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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.
Spinal Injuries from Equestrian Activity: A US Nationwide Study.
Journal of clinical medicine    June 26, 2025   Volume 14, Issue 13 4521 doi: 10.3390/jcm14134521
Loder RT, Walker AL, Blakemore LC. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Indicators of mortality risk in ageing horses.
GeroScience    June 25, 2025   doi: 10.1007/s11357-025-01738-y
Kelemen Z, Vogl C, Torres Borda L, Auer U, Jenner F.Clinical care for patients with limited life expectancy often requires adjustments, prioritizing immediate benefits over long-term outcomes, as the relevance of future complications diminishes. This study identifies indicators of mortality risk in horses with chronic orthopaedic conditions to enhance individualized care and welfare. Over 3 years, 123 chronically lame horses and 6 healthy control horses at an animal sanctuary underwent regular (every 3 months) comprehensive health assessments and activity monitoring using wearable sensors. Data collected included body condition scores, muscul...
Computed tomographic myelography of the cranial cervical spine in Warmblood horses with no spinal pathology-Inter- and intravertebral ratios and distribution of contrast columns in neutral and flexed cervical spine.
Equine veterinary journal    June 24, 2025   doi: 10.1111/evj.14552
Hellige M, Schröder C, Seehusen F, Cavalleri JM, Rohn K, Stadler P, Geburek F.Computed tomographic myelography (CTM) and radiographic myelography (RxM) are diagnostic for extradural spinal cord compression, but knowledge about the contrast distribution in flexion and normal position of nonaffected horses is lacking. Objective: (1) To determine the inter- and intravertebral ratios at C3-C4 of CTM in neutral and flexed positions in Warmbloods. (2) To compare the diameters of the spinal cord and the contrast columns at C3-C4 between neutral and flexed positions in CTM and RxM. (3) To evaluate the variability of measurements. Methods: Terminal in vivo method-comparison stud...
Prevalence of musculoskeletal injuries associated with lameness in Australian campdraft horses.
Equine veterinary journal    June 24, 2025   doi: 10.1111/evj.14551
Argue BJ, Labens R.Campdrafting is a unique Australian cow horse sport, which evolved from mustering cattle and is one of Australia's fastest growing equine sports. This discipline is associated with its own unique set of musculoskeletal injuries yet to be reported. Objective: To describe the prevalence, anatomical location, and diagnostic modality used to localise lameness in campdrafting horses to better assist efficient orthopaedic management of the campdraft horse. Methods: Retrospective case series. Methods: Medical records were examined from one private practice equine group and one university veterinary h...
Equine Bone Imaging, Part 2: Role of Nuclear Medicine in Racehorses.
Journal of nuclear medicine technology    June 24, 2025   jnmt.125.270050 doi: 10.2967/jnmt.125.270050
Tually P, Currie G.The horse racing industry, like any sport, must contend with the effects of injuries on an athlete's performance and longevity. Catastrophic fractures linked to preexisting bone fatigue can be prevented with the use of imaging technology, such as the nuclear medicine bone scan. The accessibility and affordability of imaging for racehorses remain obstacles. The conventional role of bone scintigraphy has evolved with the advent of advanced techniques, including MRI, CT, and PET. Concurrently, SPECT has expanded the role of scintigraphy in the racehorse. This article explores the conventional and...
Dual-Energy Computed Tomography for the Detection of Bone Edema-Like Lesions in the Equine Foot: Standing Horses and Cadaveric Specimens.
Veterinary sciences    June 24, 2025   Volume 12, Issue 7 614 doi: 10.3390/vetsci12070614
Germonpré J, Lorenz I, Vandekerckhove LMJ, Duchateau L, Diekhoff T, Vanderperren K.Dual-energy computed tomography (DECT) is a promising advancement for detecting bone edema-like lesions (BME). However, its application in horses remains limited. The aim of this study was to evaluate DECT virtual-non-calcium (VNCa) imaging in the equine foot and establish which confounding factors could influence its applicability in clinical practice. The DECT VNCa map of 14 standing and 5 cadaveric (recumbent) cases with foot-related lameness was scored in consensus by two readers in comparison to MRI. Overall, 17/19 cases demonstrated BME on MRI, whereas 2 did not. Agreement between DECT V...
Ultrasonographic diagnosis of caudoproximal humeral stress fracture in thoroughbred racehorses.
