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Topic:Treatment

Treatments for horses encompasses a range of medical and therapeutic interventions aimed at maintaining or restoring equine health. This field involves the use of pharmaceuticals, surgical procedures, and alternative therapies to address various conditions affecting horses. Common treatments include the administration of anti-inflammatory drugs, antibiotics, and vaccines, as well as physical therapies and nutritional management. Research in this area focuses on evaluating the efficacy, safety, and outcomes of different treatment modalities. This page collects peer-reviewed research studies and scholarly articles that explore the methods, advancements, and clinical outcomes associated with equine treatment practices.
When radiography and ultrasonography are not enough: the use of computed tomography and magnetic resonance imaging for equine lameness cases.
Journal of the American Veterinary Medical Association    May 11, 2022   Volume 260, Issue 10 1113-1123 doi: 10.2460/javma.22.03.0136
Garrett KS.MRI and CT have enhanced our diagnostic abilities for equine lameness beyond what is available using radiography and ultrasonography. This has allowed veterinarians to better prognosticate and treat lameness conditions, improving patient outcomes. This article discusses the basic principles behind MRI and CT, their advantages and disadvantages, the different types of equipment available for clinical use in horses, the typical diagnostic workup prior to pursuing advanced imaging, and common regions where MRI and CT are used clinically. The companion Currents in One Health by Spriet, AJVR, July ...
The Equine Temporomandibular Joint: Comparisons Between Standard and Needle Arthroscopic Examination of Cadaver Specimens and Standing Horses.
Frontiers in veterinary science    April 26, 2022   Volume 9 876041 doi: 10.3389/fvets.2022.876041
Carmalt JL, Pimentel KL.Definitive diagnosis of equine temporomandibular joint osteoarthritis (TMJ-OA) may require advanced diagnostic imaging. Arthroscopy is a modern, minimally invasive, diagnostic, and treatment modality. Standing arthroscopic treatment of joint disease is a relatively recent advance in equine surgery, despite which there are few published comparisons between the available arthroscopic systems. Unassigned: To compare and contrast two arthroscopic systems for assessing the equine temporomandibular joint compartments in cadavers and standing horses. Unassigned: Experimental study. Unassigned: Phase ...
Polyacrylamide hydrogel lubricates cartilage after biochemical degradation and mechanical injury.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    April 20, 2022   Volume 41, Issue 1 63-71 doi: 10.1002/jor.25340
Vishwanath K, McClure SR, Bonassar LJ.Intra-articular injections of hyaluronic acid have been a mainstay of osteoarthritis treatment for decades. However, controversy surrounds the mechanism of action and efficacy of this therapy. As such, there has been recent interest in developing synthetic lubricants that lubricate cartilage. Recently, a synthetic 4 wt% polyacrylamide (pAAm) hydrogel was shown to effectively decrease lameness in horses. However, its mechanism of action and ability to lubricate cartilage is unknown. The goal of this study was to characterize the lubricating ability of this hydrogel and determine its efficacy ...
Dorsally placed commercially available subpalpebral lavage systems have low complication rates in horses.
Journal of the American Veterinary Medical Association    April 15, 2022   Volume 260, Issue 9 1057-1062 doi: 10.2460/javma.22.01.0007
Stewart RM, Lack AC, Telle MR, Ellis JK, Betbeze CM.To retrospectively evaluate the complication rate following dorsal placement of a commercially available 1-hole subpalpebral lavage system (SPL) at a veterinary teaching hospital. 102 client-owned horses with ophthalmic disease. Medical records of horses (2010 to 2020) with ophthalmic disease were reviewed to determine whether a commercially available SPL system was dorsally placed. Data collected from the medical record included signalment, presenting complaint(s), diagnosis, ophthalmic procedures performed, SPL laterality, hospital service that placed the SPL, anesthetic technique for placem...
ALVAC-fIL2, a feline interleukin-2 immunomodulator, as a treatment for sarcoids in horses: A pilot study.
