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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.
Routine Orthopedic Evaluation in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 253-266 doi: 10.1016/j.cveq.2017.03.011
Hunt RJ, Baker WT.In order to recognize abnormalities on the physical evaluation, it is mandatory to understand normal developmental variations of the musculoskeletal system. Many abnormalities are self-limiting and, therefore, it is important to recognize which problems require intervention for a successful outcome and which may be complicated by treatment. The importance of a complete and thorough physical evaluation cannot be overemphasized and is the most productive diagnostic tool for recognizing most abnormalities of the skeletal system whether as a component of an after-foaling examination or for lamenes...
Angular Limb Deformities: Growth Augmentation.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 343-351 doi: 10.1016/j.cveq.2017.03.005
García-López JM.Angular limb deformities are seen in young foals and are defined as lateral or medial deviations of the limb in the frontal plane distal to a particular joint. Several factors can contribute to the development of an angular limb deformity. Early assessment of the level of ossification of the cuboidal bones is critical to avoid complications long term. Although most deviations self-correct with minimal intervention other than modifications in exercise and hoof trimming, some require surgical intervention in the form of growth acceleration or retardation. This article focuses on growth augmentat...
Flexural Deformity of the Distal Interphalangeal Joint.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 315-330 doi: 10.1016/j.cveq.2017.03.003
Caldwell FJ.Flexural deformities in young horses are commonly referred to as contracted tendons, which is a term that is not consistent with what is currently understood about their cause. Flexural deformity of the distal interphalangeal joint can be either congenital (present at birth) or acquired (develop at a later stage of growth typically between 1 and 6 months of age). These 2 manifestations are commonly managed differently depending on the cause, age of onset, severity, duration, complicating factors, and owner expectations. Early recognition and appropriate intervention are essential to ensure th...
Surgical Management of Osteochondrosis in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 379-396 doi: 10.1016/j.cveq.2017.03.010
Ortved KF.Osteochondrosis is common in young, athletic horses. Some lesions respond to conservative therapy. Surgical management is the mainstay of treatment. Arthroscopic debridement is useful in the femoropatellar joint, tarsocrural joint, fetlock joint, and shoulder joint. Debridement is associated with good outcomes, except in the shoulder joint. Osteochondrosis lesions in the elbow may be difficult to access arthroscopically, thereby transosseous debridement. Surgical management of subchondral cystic lesions of the medial femoral condyle consists of debridement, debridement with grafting, transcond...
Parasagittal fractures of the proximal phalanx in Thoroughbred racehorses in the UK: Outcome of repaired fractures in 113 cases (2007-2011).
Equine veterinary journal    July 6, 2017   Volume 49, Issue 6 784-788 doi: 10.1111/evj.12707
Smith MRW, Corletto FC, Wright IM.Thirty years have elapsed since the last published review of outcome following fracture of the proximal phalanx in Thoroughbred racehorses in the UK and contemporary results are needed to be able to advise of expected outcome. Objective: Collect and analyse outcome data following repair of fractures of the proximal phalanx in Thoroughbred racehorses in the UK. Methods: Retrospective case series. Methods: Case records of all Thoroughbred racehorses admitted to Newmarket Equine Hospital for evaluation of a parasagittal fracture of the proximal phalanx during a 5 years period were reviewed. Follo...
Does the injection of platelet-rich plasma induce changes in the gene expression and morphology of intact Thoroughbred skeletal muscle?
Journal of equine science    July 6, 2017   Volume 28, Issue 2 31-39 doi: 10.1294/jes.28.31
Fukuda K, Miyata H, Kuwano A, Kuroda T, Tamura N, Kotoyori Y, Kasashima Y.Platelet-rich plasma (PRP) therapy is promising for treating skeletal muscle injuries in human athletes by promoting muscle regeneration. It might also be useful for treating muscle injuries in equine athletes. In the present study, muscle regeneration induced by injection of PRP into intact muscle of Thoroughbred was investigated. Autologous PRP and saline were injected twice into intact left and right gluteus medius muscles of seven clinically healthy Thoroughbreds. Muscle samples were collected from the injection sites by needle biopsy at 2 and 7 days after PRP injection. Immunohistochemica...
The impact of subchondral bone cysts on local bone stresses in the medial femoral condyle of the equine stifle joint.
