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Topic:Orthopedics

Orthopedics in horses involves the study and treatment of disorders affecting the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. This field addresses a range of conditions, from developmental disorders and degenerative diseases to traumatic injuries. Common orthopedic issues in horses include fractures, osteoarthritis, tendonitis, and ligament injuries. Diagnostic techniques such as radiography, ultrasonography, and MRI are employed to assess these conditions. Treatment options may include surgical intervention, physical therapy, and pharmacological management. This page compiles peer-reviewed research studies and scholarly articles that explore the diagnosis, treatment, and management of orthopedic conditions in equine patients.
Bony fragments in the tarsocrural and metacarpo- or metatarsophalangeal joints in the standardbred horse–a radiographic survey.
Equine veterinary journal. Supplement    September 1, 1988   Issue 6 66-70 doi: 10.1111/j.2042-3306.1988.tb04650.x
Sandgren B.Radiographic examination of the tarsocrural, metacarpo- or metatarsophalangeal joints was made in 139 Standardbred horses. Most were under three years old with no history of orthopaedic problems. In the tarsocrural joint, osteochondrosis was observed in 25 (18.1 percent) of the horses (n = 138) and 14 (56 percent) of these were affected bilaterally. In the metatarsophalangeal joint, the most frequent radiographic abnormality was single or multiple bony fragments or defects at the plantar proximal end of the proximal phalanx, which was noticed in 40 (28.8 percent) of the horses (n = 139). The l...
A modified Cloward’s technique for arthrodesis of the normal metacarpophalangeal joint in the horse.
Veterinary surgery : VS    May 1, 1988   Volume 17, Issue 3 117-127 doi: 10.1111/j.1532-950x.1988.tb00289.x
Crawley GR, Grant BD, White KK, Barbee DD, Gallina AM, Ratzlaff MH.A modified Cloward's technique was performed for arthrodesis of one metacarpophalangeal (MCP) joint in eight horses. Dorsal arthrotomies were performed medial and lateral to the common digital extensor tendon and two 16 mm holes were drilled through the joint. A perforated cylindrical stainless steel basket filled with cancellous bone was impacted into each hole. The limbs were supported in casts for 8 weeks. The joints were examined and radiographed at 4 weeks, 8 weeks, 6 months, and 10 months. One horse was euthanatized at week 14 to assess the progress of the arthrodesis. In the other seven...
In vitro comparison of three fixation methods for humeral fracture repair in adult horses.
American journal of veterinary research    April 1, 1988   Volume 49, Issue 4 586-593 
Markel MD, Nunamaker DM, Wheat JD, Sams AE.The stiffness, load to failure, and bending moments of adult intact equine humeri and humeri repaired with 3 fixation techniques were determined in vitro. Bones were tested in axial compression (30 pairs), mediolateral 3-point bending (15 pairs), and caudocranial 3-point bending (15 pairs). An oblique osteotomy of 1 humerus of each pair was performed to simulate the long spiral oblique fractures that occur clinically in horses. Bones were repaired in 3 ways: group 1--nylon band cerclage fixation (20 bones); group 2--multiple intramedullary pinning (20 bones); and group 3--nylon band cerclage f...
Conservative treatment of a minimally displaced fracture of the radius of a horse.
Journal of the American Veterinary Medical Association    October 1, 1987   Volume 191, Issue 7 847-848 
Martin BB, Reef VB.The successful conservative treatment of an open, displaced fracture of the radius of a horse suggests that conservative treatment should not be ignored when surgery is not an option. The importance of proper soft-tissue management and the use of broad-spectrum antimicrobial treatment in the management of orthopedic injuries is emphasized.
Surgical treatment of fractures of the olecranon in the horse: a comparative review of 25 cases.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 319-325 doi: 10.1111/j.2042-3306.1987.tb01420.x
Denny HR, Barr AR, Waterman A.A series of 25 horses with olecranon fractures are reviewed. Twenty-one cases were treated surgically by the application of a tension band plate to the caudal aspect of the ulna. Seventy six per cent of these regained full limb function. The results of treatment are compared with two other series of conservatively and surgically treated cases.
Management of fractures and exostosis of the metacarpals and metatarsals II and IV in 25 horses.
