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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.
Soft tissue swelling in an Arabian gelding.
Compendium (Yardley, PA)    October 1, 2010   Volume 32, Issue 10 E1-E3 
O'Brien T, Koch C, Livesey MA.No abstract available
The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the horse.
Osteoarthritis and cartilage    October 1, 2010   Volume 18 Suppl 3 S93-S105 doi: 10.1016/j.joca.2010.05.031
McIlwraith CW, Frisbie DD, Kawcak CE, Fuller CJ, Hurtig M, Cruz A.Equine models of osteoarthritis (OA) have been used to investigate pathogenic pathways of OA and evaluate therapeutic candidates for naturally occurring equine OA which is a significant clinical disease in the horse. This review focuses on the macroscopic and microscopic criteria for assessing naturally occurring OA in the equine metacarpophalangeal joint as well as the osteochondral fragment-exercise model of OA in the equine middle carpal joint. Methods: A review was conducted of all published OA studies using horses and the most common macroscopic and microscopic scoring systems were summar...
An in vitro biomechanical comparison of a locking compression plate fixation and kerf cut cylinder fixation for ventral arthrodesis of the fourth and the fifth equine cervical vertebrae.
Veterinary surgery : VS    September 29, 2010   Volume 39, Issue 8 980-990 doi: 10.1111/j.1532-950X.2010.00733.x
Reardon RJ, Bailey R, Walmsley JP, Heller J, Lischer C.To (1) define mechanical properties in flexion, extension, and left lateral bending of cadaveric equine 4th and 5th cervical (C4-C5) articulations, (2) compare biomechanical properties of C4-C5 when stabilized with a kerf cut cylinder (KCC) compared with a ventrally placed 4.5 mm locking compression plate (LCP). Methods: In vitro biomechanical investigation. Methods: Cadaveric adult equine cervical vertebral columns (n=54). Methods: Cervical vertebrae aged by horse dentition and size measured from radiographs were divided into 3 age groups then randomly allocated to 3 groups. The C4-C5 articul...
Observer agreement study of cervical-vertebral ratios in horses.
Equine veterinary journal    September 29, 2010   Volume 43, Issue 4 399-403 doi: 10.1111/j.2042-3306.2010.00300.x
Scrivani PV, Levine JM, Holmes NL, Furr M, Divers TJ, Cohen ND.Different examiners or the same examiner were observed at different times producing slightly different results when obtaining cervical-vertebral ratios. If the difference is substantial, then measurement variability would have an important impact of radiographic interpretation. Objective: To quantify agreement and repeatability of these measurements. Methods: An observer agreement study was performed using 75 horses. Measurements were made at C3-4 and C6-7 by a board-certified radiologist and an imaging resident. Intra- and interobserver agreement was quantified using Bland-Altman plots. Repea...
A pressure plate study on fore and hindlimb loading and the association with hoof contact area in sound ponies at the walk and trot.
Veterinary journal (London, England : 1997)    September 27, 2010   Volume 190, Issue 1 71-76 doi: 10.1016/j.tvjl.2010.08.016
Oosterlinck M, Pille F, Back W, Dewulf J, Gasthuys F.The aim of this study was to evaluate the association between fore- and hind-hoof contact area and limb loading. Data from a previous study on forelimb loading and symmetry were compared with data on hindlimb kinetics, and the fore- and hind-hoof contact area at the walk and trot was evaluated. Five sound ponies, selected for symmetrical feet, were walked and trotted over a pressure plate embedded in a custom-made runway. The hindlimb peak vertical force (PVF) and vertical impulse (VI) were found to be significantly lower than in the forelimb, whereas their high symmetry ratios (>95%) did n...
Meniscal translocation and deformation throughout the range of motion of the equine stifle joint: an in vitro cadaveric study.
Equine veterinary journal    September 23, 2010   Volume 43, Issue 3 259-264 doi: 10.1111/j.2042-3306.2010.00291.x
Fowlie JG, Arnoczky SP, Stick JA, Pease AP.By study of the translocation and deformation of equine menisci throughout the range of motion, it may be possible to identify potential mechanical factors in the pathogenesis of injury to the cranial horn of the medial meniscus. Objective: To quantitatively document meniscal translocation and deformation using radiographic and MR imaging, and to evaluate for potential variation between the medial and lateral menisci. Methods: Radiographic markers were embedded in the periphery of the menisci in 6 cadaver stifles. Proximal-distal radiographs were taken at 15° intervals ranging from full flexi...