Journal of veterinary internal medicine    April 13, 2022   Volume 36, Issue 3 1179-1184 doi: 10.1111/jvim.16425
Saba C, Eggleston R, Parks A, Peroni J, Sjoberg E, Rice S, Tyma J, Williams J, Grosenbaugh D, Leard AT.Sarcoid tumors are common in horses and may negatively impact the performance and value of the horse. No known treatment is reliably successful. Objective: To determine tolerability, overall response rate, time to response, and progression-free survival of horses with biopsy-confirmed or suspected sarcoids treated with ALVAC-fIL2. Methods: Client-owned horses with measurable, presumed- or biopsy-confirmed sarcoid tumors. Methods: Prospective pilot study. One milliliter of ALVAC-fIL2 was injected into 4 to 5 areas of the sarcoid(s) in each horse (week 0); this treatment was repeated in weeks 1,...
Field Safety Experience With an Autologous Cancer Vaccine in 41 Horses: A Retrospective Study (2019-2021).
Journal of equine veterinary science    April 9, 2022   Volume 114 103948 doi: 10.1016/j.jevs.2022.103948
Greenberg CB, Javsicas LH, Clauson RM, Suckow MA, Kalinauskas AE, Lucroy MD.Autologous cancer vaccines (ACV) are an emerging option for adjuvant cancer treatment in veterinary medicine. With this form of active immunotherapy, the patient's tumor cells are processed ex vivo and returned to the patient with the goal of stimulating an immune response to unique, patient-specific antigens. The case accession database at Torigen was queried to identify horses that underwent biopsy or surgical resection of their primary tumor and received at least one subcutaneous dose of an adjuvanted whole-cell autologous cancer vaccine. The records were then reviewed for any reported adve...
Effects of regional limb perfusion technique on concentrations of antibiotic achieved at the target site: A meta-analysis.
PloS one    April 1, 2022   Volume 17, Issue 4 e0265971 doi: 10.1371/journal.pone.0265971
Redding LE, Elzer EJ, Ortved KF.Intravenous regional limb perfusions (RLP) are widely used in equine medicine to treat distal limb infections, including synovial sepsis. RLPs are generally deemed successful if the peak antibiotic concentration (Cmax) in the sampled synovial structure is at least 8-10 times the minimum inhibitory concentration (MIC) for the bacteria of interest. Despite extensive experimentation and widespread clinical use, the optimal technique for performing a successful perfusion remains unclear. The objective of this meta-analysis was to examine the effect of technique on synovial concentrations of antibi...
Influence of screw head diameter on ex vivo fixation of equine lateral condylar fractures with 5.5 mm cortical screws.
Veterinary surgery : VS    March 18, 2022   Volume 51, Issue 4 576-591 doi: 10.1111/vsu.13797
Constant C, Zderic I, Arens D, Pugliese B, Gehweiler D, Gueorguiev-Rüegg B, Zeiter S.To determine the influence of screw head diameter on equine condylar fracture fixation with 5.5 mm cortical screws. Methods: Ex vivo, biomechanical study, blinded, matched-pair design. Methods: Fifteen pairs of equine third metacarpal (MC3) bones. Methods: Lateral condylar fractures were simulated by parasagittal osteotomies and repaired pairwise by 2 × 5.5 mm cortical screws of 8 mm (standard) or 10 mm (modified) head diameter. Interfragmentary compression at maximum screw insertion torque was measured. The instrumented specimens were pairwise stratified for biomechanical testing u...
Snake Envenomation.
The New England journal of medicine    March 17, 2022   Volume 386, Issue 11 1099 doi: 10.1056/NEJMc2201552
Rushton W, Shapshak D.No abstract available
The Effectiveness of Equine Therapy Intervention on Activities of Daily Living, Quality of Life, Mood, Balance and Gait in Individuals with Parkinson’s Disease.
