix JM.Equine diagnostic sonography was initially used for the diagnosis and documentation of tendon injuries. Since 1990, this technique, along with radiography, has become an indispensable imaging procedure for the diagnosis of equine joint injuries. Sonography provides precise diagnostic information on the synovial membrane and fluid, the articular cartilage, subchondral bone and joint margins, the ligaments and menisci, and the anatomical structures involved in periarticular swelling or enlargement. Improvements in ultrasound machines and better superficial and deep image resolution allow us to e...
Johnson PJ, Allhands RV, Baker GJ, Boero MJ, Foreman JH, Hyyppa T, Huhn JC.Incomplete linear tibial fractures were identified in two horses with the aid of scintigraphy. Both horses were treated successfully by strict stall confinement, and both returned to normal athletic activity. Scintigraphy can be used to facilitate the generally difficult diagnosis of incomplete tibial fractures.
Svalastoga E.Microangiographical investigations of the navicular bone in horses with navicular disease show, compared to similar investigations of normal navicular bones, that, in general, the vascular pattern is preserved but the vessels are dilated with "pooling" of the contrast medium subchondrally under facies flexoria. Similar changes may be observed in cases of human arthrosis. The present investigation therefore supports the view that navicular disease is a disease which resembles arthrosis.
Dik KJ.The radiological interpretation of periosteal new bone formation in the horse induced by trauma is described and illustrated by some casereports. The better the margins of the new bone can be defined the lesser the activity. The greater the density of the new bone, the longer the duration of time since injury.
Llewellyn HR.A tentative diagnosis of a fistula between the tendon sheaths of the right extensor carpi radialis and the intercarpal joint was confirmed by positive contrast radiography following injection of sodium diatrizoate into the joint. Surgical removal of a tag of synovial membrane and repair of the fistula was carried out. Post surgical treatment included mild exercise to prevent adhesions within the sheath. A month following discharge, contrast radiography revealed no communication between joint and tendon sheath. At this time mild distension of the sheath was relieved by aspiration and it did not...
van Suntum M, Hartung K.Subchondral bone cysts or cyst like lesions are an important hint in the radiographic diagnosis of degenerative joint disease. In this study we set artificial lesions of different size in the subchondral bone of different joint surfaces of horses, and we then tried to determine from which size on these lesions could be made visible on radiographs in different projections. It shows that the possibility of visualization of such lesions is frequently overestimated, cyst like lesions have to be quite large, before they can be seen on routine radiographs.
Dordel HJ.Since November 1973 a riding course has been carried out with six blind adults. Due to the instructional methods the participants were able to ride independently, without an attendant, after only 30 hours. The effects of riding on the blind encompass coordination training and development of muscle strength. Furthermore, riding has a pronounced influence on the circulatory system. This attractive reaction activity provides the person who, as a result of his specific handicapping condition is limited in both the spatial and social fields, with an expansion of his living space and sphere of exper...
Frankeny RL, Johnson PJ, Messer NT, Keegan KG, Corwin LA.A 7-month-old Appaloosa foal had bilateral hind limb lameness and was unable to rise from recumbency without assistance. Lameness could be exacerbated by tarsal flexion and a firm swelling at the distomedial aspect of the tibias was associated with a marked pain response when palpated. Radiography revealed enlargement of the distal tibial metaphysis physis (compared with normal), and radiolucent fissure lines extending proximally from the physis into the metaphysis at its medial aspect. Treatment included rest and dietary adjustment. Although clinical signs initially resolved following treatme...
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.