Anatomical, magnetic resonance imaging and histological findings in the accessory ligament of the deep digital flexor tendon of forelimbs in nonlame horses.
Equine veterinary journal    September 23, 2010   Volume 43, Issue 3 309-316 doi: 10.1111/j.2042-3306.2010.00217.x
Nagy A, Dyson S.Detailed magnetic resonance imaging (MRI) and histological appearances of the accessory ligament of the deep digital flexor tendon (AL-DDFT) have not been documented previously in detail. Objective: To: 1) describe anatomical connections between the AL-DDFT and adjacent structures; 2) describe high-field and low-field MRI and histological appearances of the AL-DDFT in the forelimb of horses with no carpal or proximal metacarpal pain; and 3) assess the relationship between age, breed, gender, height, weight and MRI findings. Methods: Ten forelimbs were dissected to determine anatomical relation...
Effects of age and loading rate on equine cortical bone failure.
Journal of the mechanical behavior of biomedical materials    September 21, 2010   Volume 4, Issue 1 57-75 doi: 10.1016/j.jmbbm.2010.09.006
Kulin RM, Jiang F, Vecchio KS.Although clinical bone fractures occur predominantly under impact loading (as occurs during sporting accidents, falls, high-speed impacts or other catastrophic events), experimentally validated studies on the dynamic fracture behavior of bone, at the loading rates associated with such events, remain limited. In this study, a series of tests were performed on femoral specimens obtained post-mortem from equine donors ranging in age from 6 months to 28 years. Fracture toughness and compressive tests were performed under both quasi-static and dynamic loading conditions in order to determine the ef...
Circadian regulation of locomotor activity and skeletal muscle gene expression in the horse.
Journal of applied physiology (Bethesda, Md. : 1985)    September 16, 2010   Volume 109, Issue 5 1328-1336 doi: 10.1152/japplphysiol.01327.2009
Martin AM, Elliott JA, Duffy P, Blake CM, Ben Attia S, Katz LM, Browne JA, Gath V, McGivney BA, Hill EW, Murphy BA.Circadian rhythms are innate 24-h cycles in behavioral and biochemical processes that permit physiological anticipation of daily environmental changes. Elucidating the relationship between activity rhythms and circadian patterns of gene expression may contribute to improved human and equine athletic performance. Six healthy, untrained mares were studied to determine whether locomotor activity behavior and skeletal muscle gene expression reflect endogenous circadian regulation. Activity was recorded for three consecutive 48-h periods: as a group at pasture (P), and individually stabled under a ...
Serum biomarker levels for musculoskeletal disease in two- and three-year-old racing Thoroughbred horses: A prospective study of 130 horses.
Equine veterinary journal    September 16, 2010   Volume 42, Issue 7 643-651 doi: 10.1111/j.2042-3306.2010.00123.x
Frisbie DD, Mc Ilwraith CW, Arthur RM, Blea J, Baker VA, Billinghurst RC.Biomarkers have shown some in vivo promise for the detection of musculoskeletal injuries, but further study to assess biomarker levels in clinical orthopaedic disease is required. Objective: To assess 7 serum biomarkers for the detection of musculoskeletal injuries. Methods: Two- and 3-year-old racehorses were entered into the study (n = 238). Exit criteria were lack of training for >30 days, or completion of 10 study months. Data from horses with solitary musculoskeletal injuries and completion of >2 months were analysed. Musculoskeletal injury was considered intra-articular fragmentation (IA...
Radiographic features of the dorsal condylar sagittal ridge of the third metacarpal and metatarsal bones in young Warmblood stallions.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    September 9, 2010   Volume 23, Issue 6 411-416 doi: 10.3415/VCOT-09-12-0130
Hauspie S, Martens A, Declercq J, Busoni V, Vanderperren K, van Bree H, Saunders JH.To describe the radiographic appearance of the dorsoproximal aspect of the sagittal ridge of the third metacarpal/metatarsal bone in Warmblood horses. Methods: The lateromedial radiographic projections of the metacarpo-/metatarsophalangeal joints performed on horses as a part of stallion selection were used. The dorsal aspect of the distal third metacarpal/metatarsal bone was divided in two areas. The appearance of the bone surface in area I was classified as normal, irregular, notch, indentation and lucency. For area II, the categories were normal, irregular, depression or lucency and flatten...
Three-dimensional biomechanics of simulated laryngeal abduction in horses.
