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Topic:Subchondral Bone

Subchondral bone refers to the layer of bone just beneath the cartilage in the joints of horses. It plays a role in supporting the overlying cartilage and distributing loads across the joint surface during movement. Changes or damage to the subchondral bone can affect joint function and are often associated with conditions such as osteoarthritis. In horses, the health of subchondral bone is of interest for understanding joint disorders and improving lameness diagnosis and management. This page compiles peer-reviewed research studies and scholarly articles that examine the structure, function, and pathological changes of subchondral bone in equine joints.
Clinical effects of exercise on subchondral bone of carpal and metacarpophalangeal joints in horses.
American journal of veterinary research    October 20, 2000   Volume 61, Issue 10 1252-1258 doi: 10.2460/ajvr.2000.61.1252
Kawcak CE, McIlwraith CW, Norrdin RW, Park RD, Steyn PS.To determine effects of treadmill exercise on subchondral bone of carpal and metacarpophalangeal joints of 2-year-old horses. Methods: 12 healthy 2-year-old horses. Methods: Horses were randomly assigned to the control (n = 6) or exercised (6) groups. Horses in the exercised group ran on a high-speed treadmill 5 d/wk for 6 months. Horses in the control group were hand walked for the same amount of time. Results of clinical, radiographic, nuclear scintigraphic, and computed tomographic examinations, and serum and synovial concentrations of biochemical markers of bone metabolism were compared be...
Fibrous tissue of subchondral cystic lesions in horses produce local mediators and neutral metalloproteinases and cause bone resorption in vitro.
Veterinary surgery : VS    September 22, 2000   Volume 29, Issue 5 420-429 doi: 10.1053/jvet.2000.7538
von Rechenberg B, Guenther H, McIlwraith CW, Leutenegger C, Frisbie DD, Akens MK, Auer JA.To define the release of nitric oxide (NO), prostaglandin E2 (PGE2), and the neutral metalloproteinases (NMPs) in horses with subchondral cystic lesions (SCL) and to study bone resorption triggered by conditioned media of fibrous tissue of SCL in vitro. Methods: Equine explant cultures of fibrous tissue of SCL, and synovial membrane and articular cartilage of normal horses and horses affected with moderate and severe osteoarthritis were performed. NO, PGE2, and NMP concentrations of media samples were measured, and osteoclast formation and activation was studied in vitro. Methods: Experiment 1...
Changes in bone morphogenic enzymes and lipid composition of equine osteochondrotic subchondral bone.
Equine veterinary journal. Supplement    September 22, 2000   Issue 31 31-37 doi: 10.1111/j.2042-3306.1999.tb05311.x
van de Lest CH, van den Hoogen BM, van Weeren PR, Brouwers JF, van Golde LM, Barneveld A.Osteochondrosis (OC) is a disturbance in the process of endochondral ossification, a process in which cartilage is mineralised and transformed into bone. In this process different biochemical events occur, of which the cartilage component has been studied so far almost exclusively. In this study we concentrated on the biochemical characterisation of normal and osteochondrotic subchondral bone, by analysis of enzyme activities, DNA content and phospholipids (PL). In subchondral bone, lysyl oxidase and both total and bone alkaline phosphatase activity were significantly increased in all degrees ...
Low-field magnetic resonance imaging of the equine tarsus: normal anatomy. Blaik MA, Hanson RR, Kincaid SA, Hathcock JT, Hudson JA, Baird DK.The objective of this study was to define the normal gross anatomic appearance of the adult equine tarsus on a low-field magnetic resonance (MR) image. Six radiographically normal, adult, equine tarsal cadavers were utilized. Using a scanner with a 0.064 Tesla magnet, images were acquired in the sagittal, transverse and dorsal planes for T1-weighted and the sagittal plane for T2-weighted imaging sequences. Anatomic structures on the MR images were identified and compared with cryosections of the imaged limbs. Optimal image planes were identified for the evaluation of articular cartilage, subch...
Postoperative performance of racing horses with tearing of the medial palmar intercarpal ligament.
Australian veterinary journal    February 24, 2000   Volume 77, Issue 11 713-717 doi: 10.1111/j.1751-0813.1999.tb12905.x
Whitton RC, Kannegieter NJ, Rose RJ.To examine the relationship between medial palmar intercarpal ligament (MPICL) tearing and postoperative performance in racing horses. Methods: The postoperative performance of 42 horses in which the midcarpal joint was examined arthroscopically was followed prospectively. Intra-articular variables examined were the severity of MPICL tearing, subchondral bone damage and articular cartilage damage. Using a scoring system based on the class of race and the position in the race, a mean score was calculated for up to five races before and after surgery. The preoperative score was subtracted from t...