Equine veterinary journal    July 1, 1987   Volume 19, Issue 4 326-330 doi: 10.1111/j.2042-3306.1987.tb01422.x
Allen D, White NA.Twenty-five cases of fractures of the second and fourth metacarpal and metatarsal (splint) bones were reviewed. Fourteen fractures involved a thoracic limb and 11 involved a pelvic limb. Fractures of the proximal one-third of splint bones are reported in one of two forms: fractures that are closed, or fractures with a permanent or intermittent draining sinus. Thirteen of the fractures presented were closed fractures and the remaining 12 were open. All of the closed fractures were managed by surgical excision of the distal fragment and the exostosis at the fracture site, followed by primary sur...
Arthroscopic surgical approaches and intraarticular anatomy of the equine shoulder joint.
Veterinary surgery : VS    July 1, 1987   Volume 16, Issue 4 312-317 doi: 10.1111/j.1532-950x.1987.tb00958.x
Bertone AL, McIlwraith CW.Arthroscopic approaches to the scapulohumeral joint were developed in four clinically normal, live horses (5 limbs) to determine their usefulness for evaluation and potential surgical treatment of intraarticular lesions. The articular surface of the entire glenoid, cranial humeral head (medial and lateral) and caudolateral humeral head, as well as the synovial membrane, could be closely examined from an arthroscopic portal cranial to the infraspinatus tendon. The caudomedial humeral head could be examined partially. Cranial and caudal instrument portals allowed good surgical access to the enti...
Antimicrobial susceptibility of microorganisms isolated from equine orthopedic patients.
Veterinary surgery : VS    May 1, 1987   Volume 16, Issue 3 197-201 doi: 10.1111/j.1532-950x.1987.tb00938.x
Snyder JR, Pascoe JR, Hirsh DC.Positive cultures were obtained from 60 equine orthopedic cases during a 12 year period (1974-1985). These cases consisted of 34 long or cuboidal bone fractures, 13 arthrotomy/arthroscopy procedures for removal or internal fixation of a fracture, 7 proximal splint bone fractures, and 6 facial or mandibular fractures. Excluding the 13 arthrotomies, only 10 (21%) of the 47 were open fractures. Multiple organisms were isolated from 36 cases (20 long or cuboidal bone fractures, 7 splint bone fractures, 5 mandibular fractures, and 4 intra-articular fractures). Of the 142 isolates, 35 (24%) were mem...
Repair of radius fractures: a measure of progress.
Equine veterinary journal    March 1, 1987   Volume 19, Issue 2 89-90 doi: 10.1111/j.2042-3306.1987.tb02593.x
Gerring EE, May SA.No abstract available
Arthroscopic surgery for osteochondral fractures of the proximal phalanx of the metacarpophalangeal and metatarsophalangeal (fetlock) joints in horses.
Journal of the American Veterinary Medical Association    February 1, 1986   Volume 188, Issue 3 273-279 
Yovich JV, McIlwraith CW.Arthroscopic surgery for osteochondral fractures of the proximal phalanx was performed on 74 fetlock joints of 63 horses for a total of 87 fractures during a 2-year period. The medial dorsal proximal aspect of the proximal phalanx of the forelimbs was most commonly involved (59 fractures), followed by the lateral aspect (26 fractures), and 2 fractures occurred in the fetlock joint of the right hindlimb. At surgery, 82 fragments were removed and 5 fragments that had healed or were embedded in the joint capsule were not removed. Of the fragments removed, 15 were fixed firmly to the proximal phal...
Periosteal transection and stripping for treatment of angular limb deformities in foals: clinical observations.
Journal of the American Veterinary Medical Association    July 15, 1985   Volume 187, Issue 2 145-152 
Bertone AL, Turner AS, Park RD.Correction was attempted in 27 foals (41 limbs) with angular deformities at the carpal region (35 limbs), metatarsophalangeal region (5 limbs) and distal end of the tibia (1 limb) by hemicircumferential transection of the periosteum (HCTP) and periosteal stripping (PS). Successful outcome was determined by straight limbs and soundness, which was achieved in 81.5% of the cases, with 60% of the horses in performance training. Follow-up evaluation for all foals was completed at various times after physiologic closure of the physes. In none of the limbs was the deformity overcorrected. Owners of f...
Periosteal transection and stripping for treatment of angular limb deformities in foals: radiographic observations.