Medical engineering & physics    July 6, 2017   Volume 48 158-167 doi: 10.1016/j.medengphy.2017.06.019
Frazer LL, Santschi EM, Fischer KJ.Subchondral lucency (SCL), also referred to as subchondral bone cysts, can cause clinical problems in horses and humans. In humans, SCLs occur in youths and adolescents [1] due to mechanical factors (often related to athletics) and in skeletally mature individuals secondary to osteoarthritis (OA). In horses, SCL most commonly occurs in the medial femoral condyle (MFC) of growing horses (without OA), and causes lameness. The cause of equine SCL is debated, but bone trauma due to overload is the likely mechanism. Investigating the biomechanics of the healthy and cystic MFC is important to unders...
Thoroughbred fatality and associated jockey falls and injuries in races in New South Wales and the Australian Capital Territory, Australia: 2009-2014.
Veterinary journal (London, England : 1997)    July 3, 2017   Volume 227 1-7 doi: 10.1016/j.tvjl.2017.06.008
Wylie CE, McManus P, McDonald C, Jorgensen S, McGreevy P.Monitoring racehorse fatality and associated jockey falls provides benchmarks for intervention strategies. The aims of this study were to describe the incidence of and reasons for fatalities in Thoroughbred horses during flat races in the Australian Capital Territory and New South Wales (NSW), Australia, and to describe reported jockey falls and injuries associated with racehorse fatalities. A cohort study identified all racehorse fatalities reported through Racing NSW for the 2009-2010 to 2013-2014 racing seasons. Risks of racehorse fatality, fatal musculoskeletal injury, spontaneous death (a...
Expression of various sarcomeric tropomyosin isoforms in equine striated muscles.
Open veterinary journal    June 26, 2017   Volume 7, Issue 2 180-191 doi: 10.4314/ovj.v7i2.17
Dube S, Chionuma H, Matoq A, Alshiekh-Nasany R, Abbott L, Poiesz BJ, Dube DK.In order to better understand the training and athletic activity of horses, we must have complete understanding of the isoform diversity of various myofibrillar protein genes like tropomyosin. Tropomyosin (TPM), a coiled-coil dimeric protein, is a component of thin filament in striated muscles. In mammals, four TPM genes (TPM1, TPM2, TPM3, and TPM4) generate a multitude of TPM isoforms via alternate splicing and/or using different promoters. Unfortunately, our knowledge of TPM isoform diversity in the horse is very limited. Hence, we undertook a comprehensive exploratory study of various TPM i...
Comparison between chaotropic and detergent-based sample preparation workflow in tendon for mass spectrometry analysis.
Proteomics    June 22, 2017   Volume 17, Issue 13-14 1700018 doi: 10.1002/pmic.201700018
Ashraf Kharaz Y, Zamboulis D, Sanders K, Comerford E, Clegg P, Peffers M.Exploring the tendon proteome is a challenging but important task for understanding the mechanisms of physiological/pathological processes during ageing and disease and for the development of new treatments. Several extraction methods have been utilised for tendon mass spectrometry, however different extraction methods have not been simultaneously compared. In the present study we compared protein extraction in tendon with two chaotropic agents, guanidine hydrochloride (GnHCl) and urea, a detergent, RapiGest™, and their combinations for shotgun mass spectrometry. An initial proteomic analysi...
Effect of a 4-week elastic resistance band training regimen on back kinematics in horses trotting in-hand and on the lunge.
Equine veterinary journal    June 19, 2017   Volume 49, Issue 6 829-835 doi: 10.1111/evj.12690
Pfau T, Simons V, Rombach N, Stubbs N, Weller R.Training and rehabilitation techniques aiming at improving core muscle strength may result in increased dynamic stability of the equine vertebral column. A system of elastic resistance bands is suggested to provide proprioceptive feedback during motion to encourage recruitment of core abdominal and hindquarter musculature for improved dynamic stability. Objective: To quantify the effects of a specific resistance band system on back kinematics during trot in-hand and lungeing at beginning and end of a 4-week exercise programme. Methods: Quantitative analysis of back movement before/after a 4-we...
Cartilage canals in the distal intermediate ridge of the tibia of fetuses and foals are surrounded by different types of collagen.
Journal of anatomy    June 15, 2017   Volume 231, Issue 4 615-625 doi: 10.1111/joa.12650
Hellings IR, Dolvik NI, Ekman S, Olstad K.Some epiphyseal growth cartilage canals are surrounded by a ring of hypereosinophilic matrix consisting of collagen type I. Absence of the collagen type I ring may predispose canal vessels to failure and osteochondrosis, which can lead to fragments in joints (osteochondrosis dissecans). It is not known whether the ring develops in response to programming or biomechanical force. The distribution that may reveal the function of the ring has only been described in the distal femur of a limited number of foals. It is also not known which cells are responsible for producing the collagen ring. The a...
