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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.
INJECTION OF THE INSERTION OF THE COLLARAL LIGAMENT OF THE DISTAL INTERPHALANGEAL JOINT IN STANDING HORSES USING THE PALMAR RADIOGRAPHIC-GUIDED APPROACH.
Journal of equine veterinary science    May 7, 2025   105600 doi: 10.1016/j.jevs.2025.105600
Kirkpatrick CJ, Ernst NS, Trumble TN.Injury to the collateral ligament (CL) of the distal interphalangeal joint (DIPJ) is recognized as a source of lameness in horses. Intralesional injection has been advocated to increase return to performance. This study was a proof-of-concept study in standing horses to evaluate success of a palmar radiographic-guided approach for injecting insertions of the DIPJ CLs previously described in cadaver limbs. Horses were sedated, nerve blocked, and placed on wooden blocks with the limb to be injected staggered approximately 20cm cranially to the other limb. The DIPJ CL insertion was injected, usin...
Retrospective radiographic myelogram measurements and long-term outcomes in horses undergoing cervical interbody fusion surgery: 22 cases.
PloS one    May 7, 2025   Volume 20, Issue 5 e0323083 doi: 10.1371/journal.pone.0323083
England D, Newsom L, White C, McKenzie E.Site selection for cervical stabilization surgery in horses with spinal ataxia frequently relies on measurements derived from radiographic myelography. A variety of measurement criteria exist and can provide conflicting results. The main objectives of this study were to assess the correlation between two commonly used myelographic measures, dorsal contrast column reduction (DCCR) and dural diameter reduction (DDR), and their association with previously selected operative sites in a population of horses operated at a tertiary clinic. Secondary objectives were to determine if articular process j...
Pharmacological alternatives to oxytetracycline as potential treatment of flexural limb deformities in foals: a preliminary in vitro cell viability and proliferation study.
Scientific reports    May 6, 2025   Volume 15, Issue 1 15762 doi: 10.1038/s41598-025-00311-z
Cardinaux EM, Oltmanns H, Beineke A, Meißner J, Geburek F.Flexural limb deformities are a widespread condition in foals. Oxytetracycline is a common conservative treatment option with relaxing effects on the muscle-tendon-unit, potentially mediated through a matrix-metalloproteinase (MMP)-inhibitor mechanism. Its high therapeutic dose for this indication, potential negative side effects, and the guidelines for prudent use of antimicrobials make investigating alternatives desirable. In this study, the influence of substances with potentially similar mechanisms of action, however without antimicrobial properties, on viability and proliferation of juven...
Forces on the Incisor Teeth During Odontoplasty of the Cheek Teeth in Sedated Horses.
Journal of veterinary dentistry    May 5, 2025   8987564251336397 doi: 10.1177/08987564251336397
Ostmeier M, Schellenberger F, Troillet A, Scharner D.Mouth specula with incisor bite plates shift the pressure from all teeth exclusively to the incisors in the opening phase which leads to increased forces on dental, osseous, and soft tissue structures of the horse's head. The potentially pathological character of these forces is described clinically by single reports of maxilla and mandible fractures occurring during the use of opened mouth specula. This study describes these forces on incisor teeth in horses during odontoplasty of cheek teeth under sedation. Measurements were documented using a modified "Günther" mouth speculum fitted with a...
Effect of high-speed exercise on subchondral bone in the metacarpo-/metatarsophalangeal joints of 2-year-old Thoroughbred racehorses in their first year of training.
Equine veterinary journal    May 5, 2025   doi: 10.1111/evj.14524
Ciamillo SA, Bills KW, Gassert TM, Richardson DW, Brown KA, Stefanovski D, Ortved KF.Stress-induced bone injury can lead to catastrophic injuries in Thoroughbred racehorses. Accumulation of high-speed exercise can increase the risk of subchondral bone injury. Objective: To investigate the effect of high-speed exercise on the subchondral bone of the metacarpo-metatarsophalangeal (MCP/MTP) joints using standing cone-beam computed tomography (CBCT) in young racing Thoroughbreds. Methods: Observational cohort study. Methods: Forty-one 2-year-old Thoroughbred racehorses during their first year of training were evaluated at 0, 6 and 12 months. Horses were evaluated for lameness an...