American journal of veterinary research    September 3, 2010   Volume 71, Issue 9 1003-1010 doi: 10.2460/ajvr.71.9.1003
Perkins JD, Raffetto J, Thompson C, Weller R, Piercy RJ, Pfau T.To investigate the influence of simulated contraction of the cricoarytenoideus dorsalis (CAD) muscle on the 3-D motion of the arytenoid cartilage. Methods: 5 larynges from equine cadavers. Methods: Serial computed tomographic scans of each larynx were conducted at 7 incremental forces simulating contraction of medial, lateral, and combined bellies of the left CAD muscle. Three-dimensional reconstruction of radiopaque markers placed at anatomic landmarks on the left arytenoid and cricoid cartilages enabled quantification of marker displacement according to a Cartesian coordinate system. Rotatio...
MRI features of metacarpo(tarso)phalangeal region lameness in 40 horses. Gonzalez LM, Schramme MC, Robertson ID, Thrall DE, Redding RW.Lameness originating from the metacarpo(tarso)phalangeal (MP) joint has a significant effect on the use and athletic competitiveness of a horse. The identification of the cause of lameness originating from the MP joint can be challenging, given the limitations of radiography, ultrasonography, and nuclear scintigraphy. Our purpose was to describe the injury types and incidence in magnetic resonance imaging (MRI) studies from 40 horses with lameness attributable to the MP joint region where it was not possible to reach a clinically plausible diagnosis using other imaging modalities. Horses were ...
What is your diagnosis? Disruption in the quadriceps apparatus.
Journal of the American Veterinary Medical Association    September 3, 2010   Volume 237, Issue 5 499-500 doi: 10.2460/javma.237.5.499
Fugaro MN, Gardner RB, Haas E.No abstract available
Assessment of bone response to conditioning exercise in the radius and tibia of young thoroughbred horses using pQCT.
Journal of musculoskeletal & neuronal interactions    September 3, 2010   Volume 10, Issue 3 199-206 
Nicholson CL, Firth EC.To assess the effect of conditioning exercise on bone parameters at multiple sites in the radius and tibia of young Thoroughbred horses. Methods: The left and right radius and tibia were obtained from twelve horses, six of which had received conditioning exercise and six which formed the control group. Each bone was scanned at 5% intervals along its entire length using pQCT. Results: Bone strength, bone area and periosteal circumference were significantly greater for the group of conditioned horses in both the radius and tibia. Volumetric bone mineral density was lower while bone mineral conte...
Arthroscopic treatment of fractures of the lateral malleolus of the tibia: 26 cases.
Equine veterinary journal    August 26, 2010   Volume 43, Issue 3 280-287 doi: 10.1111/j.2042-3306.2010.00183.x
Smith MR, Wright IM.A minimally invasive arthroscopic technique for removal of fractures of the lateral malleolus of the tibia is considered to be beneficial but data to this effect are required. Objective: Arthroscopic removal of fractures of the lateral malleolus of the tibia is technically feasible, provides a comprehensive evaluation of the tarsocrural joint and enables removal of remote comminuted fragments and disrupted short collateral ligaments. The technique is associated with low patient morbidity, requires only short periods of hospitalisation and affords a good prognosis to affected horses. Methods: T...
Comparison of conventional and alternative arthroscopic approaches to the palmar/plantar pouch of the equine distal interphalangeal joint.
Equine veterinary journal    August 26, 2010   Volume 43, Issue 3 265-269 doi: 10.1111/j.2042-3306.2010.00176.x
Fowlie JG, O'Neill HD, Bladon BM, O'Meara B, Prange T, Caron JP.The conventional arthroscopic approach to the palmar/plantar aspect of the distal interphalangeal joint (DIPJ) may result in the inadvertent penetration of the digital flexor tendon sheath (DFTS) and the navicular bursa (NB). This iatrogenic communication would be undesirable subsequent to arthroscopic lavage of a septic DIPJ. Objective: A lateral/medial approach to the palmar/plantar aspect of the DIPJ will result in a significantly lower rate of inadvertent penetration of the DFTS and NB, whilst still providing adequate intra-articular evaluation. Methods: The conventional palmar/plantar app...
Cross-sectional area of the tendons of the tarsal region in Standardbred trotter horses.
