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Topic:Musculoskeletal System
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.
Effects of TECAR Therapy on Body Surface Temperature and Longissimus Dorsi Muscle Tone in Thoroughbred Racehorses: A Pilot Study. Capacitive and resistive electric transfer (TECAR) therapy is increasingly used in equine physiotherapy; however, objective evidence regarding its immediate effects on equine back muscles remains limited. This pilot study aimed to evaluate the effects of TECAR therapy on body surface temperature and muscle tone of the longissimus dorsi muscle in Thoroughbred racehorses. A randomized, single-blinded experimental study was conducted in 20 clinically healthy Thoroughbred racehorses aged 2-3 years. Horses were randomly assigned to either a TECAR treatment group ( = 10) or a sham-treatment control ...
Effects of IGF1 Knockdown and Overexpression on the Phenotype and Function of Equine Primary Skeletal Muscle Cells. Skeletal muscle serves as the direct executor of movement, and the proliferation and migration capacities of its constituent cells represent the key physiological foundation determining equine endurance and speed. Previous whole-transcriptome analysis has shown that Insulin-like Growth Factor 1 () is significantly upregulated in following racing and is involved in the PI3K-Akt signaling pathway; however, its specific regulatory mechanism in equine skeletal muscle cells remains unclear. This study utilized primary equine skeletal muscle cells as a model. By constructing an overexpression plas...
Anatomopathological aspects of osteoarticular lesions associated with Rhodococcus equi infection in two foals. Rhodococcus equi is an important bacterium that affects foals up to six months of age, especially those that are immunocompromised. The main manifestation is pyogranulomatous pneumonia; nevertheless, extrapulmonary lesions have not only been reported, but are not uncommon, including arthritis and osteomyelitis. Despite the widespread occurrence of rhodococcosis, the macro- and microscopic lesions in the musculoskeletal system are still poorly understood, and a detailed study is needed to better understand the pathogenic potential of the organism. The aim of this report is to present the anatom...
In-Hand Training of Piaffe and Passage with Leg Stimulation: A Literature-Based Biomechanical Argument for Why This Method Fails to Produce True Collection. In-hand training of piaffe and passage via tactile leg stimulation (Handarbeit mit Touchieren) is widely practised in dressage, yet consistently produces horses that elevate their legs without achieving collection - a pattern termed Schenkelgänger (leg-movers) in classical German equitation. Based on published kinetic, kinematic, and electromyographic literature, this review argues that tactile leg stimulation activates the spinal nociceptive withdrawal reflex, an unloading movement mechanistically opposed to the elastic tendon rebound and ventral muscular chain activation that define true co...
The Peridental Structures of Equine Cheek Teeth: An Age-Dependent Anatomical Study of Maxilla and Mandible. Sequestration is the most common complication following equine cheek tooth extraction, occurring predominantly in the mandible of younger horses. Extraction-related trauma to the peridental region may impair healing. Despite its clinical relevance, detailed knowledge of peridental anatomy remains limited. This study investigated age-related differences in the peridental region of maxillary and mandibular equine cheek teeth 07 to 09. The peridental region of 24 cheek teeth rows from six cadaver heads was sectioned horizontally at approximately 10 mm intervals. Sections were photographed and the...
Limited Effects of High-Intensity Laser Therapy on Clinical and Radiographic Outcomes in Three-Year-Old Arabian Racehorses with Dorsal Metacarpal Disease. Dorsal metacarpal disease (DMD) is a common musculoskeletal injury in young racehorses, and effective non-invasive treatments remain of clinical interest. This study aimed to evaluate whether high-intensity laser therapy (HILT), which was applied as the sole intervention in horses retired from training, reduces the clinical signs of DMD compared with untreated controls. During the 2023-2024 racing seasons, 15 Arabian racehorses diagnosed with DMD were enrolled; 9 received HILT and 6 served as controls without laser therapy. The treatment protocol consisted of five daily HILT sessions followed ...
Anatomical Insights Into the Equine Cervical Intervertebral Foramina: Implications for Veterinary Practice. The equine cervical intervertebral foramina (IVF) represent vital anatomical regions facilitating the passage of spinal nerves and associated vasculature. An in-depth understanding of their anatomy is imperative for the safe implementation of diagnostic and surgical interventions. Despite their clinical significance, anatomical descriptions of the equine cervical IVF remain under-characterised in the existing literature, particularly in relation to the needs of equine veterinary surgeons. Our study provides comprehensive anatomical analysis of the IVF at the cervical vertebral levels C5/C6 and...
