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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.
Plate fixation of small metacarpal and metatarsal bone fractures in 27 horses.
Veterinary surgery : VS    October 2, 2025   Volume 54, Issue 8 1537-1548 doi: 10.1111/vsu.70032
Melly V, Ortved KF, Stewart HL, Stefanovski D, Richardson DW, Bubeck KA, Hogan PM, García-López JM.To present fracture cases selected for plate fixation (PF), describe surgical techniques and assess their association with postoperative complications and return-to-work outcomes in horses undergoing PF for small metacarpal/metatarsal (SMCT) fractures. Methods: Multicenter retrospective study. Methods: A total of 27 horses. Methods: Horses treated with PF of a SMCT fracture between 2008 and 2023 across three hospitals were included. Medical records and imaging were reviewed. Long-term outcomes were established by readmission to the hospital, telephone interviews, and/or race records. Univariab...
Connections Between Gene Polymorphism and Fetlock and Hock Measurements in Polish Sport Horses.
International journal of molecular sciences    October 2, 2025   Volume 26, Issue 19 9645 doi: 10.3390/ijms26199645
Lewczuk D, Wypchło M, Hecold M, Buczkowska R, Korwin-Kossakowska A.Finding the causative mutations for musculoskeletal system development and health status is of a higher priority for all sport horse breeders' associations. Of the regulating proteins involved in animal ossification, 15 gene polymorphisms were chosen to be identified as connected with the nine fetlock and 14 hock bone structures measurements of 198 horses. All measurements were taken using X-rays of the limbs, which were available at the beginning and end of the horse training. The analysis of variance (GLM, SAS program) was performed taking into account identified training and horse-connected...
The effect of heel elevation on the stiffness gradient index of the digital flexor tendons in the equine forelimb of clinically normal horses.
Frontiers in veterinary science    October 1, 2025   Volume 12 1610788 doi: 10.3389/fvets.2025.1610788
Shaw KA, Brounts SH.To evaluate the effect of heel elevation on measurement of stiffness gradients by means of acoustoelastography in the digital flexor tendons of clinically normal horses. Unassigned: 15 clinically normal horses. Unassigned: For each horse, stiffness gradient index (SGI) for superficial digital flexor tendons (SDFT) and deep digital flexor tendons (DDFT) were evaluated in both forelimbs at 0, 4 and 8 degrees of heel elevation. Acoustoelastography (AEG) was used for data acquisition at three sites, approximately 6, 12, and 18 cm distal to the accessory carpal bone in the metacarpal region. Lif...
Proteoglycan 4 is expressed in equine flexor tendons and tendon sheaths, with greater synovial fluid lubricin in tendon sheaths with tendon injury.
American journal of veterinary research    October 1, 2025   Volume 86, Issue 12 ajvr.25.07.0237.xml doi: 10.2460/ajvr.25.07.0237
Woodman MJ, Thomas MA, Colville MJ, Durgam S, McDonough SP, Reesink HL.To describe proteoglycan 4 (PRG4) expression, lubricin tissue distribution, and lubricin synovial fluid concentrations in healthy and injured equine flexor tendons and tenosynovial structures. Unassigned: Synovial fluid and tissues were collected over the span of 1 year. Proteoglycan 4 expression was quantified using quantitative real-time PCR, lubricin synovial fluid concentrations were measured using ELISAs, and lubricin tissue distribution was evaluated with immunohistochemistry. Histology and quantitative real-time PCR data for healthy samples were analyzed using paired t tests, repeated-m...
Complications of the Recumbent Horse: Diagnosis and Management.
The Veterinary clinics of North America. Equine practice    September 30, 2025   Volume 41, Issue 3 619-632 doi: 10.1016/j.cveq.2025.08.009
Delvescovo B, Bouton J.This issue focuses on the potential complications caused by prolonged recumbency in horses. It discusses how managing a recumbent horse involves treating the primary illness while also preventing and addressing secondary issues that can arise from recumbency itself. The authors explore the underlying pathophysiology of these complications, along with strategies for prevention and treatment. By understanding these aspects, veterinarians can improve care and outcomes for horses that are immobilized for extended periods. The issue provides insights into the most common complications and emphasize...