Journal of the American Veterinary Medical Association    July 15, 1985   Volume 187, Issue 2 153-156 
Bertone AL, Park RD, Turner AS.Radiographs of 23 foals (35 forelimbs) with carpal region angular limb deformities, which later were corrected by hemicircumferential transection of the periosteum and periosteal stripping, were evaluated as to geometric and morphologic abnormalities. Geometric evaluation included deviation angle and deviation pivot point. Morphologic abnormalities were categorized as: asymmetric width of the distal radial physis; asymmetric width of the distal radial epiphysis; carpal bone collapse or fracture; carpal bone hypoplasia; carpal bone displacement; and metacarpal bone displacement. Fifty-seven per...
Repair of a proximal radius fracture in a horse.
The Veterinary record    November 17, 1984   Volume 115, Issue 20 516-518 doi: 10.1136/vr.115.20.516
May SA, Wyn-Jones G.No abstract available
Bone cement in orthopedics.
Equine veterinary journal    November 1, 1984   Volume 16, Issue 6 486-487 doi: 10.1111/j.2042-3306.1984.tb01994.x
Rushton N.No abstract available
Use of bone cement in two equine orthopaedic cases.
Equine veterinary journal    November 1, 1984   Volume 16, Issue 6 543-545 doi: 10.1111/j.2042-3306.1984.tb02015.x
Hickman J, Kold SE, Ellis DR, Greenwood RE.No abstract available
Complications during treatment of traumatic disruption of the suspensory apparatus in Thoroughbred horses.
Journal of the American Veterinary Medical Association    March 15, 1984   Volume 184, Issue 6 706-715 
Bowman KF, Leitch M, Nunamaker DM, Fackelman GE, Tate LP, Park MI, Boles CL, Raker CW.A total of 19 Thoroughbred horses were treated for traumatic disruption of the suspensory apparatus, using either external support of the injured limb, removal of fractured proximal sesamoid bone fragments, metacarpophalangeal arthrodesis, compression screw fixation of the fractured proximal sesamoid bones, application of a cast-brace attached to a transfixation pin inserted through the third metacarpal bone, or combinations thereof. Major complications during the treatment of traumatic disruption of the suspensory apparatus were infection (9 of 19 horses, 47%), large cast sores (10 of 14 trea...
Experiences in diagnostic and surgical arthroscopy in the horse.
Equine veterinary journal    January 1, 1984   Volume 16, Issue 1 11-19 doi: 10.1111/j.2042-3306.1984.tb01837.x
McIlwraith CW.This paper reviews the current status of diagnostic and surgical arthroscopy in the horse. Arthroscopy has been used as a diagnostic aid since 1974 and is useful for evaluation of abnormalities in synovial membrane and articular cartilage. Surgical arthroscopy is a more recent advance that has replaced conventional arthrotomy in 90 per cent of the author's cases. Clinical conditions currently being treated using arthroscopic techniques rather than arthrotomy include all chip fractures in the carpus, chip fractures of the first phalanx, chronic proliferative synovitis in the fetlock and osteoch...
Surgical correction of angular limb deformities in foals: a retrospective study.
Journal of the American Veterinary Medical Association    September 1, 1983   Volume 183, Issue 5 529-532 
Fretz PB, Donecker JM.The outcome of surgical treatment of angular limb deformities in 29 foals was evaluated through long-term monitoring of athletic performance. Foals were placed into 1 of 2 groups, depending on the site of the angular limb deformity. In group 1 foals, the deformity involved the carpus of distal end of the radius. In group 2 foals, the deformity involved the distal end of the 3rd metacarpal or metatarsal bone. Group 1 contained 20 foals and group 2 contained 11 foals. Two foals were in both groups. Sixteen foals in group 1 and 4 foals in group 2 progressed to some form of athletic use. The under...
Symposium on equine orthopedic surgery.
The Veterinary clinics of North America. Large animal practice    July 1, 1983   Volume 5, Issue 2 211-406 
No abstract available
Surgery of the fetlock joint.
The Veterinary clinics of North America. Large animal practice    July 1, 1983   Volume 5, Issue 2 221-231 doi: 10.1016/s0196-9846(17)30076-9
Copelan RW, Bramlage LR.No abstract available
Assessment of the economic value of orthopedic surgery in thoroughbred racehorses.