The effect of the sagittal ridge angle on cartilage stress in the equine metacarpo-phalangeal (fetlock) joint.
Computer methods in biomechanics and biomedical engineering    June 15, 2017   1-10 doi: 10.1080/10255842.2017.1339795
Liley H, Davies H, Firth E, Besier T, Fernandez J.Fatigue failure of bones of the metacarpo-phalangeal (fetlock, MCP) joint is common in thoroughbred racehorses. Stresses within the fetlock joint cartilages are affected by the morphology of the third metacarpal bone (MC3) and proximal phalangeal bone, and the steepness of the median sagittal ridge of MC3 is believed to be associated with fracture. This study investigated the influence of the steepness of the sagittal ridge on cartilage stress distribution using a finite element model of the joint. Changes to the steepness of the sagittal ridge were made by applying a parabolic function to the...
Reduction of Thoroughbred racing fatalities at New York Racing Association racetracks using a multi-disciplinary mortality review process. Palmer SE, McDonough SP, Mohammed HO.Between January 1, 2013 and December 31, 2015, findings of a New York State Gaming Commission-Cornell University postmortem examination program were utilized in a multi-disciplinary mortality review process to review 129 racing fatalities at Thoroughbred racetracks operated by the New York Racing Association (NYRA). Musculoskeletal fractures comprised 79% of the fatalities; cardiopulmonary conditions accounted for 12% of the fatalities. Other causes of death included gastrointestinal (3%), respiratory (5%), and central nervous system (2%) conditions. Fetlock failure represented 50% of the musc...
Characterization and use of Equine Bone Marrow Mesenchymal Stem Cells in Equine Cartilage Engineering. Study of their Hyaline Cartilage Forming Potential when Cultured under Hypoxia within a Biomaterial in the Presence of BMP-2 and TGF-ß1.
Stem cell reviews and reports    June 10, 2017   Volume 13, Issue 5 611-630 doi: 10.1007/s12015-017-9748-y
Branly T, Bertoni L, Contentin R, Rakic R, Gomez-Leduc T, Desancé M, Hervieu M, Legendre F, Jacquet S, Audigié F, Denoix JM, Demoor M, Galéra P.Articular cartilage presents a poor capacity for self-repair. Its structure-function are frequently disrupted or damaged upon physical trauma or osteoarthritis in humans. Similar musculoskeletal disorders also affect horses and are the leading cause of poor performance or early retirement of sport- and racehorses. To develop a therapeutic solution for horses, we tested the autologous chondrocyte implantation technique developed on human bone marrow (BM) mesenchymal stem cells (MSCs) on horse BM-MSCs. This technique involves BM-MSC chondrogenesis using a combinatory approach based on the associ...
The deep fascia and retinacula of the equine forelimb – structure and innervation.
Journal of anatomy    June 5, 2017   Volume 231, Issue 3 405-416 doi: 10.1111/joa.12643
Skalec A, Egerbacher M.Recent advances in human fascia research have shed new light on the role of the fascial network in movement perception and coordination, transmission of muscle force, and integrative function in body biomechanics. Evolutionary adaptations of equine musculoskeletal apparatus that assure effective terrestrial locomotion are employed in equestrianism, resulting in the wide variety of movements in performing horses, from sophisticated dressage to jumping and high-speed racing. The high importance of horse motion efficiency in the present-day equine industry indicates the significance of scientific...
A diagnostic pathologist’s guide to carpal disease in racehorses. Engiles JB, Stewart H, Janes J, Kennedy LA.As a pathologist, postmortem examination of the equine carpus can be daunting. The anatomy is complex and oftentimes, small or subtle lesions have significant impact on lameness and secondary lesions such as catastrophic musculoskeletal fractures and other injuries. In performance horses, particularly racehorses, the carpus is a common site of injury and source of lameness. Given the predisposition of racehorses to developing carpal disease, familiarity with clinically relevant anatomy and common developmental, degenerative, traumatic, and inflammatory processes are imperative for thorough pos...
Complementary and alternative medicine for the management of orthopaedic problems in Swiss Warmblood horses.