Accidents, Injuries, and Complications in Equine Sports Medicine Practice.
The Veterinary clinics of North America. Equine practice    September 26, 2025   Volume 41, Issue 3 529-543 doi: 10.1016/j.cveq.2025.08.001
Allen TS, Johnson S.The physical stresses on equine athletes are unique and differ across various disciplines. Recognizing these differences is essential for early detection of injuries and effective management of the competition horse's health. Equine sports medicine involves specific challenges and risks that can be reduced through proper care, careful attention to technique, and a deep understanding of the demands of each sport. Proper training, regular monitoring, and sport-specific expertise are crucial in preventing injuries and ensuring optimal performance. By focusing on these aspects, veterinarians and t...
Complications of Equine Musculoskeletal Surgery and Procedures.
The Veterinary clinics of North America. Equine practice    September 26, 2025   Volume 41, Issue 3 545-561 doi: 10.1016/j.cveq.2025.08.005
Nelson B.Complications of equine musculoskeletal procedures and surgery are an inevitable occurrence. This article summarizes complications principally encountered by primary equine veterinarians who perform and manage musculoskeletal procedures and surgeries. Topics discussed include complications of musculoskeletal diagnostic procedures, angular/flexural limb deformities, and muscle, tendon, and ligament surgery; surgery of the foot, orthopedic and arthroscopic surgery, and cast management. Each section lists complications encountered and includes diagnostic and treatment considerations. Awareness of...
Behavioral and orthopedic issues in geldings with Postcastration adhesions: A retrospective study of 35 cases.
Research in veterinary science    September 23, 2025   Volume 196 105910 doi: 10.1016/j.rvsc.2025.105910
Domańska-Kruppa N, Benoit P, Żukiewicz-Benoit K, Domino M, Kliczkowska K, Szubart M, Stefanik E.Limited data is available on the diagnostic and therapeutic methods for pathologies caused by scarring after castration. It is well recognized that specific behaviors or untypical hindlimb lameness may be observed in geldings with gelding scars and adhesions caused by spermatic cord remnants after castration OBJECTIVES: To describe how to diagnose movement disorders associated with excessive adhesions caused by spermatic cord remnant after castration and to present a successful surgical treatment method. Methods: To assess the impact of gelding scars on horses' movement and behavior, medical r...
Retrospective performance-indexed analysis of Thoroughbred racehorses undergoing surgical management of proximal sesamoid bone fractures.
Equine veterinary journal    September 19, 2025   doi: 10.1111/evj.70102
Yeomans A, Cramp P, Carpenter R, Bladon B.Proximal sesamoid bone fractures (PSBFs) are a leading cause of economic losses. Post-operative racing prognosis is multi-factorial; however, recent studies are lacking. Objective: To provide an update on racing outcomes for horses undergoing surgical management of PSBFs, analyse variables affecting performance and compare post-operative racing performance with pre-operative data and case-matched controls. Methods: Retrospective case series. Methods: Thoroughbred racehorses that underwent PSBF repair (2008-2022) were included. Data retrieved included fracture type, limb, axiality, treatment, a...
Distal interphalangeal joint capsule enthesopathy of the middle phalanx and articular cartilage loss.
Equine veterinary journal    September 19, 2025   doi: 10.1111/evj.70096
Samol MA, Barrett MF, Frisbie DD.Significant distal interphalangeal joint (DIPJ) pathology, particularly affecting soft tissue and articular cartilage, is often not identifiable on radiographs but can be accompanied by joint capsule enthesopathy on the middle phalanx (P2), which can be readily identified. Objective: To explore frequency and correlations between DIPJ capsule enthesopathy identified on magnetic resonance imaging (MRI) and radiographs and DIPJ articular cartilage abnormalities and other concurrent soft tissue or osseous pathology within the foot found on MRI. Methods: Retrospective descriptive case series. Metho...
Computed tomographic signs of hyoid apparatus disease in 165 horses.