An MRI study of the effect of treadmill training on bone morphology of the central and third tarsal bones of young thoroughbred horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 258-261 doi: 10.1111/j.2042-3306.1999.tb05230.x
Whitton RC, Murray RC, Buckley C, Goodship AE, Lekeux P.Training results in marked modelling of the subchondral bone of the carpus, but the effect of training on the subchondral bone of the distal tarsal joints is unknown. The aim of this study was to determine whether training influenced modelling of the third and central tarsal bones in Thoroughbred horses. Twelve untrained Thoroughbred horses were divided into 2 groups. Group 1 underwent a 19 week progressive training regimen on a high speed treadmill. Group 2 were walked for 40 min daily. Images of left tarsi were obtained by magnetic resonance imaging (MRI) with a 0.5 Tesla superconducting mag...
The effect of training on the calcified zone of equine middle carpal articular cartilage.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 274-278 doi: 10.1111/j.2042-3306.1999.tb05234.x
Murray RC, Whitton RC, Vedi S, Goodship AE, Lekeux P.Carpal osteochondral injury is frequently observed in strenuously trained horses. It is clear that the integrity of articular cartilage and subchondral bone are intimately related, although there is controversy about which component is the most important. Calcified cartilage provides the mechanical link between soft hyaline cartilage and stiff subchondral bone so it is essential to understand the tissue's response to exercise. Middle carpal calcified and uncalcified (hyaline) cartilage thickness was investigated in horses undergoing high- and low-intensity exercise. Twelve untrained horses (18...
The effect of compacted cancellous bone grafting on the healing of subchondral bone defects of the medial femoral condyle in horses.
Veterinary surgery : VS    February 1, 2000   Volume 29, Issue 1 8-16 doi: 10.1111/j.1532-950x.2000.00008.x
Jackson WA, Stick JA, Arnoczky SP, Nickels FA.To compare the quality of second-intention healing and that of compacting sternally harvested cancellous bone into subchondral bone defects of the medial femoral condyle in horses. Methods: A controlled experiment using a surgical technique that minimizes soft tissue trauma, customized for consistency among horses. Methods: Ten horses, aged 2 to 5 years, free of hindlimb lameness and with radiographically normal stifles. Methods: After a 12.7-mm-diameter x 19-mm-deep defect was created into randomly selected medial femoral condyles, bone and cartilage healing was evaluated over a 6-month perio...
What is your diagnosis? Femoral and tibial subchondral bone cysts in a horse.
Journal of the American Veterinary Medical Association    October 26, 1999   Volume 215, Issue 8 1097-1098 
Bueno AC, Kaneps AJ, Watrous BJ.No abstract available
Arthroscopic subchondral bone plate microfracture technique augments healing of large chondral defects in the radial carpal bone and medial femoral condyle of horses.
Veterinary surgery : VS    July 29, 1999   Volume 28, Issue 4 242-255 doi: 10.1053/jvet.1999.0242
Frisbie DD, Trotter GW, Powers BE, Rodkey WG, Steadman JR, Howard RD, Park RD, McIlwraith CW.To evaluate the effect of arthroscopic subchondral bone microfracture on healing of large chondral defects in horses. Methods: Short- (4 months) and long-term (12 months) in vivo experimental chondral defect model. Methods: 10 horses, aged 2 to 5 years. Methods: Each horse had a 1 cm2 full-thickness chondral defect created in both radial carpal bones and both medial femoral condyles. One carpus and one femoral condyle of each horse had the subchondral bone plate under the defect perforated using an orthopedic awl. All horses were exercised, five horses were evaluated after 4 months and five ho...
Subchondral bone changes and cartilage damage.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 94-95 doi: 10.1111/j.2042-3306.1999.tb03799.x
Radin EL.No abstract available
Three dimensional structure of the distal condyles of the third metacarpal bone of the horse.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 122-129 doi: 10.1111/j.2042-3306.1999.tb03805.x
Boyde A, Haroon Y, Jones SJ, Riggs CM.This study examined the three-dimensional (3D) microarchitecture of regions of the equine third metacarpal bone (McIII) commonly involved in distal condylar fractures. Limbs were obtained from Thoroughbred horses (neonates to age 24 years) destroyed for inoperable fractures and a variety of other conditions. Beams, blocks and sections were cut in the principal axes, some embedded in PMMA and others examined unembedded. Several methods were used to study the 3D structure, including conventional and confocal optical microscopy, scanning electron microscopy (SEM) and radiography. The mineralised ...