Healthcare (Basel, Switzerland)    March 17, 2022   Volume 10, Issue 3 561 doi: 10.3390/healthcare10030561
Berardi A, Di Napoli G, Ernesto M, Fabbrini G, Conte A, Ferrazzano G, Viselli F, Galeoto G.The objective of this study was to evaluate the efficacy of equine therapy (ET) to detect changes in the activities of daily living, quality of life, mood, balance, and gait in individuals with Parkinson's disease (PD). Methods: In the study, 17 participants with PD were recruited to participate in 10 sessions of ET. The inclusion criteria of the study were: second and third stages of the Hoehn and Yahr scale, Mini-Mental State Examination (MMSE) greater than or equal to 24 points, and age up to 85 years. The outcome measures administered at the beginning and the end of treatment relied on mea...
Comparison of cervical epidural morphine with intravenous morphine administration on antinociception in adult horses using thermal threshold testing.
Veterinary anaesthesia and analgesia    March 16, 2022   Volume 49, Issue 4 417-422 doi: 10.1016/j.vaa.2022.03.003
Hopster K, Watkins AR, Hurcombe SD.To compare the antinociceptive effects of morphine administered via cervical epidural catheter to intravenously administered morphine using a thermal threshold (TT) testing model in healthy adult horses. Methods: Prospective, randomized, blinded experimental study. Methods: A total of six university-owned adult horses. Methods: Horses were instrumented with a cervical (C1-C2) epidural catheter and TT testing device with probes at withers and thoracic limb coronary bands. All horses underwent three TT testing cycles including cervical epidural morphine administration (treatment EpiM; 0.1 mg kg-...
Anesthesia Case of the Month.
Journal of the American Veterinary Medical Association    March 16, 2022   Volume 260, Issue 12 1-4 doi: 10.2460/javma.21.07.0327
Bartholomew KJ, Loeber SJ, Johnson RA.No abstract available
Autologous conditioned serum in equine and human orthopedic therapy: A systematic review.
Research in veterinary science    March 15, 2022   Volume 146 34-52 doi: 10.1016/j.rvsc.2022.03.009
Tokawa PKA, Brossi PM, Baccarin RYA.This systematic review aims to compile and present information of studies evaluating the effectiveness of autologous conditioned serum (ACS) in the healing of tendon, ligament and articular lesions in humans and horses. A systematic search of articles using Medline, PubMed, Embase, Bireme and Google Scholar was conducted up to August 2020. Studies regarding ACS' use in human orthopedic lesions were included if classified as RCTs, cohort and case-controls. All studies regarding this therapy in equine medicine were included given their scarcity. Pre-clinical experimental studies were selected if...
Transvenous electrical cardioversion of atrial fibrillation in horses: Horse and procedural factors correlated with success and recurrence.
Journal of veterinary internal medicine    March 5, 2022   Volume 36, Issue 2 758-769 doi: 10.1111/jvim.16395
Vernemmen I, Van Steenkiste G, Dufourni A, Decloedt A, van Loon G.Transvenous electrical cardioversion (TVEC) is 1 of the main treatment options for atrial fibrillation (AF) in horses. Large-scale studies on factors affecting success and prognosis have primarily been performed in Standardbred populations. Objective: To determine factors affecting cardioversion success, cardioversion difficulty and recurrence in a predominant Warmblood study sample. Methods: TVEC records of 199 horses. Methods: Retrospective study of TVEC procedures of horses admitted for AF without severe echocardiographic abnormalities. Horse and procedural factors for success and cumulativ...
Case Report: Repeated Intralesional Injections of Autologous Mesenchymal Stem Cells Combined With Platelet-Rich Plasma for Superficial Digital Flexor Tendon Healing in a Show Jumping Horse.
Frontiers in veterinary science    February 18, 2022   Volume 9 843131 doi: 10.3389/fvets.2022.843131
Melotti L, Carolo A, Elshazly N, Boesso F, Da Dalt L, Gabai G, Perazzi A, Iacopetti I, Patruno M.In the present case report a show jumping 10-year-old Sella Italiano gelding, presented with severe lameness, swelling and pain at palpation of the mid-metacarpal region of the left forelimb. Clinical and ultrasound examination diagnosed a chronic tendonitis of the central region of the superficial digital flexor tendon (SDFT). The lesion was a reoccurrence since it developed from a previously healed injury. The horse had to stop competing and was unresponsive to gold-standard treatments as Non-steroidal anti-inflammatory drugs (NSAIDs) and conservative management after 6 months of therapy. Th...