Frontiers in veterinary science    September 19, 2025   Volume 12 1631185 doi: 10.3389/fvets.2025.1631185
Hartl B, Strohmayer C, Vali Y, Lyrakis M, Kneissl SM.Horses with hyoid bone disease may present with clinical symptoms such as exercise intolerance, resistance to ridden work, anorexia, or headshaking. This study aims to describe the computed tomographic (CT) signs and prevalence of hyoid disease and to evaluate their association with other CT changes of the head. Unassigned: In this study, four investigators conducted a retrospective analysis of their findings after reviewing the medical records of 200 horses that had undergone CT scans between 2009 and 2019. A total of 32 parameters were analyzed, and associations were evaluated between those ...
Thoroughbreds deemed to be most at risk by inertial measurement unit sensors suffered a fatal musculoskeletal injury at a higher rate than other racehorses.
Journal of the American Veterinary Medical Association    September 17, 2025   Volume 264, Issue 1 81-88 doi: 10.2460/javma.25.04.0268
Mc Sweeney D, Wang Y, Palmer SE, Holmströem M, Donohue KD, Farnsworth KD, Sanz MG, Lambert DH, Bayly WM.To determine whether screening of racing Thoroughbreds with accelerometer-based inertial measurement unit sensors and a specifically trained algorithm identified horses most at risk for fatal musculoskeletal injury (FMI) and whether age, gender, race distance, and track surface were associated with increased risk. Unassigned: Stride data from 28,481 races by 11,834 Thoroughbreds from July 25, 2021, until May 4, 2024, were assigned an algorithm-based risk score from 1 to 6 (6 = greatest risk). Logistic regression models examined the association between incidence of fatal injuries and risk score...
Tenoscopically guided proximal digital annular ligament desmotomy for the treatment of proximal digital annular ligament desmitis.
Veterinary surgery : VS    September 16, 2025   Volume 55, Issue 2 383-395 doi: 10.1111/vsu.70021
Wood AD, Parker RA.To describe a tenoscopically guided technique for desmotomy of the proximal digital annular ligament (PDAL). Methods: Ex vivo study and clinical case series. Methods: A total of 10 normal cadaver equine hindlimbs and five clinical cases of PDAL desmitis. Methods: The digital flexor tendon sheath (DFTS) was approached via a lateral basisesamoid portal and a palmar/plantar annular ligament (PAL) desmotomy was performed to improve maneuverability in the DFTS. Additional proximolateral and distal midline instrument portals were created to facilitate transection of the proximolateral attachment, th...
Morphometric parameters, metabolic profile and musculoskeletal alterations in Criollo horses competing in the morphology trial.
Journal of equine veterinary science    September 13, 2025   Volume 154 105703 doi: 10.1016/j.jevs.2025.105703
Mousquer MA, Paz CFR, Rafael LA, Wendt CG, Curcio BR, Souza RP, Santos IPOD, da Silva RB, Müller V, Nogueira CEW.Obesity is common in some horse breeds, raising concerns about health and performance. Criollo horses in morphological events often undergo intensive management promoting early adiposity. Objective: This study aimed (1) to assess morphometric traits, metabolic profile, hoof morphology, and tarsal joint alterations in Criollo horses participating in morphological trials; (2) to evaluate sex-related differences; and (3) the associations between morphometric measurements, hoof morphology, and tarsal osteoarthritis grades. Methods: Fifty-five horses (30 mares, 25 stallions) were evaluated for body...
Impinging and Overriding Spinous Processes in Horses: A Narrative Review.
Animals : an open access journal from MDPI    September 13, 2025   Volume 15, Issue 18 2679 doi: 10.3390/ani15182679
Pilati N, Pressanto MC, Palumbo Piccionello A, De Angelis Corvi F, Beccati F.The term overriding spinous processes (ORSPs), commonly known as "kissing spine syndrome," refers to a skeletal abnormality in horses that is characterized by the narrowing (<4 mm) of the interspinous space and touching or overlapping of the spinous processes (SPs). This condition primarily affects the mid- and caudal thoracic vertebrae; however, ORSP can also affect the lumbar SPs. In the veterinary community, kissing spine is widely recognized as a common condition in sport horses, as it is often associated with chronic back pain and contributes to poor performance. Despite its significant c...