Veterinary medicine and science    May 29, 2017   Volume 3, Issue 3 125-133 doi: 10.1002/vms3.64
Lange CD, Axiak Flammer S, Gerber V, Kindt D, Koch C.It appears that complementary and alternative medicine (CAM) is used increasingly often in horses for the assessment and treatment of suspected orthopaedic problems, especially back problems. The aim of this study was to determine the frequency of CAM use for the management of orthopaedic problems in a defined population of Swiss Warmblood horses. A total of 239 owners and caretakers of horses from a pre-defined database were called by a veterinarian to participate in the survey. A standardized questionnaire was designed to determine, for each orthopaedic case, where the localization of the pr...
Corrigendum to “Multimodality scoring of chondral injuries in the equine fetlock joint ex vivo” [Osteoarthritis Cartilage 25 (5) (2017 May) 790-798].
Osteoarthritis and cartilage    May 27, 2017   Volume 25, Issue 8 1377-1378 doi: 10.1016/j.joca.2017.05.010
Sarin JK, Brommer H, Argüelles D, Puhakka PH, Inkinen SI, Afara IO, Saarakkala S, Töyräs J.No abstract available
Flexural Limb Deformities of the Carpus and Fetlock in Foals.
The Veterinary clinics of North America. Equine practice    May 25, 2017   Volume 33, Issue 2 331-342 doi: 10.1016/j.cveq.2017.03.004
Gaughan EM.Early recognition and treatment of congenital and acquired flexural deformities of the carpi and fetlocks of foals can lead to conformation correction and an athletic future. Treatment is often based on rigid external coaptation assisted by systemic medical treatment. Foals that readily respond to treatment and correct conformation faults can have normal adult athletic expectations.
Routine Trimming and Therapeutic Farriery in Foals.
The Veterinary clinics of North America. Equine practice    May 25, 2017   Volume 33, Issue 2 267-288 doi: 10.1016/j.cveq.2017.03.012
O'Grady SE.Hoof care in the first few months of life is serious business and should never be taken lightly. Farriery plays a vital role in both the development of the hoof and the conformation of the limb. Management of the feet and limbs during this period will often dictate the success of the foal as a sales yearling or mature sound athlete. A sound foot care program is time-consuming, whereas assembly-line trimming is quick and easy, but the former is much more beneficial.
Osteochondritis Dissecans Development.
The Veterinary clinics of North America. Equine practice    May 25, 2017   Volume 33, Issue 2 367-378 doi: 10.1016/j.cveq.2017.03.009
Semevolos SA.This article reviews current knowledge of osteochondritis dissecans (OCD) development in horses, including normal cartilage development, early osteochondrosis pathogenesis, and factors that result in healing or advancement to OCD fragments. Discussion includes current theories, detection, and therapeutic options.
High metabolic activity of tissue-nonspecific alkaline phosphatase not only in young but also in adult bone as demonstrated using a new histochemical detection protocol.
General and comparative endocrinology    May 11, 2017   Volume 258 109-118 doi: 10.1016/j.ygcen.2017.05.008
Maly IP, Eppler E, Müller-Gerbl M.Tissue-nonspecific alkaline phosphatase (TNAP) is playing a key role in bone calcification, as has been demonstrated in different mammalian species including human and rodents. However, to investigate age-related changes during life history, histochemical demonstration of TNAP is severely hampered, particularly in the elderly, by technical difficulties associated with sectioning calcified tissue. Sufficient fixation must precede decalcification since poorly fixed bone tissue is exposed to the deleterious effects of decalcification reagents. In order to find a method that would allow cryosectio...
Orthopedic Conditions of the Premature and Dysmature Foal.
The Veterinary clinics of North America. Equine practice    May 6, 2017   Volume 33, Issue 2 289-297 doi: 10.1016/j.cveq.2017.03.001
Coleman MC, Whitfield-Cargile C.Incomplete ossification of the cuboidal bones is a common finding in premature and dysmature foals, and possibly in foals with hypothyroidism. Radiographs of the carpus and tarsus should be performed in any high-risk foal to obtain a diagnosis. Goals of treatment include limiting weight bearing and exercise. The prognosis is guarded depending on the degree of incomplete ossification.
Three-dimensional kinematics of the equine metacarpophalangeal joint using x-ray reconstruction of moving morphology – a pilot study.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 5, 2017   Volume 30, Issue 4 248-255 doi: 10.3415/VCOT-16-06-0095
Childs BA, Pugliese BR, Carballo CT, Miranda DL, Brainerd EL, Kirker-Head CA.X-ray reconstruction of moving morphology (XROMM) uses biplanar videoradiography and computed tomography (CT) scanning to capture three-dimensional (3D) bone motion. In XROMM, morphologically accurate 3D bone models derived from CT are animated with motion from videoradiography, yielding a highly accurate and precise reconstruction of skeletal kinematics. We employ this motion analysis technique to characterize metacarpophalangeal joint (MCPJ) motion in the absence and presence of protective legwear in a healthy pony. Our in vivo marker tracking precision was 0.09 mm for walk and trot, and 0.1...