The Veterinary clinics of North America. Large animal practice    July 1, 1983   Volume 5, Issue 2 391-401 doi: 10.1016/s0196-9846(17)30085-x
Speirs VC.No abstract available
Long bone fractures.
The Veterinary clinics of North America. Large animal practice    July 1, 1983   Volume 5, Issue 2 285-310 doi: 10.1016/s0196-9846(17)30080-0
Bramlage LR.No abstract available
Lag screw stabilization of Salter type IV femoral fracture in a young horse.
Journal of the American Veterinary Medical Association    May 15, 1983   Volume 182, Issue 10 1123-1125 
DeBowes RM, Grant BD, Modransky PD.No abstract available
Wedge osteotomy as a treatment for angular deformity of the fetlock in horses.
Journal of the American Veterinary Medical Association    February 1, 1983   Volume 182, Issue 3 245-250 
Fretz PB, McIlwraith CW.Five young horses with fetlock varus deformities of 8 degrees or greater were treated by means of wedge osteotomy of the distal end of the 3rd metacarpal or metatarsal bone. Three patients were admitted to the Western College of Veterinary Medicine and 2 to Colorado State University. Their selection as surgical patients was based on the following criteria: (1) an angular limb deformity of 8 degrees or greater, (2) patient older than 120 days, (3) no evidence of lameness, and (4) no evidence of degenerative joint disease. The surgery was successful in all cases.
Periosteal transection for correction of angular limb deformities in foals.
Journal of the American Veterinary Medical Association    September 1, 1982   Volume 181, Issue 5 459-466 
Auer JA, Martens RJ, Williams EH.Seventeen foals with angular limb deformities of the distal end of the radius (valgus: 26 limbs), distal end of the tibia (valgus: 6 limbs), and distal end of the 3rd metacarpal bone/metatarsal bone (varus: 4 limbs) were treated surgically by means of hemicircumferential division of the periosteum proximal to the involved growth plate, at the concave side of the bone. There was some correction in all cases. The best results were seen in the radius, where 22 of 25 limbs were corrected to a deviation of 4 degrees or less. Satisfactory correction was obtained in the 6 tibias, the 2 third metacarp...
Use of a bone plate for repair of proximal physeal fractures of the tibia in two foals.
Journal of the American Veterinary Medical Association    August 1, 1982   Volume 181, Issue 3 252-254 
White NA, Blackwell RB, Hoffman PE.Salter-Harris type II proximal tibial fractures were repaired in two 1-month-old foals, using a dynamic compression plate. The plate was placed on the medial aspect of the tibia, and a single cancellous bone screw was used to reduce the proximal fragment displacement. The plate provided fixation during healing and functioned as a transphyseal bridge, which induced a disparity in growth and corrected a slight lateral angulation of the limb. Limb growth after plate removal was normal.
Internal fixation of fractures of the ulna in the horse.
Australian veterinary journal    March 1, 1982   Volume 58, Issue 3 101-104 doi: 10.1111/j.1751-0813.1982.tb00601.x
McGill CA, Hilbert BJ, Jacobs KV.No abstract available
[From horse shoeing to hoof orthopedia (author’s transl)].
DTW. Deutsche tierarztliche Wochenschrift    November 5, 1981   Volume 88, Issue 11 475-479 
Scholz G.No abstract available
Distribution of 5′-nucleotidase and gamma glutamyl transferase activities in the tissues of the horse.
Research in veterinary science    November 1, 1981   Volume 31, Issue 3 312-314 
Ford EJ, Adam SE.In the horse, 5'-nucleotidase (5'-NT) activity is found mainly in homogenates of lung, kidney, small intestine, mammary gland, liver and pancreas. Lower activities are present in brain and muscle. Activity can be demonstrated histochemically in the glomeruli and tubules of the kidney, in the sinusoidal borders of the hepatocytes and the bile duct epithelium as well as in the blood vessels of all organs. There is no significant difference between the 5'-NT activity in serum and plasma of normal horses and of horses suffering from a range of orthopaedic conditions. Previous findings that gamma g...
Correction of angular limb deformities in foals.
The Veterinary record    June 13, 1981   Volume 108, Issue 24 523 doi: 10.1136/vr.108.24.523-c
Clayton Jones DG.No abstract available