Ultrasound-guided, minimally invasive, biceps brachii tenotomy in a standing horse.
Veterinary surgery : VS    September 11, 2025   Volume 55, Issue 2 491-497 doi: 10.1111/vsu.70017
Marques GF, Moorman VJ, Ellis KL, Perlini M, Edwards VL.To describe the long-term outcome of a horse that underwent a standing, ultrasound-guided, minimally invasive, biceps brachii tenotomy. Methods: Case report. Methods: A 17-year-old Tennessee Walking Horse gelding. Methods: The horse had a chronic, severe, lameness localized to the left shoulder region. Diagnostic imaging revealed fractures of the intermediate and lesser tubercles of the left humerus, biceps brachii (BB) tendinopathy, and bicipital bursitis. Conservative management was attempted, but lack of improvement prompted surgical intervention. An ultrasound-guided, minimally invasive, B...
Technologies for equine welfare and performance monitoring under field conditions – Where do we stand?
Equine veterinary journal    September 6, 2025   doi: 10.1111/evj.70092
Aarts RM, Siegers EW, Serra Braganca FM, van Weeren PR.The need for comprehensive equine welfare assessments has become particularly evident amid ongoing debates about the social licence to operate in equestrian sports. During exercise, multiple physiological systems, principally the cardiovascular, respiratory, muscular, thermoregulatory, endocrine, and locomotory systems, undergo complex adaptations. To monitor and determine equine welfare, an approach that focuses on the quantitative monitoring of both physiological and psychological parameters to determine and understand the impact of equestrian sports on horses is essential. Existing and emer...
2D-shear wave elastographic features of normal and injured equine superficial digital flexor tendons.
Equine veterinary journal    September 5, 2025   doi: 10.1111/evj.70091
Guerri G, Bandera L, Straticò P, Palozzo A, Di Nunzio L, Celani G, Varasano V, Vignoli M, Petrizzi L.Superficial digital flexor tendon (SDFT) injuries cause progressive loss of its mechanical properties. Two-dimensional shear wave elastography (2D-SWE) provides information about tissue stiffness. Objective: To determine the feasibility, repeatability, and reproducibility of 2D-SWE of healthy and pathological forelimb SDFT. Methods: Prospective observational cohort study. Methods: Horses were divided into a noninjured Group (H) and a Group with tendinopathy of the SDFT (P). 2D-SWE of both fore SDFTs was performed at three metacarpal levels (A, B, and C, from proximal to distal). Qualitative an...
Clinical and ultrasonographic findings in horses with desmopathy of the palmar/plantar abaxial ligaments of the proximal interphalangeal joint: 20 cases.
Journal of the American Veterinary Medical Association    September 5, 2025   Volume 263, Issue 12 1560-1565 doi: 10.2460/javma.25.04.0290
Gutierrez SO, Garcia-Lopez JM, Chope KB, Levine DG, Ortved K, Brown KA.To describe the clinical and ultrasonographic findings in horses with desmopathy of the abaxial palmar/plantar ligament (APL) of the proximal interphalangeal joint and the prevalence of concurrent musculoskeletal injuries in the pastern and foot. Unassigned: Horses presenting to New Bolton Center between March 2017 and November 2022 with an age ranging from 5 to 20 years that underwent lameness evaluation in which lameness was localized to the distal limb and had an ultrasonographic diagnosis of APL desmopathy. Unassigned: Horses included were those that (1) presented for a lameness examinatio...
A case-matched controlled retrospective performance indexed analysis of Thoroughbred racehorses that underwent surgical repair of proximal phalanx and third meta-carpal/tarsal condylar fractures.
Equine veterinary journal    September 4, 2025   doi: 10.1111/evj.70088
Yeomans A, Martinkovich D, O'Brien T, O'Neill H, Carpenter R, Georgetti M, Cramp P.Standing fracture repair has become established as an acceptable technique with a good long-term prognosis. However, no study has compared racing outcomes with case-matched controls. Objective: To compare racing outcomes between a large dataset of horses undergoing standing fracture repair against case-matched controls. Methods: Retrospective case-matched controlled comparative study. Methods: Thoroughbred racehorses undergoing standing repair of distal limb fracture(s) over 10 years (2012-2022) at five hospital centres across North America and Europe were included. Data retrieved included...