Morel-Lavallée lesion on the craniomedial aspect of the stifle in a horse: diagnosis, surgical management and outcome.
Journal of equine veterinary science    May 5, 2025   Volume 150 105599 doi: 10.1016/j.jevs.2025.105599
Cantatore F, Marcatili M, Giacchi A, Stephenson R, Withers J.Morel-Lavallée lesions (MLLs) are post-traumatic, closed, degloving injuries observed in humans and cats. Morel-Lavallée lesions have never been reported in horses. An 8-year-old Warmblood gelding used for dressage presented with a large swelling on the craniomedial aspect of the stifle that did not respond to conservative treatment. Ultrasonography revealed a large anechogenic fluid-filled cavity with a well-defined capsule. Standing endoscopic examination revealed separation between the deep crural fascia, vastus medialis muscle and skin. Cytology of the fluid collected demonstrated a lymp...
Elastography and Applications in the Musculoskeletal System in Veterinary Medicine: From Physical Basis to Image Formation.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 3, 2025   Volume 39, Issue 1 1-13 doi: 10.1055/a-2577-1449
Silva WPRD, Ribeiro RR, Oliveira IM, Borges NC.Musculoskeletal ultrasound is a versatile imaging technique, surpassing conventional radiographic examinations in detecting certain alterations in the musculoskeletal system and showing effectiveness comparable to magnetic resonance imaging in assessing articular and periarticular soft tissues. The objective of this review is to discuss the physical principles of ultrasound elastography and its applications in the musculoskeletal system of veterinary medicine. This bibliographic review compiles relevant studies exploring elastography's physical basis, its technological development, and its cli...
Magnetic resonance Imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: Insights, advances and future directions.
Equine veterinary journal    May 2, 2025   doi: 10.1111/evj.14508
Scharf A, Acutt E, Bills K, Werpy N.Deep digital flexor (DDF) tendinopathy is a significant cause of lameness and poor performance in equine athletes with substantial implications for their return to athletic performance. Magnetic resonance imaging (MRI) is increasingly integrated into the diagnostic workup of horses with foot pain and has revolutionised the diagnosis and management of these injuries. This review discusses the principles of MRI in the context of deep digital flexor tendon (DDFT) injury, comparing high-field and low-field systems and highlighting the clinical relevance of technical parameters, including field str...
Standing repair of long frontal plane fractures of the proximal phalanx in UK Thoroughbred racehorses: A retrospective analysis of 13 fractures.
Equine veterinary journal    April 30, 2025   doi: 10.1111/evj.14521
Findley JA, Bladon BM, O'Neill HD.Sagittal plane fractures of the proximal phalanx (P1) are commonly observed in the UK Thoroughbred racehorse, with the technique and outcome following standing lag screw fixation widely reported. Long frontal plane P1 fractures propagating from the central third of the proximal articular surface occur less frequently, with information concerning repair methods and outcomes currently lacking. Objective: To describe a surgical technique for standing lag screw fixation of long frontal P1 fractures and report on post-operative performance in a UK Thoroughbred population. Methods: Single centre ret...
Osteochondrosis in horses: An overview of genetic and other factors.
Equine veterinary journal    April 29, 2025   doi: 10.1111/evj.14518
Martinez-Saez L, Marín-García PJ, Llobat ML.Osteochondrosis (OC) is a frequent manifestation of developmental orthopaedic disease, and its severe clinical presentation is known as OC dissecans (OCD). OC is defined as a disruption of the endochondral ossification process in the epiphyseal cartilage, and this disease has been reported in different mammalian species, including humans, dogs, pigs, and horses. OCD is an important cause of lameness in sport horses and is a common cause of impaired orthopaedic potential, whose clinical signs may be of minimal magnitude or manifest as severe joint effusion or clinically noticeable lameness. The...