Equine veterinary journal    June 22, 2025   doi: 10.1111/evj.14546
Vaughan B, McKerney ER, Wollenberger C, Cloninger A, Spriet M, Galuppo L, Stover SM.Humeral stress fractures in racehorses can progress to catastrophic fracture if unrecognised. Scintigraphy is the gold standard diagnostic technique but is limited by accessibility and cost. It was hypothesised that ultrasonography could be used to visualise caudoproximal humeral stress fractures. Objective: To determine the utility of ultrasonography to identify caudoproximal humeral stress fractures in racehorses. Methods: Clinical case series. Methods: Seven racehorses that had a clinical history consistent with the presence of a humeral stress fracture were examined using humeral ultrasono...
Task-specific morphological and kinematic differences in Lipizzan horses.
Frontiers in veterinary science    June 17, 2025   Volume 12 1569067 doi: 10.3389/fvets.2025.1569067
Zupan Šemrov M, Přibylová L, Gobbo E.Equine locomotion emerges from a dynamic interplay between morphology, biomechanics, and functional demands. This study examines the relationship between morphological measurements and gait kinematics in Lipizzan horses, a breed renowned for its diverse work tasks and standardized environmental conditions. These horses offer a unique opportunity to explore task-specific adaptations in biomechanics, with significant implications for breeding strategies and welfare practices. Unassigned: The study involved 71 healthy Lipizzan horses that were housed at the Lipica stud farm and performed various ...
Clinical evaluation of freeze-dried secretome (lyosecretome) for osteoarthritis: a controlled trial in dogs and preliminary safety assessment in horses.
International journal of pharmaceutics    June 16, 2025   Volume 681 125864 doi: 10.1016/j.ijpharm.2025.125864
Berni P, Del Bue M, Conti V, Andreoli V, Ramoni R, Angelone M, Squassino GP, Bari E, Torre ML, Rinaldi M, Dotti S, Rossi R, Yusuf I, Mauri P....Most in vivo studies on MSC-secretome for osteoarthritis (OA) have relied on animal models, using products lacking pharmaceutical quality, not formulated for clinical use, and insufficiently characterized, limiting knowledge of its effectiveness. This study reports veterinary clinical trials on dogs and horses with spontaneous OA: in dogs (26 subjects), the trial is randomized, double-blinded, and controlled; in horses, 5 clinical cases were treated for safety assessment. Treatment consisted of hyaluronic acid with either lyosecretome - a freeze-dried, injectable MSC-secretome obtained through...
Guidelines for Formulating Rehabilitation Strategies for Equine Tendon and Ligament Injuries.
The Veterinary clinics of North America. Equine practice    June 14, 2025   S0749-0739(25)00028-8 doi: 10.1016/j.cveq.2025.04.010
Ellis KL, Giancola S.Rehabilitation for tendon/ligament injury requires a multimodal approach to reduce pain, restore range of motion, improve proprioception/neuromotor control, and improve strength/endurance. Multiple tools are available to accomplish these goals. The rehabilitation program must be tailored to the individual patient regardless of injury type in order to return the horse to full athletic activity and reduce the risk of reinjury.
Cellular and Matrix Dynamics of the Equine Tendon.
The Veterinary clinics of North America. Equine practice    June 14, 2025   S0749-0739(25)00025-2 doi: 10.1016/j.cveq.2025.04.007
Koch DW.Our understanding of tendon homeostasis and repair following injury has made great strides through basic science, clinical veterinary medicine, and preclinical translational research. We have now gleaned a greater understanding of the cellular and matrix dynamics that are being orchestrated within the tendon, which provide therapeutic opportunities. This article will focus on how utilizing the horse and equine tissues have advanced our understanding of tendinopathy and the cellular and matrix dynamics at play while also identifying continued gaps in our knowledge where the horse as a veterinar...
Suspensory Ligament Injuries: Diagnosis and Treatment.
The Veterinary clinics of North America. Equine practice    June 14, 2025   S0749-0739(25)00023-9 doi: 10.1016/j.cveq.2025.04.005
Horne CR, Redding WR.The location of a suspensory ligament (SL) injury heavily influences the clinical presentation, prognosis, and treatment options. Diagnostic imaging is necessary to provide an accurate diagnosis and is critical to ensure the institution of the most appropriate treatment. The hindlimb proximal SL in particular can be challenging to diagnosis, carries a guarded prognosis, and typically requires aggressive treatment to achieve soundness.