Galloping exercise induces regional changes in bone density within the third and radial carpal bones of Thoroughbred horses.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 111-115 doi: 10.1111/j.2042-3306.1999.tb03802.x
Firth EC, Delahunt J, Wichtel JW, Birch HL, Goodship AE.This study was performed to test the hypothesis that a localised bone hypertrophy could occur within the subchondral cancellous architecture of the third and radial carpal bones. Using 2 levels of controlled and defined exercise, it was observed that a high intensity treadmill exercise protocol resulted in functional adaptation of the carpal bones. The increase in trabecular thickening and density was seen to be localised to those regions underlying common sites of cartilage degradation, the interface of the thickened trabeculae with the normal architecture in the third carpal bone was coincid...
Naturally occurring osteoarthritis in the metacarpophalangeal joints of wild horses.
Equine veterinary journal    February 10, 1999   Volume 31, Issue 1 73-81 doi: 10.1111/j.2042-3306.1999.tb03794.x
Cantley CE, Firth EC, Delahunt JW, Pfeiffer DU, Thompson KG.This study identified changes consistent with osteoarthritis; articular cartilage damage, subchondral bone sclerosis and marginal osteophytes, in the metacarpophalangeal joints of wild New Zealand horses. The articular cartilage lesions were identified by Indian ink staining techniques and histology. The lesions occurred on the proximodorsal aspect of the first phalanx (P1) and were more severe on the medial compared to the lateral eminence of the bone, and their severity increased with age. The bone mineral density of the subchondral bone underlying the cartilage lesions, assessed using conve...
Calcified cartilage morphometry and its relation to subchondral bone remodeling in equine arthrosis.
Bone    February 10, 1999   Volume 24, Issue 2 109-114 doi: 10.1016/s8756-3282(98)00157-4
Norrdin RW, Kawcak CE, Capwell BA, McIlwraith CW.The calcified layer of articular cartilage is known to be affected by age and mechanical factors that may play a role in the development of arthrosis. Because these factors are also related to subchondral remodeling and sclerosis, a morphometric study was carried out in fluorochrome-labeled animals to determine whether the level of subchondral remodeling affected the thickness of the calcified cartilage layer and its irregularity and vascularity at the interface with subchondral bone. These parameters were also studied at a site of increased mechanical stress. The area and thickness of the cal...
Osteochondritis dessicans and subchondral cystic lesions in draft horses: a retrospective study.
The Canadian veterinary journal = La revue veterinaire canadienne    October 28, 1998   Volume 39, Issue 10 627-633 
Riley CB, Scott WM, Caron JP, Fretz PB, Bailey JV, Barber SM.The clinical features, radiographic findings, treatment, and outcome in 51 draft horses with osteochondritis dessicans (OCD) or subchondral cystic lesions (SC) are reported. Clydesdale and Percheron were the most commonly affected breeds, and affected animals represented only 5% of the hospital population of draft horses. Horses were most frequently affected in the tibiotarsal joints and 73% (24 of 33 cases) of the horses with tibiotarsal effusion were affected bilaterally. Osteochondritis dessicans of the distal intermediate ridge was the most common lesion found in the tibiotarsal joint. The...
The accuracy of the dorsoproximal-dorsodistal projection in assessing third carpal bone sclerosis in standardbred trotters. Uhlhorn H, Ekman S, Haglund A, Carlsten J.Thirty-five carpal joints from 20 standardbred trotters, age 1 to 7 years, all euthanized for nonorthopedic reasons, were examined to investigate the correlation between assessments of subchondral bone sclerosis in the third carpal bone from radiographs in the dorsoproximal-dorsodistal (DPr-DDi) projection and histomorphometric bone volume density measurements. The agreement between assessments of sclerosis from antemortem versus postmortem radiographs was also evaluated. Bones graded as sclerotic in the DPr-DDi projection had significantly higher bone volume density values for all areas of me...
Subchondral cystic lesions involving the second phalanx in two horses.
Australian veterinary journal    June 19, 1998   Volume 76, Issue 5 328-330 doi: 10.1111/j.1751-0813.1998.tb12357.x
Dowling BA, Dart AJ, Hodgson DR.No abstract available
Scintigraphic and clinical findings in the Standardbred metatarsophalangeal joint: 114 cases (1993-1995).