Flow-controlled expiration improves respiratory mechanics, ventilation, and gas exchange in anesthetized horses.
American journal of veterinary research    February 16, 2022   Volume 83, Issue 5 393-398 doi: 10.2460/ajvr.21.10.0158
Hopster K, Hurcombe SD, Simpson K, VanderBroek AR, Driessen B.Mechanical ventilation is usually achieved by active lung inflation during inspiration and passive lung emptying during expiration. By contrast, flow-controlled expiration (FLEX) ventilation actively reduces the rate of lung emptying by causing linear gas flow throughout the expiratory phase. Our aim was to evaluate the effects of FLEX on lung compliance and gas exchange in anesthetized horses in dorsal recumbency. Methods: 8 healthy horses. Methods: All animals were anesthetized twice and either ventilated beginning with FLEX or conventional volume-controlled ventilation in a randomized, cros...
Collection and administration of blood products in horses: Transfusion indications, materials, methods, complications, donor selection, and blood testing.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    January 20, 2022   Volume 32, Issue S1 108-122 doi: 10.1111/vec.13119
Radcliffe RM, Bookbinder LC, Liu SY, Tomlinson JE, Cook VL, Hurcombe SDA, Divers TJ.Blood transfusion is a lifesaving treatment for horses with acute hemorrhage and other causes of anemia. Transfusions improve oxygen delivery to the tissues via increased blood volume and hemoglobin concentration. Certain aspects of equine blood transfusion are challenging, especially in the field situation, and practitioners may be unfamiliar or feel overwhelmed with the process. An understanding of the indications, materials, methods, and techniques as well as donor selection and possible complications will help practitioners successfully implement blood transfusion in clinical practice. Met...
How to perform a percutaneous cecal or colonic trocarization in horses with severe abdominal tympany.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    January 20, 2022   Volume 32, Issue S1 57-62 doi: 10.1111/vec.13123
Schroeder EL, Gardner AK, Mudge MC.Cecal or colonic gas tympany of any cause may result in increased intraabdominal pressure, causing a significant decrease in venous return and cardiac output. Trocarization of the large colon or cecum in the event of large intestinal tympany may resolve gas distension and accompanying increased intraabdominal pressures sufficiently enough to promote resolution of a displaced large colon. Furthermore, trocarization of the medical colic may decrease morbidity and mortality associated with severe intraabdominal hypertension. Methods: This how-to description details the technique of transcutaneous...
Histological tissue healing following high-power laser treatment in a model of suspensory ligament branch injury.
Equine veterinary journal    January 20, 2022   Volume 54, Issue 6 1114-1122 doi: 10.1111/evj.13556
Pluim M, Heier A, Plomp S, Boshuizen B, Gröne A, van Weeren R, Vanderperren K, Martens A, Dewulf J, Chantziaras I, Koene M, Luciani A, Oosterlinck M....High-power laser therapy gained popularity recently as a regenerative treatment for tendinitis and desmitis in the horse. However, studies evaluating the effects of laser therapy on tissue repair at the histological level in large mammals are lacking. Objective: To evaluate the effects of high-power laser therapy on suspensory desmitis healing, using a model of suspensory ligament branch injury. Methods: In vivo experiments. Methods: Standardised lesions were surgically induced in all four lateral suspensory branches of 12 healthy Warmblood horses. Laser therapy (class 4, 15W) was applied dail...
Safety and Synovial Inflammatory Response After Intra-articular Injection of Botulinum Toxin Type A in Healthy Horses.