Patent Urachus and Associated Comorbidities in 101 Newborn Foals: A Retrospective Study.
Veterinary medicine and science    April 28, 2025   Volume 11, Issue 3 e70379 doi: 10.1002/vms3.70379
Bernick A, Krohn J, Wehrend A.Patent urachus is a common disease in newborn foals. However, despite its frequency, studies investigating symptoms, comorbidities, treatment and prognosis in a large number of affected foals have rarely been conducted. This study aimed to describe the clinical symptoms, laboratory diagnostic findings and prognosis of foals with patent urachus. Data from 101 foals with a patent urachus from 2006 to 2017 were analysed. Patent urachus occurred at a frequency of 7.8% of all foals up to the 14th day of life during the study period. More colts (74.3%) than fillies (25.7%) were affected. In those wi...
Racing performance in 75 Thoroughbreds after arthroscopic removal of Osteochondritis dissecans from the lateral femoral trochlear ridge before first race start in Korea (2015-2017).
Veterinary journal (London, England : 1997)    April 28, 2025   Volume 312 106367 doi: 10.1016/j.tvjl.2025.106367
Sohn Y, An SJ, Forbes E, Kim BS, Jeon HS, Ryu SH, Lee I.The lateral trochlear ridge of the stifle joint is highly susceptible to developing Osteochondrosis (OC)/Osteochondritis dissecans (OCD) lesions. This retrospective study evaluated the medical and racing outcomes of 75 Thoroughbreds who underwent arthroscopic OCD removal at the Jeju Stud Farm Equine Hospital from 2015 to 2017. The analysis included medical records, radiographic assessments, and race performance data, comparing 75 horses that underwent surgery with 257 control horses selected as siblings from the same dam. The surgical group had comparable racehorse registration rates (89.3 %...
Standing repair of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx in six Thoroughbred racehorses.
Veterinary surgery : VS    April 26, 2025   Volume 54, Issue 5 1009-1015 doi: 10.1111/vsu.14265
Drahonovska A, Bladon BM, O'Neill HD.To describe a technique and report outcomes for internal fixation of short frontal-plane fractures involving the dorsoproximal articular surface of the proximal phalanx (P1) in standing horses. Methods: Short case series. Methods: Six Thoroughbred racehorses with short, frontal plane fractures involving the dorsoproximal P1. Methods: All fractures were located in the hindlimb. Horses presented with moderate lameness and marked effusion of the affected metatarsophalangeal joint. Fractures had a medial bias extending from the central aspect of proximal P1 to involve the dorsomedial prominence. F...
Chronic idiopathic myopathy in Icelandic horses: A case series.
Equine veterinary journal    April 24, 2025   Volume 57, Issue 5 1341-1346 doi: 10.1111/evj.14519
Hansen S, Hopster-Iversen C, Berg L, Fjeldborg J, Massey C, Piercy RJ, Carstensen H.Exertional myopathies are recognised as a cause of poor performance in equines. In Icelandic horses presenting reduced performance and/or multi-limb lameness, no specific myopathy has been identified. Objective: To characterise the clinical presentation and histopathological findings in muscle biopsy samples from Icelandic horses demonstrating poor performance. Methods: Case series. Methods: Phenotypic characteristics, clinical examination and diagnoses of 17 Icelandic horses were studied. All horses had a resting serum creatine kinase (CK) and aspartate transaminase activities measured, and C...
The effect of 0.5 mL mepivacaine administered as an abaxial sesamoid nerve block on lameness of horses with digital pain did not differ significantly from that of 2.5 mL of mepivacaine.