Equine veterinary journal    August 23, 2010   Volume 43, Issue 2 235-239 doi: 10.1111/j.2042-3306.2010.00141.x
Vilar JM, Santana A, Espinosa J, Spinella G.The assessment of a normal range for cross-sectional area (CSA) of tendons in the tarsal region is important in order to use them as reference values in the identification of pathological changes of dimensions. Objective: To provide normal reference values for the CSA of the tendons of the tarsus of Standardbred trotter horses (STH) by means of ultrasonography. Methods: Transverse echographic images of the tendons were obtained at different levels proximodistally; these images were digitised and CSA values (mean ± s.d.) were obtained for each structure. Results: The largest structure correspo...
Swing phase kinematic and kinetic response to weighting the hind pasterns.
Equine veterinary journal    August 23, 2010   Volume 43, Issue 2 210-215 doi: 10.1111/j.2042-3306.2010.00139.x
Clayton HM, Lavagnino M, Kaiser LJ, Stubbs NC.It is considered that specific exercises to strengthen limb musculature would be helpful. Objective: To describe swing phase kinematic and kinetic changes in the hindlimbs of trotting horses in response to the addition of leg weights to the hind pasterns. Methods: Six horses were prepared by placing reflective skin markers on the hindlimbs, the withers and fore hooves. Horses were evaluated at trot for 6 trials with and without leg weights (700 g) attached around the pasterns, with the 2 conditions applied in random order. The markers were tracked to determine peak heights of the flight arc of...
High speed field kinematics of foot contact in elite galloping horses in training.
Equine veterinary journal    August 23, 2010   Volume 43, Issue 2 216-222 doi: 10.1111/j.2042-3306.2010.00149.x
Parsons KJ, Spence AJ, Morgan R, Thompson JA, Wilson AM.Mechanical characterisation of the high speed gallop has significant importance for animal welfare and basic biology. Kinematic parameters such as the velocity of each foot at contact can inform theories of why animals gallop, and supplant epidemiological investigation into the mechanisms of musculoskeletal injury. Objective: To determine the velocity at which the fore and hind hooves of elite galloping horses impact the surface. Methods: High speed videography was used to measure the horizontal and vertical velocity of the hoof immediately prior to impact, and the subsequent sink (vertical) a...
Orthopaedic health status of horses from 8 riding schools–a pilot study.
Acta veterinaria Scandinavica    August 20, 2010   Volume 52, Issue 1 50 doi: 10.1186/1751-0147-52-50
Egenvall A, Lönnell C, Johnston C, Roepstorff L.Orthopaedic injury is the most common reason for lameness and wastage in sport and leisure horses. Studies on racehorses have shown differences in injury risk between trainers and training strategies. The aim was to study between riding school variation in orthopaedic health status by clinical examination and horses age, and control for change of examiner, in schools with previous high (n = 4) and low (n = 4) insurance utilisation. Methods: Horses (n = 99) at 8 riding schools were examined for conformation, movement in all gaits, standing flexion tests and palpation by two veterinary surgeons ...
Quantitative evaluation of subchondral bone injury of the plantaro-lateral condyles of the third metatarsal bone in Thoroughbred horses identified using nuclear scintigraphy: 48 cases.
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 552-557 doi: 10.1111/j.2042-3306.2010.00088.x
Parker RA, Bladon BM, Parkin TD, Fraser BS.Increased radio-isotope uptake (IRU) in the subchondral bone of the plantaro-lateral condyle of the third metatarsus (MTIII) is a commonly reported scintigraphic finding and potential cause of lameness in UK Thoroughbred racehorses in training and has not been fully documented. Objective: To characterise lameness attributable to IRU of the subchondral bone of MTIII, compare the scintigraphic findings of these horses with a normal population and evaluate the use of scintigraphy as an indicator of prognosis. Objective: IRU will be in significantly higher in horses with subchondral bone injury an...
The use of intra-articular corticosteroids in the horse: what is known on a scientific basis?
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 563-571 doi: 10.1111/j.2042-3306.2010.00095.x
McIlwraith CW.Intra-articular use of corticosteroids has become a recent focus (or re-focus) of attention in the Thoroughbred racing industry. This manuscript reviews the clinical use and scientific basis of intra-articular corticosteroid administration including catastrophic injury, articular cartilage degradation and the development of osteoarthritis (OA), as well as the timing of injection relative to racing.
Arthroscopic removal of fractures of the lateral malleolus of the tibia in the tarsocrural joint: a retrospective study of 13 cases.