Journal of equine veterinary science    January 10, 2022   Volume 110 103865 doi: 10.1016/j.jevs.2022.103865
Beck AA, Paz LB, Frank MI, Engelmann AM, Krause A, Côrte FD.Botulinum toxin type A (BoNT-A) is a promising alternative for patients suffering from chronic joint pain. The aim of this study was to investigate whether a single injection of BoNT-A would produce adverse effects on clinical parameters and synovial parameters as well as lameness. One randomly selected radiocarpal joint was treated with 50 U of BoNT-A in eight horses, and the contralateral joint received saline solution. All horses received injections at day 0 and were re-evaluated twice daily for 7 days for heart rate (HR), respiratory rate (RR), rectal temperature (RT), mucous membrane colo...
Comparing Blind and Ultrasound-Guided Retrobulbar Nerve Blocks in Equine Cadavers: The Training Effect.
Animals : an open access journal from MDPI    January 9, 2022   Volume 12, Issue 2 154 doi: 10.3390/ani12020154
Hermans H, Lloyd-Edwards RA, Ferrão-van Sommeren AJH, Tersmette AA, Schouten JCM, Serra Bragança FM, van Loon JPAM.In standing ophthalmic surgery in horses, a retrobulbar nerve block (RNB) is often placed blindly for anesthesia and akinesia. The ultrasound (US)-guided RNB may have fewer complications, but the two techniques have only been compared once in equine cadavers. This study compares the techniques for success and complication rates and analyzes the effect of training on US guidance. Twenty-two equine cadavers were divided into three groups: blind RNBs were performed bilaterally in eight cadavers, US-guided RNBs were performed bilaterally in seven cadavers, and after US-guided training, blind RNBs ...
Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse.
Veterinary medicine and science    January 6, 2022   Volume 8, Issue 2 546-552 doi: 10.1002/vms3.718
Schoen LM, Al Naem M, Röcken M, Geburek F.Lacerations of the axillary region occur frequently in horses. Typical complications caused by entrapment of air in the wound during locomotion are subcutaneous emphysema, with consecutive pneumomediastinum and pneumothorax. In this case report, the clinical, radiographic and laboratory diagnosis and management of these complications after an axillary laceration that finally resulted in pneumoperitoneum are described. A 1-year-old Hannoveranian was presented with a pre-existing axillary laceration of unknown duration and subcutaneous emphysema in the surrounding tissue. Due to extensive tissue...
Equine Squamous Gastric Disease: Prevalence, Impact and Management.
Veterinary medicine (Auckland, N.Z.)    December 31, 2021   Volume 12 381-399 doi: 10.2147/VMRR.S235258
Hewetson M, Tallon R.This narrative review explores the etiopathogenesis, clinical signs, diagnosis and treatment of ESGD (equine squamous gastric disease) and discusses the impact of this commonly encountered condition on the equine industry. ESGD refers specifically to peptic injury of the squamous mucosa of the stomach. Prevalence is highest in performance horses, but the disease has been documented across many breeds and ages, including in feral horses and foals. The pathogenesis of ESGD is well understood. Intensive management and exercise are important factors that contribute to a disruption of the normal st...
Equine nonneoplastic abnormal ovary in a draft mare with high serum anti-Müllerian hormone: a case study.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 147-151 doi: 10.1294/jes.32.147
Goto A, Tagami M, Kato F, Suzuki T, Yamaga T, Murase H, Sato F, Tsogtgerel M, Niikura T, Moriyama T, Chiba A, Watanabe KI, Tsuzuki N, Nambo Y.We performed a standing hand-assisted laparoscopic ovariectomy in a draft mare that presented with high serum anti-Müllerian hormone (AMH) level and had an enlarged single cystic ovary. Histopathological examination revealed no tumor cell proliferation in the ovary, but the presence of a large ovarian cyst was confirmed. In the diagnosis of abnormal ovaries in mares, a comprehensive assessment should be performed, including the monitoring of ovarian morphology and biomarkers over time, to determine the disease prognosis and treatment plan. The case of this mare with a nonneoplastic abnormal o...
Effect of Allogeneic Oral Mucosa Mesenchymal Stromal Cells on Equine Wound Repair.