American journal of veterinary research    April 23, 2025   Volume 86, Issue 7 doi: 10.2460/ajvr.25.02.0042
Cole RC, DeGraves FJ, Brown J, Schumacher J.To compare the effect of 2.5 mL 2% mepivacaine to the effect of 0.5 mL 2% mepivacaine administered over each palmar digital nerve, as an abaxial sesamoid nerve block (ASNB), to 6 horses lame because of naturally occurring digital pain. Unassigned: In a crossover study design with 3 horses in each group, the trotting gait of the horses was analyzed with an inertial sensor-based, motion-analysis system (Q with Lameness Locator; Equinosis LLC) immediately before and after treatment with either 0.5 or 2.5 mL mepivacaine administered over each nerve near the base of the proximal sesamoid bone of th...
Innovative approach in the treatment of comminuted proximal phalanx fractures in horses based on biomechanical modelling.
Scientific reports    April 19, 2025   Volume 15, Issue 1 13562 doi: 10.1038/s41598-025-95577-8
Turek B, Jankowski K, Pawlikowski M, Jasiński T, Domino M.Proximal phalanx (P1) fractures in horses are relatively common, and present significant treatment challenges, especially when the fractures are comminuted or infected. An innovative treatment approach includes attaching an external fixator to the third metacarpal bone (MC III), the healthy bone above fracture, to offload the injured P1 and protect it from load-bearing forces, particularly during post-surgical standing up. This study aims to develop the favourable mathematical and numerical models for screws configuration in this external fixator. Nine configurations (I-IX), varying in screw a...
Mesenchymal Stem Cells in Veterinary Medicine-Still Untapped Potential.
Animals : an open access journal from MDPI    April 19, 2025   Volume 15, Issue 8 1175 doi: 10.3390/ani15081175
Morawska-Kozłowska M, Pitas M, Zhalniarovich Y.Mesenchymal stem cells (MSCs) hold significant therapeutic potential in veterinary medicine due to their regenerative and immunomodulatory properties. This review examines the clinical applications of MSCs across multiple animal species, including equine, canine, feline, and bovine medicine. MSC therapies have demonstrated promising outcomes in treating musculoskeletal disorders, osteoarthritis, inflammatory diseases, and tissue injuries, particularly in horses and dogs. In cats, MSCs show potential for managing chronic kidney disease, inflammatory bowel disease, and asthma, while in bovine me...
Computed tomographic measurements in 110 front hooves of non-lame Thoroughbred racehorses and Warmblood showjumpers.
Equine veterinary journal    April 15, 2025   Volume 57, Issue 5 1328-1340 doi: 10.1111/evj.14509
Szabó L, Pollard D, Nagy A.There are no published reference ranges on computed tomographic (CT) hoof wall and sole measurements. Objective: To establish reference ranges for CT measurements of the hoof wall and sole in non-lame horses, and to investigate associations between measurements and signalment, laterality, and medial or lateral sides. Methods: Retrospective, cross-sectional study. Methods: Soft tissue reconstructions of fan-beam CT studies of 110 front feet of 56 non-lame horses (30 Thoroughbred racehorses, 26 Warmblood showjumpers), performed in non- to semi-weightbearing positions, were analysed. Hoof wall th...
[Diagnostic imaging of the equine cervical spine – Part one: Radiography – A review of the literature on findings and their clinical significance].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 15, 2025   Volume 53, Issue 2 109-119 doi: 10.1055/a-2557-0115
Hellige M, Geburek F.A number of indications exist that necessitate radiologic examination of the equine cervical spine. Different neurologic and pain-associated clinical signs within the scope of lameness or poor performance may be associated to pathologies of the cervical spine. Moreover, the number of requests for radiographic examinations of the cervical spine, for example as part of the pre-purchase examination, has increased significantly in recent years. However, the interpretation of radiographs represents a challenge, particularly in the case of clinically sound horses, as it often necessitates the resolu...
Gross anatomy, computed tomographic contrast tenography, and needle endoscopy of the equine medial digital flexor tendon sheath.