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 558-562 doi: 10.1111/j.2042-3306.2010.00103.x
O'Neill HD, Bladon BM.There is limited information on the treatment of lateral malleolus (LM) fractures in the horse, with no previously published case series for the outcome following arthroscopic removal of such fractures. This report reviews and evaluates findings of a retrospective study of 13 horses admitted to a private equine referral hospital over a 10 year period (1999-2009) that underwent arthroscopic removal of fractures of the LM. Hospital records were reviewed and details including patient history, aetiology of the fracture and limb affected, results of all diagnostic tests and surgical reports were do...
Which anatomical region determines a positive flexion test of the distal aspect of a forelimb in a nonlame horse?
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 547-551 doi: 10.1111/j.2042-3306.2010.00075.x
Kearney CM, van Weeren PR, Cornelissen BP, den Boon P, Brama PA.The flexion test is used routinely as part of lameness and prepurchase examinations. However, little is known about the mechanisms that cause a positive response to a flexion test. Objective: To determine which anatomical regions play a role in a positive outcome of a flexion test of the distal aspect of a forelimb in a nonlame horse. Methods: Eight clinically sound Dutch Warmblood horses were subjected to a standardised flexion test (force 250 N, time 60 s) inducing a consistent lameness. To discriminate between different areas of the distal aspect of a forelimb, effects of various nerve bloc...
Assessment of the mineral density and mineral content of the equine third metacarpal and first phalanx bone by dual energy x-ray absorptiometry.
Acta veterinaria Hungarica    August 18, 2010   Volume 58, Issue 3 317-329 doi: 10.1556/AVet.58.2010.3.5
Tóth P, Horváth C, Ferencz V, Nagy K, Gligor N, Szenci O, Bodó G.In the first part of this methodological study eleven metacarpi of 9 skeletally normal horses were examined from 4 directions by dual energy x-ray absorptiometry (DXA). The differences between the dorsopalmar-palmarodorsal and lateromedial-mediolateral (opposite sites) bone mineral density (BMD) values were found to be nonsignificant. In the second part of the study the precision of the Norland XR-26 densitometer was tested by measuring 34 metacarpal bones and 34 proximal phalanges, each of them three times, from a single direction. The difference between the individual measurements of the fir...
A weighted osteon morphotype score outperforms regional osteon percent prevalence calculations for interpreting cortical bone adaptation.
American journal of physical anthropology    August 18, 2010   Volume 144, Issue 1 41-50 doi: 10.1002/ajpa.21365
Skedros JG, Kiser CJ, Mendenhall SD.Using circularly polarized light microscopy,we described a weighted-scoring method for quantifying regional distributions of six secondary osteon morphotypes(Skedros et al.: Bone 44 (2009) 392-403). This osteon morphotype score (MTS) strongly correlated with "tension" and "compression" cortices produced by habitual bending. In the present study, we hypothesized that the osteon MTS is superior to a relatively simpler method based on the percent prevalence (PP) of these osteon morphotypes. This was tested in proximal femoral diaphyses of adult chimpanzees and habitually bent bones: calcanei from...
Cutaneous and tendon sheath mastocytomas with eosinophilic joint and tendon sheath effusions in a horse.
Journal of veterinary internal medicine    August 12, 2010   Volume 24, Issue 5 1233-1236 doi: 10.1111/j.1939-1676.2010.0570.x
Uehlinger FD, Burton SA, Riley CB, Wichtel ME, Bourque AC.No abstract available
Supporting limb laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 287-302 doi: 10.1016/j.cveq.2010.06.007
van Eps A, Collins SN, Pollitt CC.Supporting limb laminitis poses a threat to all horses suffering from severe unilateral lameness. Despite its devastating effects, relatively little is known about the precise pathologic processes that lead to its development. This article reviews the potential mechanisms of supporting limb laminitis, and the authors present some preliminary data based on advanced imaging and computer-based modeling techniques aimed at further elucidating the etiology of this unique form of laminitis. Gaining a better understanding of the pathologic processes that lead to supporting limb laminitis is essential...
Supporting limb laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 287-302 doi: 10.1016/j.cveq.2010.06.007
van Eps A, Collins SN, Pollitt CC.Supporting limb laminitis poses a threat to all horses suffering from severe unilateral lameness. Despite its devastating effects, relatively little is known about the precise pathologic processes that lead to its development. This article reviews the potential mechanisms of supporting limb laminitis, and the authors present some preliminary data based on advanced imaging and computer-based modeling techniques aimed at further elucidating the etiology of this unique form of laminitis. Gaining a better understanding of the pathologic processes that lead to supporting limb laminitis is essential...
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