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Topic:Ultrasonography

Ultrasonography is a diagnostic imaging technique utilized in equine medicine to visualize internal structures of the horse's body. This non-invasive method employs high-frequency sound waves to produce images of organs, tissues, and other anatomical features. It is commonly used to assess musculoskeletal conditions, abdominal organs, reproductive health, and cardiovascular structures in horses. Ultrasonography provides real-time imaging, allowing for detailed examination and evaluation of various physiological and pathological conditions. This page gathers peer-reviewed research studies and scholarly articles that explore the application, methodology, and advancements in ultrasonography for equine health assessment.
Gastrointestinal ultrasonography of normal Standardbred neonates and frequency of asymptomatic intussusceptions.
Journal of veterinary internal medicine    August 7, 2014   Volume 28, Issue 5 1580-1586 doi: 10.1111/jvim.12413
Abraham M, Reef VB, Sweeney RW, Navas de Solís C.Ultrasonographic appearance of the gastrointestinal (GI) tract of equine neonates has not been completely described. Objective: To describe (1) sonographic characteristics of the GI segments in normal nonsedated equine neonates, (2) intra- and interobserver variation in wall thickness, and (3) the sonographic appearance of asymptomatic intussusceptions, and (4) to compare age and sonographic findings of foals with and without asymptomatic intussusceptions. Methods: Eighteen healthy Standardbred foals ≤5 days of age. Methods: Prospective, cross-sectional blinded study. Gastrointestinal sonogr...
Serum amyloid A and haptoglobin concentrations are increased in plasma of mares with ascending placentitis in the absence of changes in peripheral leukocyte counts or fibrinogen concentration.
American journal of reproductive immunology (New York, N.Y. : 1989)    June 11, 2014   Volume 72, Issue 4 376-385 doi: 10.1111/aji.12278
Canisso IF, Ball BA, Cray C, Williams NM, Scoggin KE, Davolli GM, Squires EL, Troedsson MH.Currently, placentitis, an important cause of late pregnancy loss in mares, is diagnosed by clinical signs and ultrasonography. Acute phase proteins (APP) are mainly produced and secreted by the liver in response to acute inflammatory stimuli. We hypothesized that APP are increased in mares with placentitis. Methods: Concentrations of serum amyloid A (SAA), haptoglobin (Hp), fibrinogen (Fb), and white blood cell counts (WBC) were determined in plasma of mares with experimentally induced placentitis and gestationally age-matched control mares. Placentitis was induced via intracervical inoculati...
Evaluation of a technique for percutaneous endoscopic gastrostomy tube placement in horses.
American journal of veterinary research    March 29, 2014   Volume 75, Issue 4 354-360 doi: 10.2460/ajvr.75.4.354
Toth B, Bertin FR, Miller MA, Charney VA, Kritchevsky JE.To develop and assess the short-term feasibility, maintenance, and complications associated with percutaneous endoscopic gastrostomy (PEG) tube placement in standing horses. Methods: 6 adult horses. Methods: Feasibility of the technique was evaluated in 2 horses. In each of 4 other horses, a PEG tube was maintained for 14 days and used to provide fluid requirements during the latter 7 days, before removal. Following air inflation of the stomach, each PEG tube was placed via a left intercostal approach; proper tube location was ascertained by percutaneous ultrasonography and gastroscopy. The ho...
Superficial digital flexor tendonitis in cutting horses: 19 cases (2007-2011).
Journal of the American Veterinary Medical Association    October 8, 2013   Volume 243, Issue 8 1162-1165 doi: 10.2460/javma.243.8.1162
Tipton TE, Ray CS, Hand DR.To characterize superficial digital flexor (SDF) tendon lesions in the forelimbs of cutting horses and determine recurrence rate and prognosis for this condition. Methods: Retrospective case series. Methods: 19 cutting horses with SDF tendonitis. Methods: Medical records for horses evaluated for SDF tendonitis in 2007 through 2011 were reviewed. Data regarding age, sex, lameness grade, affected limb, and treatment were collected. Ultrasonographic images were reviewed, and lesion characteristics were recorded. Follow-up telephone interviews with owners or trainers were conducted to determine re...
Comparison of tulathromycin, azithromycin and azithromycin-rifampin for the treatment of mild pneumonia associated with Rhodococcus equi.
The Veterinary record    October 7, 2013   Volume 173, Issue 16 397 doi: 10.1136/vr.101867
Venner M, Credner N, Lämmer M, Giguère S.The objectives of the present study were to determine the relative efficacy of tulathromycin, azithromycin, or azithromycin with rifampin for the treatment of pulmonary abscesses on a farm with endemic infections caused by Rhodococcus equi. Foals with ultrasonographic evidence of pulmonary abscesses (abscess score 8.0-15 cm; n=120) were randomly allocated in four equal treatment groups: (1) tulathromycin intramuscularly; (2) azithromycin monotherapy, orally; (3) azithromycin with rifampin, orally; (4) saline intramuscularly as a placebo. Physical examination and thoracic ultrasonography were p...
Solitary (primary) uveal T-cell lymphoma in a horse.