Alterations in thoracolumbosacral movement when pain causing lameness has been improved by diagnostic analgesia.
Veterinary journal (London, England : 1997)    May 3, 2017   Volume 224 55-63 doi: 10.1016/j.tvjl.2017.03.009
Greve L, Dyson S, Pfau T.Lameness, thoracolumbosacral pain and reduced range of motion (ROM) often coexist; better understanding of their relationship is needed. The objectives were to determine if thoracolumbosacral movement of horses changes when pain causing lameness is improved by diagnostic analgesia. We hypothesised that reduction of lameness will increase ROM of the thoracolumbosacral region. Thirteen horses with different types of hind limb lameness were trotted in straight lines and lunged on a 10m diameter circle on left and right reins before and after lameness was subjectively substantially improved by dia...
In vitro comparison of 3 techniques of prosthesis attachment to the muscular process of the equine arytenoid cartilage.
Veterinary surgery : VS    April 29, 2017   Volume 46, Issue 5 700-704 doi: 10.1111/vsu.12659
Ahern BJ, Van Eps AW, Boston RC, Franklin SH.To determine the degree and ease of arytenoid abduction achieved with abaxial placement of a FASTak II suture anchor compared to 2 suture patterns with different directions of insertion-caudomedial to craniolateral and medial to lateral. Methods: Ex vivo experimental. Methods: Cadaveric larynges from 10 Standardbred racehorses. Methods: Each larynx was sequentially instrumented with all 3 arytenoid suture attachment in random order: (1) abaxial placement of a FASTak II suture, (2) caudomedial to craniolateral suture, and (3) medial to lateral suture placement. Each construct was abducted at 5N...
Exercise-induced modification of the skeletal muscle transcriptome in Arabian horses.
Physiological genomics    April 28, 2017   Volume 49, Issue 6 318-326 doi: 10.1152/physiolgenomics.00130.2016
Ropka-Molik K, Stefaniuk-Szmukier M, Z Ukowski K, Piórkowska K, Bugno-Poniewierska M.It has been found that Arabian and Thoroughbred horses differ in muscle fiber structure and thus in physiological changes occurring in muscles during exercise. The aim of the present study was to identify the global gene expression modifications that occur in skeletal muscle following a training regime to prepare for flat racing. Whole transcriptomes of muscle (gluteus medius) were compared between three time points of tissue collection: T (untrained horses), T (horses after intense gallop phase), and T (horses at the end of racing season), 23 samples in total. The numerous groups of exercise-...
Biomechanical and histologic evaluation of the effects of underwater treadmill exercise on horses with experimentally induced osteoarthritis of the middle carpal joint.
American journal of veterinary research    April 26, 2017   Volume 78, Issue 5 558-569 doi: 10.2460/ajvr.78.5.558
King MR, Haussler KK, Kawcak CE, McIlwraith CW, Reiser RF, Frisbie DD, Werpy NM.OBJECTIVE To evaluate the effects of exercise in an underwater treadmill (UWT) on forelimb biomechanics and articular histologic outcomes in horses with experimentally induced osteoarthritis of the middle carpal joint. ANIMALS 16 horses. PROCEDURES An osteochondral fragment was induced arthroscopically (day 0) in 1 middle carpal joint of each horse. Beginning on day 15, horses were assigned to exercise in a UWT or in the UWT without water (simulating controlled hand walking) at the same speed, frequency, and duration. Thoracic and pelvic limb ground reaction forces, thoracic limb kinematics, a...
Head and pelvic movement asymmetries at trot in riding horses in training and perceived as free from lameness by the owner.
PloS one    April 25, 2017   Volume 12, Issue 4 e0176253 doi: 10.1371/journal.pone.0176253
Rhodin M, Egenvall A, Haubro Andersen P, Pfau T.Recent studies evaluating horses in training and considered free from lameness by their owners have identified a large proportion of horses with motion asymmetries. However the prevalence, type and magnitude of asymmetries when trotting in a straight line or on the lunge have not been investigated. The aim of this study was to objectively investigate the presence of motion asymmetries in riding horses in training by identifying the side and quantifying the degree and type (impact, pushoff) of forelimb and hind limb asymmetries found during straight line trot and on the lunge. In a cross-sectio...
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