Equine upper limb kinematics: Comparison between biplanar high-speed fluoroscopic kinematography and optoelectronic motion capture in one Mini Shetland Pony. There are no studies describing the kinematics of the proximal limb skeleton in living equids. In horses like in all other therian mammals studied so far, the scapula rotates around an instantaneous center of rotation rather than a fixed pivot point, which increases the susceptibility of skin marker-based methods to inaccuracies. Objective: The aim of the study was to describe the skeletal movement of the proximal equine limb and to overcome limitations traditionally associated with skin marker displacement errors. Methods: Optoelectronic motion capture (OMC) and biplanar high-speed fluoroscop...
Correlation of Positron Emission Tomography and Low-Field Standing Magnetic Resonance Imaging in Horses With Forelimb Lameness Localized to the Foot. Low-field magnetic resonance imaging (LF-MRI) and positron emission tomography (PET) imaging can be obtained in the standing horse. There is potential for increased diagnostic capacity combining PET with MRI, given that PET assesses the metabolic activity of injured tissues, whereas MRI provides structural and functional details on both bone and soft tissue anatomy. This study aimed to describe 18-fluorine-fluorodeoxyglucose (F-FDG)-PET and 18-sodium fluoride (F-NaF)-PET imaging of horses with forelimb lameness localized to the foot and compare PET with LF-MRI. Fourteen horses with lameness lo...
An Investigation of the Role of Ridden Exercise, Including Application of the Ridden Horse Pain Ethogram, in Pre-Purchase Examinations of Sports Horses. Many horses undergo a pre-purchase examination (PPE) prior to acquisition by a new owner; however, despite evidence that lameness and canter dysfunction may only be apparent during ridden exercise, ridden exercises assessing gait quality is not a routine part of PPEs. The objectives were to determine the influence of the results of ridden exercise on decision-making concerning risk assessment for purchase and to establish the long-term performance of horses. Twenty-five sports horses underwent PPEs including ridden exercises to assess gait quality and to apply the Ridden Horse Pain Ethogram (R...
Prevalence and radiographic features of cyst-like lesions in German Warmblood horses presented for pre-purchase examination. Cyst-like lesions (CLLs) are frequently detected during radiographic examinations of equine limbs. They may represent a potential risk factor during pre-purchase examination (PPE) and are of considerable clinical and economic importance, as they may lead to negative purchase decisions. While affected horses may develop lameness, incidental findings have also been reported. The goal of the study was to describe the prevalence, location and radiographic characteristics of CLLs in a group of sound German Warmblood horses. Unassigned: A retrospective cohort study was conducted on 3863 German Warmb...
Surface electromyography and joint angle kinematics of horses at walk and trot on a treadmill. This study aimed to evaluate electromyographic and kinematic parameters of the thoracic and pelvic limbs of horses at a walk and trot on a treadmill. Eleven Brazilian Sport Horses trained for Eventing were assessed in a completely randomized design under two conditions: walk (1.8 m/s) and trot (3.6 m/s). Horses were evaluated on a high-speed treadmill using surface electromyography (sEMG) and kinematic analysis. sEMG was performed bilaterally on the mm. extensor carpi radialis and mm. flexor carpi ulnaris; bilateral muscles of the pelvic limb: mm. tensor fascia latae and mm. biceps femoris u...
Straight sesamoidean ligament desmopathy commonly occurs with proximal interphalangeal joint osteoarthritis. Proximal interphalangeal joint osteoarthritis (PIPJ OA) is a common cause of poor performance in the equine athlete; however, the supporting soft tissue structures surrounding the joint are seldom evaluated. Straight sesamoidean ligament injuries have been previously hypothesised to be concomitant with PIPJ OA; however, the frequency of these lesions coinciding with PIPJ OA has not been fully investigated. Objective: To investigate the prevalence of straight sesamoidean ligament desmopathy (SSLD) in horses presenting with PIPJ OA. Methods: Retrospective clinical study. Methods: Horses presenti...
Comparative clinical and thermographic responses to dexamethasone and saline solution mesotherapy in horses with spinal disorders. Back pain and spinal dysfunction in horses are multifactorial conditions frequently associated with musculoskeletal alterations that may impair mobility, performance, and welfare. Mesotherapy has emerged as a minimally invasive adjunctive approach for managing musculoskeletal disorders; however, comparative clinical responses to different intradermal protocols in equine spinal conditions remain insufficiently investigated. The present study aims to compare the clinical and thermographic responses of two mesotherapy protocols in horses diagnosed with cervical or thoracolumbar spinal disorders. ...