Veterinary medicine international    December 14, 2021   Volume 2021 5024905 doi: 10.1155/2021/5024905
Di Francesco P, Cajon P, Desterke C, Perron Lepage MF, Lataillade JJ, Kadri T, Lepage OM.To assess the clinical value and safety of the application of allogeneic equine oral mucosa mesenchymal stromal cells (OM-MSCs) to wounds. Animals. 8 healthy adult horses without front limb skin lesions or musculoskeletal disease. Procedures. Stem cells were isolated from the oral mucosa of a donor horse. Horses were subjected to the creation of eight full-thickness cutaneous wounds, two on each distal forelimb (FL) and two on both sides of the thorax (TH). Each wound was subjected to one out of four treatments: no medication (T1), hyaluronic acid- (HA-) gel containing OM-MSC (T2), HA-gel cont...
Laterally applied single bone plate option for fixation of complete diaphyseal fracture of a third metatarsal bone in a circus work pony.
Open veterinary journal    November 14, 2021   Volume 11, Issue 4 645-650 doi: 10.5455/OVJ.2021.v11.i4.14
Dias IR, Maia LM, Quaresma M, Cotovio M, Silva FC.Complete fractures of the third metacarpal/metatarsal bones (Mc/t3) are not common, but can occur in various situations and all types of horses, contributing for approximately one third of all long bone fractures in the horse, mostly related to external trauma or to high energy injuries. To stabilize Mc/t3 fractures in the horse, conservative management with walking casts and/or open reduction and internal fixation techniques are referred in the scientific literature, these last one generally by double platting application to bone surface in 90 degrees. In the present case will be described a ...
Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses.
Animals : an open access journal from MDPI    November 13, 2021   Volume 11, Issue 11 3250 doi: 10.3390/ani11113250
Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J, Paschke R, Cavalleri JV.The naturally occurring betulinic acid (BA) and its derivative NVX-207 induce apoptosis in equine melanoma cells in vitro. After topical application, high concentrations of the substances can be reached in healthy equine skin. With the aim to investigate the effect and safety of topically applied BA and NVX-207 in horses with melanocytic tumors, the longitudinal, prospective, randomized, double-blind, placebo-controlled study protocol included eighteen Lipizzaner mares with early-stage cutaneous melanoma assigned to three groups. Melanocytic lesions were topically treated either with a placebo...
Recovery of horses from general anaesthesia: A systematic review (2000-2020) of the influence of anaesthetic protocol on recovery quality.
Equine veterinary journal    November 12, 2021   Volume 54, Issue 2 219-261 doi: 10.1111/evj.13524
Loomes K, Louro LF.The recovery phase after equine general anaesthesia (GA) is a time of considerable risk and therefore has been the subject of extensive research over the last 20 years. Various pharmacological interventions have been developed and studied with the objective of improving recovery quality and reducing anaesthetic-related mortality and morbidity. Nevertheless, some controversy remains regarding the influence of anaesthetic protocol choice on recovery quality from GA and its implications for recovery-related mortality and morbidity. A systematic review of the literature investigating the influenc...
Fluid therapy in horses: how much is too much?
The Veterinary record    October 16, 2021   Volume 188, Issue 3 103-105 doi: 10.1002/vetr.164
Freeman DE.No abstract available
Diagnostic imaging features, cytological examination, and treatment of lymphocytic tenosynovitis of the common digital extensor tendon sheath in an eventing horse.
Veterinary and animal science    September 26, 2021   Volume 14 100209 doi: 10.1016/j.vas.2021.100209
Chanda M, Klinphayom C, Sungsuwan T, Senarat W, Thongkham E, Kamlangdee A, Senarat N.In horses, the structures at the dorsal aspect of the carpus, including the digital extensor tendons, their related tendon sheaths, and bones, are vulnerable to injury because of their superficial location. Injuries to these structures may result in lameness of the affected limb(s) and reduce a horse's athletic performance. A 13-year-old eventing horse that routinely underwent regular exercise exhibited dorsolateral distension of the right carpus. An effusion insensitive to compression was observed in the affected area. No lameness was detected, and the horse exhibited a negative response to t...
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