Adjunct Therapies for Tendon/Ligament Healing: Therapeutic Laser and Extracorporeal Shockwave Therapy.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 391-401 doi: 10.1016/j.cveq.2025.04.009
Pluim M, Reynolds A, McClure S.High-power laser therapy and extracorporeal shock wave therapy (ESWT) can be safely used to treat tendon and ligament injuries in horses, and the potential beneficial effects have been described. The power of low level lasers is not sufficient for treatment of tendon and ligament injuries in horses. ESWT is used more often to treat tendon and ligament injuries than it is for any other type of condition in horses, but there is limited supporting scientific evidence. Further research should focus on establishing dosage and treatment protocols for both laser therapy and ESWT in horses with clinic...
Current and Emerging Biologic Therapies for Equine Tendon and Ligament Injuries.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 371-389 doi: 10.1016/j.cveq.2025.04.008
Connard SS, Schnabel LV.This review explores the use of biologics in the treatment of tendon and ligament injuries in horses, focusing on current and emerging therapies aimed at enhancing tissue repair and regeneration. It discusses the role of scaffold-based therapies, growth factors, blood-derived and tissue-derived biologics, and gene therapy as biologic regenerative therapies for improving healing outcomes. The review evaluates the mechanisms, efficacy, and challenges of biologics in clinical applications, highlighting recent advances and clinical studies. It provides an overview of current trends and future dire...
Current and Emerging Quantitative Imaging Modalities for Diagnosing and Monitoring Equine Tendon and Ligament Injuries.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 265-278 doi: 10.1016/j.cveq.2025.05.001
Urion R, Lustgarten M, Hostnik ET.Technological developments in imaging modalities have advanced the diagnostic capabilities for equine tendon and ligament injuries beyond the traditional methods. This review examines elastography techniques in ultrasonography that assess tissue stiffness and strain properties, computed tomography (CT) innovations including PET/CT fusion and dual-energy CT, and emerging applications of diffusion-weighted MRI for evaluating fiber microstructure and functionality. These complementary approaches offer veterinarians improved means to detect early injuries, assess structural integrity, monitor heal...
Diagnosis and Strategies for the Treatment of Infectious Equine Tendon and Ligament Disorders.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 403-419 doi: 10.1016/j.cveq.2025.05.002
Moreno C, Rice H.Diagnostic and treatment strategies for infectious equine tendon and ligament disorders are continually evolving where recent progress is focused on advanced imaging and evidence supporting endoscopic lavage and regional antimicrobial therapy.
Current Practices and Considerations in Therapeutic Farriery for Equine Tendon and Ligament Injuries.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 443-451 doi: 10.1016/j.cveq.2025.05.003
Beasley B.The overall objective of therapeutic farriery for equine tendon and ligament injuries is to provide a biomechanical environment conducive to healing by limiting excessive strain on the injured structure. With an understanding of equine limb anatomy and the pathophysiology of tendon/ligament injuries, the rationale used in therapeutic farriery for soft tissue injuries of the distal limb is quite logical. Through therapeutic farriery, foot manipulation is used to reduce the tension on the injured tendon(s) or ligament(s).
Structure Function Relationships in the Aging Superficial Digital Flexor Tendon: Implications for Injury.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 239-250 doi: 10.1016/j.cveq.2025.04.001
Zamboulis DE, Thorpe CT.The high stresses and strains experienced by the superficial digital flexor tendon (SDFT) make it prone to age-related injury. The SDFT exhibits cellular and structural specializations, localized to the interfascicular matrix (IFM), enabling it to resist its extreme mechanical environment. With aging, these specializations are lost, impacting the ability of the tendon to withstand repeated loading. Within the IFM, there is loss of mechanical properties and organization accompanying cell senescence and a decreased resolution of inflammation. Developing therapeutics to reverse these changes may,...
Metabolic heterogeneity exists across equine distal limb tendons and ligaments in healthy, metabolically normal horses.