Equine veterinary journal    April 16, 1998   Volume 30, Issue 2 131-138 doi: 10.1111/j.2042-3306.1998.tb04472.x
Ross MW.To correlate scintigraphic and clinical findings of the metatarsophalangeal joint (MTPJ) in Standardbreds, radiographic findings in horses with confirmed MTPJ lameness, and determine if stress reaction and more advanced bone remodelling occurred in the MTPJ, medical records of 114 Standardbreds admitted between September 1993 and April 1995 in which bone scintigraphy included standing lateral and plantar views of the metatarsophalangeal joint (MTPJ) were reviewed. Images obtained using a large field of view gamma camera were evaluated visually for location, definition and intensity of increase...
Subchondral bone failure in an equine model of overload arthrosis.
Bone    February 26, 1998   Volume 22, Issue 2 133-139 doi: 10.1016/s8756-3282(97)00253-6
Norrdin RW, Kawcak CE, Capwell BA, McIlwraith CW.Gross examination of metacarpo-/metatarsophalangeal (fetlock) joints from racehorses revealed defects on the condylar surface that ranged from cartilage fibrillation and erosion to focal cartilage indentations and cavitation in subchondral bone characteristic of traumatic osteochondrosis. Because these lesions represented a spectrum of mechanically induced arthrosis in which microdamage is thought to play a role, a histologic study of sagittal sections was made to study the morphogenesis. Subchondral bone failure developed beneath a flattened section of the condyle where the margin of the sesa...
The pathophysiology of osteochondrosis.
The Veterinary clinics of North America. Small animal practice    February 17, 1998   Volume 28, Issue 1 17-32 doi: 10.1016/s0195-5616(98)50002-2
Ekman S, Carlson CS.Osteochondrosis is a disorder of epiphyseal cartilage about which there is considerable confusion in the literature. We believe that this is due to the fact that osteochondrosis has been studied in the chronic stage when the lesions are morphologically complicated and the initial causative insult is impossible to determine. The etiology of osteochondrosis appears to be multifactorial, with trauma, hereditary factors and rapid growth, nutritional factors, and ischemia all having a role in its pathogenesis. Although predilection sites are variable among species, the morphology of the early lesio...
Effects of osteochondral fragmentation and intra-articular triamcinolone acetonide treatment on subchondral bone in the equine carpus.
Equine veterinary journal    February 12, 1998   Volume 30, Issue 1 66-71 doi: 10.1111/j.2042-3306.1998.tb04090.x
Kawcak CE, Norrdin RW, Frisbie DD, Trotter GW, Mcilwraith CW.To determine the effects of osteochondral fragmentation and intra-articular corticosteroid treatment on dynamics of bone remodelling and fragility, 12 horses each had a unilateral, 8 mm osteochondral fragment created in the distal aspect of one radiocarpal bone. Six of the horses were treated in the fragmented joint, and the other 6 were treated in the nonfragmented joint with 12 mg of triamcinolone acetonide (TA) 14 and 28 days after surgery. All horses were exercised on a high-speed treadmill starting 15 days, and ending 72 days after surgery. Horses treated with TA in the fragmented joints ...
Equine dyschondroplasia (osteochondrosis)–histological findings and type VI collagen localization.
Veterinary journal (London, England : 1997)    July 1, 1997   Volume 154, Issue 1 53-62 doi: 10.1016/s1090-0233(05)80008-5
Henson FM, Davies ME, Jeffcott LB.This study describes (1) the histological appearance of dyschondroplasia, the primary lesion of osteochondrosis, in articular cartilage of the horse and (2) the localization of type VI collagen which is an important constituent of the extracellular matrix (ECM). Dyschondroplastic cartilage was identified on the basis of the presence of cartilage cores (i.e., cartilage extending into the subchondral bone) and confirmed with subsequent histological examination. Full-thickness cartilage samples from 57 horses were collected and paraffin embedded. Histological examination was used to examine the n...
Evaluation of cartilage lesions on the medial femoral condyle as a cause of lameness in horses: 11 cases (1988-1994).
Journal of the American Veterinary Medical Association    June 1, 1997   Volume 210, Issue 11 1649-1652 
Schneider RK, Jenson P, Moore RM.To evaluate clinical findings and response to treatment in horses in which cartilage lesions on the medial femoral condyle were a cause of lameness. Methods: Retrospective case series. Methods: Medical records of 11 horses that had cartilage lesions on the medial femoral condyle detected during arthroscopy of the stifle. Methods: Signalment, history, lameness examination, response to intra-articular anesthesia, radiographs of the stifle, observations during diagnostic arthroscopy, and treatment were extracted from the medical record of each horse. Follow-up examinations and outcome were availa...