Effects of sand, asphalt, and a three degrees hind toe or heel elevation on equine cervical and thoracolumbosacral kinematics at walk and trot.
Journal of equine veterinary science    September 4, 2025   Volume 154 105697 doi: 10.1016/j.jevs.2025.105697
Caure S, Miljak K, Dendaw P, Thesée L, Villedey E, Malinvaud A, Cousty M, Prié V, Horan K, Weller R.Effects of ground surface and hoof angles on equine cervical and thoracolumbosacral kinematics are poorly understood. However, the equine cervical and thoracolumbosacral areas present frequent lesions and he management of factors that might improve treatment and rehabilitation outcomes, such as ground surface and hoof angles, requires more investigation. Objective: Our objectives were to determine the influence of ground surface (asphalt versus sand) and a 3 degrees hind toe or heel elevation on cervical and thoracolumbosacral kinematics during walking and trotting. Methods: Six saddle horses ...
Comparison of Two Surgical Techniques for the Treatment of Equine Hindlimb Proximal Suspensory Desmopathy.
Animals : an open access journal from MDPI    September 4, 2025   Volume 15, Issue 17 2598 doi: 10.3390/ani15172598
Freeman KD, Adams MN, Salinger AE, White NA, Barrett JG.Suspensory desmopathy is a frequently documented cause of lameness in performance horses; proximal suspensory desmopathy is the most frequent site of injury in dressage horses [...].
Autologous conditioned serum IRAP efficacy for tendon and ligament injuries in horses: An observational study.
Open veterinary journal    August 31, 2025   Volume 15, Issue 8 3787-3793 doi: 10.5455/OVJ.2025.v15.i8.43
Tommasa SD, Raspe S, Farí G, Imperante A, Brehm W.Tendon and ligament injuries in equine athletes pose significant challenges, often leading to prolonged recovery, reduced performance, and increased risk of reinjury. Current treatment strategies, including conservative and surgical approaches, have shown limited success in fully restoring tendon integrity. Autologous blood derivatives, such as autologous conditioned serum (ACS), have emerged as potential regenerative therapies. However, the clinical efficacy of ACS in the treatment of equine tendinopathies remains under investigation. Unassigned: This study aimed to compare the clinical outco...
The Effect of Girth Design and Girth Tension on Saddle-Horse Pressures and Forelimb Stride Kinematics in Rising Trot.
Animals : an open access journal from MDPI    August 29, 2025   Volume 15, Issue 17 2540 doi: 10.3390/ani15172540
Marlin D, Randell O, Mayhew E, Blake R.The aim of this study was to investigate the effect of girth design and girth tension; six horses regularly ridden were used. Each horse underwent four experimental sessions in an unbalanced Latin-square design with two girth tensions (8 kg or 16 kg) and two girth designs (straight girth (S) or anatomical girth (A)). Pressure between the saddle and the horse was measured at 100 Hz with a pressure mat (0.5 sensels per cm). Notably, 2D limb kinematics were determined from anatomical markers placed on the fore and hindlimbs. Video was collected at 240 fps. There was no significant effect of girth...
Selection at the GSDMC locus in horses and its implications for human mobility.
Science (New York, N.Y.)    August 28, 2025   Volume 389, Issue 6763 925-930 doi: 10.1126/science.adp4581
Liu X, Jia Y, Pan J, Zhang Y, Gong Y, Wang X, Ma Y, Alvarez N, Jiang L, Orlando L.Horsepower revolutionized human history through enhanced mobility, transport, and warfare. However, the suite of biological traits that reshaped horses during domestication remains unclear. We scanned an extensive horse genome time series for selection signatures at 266 markers associated with key traits. We detected a signature of positive selection at -known to be a modulator of behavior in mice-occurring ~5000 years ago (ya), suggesting that taming was one of the earliest steps toward domestication of horses. Intensive selection at began ~4750 ya with the domestication bottleneck, leading ...