Dental disorders are associated with minimal synovial changes in the temporomandibular joint in horses. Dental disorders have been proposed as factors contributing to temporomandibular joint (TMJ) discomfort in horses, but objective evidence linking these conditions to synovial fluid alterations remains limited. This study evaluated whether the severity of dental abnormalities influences the physicochemical and cytological characteristics of TMJ synovial fluid and whether occlusal adjustment induces measurable synovial changes over time. Unassigned: Thirty-three horses were assigned to mild, moderate, or severe dental abnormality groups. Synovial fluid was collected bilaterally from the discotem...
Inertial measurement units are comparable to motion capture for measuring intersegmental spinal angular velocities in horses. To compare inertial measurement unit (IMU)-derived intersegmental spinal motion data with measurements obtained from a marker-based motion-capture system. Unassigned: 4 horses were instrumented with custom marker clusters incorporating a 3-D-printed base designed to secure the IMU, ensuring both systems recorded data from the same anatomical location and orientation. A total of 3,737 paired time points across 37 gait cycles were analyzed. Agreement in intersegmental angular velocities across 3 planes of motion was evaluated using Bland-Altman analysis and intraclass correlation coefficients. U...
Diagnostic criteria for equine thoracolumbar myofascial pain syndrome: A foundational study. Diagnostic criteria for myofascial pain syndrome (MPS) are well established in humans but remain underexplored in horses. This study aimed to identify which MPS clinical signs were present in the equine thoracolumbar region, assess internal coherence among clinical indicators, and explore the diagnostic relevance of owner-reported behavioural, signalment, management, and clinical variables. A population of 120 horses underwent a static physical assessment of the thoracolumbar region. Owner-reported horse behaviours were collected through a questionnaire. Taut band, hypersensitive spot, local t...
Intra-articular interleukin-1β induces early synovitis in an ex vivo autologously perfused equine forelimb model. To evaluate an ex vivo model of synovitis induced by IA lipopolysaccharide (LPS) and IL-1β in isolated, perfused equine forelimbs. Unassigned: Forelimbs and blood were collected from 12 clinically unremarkable horses following slaughter at a licensed abattoir. In 8 limbs, 2 of 3 phalangeal joints were injected with LPS (0.5 to 5 ng, 4 limbs) or IL-1β (100 ng, 4 limbs) diluted in 1 mL of distilled water. All limbs were perfused with autologous perfusate for 8 hours. Synovial fluid cytology and synovium sample histology scores for synovitis (0 = no changes and 3 = marked changes) were assessed...
Computed tomography long-term follow-up of a facial fracture involving the orbit and paranasal sinus. Fractures of the facial bones involving the orbit are challenging conditions that require surgical treatment. Objective: To describe preoperative and postoperative clinical and computed tomographic findings of an orbital rim fracture repaired using a reconstruction plate. Methods: Case report. Methods: A 14-year-old Haflinger mare was presented with an open, depressed and comminuted fracture involving the frontal, nasal, lacrimal and maxillary bone, sinus system and the medial aspect of the orbital rim and wall on the right side, as diagnosed by CT. Fracture repair included orbital rim reconst...
Does the Distance Between Ground Poles Affect Limb, Spinal and Pelvic Kinematics in Horses When Walking In-Hand? Polework exercise is commonly used in equine training and rehabilitation; however, the influence of pole spacing on locomotor kinematics remains unclear. This study investigated the effects of pole spacing on limb, thoracolumbar and pelvic kinematics in horses walking in-hand. Eleven warmblood horses were assessed during overground walking and over five ground poles set at 85%, 100% and 105% of forelimb step length. Pole spacing did not significantly alter maximum fore- or hindlimb retraction; however, protraction-retraction range of motion (ROM) was reduced at 85% spacing. Forelimb ROM was re...
Ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis caused by chronic infection with Serratia odorifera in a racehorse. We investigated a case of severe infection in a racehorse. The horse had developed progressive lameness associated with swelling of the left tarsal region, which progressed to ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis. The plantar side of the superficial digital flexor (SDF) tendon was visible through the skin ulcer, and coalescing nodules were present in the dermis. The horse was euthanized and an autopsy was performed. Grossly, in addition to the changes described above, severe edema of the soft tissues was associated with the ulcer. Microscopically, necrotizing and ulc...