The role of computed tomography in evaluation of subchondral osseous lesions in seven horses with chronic synovitis.
Equine veterinary journal    November 1, 1996   Volume 28, Issue 6 480-488 doi: 10.1111/j.2042-3306.1996.tb01621.x
Hanson JA, Seeherman HJ, Kirker-Head CA, O'Callaghan MW.Seven horses with severe, persistent lameness of sudden onset were evaluated with scintigraphy and/or computed tomography. The lameness was localised to the front fetlock joint in 2 horses and to the tibiotarsal joint in 5 horses. Five of the horses had a history of intra-articular injections of the involved joint prior to presentation. All horses had effusion of the affected joint and were positive to flexion tests. Intraarticular anaesthesia eliminated or improved the lameness in 4 cases and a nerve conduction block proximal to the affected joint improved the lameness in another. Cytology ex...
Subchondral bone cysts in the distal aspect of the tibia of three horses.
The Canadian veterinary journal = La revue veterinaire canadienne    July 1, 1996   Volume 37, Issue 7 429-431 
Van Duin Y, Hurtig MB.No abstract available
Development of subchondral cystic lesions after articular cartilage and subchondral bone damage in young horses.
Equine veterinary journal    May 1, 1996   Volume 28, Issue 3 225-232 doi: 10.1111/j.2042-3306.1996.tb03777.x
Ray CS, Baxter GM, McILWRAITH CW, Trotter GW, Powers BE, Park RD, Steyn PF.The objective of this study was to determine if damage to the articular cartilage alone or articular cartilage plus subchondral bone of the distal medial femoral condyle of young, exercised horses resulted in the formation of subchondral cystic lesions. Twelve Quarter Horses (age 1-2 years), free of clinical and radiographic signs of osteochondrosis and lameness were used. In 6 horses (Group 1), a 15 times 1 mm linear full thickness defect in the articular cartilage was made arthroscopically on the weightbearing surface of the distal aspect of the medial femoral condyle. In the other 6 horses ...
Regulation of glycosaminoglycan metabolism by bone morphogenetic protein-2 in equine cartilage explant cultures.
American journal of veterinary research    April 1, 1996   Volume 57, Issue 4 554-559 
Loredo GA, MacDonald MH, Benton HP.To investigate whether recombinant human bone morphogenetic protein-2 (rhBMP-2) regulates glycosaminoglycan (GAG) synthesis and release from equine articular cartilage explant cultures. Methods: Equine articular cartilage explants were maintained in vitro for 7 days in the presence of 0 (control), 1, 10, or 100 ng of rhBMP-2/ml. Synthesis and release of GAG were assessed as measures of production and degradation of the extracellular matrix, respectively. Methods: 6 horses (age range, 2 to 25 years old) without clinically detectable musculoskeletal abnormalities. Methods: Rate of synthesis of G...
Surgical treatment of subchondral cyst-like lesions in the tibia of an adult pony.
Journal of the American Veterinary Medical Association    March 1, 1996   Volume 208, Issue 5 704-706 
Ball MA, Allen D, Parks A.A 13 year-old pony was evaluated because of right hind limb lameness of acute onset. Radiographs of the right tarsus obtained shortly after the onset of lameness were normal, but results of nuclear scintigraphy were abnormal. Two radiolucent subchondral cyst-like lesions of the distal part of the tibia were seen on radiographs obtained 9 months later. The lesions were surgically decompressed, and the pony was sound 1 year later. It is hypothesized that a traumatic insult created a crack or split in the articular cartilage that allowed subsequent development of the cyst-like lesions.
Radiographic and arthroscopic findings associated with subchondral lucency of the distal radial carpal bone in 71 horses.
Equine veterinary journal    March 1, 1996   Volume 28, Issue 2 93-97 doi: 10.1111/j.2042-3306.1996.tb01598.x
Dabareiner RM, White NA, Sullins KE.Case records and radiographs of 71 horses with subchondral lucency, without radiographic evidence of fracture, located on the distal radial carpal bone were examined retrospectively. All horses had lameness and/or joint effusion referable to the carpus. Distal radial carpal bone subchondral lucency was found as a solitary lesion or as a lesion concurrent and symmetric to a contralateral distal radial carpal bone chip fracture. The lesion appeared radiographically as a lucency or shadow on the distal dorsal margin of the radial carpal bone and was most evident on the flexed lateromedial and dor...