American journal of veterinary research    June 13, 2025   1-12 doi: 10.2460/ajvr.25.01.0015
Ellis K, Van Zeeland EM, Ashton L, Wist S, Broeckling C, Harris M, Frisbie DD, Sikes KJ.To (1) identify tissue-specific metabolic profiles of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), and suspensory ligament (SL) and (2) evaluate metabolic profile differences in the SDFT, DDFT, and SL between the equine forelimb and hindlimb. Unassigned: 2 SDFT, DDFT, and SL specimens were collected from the forelimbs and hindlimbs of 10 horses of mixed breed, age, and sex that were euthanized for other reasons. One specimen was processed for histology to confirm that there were no underlying soft-tissue pathologies. One specimen was processed for 2 forms of...
Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses.
Journal of the American Veterinary Medical Association    June 13, 2025   Volume 263, Issue 9 1127-1135 doi: 10.2460/javma.25.03.0134
Maguire M, Brusie R.To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression. Unassigned: Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were inc...
PRP and hyaluronic acid reduce synovitis in horses after arthroscopic OCD removal in Andalusian horses.
Research in veterinary science    June 13, 2025   Volume 193 105768 doi: 10.1016/j.rvsc.2025.105768
Munoz Moran JA.This study was performed to evaluate the efficacy of intra-articular (IA) injections of a combination of platelet rich plasma (PRP) and hyaluronic acid (HA) on joint effusion following arthroscopic removal of OCD in the tarso-crural joint (TCJ) in young Andalusian horses. Methods: Forty Andalusian horses diagnosed with OCD of the distal intermediate ridge of the tibia (DIRT) were included in the study. Horses enrolled in this study had persisting synovial effusion after arthroscopic removal of OCD in the TCJ. A subjective semi-quantitative effusion score was adopted in the study to define the ...
Direct arthroscopic approach to the distal pouch of the palmar/plantar recess of the metacarpophalangeal/metatarsophalangeal joint in horses.
Veterinary surgery : VS    June 12, 2025   doi: 10.1111/vsu.14290
Foucaud M, Haegeman L, Kadic D, Vinardell T, Mariën T, Declercq J.To describe a direct arthroscopic approach of the distal pouch of the palmar/plantar recess of the fetlock to facilitate fragment removal, highlighting its advantages over previously described arthroscopic methods for the fetlock. Additionally, to evaluate and present a retrospective case series. Methods: Ex vivo and retrospective clinical study. Methods: A total of 25 fetlocks in 23 horses. Methods: A direct approach to the distal pouch of the palmar/plantar recess of the fetlock was developed on five cadaveric limbs. Arthroscopic anatomy and landmarks were examined. The approach was clinical...
The cross-sectional area of normal superficial digital flexor tendon of young French Trotters increases during the first months of training.
American journal of veterinary research    June 12, 2025   Volume 86, Issue 8 doi: 10.2460/ajvr.24.09.0249
Beaumont A, Emond AL, Pourcelot P, Fayaubot L, Ravary-Plumioen B, Dupays AG, Desquilbet L, Denoix JM, Crevier-Denoix N.To quantify changes in the cross-sectional area (CSA) of the midmetacarpal superficial digital flexor tendon (SDFT) in young Trotters during training. Unassigned: In this experimental study, 12 healthy 3-year-old French Trotters, assigned to either a soft-track or a hard-track group, were trained for 4 months (June through September of 2012 and 2013). Both groups followed the same exercise program of increasing intensity. Ultrasonographic examinations of both forelimb SDFTs of each horse were performed before the beginning of training (D0), after 2 months of training (M2), and after 4 months o...
Desmitis of the palmar or plantar ligaments of the proximal interphalangeal joint: A descriptive case series.
Equine veterinary journal    June 12, 2025   doi: 10.1111/evj.14547
Peeters MWJ, Ott S, van Veggel E, Berner D, Perrier M.Limited reports in the literature are available regarding desmitis of the palmar/plantar ligaments of the proximal interphalangeal joint (PL-PIPJ); the clinical significance of such injuries is unknown. Objective: To describe the ability to differentiate the PL-PIPJ on low-field magnetic resonance (MR) examination. To describe the injury characteristics of the PL-PIPJ on MR examination and the correlation with clinical features and lameness. Methods: Retrospective case series. Methods: Data and MR images of 29 horses were collected from the databases of three institutions. Horses were included...
A Retrospective Study of the Evolution of Orthopaedic Injuries in 70 Dressage Horses.