Veterinary surgery : VS    April 14, 2025   Volume 54, Issue 6 1133-1144 doi: 10.1111/vsu.14263
Kerbert MP, Delling U, Verhaar N.To investigate the computed tomography (CT) and gross anatomy of the equine medial digital flexor tendon sheath (MDFTS), and the endoscopic anatomy and approach to the MDFTS. Methods: Ex vivo experimental study and one clinical case. Methods: Twelve clinically normal cadaveric hindlimbs. Methods: Dissection, native and contrast CT scans were conducted to evaluate the anatomy of the MDFTS. Based on these findings, the portal locations for the endoscopic approaches were determined. Six hindlimbs were used in the pilot phase and another six limbs were selected for the main study. Endoscopic image...
Equestrian Trauma in an Urban Environment: A Retrospective Analysis in a Level I Trauma Center.
Cureus    April 2, 2025   Volume 17, Issue 4 e81609 doi: 10.7759/cureus.81609
Swezey E, Szydziak E, Angus LDG, Mehta V, Cardozo-Stolberg S.Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
Relationship between back pain and poor performance in show jumping athletic horses.
Open veterinary journal    March 31, 2025   Volume 15, Issue 3 1480-1487 doi: 10.5455/OVJ.2025.v15.i3.37
Shokry M, Ali LB, El-Sharkawy M.Showjumping athletic horses are frequently affected by back pain, which in turn influences their performance and equestrian activities. Unassigned: The aim of the present study was to determine the etiological factors predisposing to back problems in show jumping horses and how to diagnose, and manage them. Unassigned: A total of 75 cases (45 geldings and 30 mares, aged between 8 and 23 years and weighing 420-550 Kg) with histories suggestive of back problems and low competitive ability as show jumping were used in this study. The evaluation of data was based on the inputs of case history, cli...
Equine cadaveric study suggests tibial and fibular nerve block is feasible with a single ultrasound-guided injection via a caudocranial midfemoral approach.
Journal of the American Veterinary Medical Association    March 26, 2025   1-6 doi: 10.2460/javma.25.01.0002
Strugava L, Gomes ARC, Lorga AD, Bosak VL, Rossa AP, Janiszewski JDR, Machado M, Dornbusch PT, Moreno JCD.To describe anatomical references and sonoanatomy of an echo-guided injection for blocking the tibial and common fibular nerves with the use of a caudocranial midfemoral approach and to evaluate dye spreading in horse cadavers. Unassigned: 1 horse cadaver preserved in glycerin was used for the anatomical study, and 14 fresh horse cadavers were used for the dye spreading study. The experimental procedures were conducted on the first cadaver on March 25, 2021, and on the last cadaver on October 5, 2022. A glycerin-preserved horse cadaver's pelvic limb was dissected to identify anatomical landmar...
Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023).
Equine veterinary journal    March 25, 2025   doi: 10.1111/evj.14503
Bennet ED, Parkin TDH.The Equine Injury Database (EID) is a census-level record of Thoroughbred racing in North America, currently recording 95.6% of all race starts in 2023, along with partial training and veterinary histories of each horse. Objective: To identify horse-, race- and track-level risk factors associated with race-related fatal musculoskeletal injury (MSI) of Thoroughbred racehorses in North America. Methods: Retrospective cohort study. Methods: The study cohort included all race starts made by horses born after 31 December 2006, at tracks that fully report to the EID and consisted of 3,851,659 race s...
Combined standing low-field magnetic resonance imaging and fan-beam computed tomographic diagnosis of fetlock region pain in 27 sports horses.
Equine veterinary journal    March 24, 2025   doi: 10.1111/evj.14504
Nagy A, Dyson SJ.There is no description of comparative magnetic resonance imaging (MRI) and fan-beam computed tomography (CT) findings in the fetlock of lame sports horses. Objective: To document low-field MRI and fan-beam CT diagnoses in the lame and nonlame limbs of sports horses with fetlock region pain, and to evaluate whether combined imaging provides superior information to either technique alone. Methods: Retrospective descriptive study. Methods: Clinical records of sports horses with pain causing lameness localised to the metacarpo/metatarsophalangeal joint region that had undergone fan-beam CT and lo...
Experimental comparison of caudal wedge ostectomy to cranial wedge ostectomy for surgical treatment of overriding/impinging spinous processes in horses.