Gross and Histopathologic Comparison of the Distal Third Metacarpal Bone and the Proximal First Phalanx with Sodium Fluoride Positron Emission Tomography Radiopharmaceutical Uptake in Five Horses. Injuries of the metacarpophalangeal joint are a major cause of morbidity and catastrophic fracture in racing horses, yet early osseous pathology is often difficult to detect using conventional imaging. This pilot study aimed to correlate sodium fluoride Positron Emission Tomography (F-NaF PET) radiopharmaceutical uptake with gross and histopathologic changes in the distal third metacarpal bone (MC3) and proximal first phalanx (P1). Five horses (three racing Thoroughbreds with fetlock injury and two non-racing controls) underwent ante-mortem F-NaF PET and cone-beam CT imaging (CBCT), followed b...
Transcriptomic and Meat Quality Differences in Longissimus Dorsi Muscle of Surgically Castrated Three-Year-Old Kazakh Horses. Although the Kazakh horse is a dual-purpose breed renowned for both milk and meat production, the extent to which surgical castration alters gene expression in its muscles has not yet been fully elucidated. In this study, left longissimus dorsi muscle (LDM) samples were obtained from six Kazakh stallions (W group) and six Kazakh geldings (S group) to comparatively evaluate meat quality parameters, examine histological characteristics in tissue sections, and apply transcriptomic profiling to comprehensively explore the principal regulatory pathways and candidate genes through which surgical cas...
Mitochondrial Adaptations to Exercise Training in Equine Skeletal Muscle: A Narrative Review. The horse represents one of the most physiologically specialized athletic mammals, capable of sustaining both high-intensity and prolonged exercise. Central to this remarkable performance capacity is the metabolic adaptability of skeletal muscle and its mitochondrial network. This narrative review synthesizes current evidence from equine, human, and rodent studies on exercise-induced mitochondrial remodeling in equine skeletal muscle. A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus using terms related to equine exercise physiology, mitochondrial biolog...
Rider dislodgement events in U.S. steeplechase racing: participation outcomes in riders and horses. Steeplechase jockeys compete in high-risk races requiring horses and riders to clear fixed obstacles at speed. Although rider dislodgement events are recognized hazards, their incidence and participation consequences are not well characterized. Methods: This retrospective observational study used publicly available race charts from United States National Steeplechase Association races (2023-2025). Dislodgement events were defined as falls or lost rider events. Incidence rates were calculated per 1,000 starts, and timber and hurdle races were compared using Poisson regression. Rider interruptio...
Comparison of palpation and ultrasonography findings in supraspinous ligaments of horses. The purpose of this study was to evaluate the utility of palpation as a diagnostic tool for supraspinous ligament injuries in horses. Diagnosis of SSL injuries typically relies on a combination of clinical examination and ultrasonographic findings. To the authors' knowledge, no previous studies have specifically investigated palpation as a diagnostic measure for these injuries. Unassigned: This retrospective study analyzed data from 126 horses resented to the University Veterinary Teaching Hospital for back pathology. Inclusion criteria required horses to have a documented descriptive palpator...
Similar locomotor patterns across Quarter Horse disciplines inform lameness assessment. Lineage-based selection is central to the Quarter Horse industry and is often justified by the assumption that morphology determines locomotor function. However, objective evidence linking static conformation to discipline-specific locomotor behaviour under standardised conditions remains limited. Objective: To investigate whether morphological differences among Quarter Horse disciplines are associated with distinct locomotor patterns or whether locomotor function converges across disciplines despite morphological variation. Methods: Cross-sectional. Methods: Barrel racing, reining, and ranch ...
Vital bone and increased osteoid in equine osteochondrosis dissecans of the proximal phalanx: A controlled study indicating a mineralization deficit rather than vascular failure. Osteochondrosis and osteochondrosis dissecans (OCD) are among the most common orthopaedic disorders in young horses. Although traditionally explained by vascular failure and ischaemic necrosis, recent findings in human juvenile OCD suggest that impaired bone mineralization may play an important role. Horses are known to have relatively low circulating vitamin D metabolites, raising the question of whether insufficient mineralization contributes to equine OCD. This study investigated the bone vitality and mineralization status of osteochondrosis dissecans fragments (OCDFs) collected from the do...