Animals : an open access journal from MDPI    June 12, 2025   Volume 15, Issue 12 1740 doi: 10.3390/ani15121740
Boado A, Pollard D, Dyson S.There is limited information about the orthopaedic health of dressage horses. This study aimed to document the orthopaedic status, lesion distribution, and evolution of injuries in 70 horses undergoing a minimum of five in-depth orthopaedic assessments at six-months' intervals. Warmblood (70.0%) and Iberian (24.3%) breeds predominated. The median lameness grade at initial examination was 2/5 (interquartile range 2,2; range 0,3). Hypermetria (42.9%) or hypermetria and weakness (12.9%) were observed at the initial examination and did not change over time. Metacarpophalangeal/metatarsophalangeal ...
Prevalence and risk of orthopedic diagnoses in insured Swedish Warmblood horses.
Preventive veterinary medicine    June 11, 2025   Volume 242 106596 doi: 10.1016/j.prevetmed.2025.106596
Bonow S, Hernlund E, Eriksson S, Strandberg E, Gelinder Viklund Å.Sweden has a strong tradition of insuring horses for veterinary costs, and orthopedic diagnoses are the most common for insurance claims. The aim of this study was to investigate differences in prevalence and risk of orthopedic diagnoses for Swedish warmblood (SWB) horses classified as jumping (J) or dressage (D) horses. Also, other factors that may influence orthopedic health were investigated, i.e., sex, birth cohort, and participation in young horse tests and competition. The data consisted of 15,619 insured SWB horses born between 2010 and 2020. Horses were classified as J or D horses acco...
Genetic relationship between Neck and Limb defects in Pura Raza Española Horses.
Journal of equine veterinary science    June 10, 2025   Volume 151 105630 doi: 10.1016/j.jevs.2025.105630
Ripollés-Lobo M, Perdomo-González DI, Dos Santos R, Sánchez-Guerrero MJ, Azor P, Valera M.Neck and limb conformational defects can impair functionality and performance in Pura Raza Española (PRE) horses. However, their potential genetic relationship has not been previously explored. Objective: To estimate the genetic correlations between two types of neck defects (Cresty neck -CN-, Ewe neck -EN-) and twelve conformational limb defects: Forelimb (Buck knee -BUK-, Calf knee -CK-, Bench knee -BEK-, Knock knee -KK-, Splay-footed forelimb -SFF-, Pigeon-toed forelimb -PTF-), rear limb (Closed hock -CH-, Open hock -OH-, Convergent hock -CVH-, Divergent hock -DVH-, Splay-footed rear limb ...
An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse.
Veterinary surgery : VS    June 2, 2025   doi: 10.1111/vsu.14287
Kadic LIM, Liu CC, Leise BS, McCauley CT, Riggs LM.The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing. Methods: An ex vivo biomechanical equine cadaver study. Methods: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease. Methods: Each pair of MCP joints were randomly implanted w...
Spinal articular dysfunction is common in athletic horses.
Equine veterinary journal    June 1, 2025   doi: 10.1111/evj.14541
Patricio CR, Winter GHZ, Garbade P.Spinal articular dysfunction disrupts normal neural function and may lead to stiffness, pain or poor performance. Back pain is common in equine athletes, and it is a common complaint by horse owners requesting chiropractic evaluations. Objective: To describe the prevalence of spinal articular dysfunction in showjumping horses. Methods: Retrospective analysis of clinical records. Methods: Records from 3 years of examinations in horses, from beginners to high-performance levels. Each horse had 30 spinal segments evaluated for the presence of dysfunctional articulations. Exams were performed by...
Correction: The effect of cyclic fluid perfusion on the proinflammatory tissue environment in osteoarthritis using equine joint-on-a-chip models.
Lab on a chip    May 28, 2025   Volume 25, Issue 11 2795-2796 doi: 10.1039/d5lc90048d
Heidenberger J, Reihs EI, Strauss J, Frauenlob M, Gültekin S, Gerner I, Toegel S, Ertl P, Windhager R, Jenner F, Rothbauer M.Correction for 'The effect of cyclic fluid perfusion on the proinflammatory tissue environment in osteoarthritis using equine joint-on-a-chip models' by Johannes Heidenberger et al., Lab Chip, 2025, 25, 2256-2269, https://doi.org/10.1039/d4lc01078g.
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