Equine veterinary journal    March 20, 2025   doi: 10.1111/evj.14498
Connaughton MT, MacDonald EJ, Ireland JL, Rocchigiani G, Stack JD.Caudal wedge ostectomy has not been investigated for overriding or impinging spinous processes (SPs). Objective: To establish the feasibility of caudal wedge ostectomy and compare measures of surgical trauma and error between hypothetical caudal and cranial wedge ostectomies on SPs of different inclinations. Methods: Experimental, method comparison study. Methods: Computed tomography and caudal wedge ostectomy surgery were performed on four cadavers. Observations, technical difficulties, and surgical errors were recorded. Radiographs from 67 horses with overriding/impinging SPs were reviewed. ...
Spondylosis in Horses: Clinical Features, Diagnostic Imaging Findings, Treatment and Outcome in 13 Horses.
Veterinary medicine and science    March 20, 2025   Volume 11, Issue 2 e70196 doi: 10.1002/vms3.70196
de Secondi C, Cantatore F, Marcatili M, Biggi M, Withers J, de Zani D, Zani D.Back pain is a debilitating condition hampering horses' athletic careers. Thoracic spondylosis (TS), a known cause of back pain, leads to osteophytes formation across intervertebral joints. In horses, TS is poorly reported, with anecdotal signs and response to treatment. To report clinical presentation, diagnostic imaging findings, treatment and outcome in horses with TS. The clinical records of horses diagnosed with TS between 2010 and 2023 were reviewed. Signalment, clinical and imaging findings, treatment, and outcome were analysed. Thoracic spondylosis was graded from 1 to 5. Grades, concu...
Risk factors for superficial digital flexor tendinopathy in Thoroughbred racehorses in South Korea (2015-2019).
Equine veterinary journal    March 19, 2025   doi: 10.1111/evj.14493
Choi Y, Parkin T.Superficial digital flexor (SDF) tendinopathy is one of the most common musculoskeletal diseases in Thoroughbreds and a major cause of retirement from racing among racehorses in South Korea. However, there are no previous epidemiological studies on SDF tendinopathy-related risk factors for racehorses in South Korea. The interventions derived from such a study could reduce the occurrence of SDF tendinopathy and, therefore, extend horses' racing careers. Objective: To identify the risk factors associated with SDF tendinopathy for Thoroughbreds in South Korea. Methods: Retrospective case-control ...
Synovial fluid parameters following acute articular fracture in the horse.
Veterinary surgery : VS    March 19, 2025   Volume 54, Issue 4 751-756 doi: 10.1111/vsu.14243
Mason SJ, O'Neill HD, Bladon BM.The objective was to investigate synovial sample appearance, total nucleated cell count (TNCC), total protein concentration (TP), and neutrophil percentage in horses with acute articular fractures to aid decision making in acutely lame horses. Methods: Retrospective case series. Methods: Synovial fluid samples (n = 55). Methods: Synovial fluid records were analyzed over an 11 year period from horses undergoing lag screw fixation or arthroscopic fragment removal of intra-articular fractures within 48 h of occurrence. Horses were excluded when presented with wounds close to the joint or ...
Evaluating Pelvic Floor Dysfunction in Female Horse Show Jumpers Using the Australian Pelvic Floor Questionnaire.
Medical science monitor : international medical journal of experimental and clinical research    March 16, 2025   Volume 31 e946830 doi: 10.12659/MSM.946830
Cygańska AK, Giżewska B, Zdunek K.BACKGROUND Pelvic floor dysfunction (PFD) significantly reduces quality of life. During horseback riding, the movement of the horse's back affects the tension of the pelvic floor muscles. This study aimed to compare reported symptoms of pelvic floor dysfunction in women with past, current, and no history of horse show jumping. MATERIAL AND METHODS We examined 160 women (age 23.69±3.96 years). The cohort group consisted of 74 women training currently and training in the past, and a control group of 86 women not practicing horseback riding. The study used the original questionnaire and the Aust...
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