Born to run? Associations between gestational and early-life exposures and later-life performance outcomes in Thoroughbreds.
Equine veterinary journal    August 25, 2025   doi: 10.1111/evj.70084
Mouncey R, de Mestre AM, Arango-Sabogal JC, Verheyen KL.Gestational and early-life exposures may modulate development during growth and influence future athletic performance. Objective: To investigate associations between gestational and early-life exposures in Thoroughbreds and (i) likelihood of racing, (ii) total number of runs and (iii) total prizemoney by the end of the 3-year-old year. Methods: Prospective cohort. Methods: Daily records were kept on the location and duration of turnout, management and veterinary-attended episodes of disease or injury from birth until leaving the farm or study exit for 129 Thoroughbred foals on six stud farms. ...
A longitudinal study of radiodensity and radiographic appearance of the proximal sesamoid bones in Thoroughbred racehorses.
Equine veterinary journal    August 21, 2025   doi: 10.1111/evj.70075
Boros K, Dyson S, Pollard D, Nagy A.There are limited data on long-term follow-up of radiographic changes of the proximal sesamoid bones (PSBs) in Thoroughbred racehorses. The effect of training and racing on radiodensity of the PSBs in live Thoroughbreds has not been described. Objective: To follow radiographic changes of the PSBs in racehorses over 2 years and describe alterations in overall radiodensity. Methods: Prospective cohort study. Methods: Forty yearlings were enrolled at the first examination (T0). Re-examinations were performed four times, approximately 6 months apart, on 31 (T1), 23 (T2), 13 (T3) and 8 (T4) horse...
Synovial Fluid Biomarker Profile After Intra-Articular Administration of Neosaxitoxin in Horses: A Feasibility Study.
Animals : an open access journal from MDPI    August 21, 2025   Volume 15, Issue 16 2453 doi: 10.3390/ani15162453
Dörner C, Lagos N, Oyaneder L, Menarim BC, Ramírez-Toloza G.Osteoarthritis (OA) is an inflammatory joint disease and the leading cause of musculoskeletal disability affecting human and veterinary patients. New therapeutics halting inflammation while preserving joint homeostasis remain a critical need. Voltage-gated sodium (NaV) channels regulate the pro-inflammatory response of macrophages in the synovium, the central driver of joint homeostasis. Neosaxitoxin (NeoSTX) is a phycotoxin that blocks NaV channels, conferring a unique potential to regulate joint inflammation. This study evaluated the safety of intra-articular administration of NeoSTX in hors...
Imaging Findings of Congenital Distal Interphalangeal Joint Dysplasia in a 3-Month-Old Friesian Foal. Giessen EJM, Stas EKL, Grinwis GCM, Veraa S.A 3-month-old Friesian colt presented with severe, progressive distal limb lameness in two limbs. Radiographic and postmortem full-body CT imaging revealed severe articular deforming osteolysis and osteoproliferation at the dorsodistal navicular bone margin and the adjacent distal phalanx proximo-palmar/proximo-plantar margin in two limbs, with the remainder of the distal interphalangeal joint being unaffected. Multiple other joints showed small osteolytic subchondral defects. Postmortem histopathological examination confirmed focal joint disease of both distal interphalangeal joints, without ...
Exploring Monthly Variation of Gait Asymmetry During In-Hand Trot in Thoroughbred Racehorses in Race Training.
Animals : an open access journal from MDPI    August 20, 2025   Volume 15, Issue 16 2449 doi: 10.3390/ani15162449
Pfau T, Forbes B, Sepulveda-Caviedes F, Chan Z, Weller R.Based on fundamental mechanics, movement and force associate head and pelvic movement asymmetry with asymmetry of force production. We investigate, how often racehorses undergoing strenuous training regimens show evidence of switching between "preferred" limbs, i.e. one limb producing increased force, when assessed at monthly intervals? We hypothesize that clinical asymmetry thresholds designed for "detecting lameness" are frequently exceeded and that when applying previously established Thoroughbred-specific repeatability values, horses rarely switch between showing left- and right-sided asym...