Veterinary ophthalmology    June 27, 2013   Volume 17, Issue 2 139-145 doi: 10.1111/vop.12078
Trope GD, McCowan CI, Tyrrell D, Lording PM, Maggs DJ.A 22-year-old Australian stockhorse gelding was presented with anterior uveitis in the right eye which was nonresponsive to anti-inflammatory therapy. Clinical examination revealed corneal edema and vascularization, marked hypopyon, and thickening of the dorsal iris, which was confirmed by ultrasonography. Hematologic and biochemical analyses, abdominal and thoracic ultrasonography, and abdominocentesis with cytologic and biochemical analysis revealed no significant abnormalities. Cytological examination of an aqueous humor sample revealed a population of predominantly large lymphoblasts with ...
Enthesopathy and desmitis of the medial collateral ligament of the cubital joint in 4 horses.
Journal of the American Veterinary Medical Association    April 4, 2013   Volume 242, Issue 8 1152-1158 doi: 10.2460/javma.242.8.1152
Dabareiner RM, Chaffin MK, Quirham H, Carter GK.4 horses with enthesopathy and desmitis of the medial collateral ligament of the cubital joint were examined. Results: All 4 horses had a history of acute, severe, unilateral forelimb lameness and had signs of pain during manipulation of the affected upper forelimb; 2 also had swelling in the axillary region. There was no improvement in lameness after diagnostic local analgesia below the carpal region, and 1 of 4 horses had mild improvement after cubital joint analgesia. Radiography revealed enthesophyte formation on the radial tuberosity and linear mineralization of the medial collateral liga...
Oral L-arginine supplementation impacts several reproductive parameters during the postpartum period in mares.
Animal reproduction science    March 14, 2013   Volume 138, Issue 3-4 233-240 doi: 10.1016/j.anireprosci.2013.03.001
Kelley DE, Warren LK, Mortensen CJ.L-arginine is an amino acid which can alter pituitary function and increase blood flow to the reproductive tract. The objective was to determine the effect of supplementing 100g of L-arginine on plasma arginine concentrations, follicular dynamics and ovarian and uterine artery blood flow during the estrus that occurs subsequent to foaling. In Experiment 1, mares were fed 100g L-arginine for 1 day during the last 3 weeks of pregnancy and plasma samples taken for every hour for the first 4h and every other hour until 12h.L-arginine supplementation elevated plasma arginine concentrations from 1 t...
Comparison of the use of scapular ultrasonography, physical examination, and measurement of serum biomarkers of bone turnover versus scintigraphy for detection of bone fragility syndrome in horses.
Journal of the American Veterinary Medical Association    December 14, 2012   Volume 242, Issue 1 76-85 doi: 10.2460/javma.242.1.76
Arens AM, Puchalski SM, Whitcomb MB, Bell R, Gardner IA, Stover SM.To define scintigraphic, physical examination, and scapular ultrasonographic findings consistent with bone fragility syndrome (BFS) in horses; develop indices of BFS severity; and assess accuracy of physical examination, scapular ultrasonography, and serum biomarkers for BFS diagnosis. Methods: Prospective case-control study. Methods: 48 horses (20 horses with BFS and 28 control horses). Methods: Horses underwent forelimb scintigraphic evaluation, physical examination, scapular ultrasonography, and serum collection. Scintigraphy was used as a reference standard to which physical examination, s...
Musculoskeletal Corynebacterium pseudotuberculosis infection in horses: 35 cases (1999-2009).
Journal of the American Veterinary Medical Association    September 6, 2012   Volume 241, Issue 6 771-777 doi: 10.2460/javma.241.6.771
Nogradi N, Spier SJ, Toth B, Vaughan B.To describe the clinical course and outcome in horses in which Corynebacterium pseudotuberculosis infections were associated with musculoskeletal disease and lameness. Methods: Retrospective case series. Methods: 35 horses. Methods: Clinical and clinicopathologic data were collected from horses diagnosed with lameness associated with C pseudotuberculosis infection between 1999 and 2009. Results: 32 (91.4%) horses had grade 4/5 lameness. Three (8.6%) horses had grade 5/5 lameness. Abscesses were diagnosed by clinical or ultrasonographic examination. Abscesses were located in the axillary or tri...
Nephrogenic diabetes insipidus in a 14-year-old gelding.
New Zealand veterinary journal    June 21, 2012   Volume 60, Issue 4 254-257 doi: 10.1080/00480169.2012.669723
Morgan RA, Malalana F, McGowan CM.A 14-year-old Cleveland Bay cross gelding was presented with severe urinary incontinence that had been present for 1 year, and chronic polydipsia and polyuria over 4 years. Water intake had been recorded as 240 L over a 24-hour period. Results: The horse had marked urinary incontinence and polyuria and polydipsia. The urine was markedly hyposthenuric, but no abnormalities on urinalysis were detected. There were no other abnormal clinical or neurological signs. Haematological and serum biochemical examinations showed no abnormalities and ultrasonographic and endoscopic examination of the urinar...
Acute pancreatitis in two five-day-old Appaloosa foals.
Equine veterinary journal. Supplement    May 19, 2012   Issue 41 96-99 doi: 10.1111/j.2042-3306.2011.00435.x
Ollivett TL, Divers TJ, Cushing T, Priest H, Dawson DR, Peters R, Stokol T.Severe acute pancreatitis (SAP) in foals is rare and treatment has not been documented. This paper describes the clinical, haematological and ultrasonographic findings as well as attempted treatment of SAP in two 5-day-old Appaloosa fillies. Clinical signs, including colic, diarrhoea and coma, may be mistaken for sepsis or neonatal encephalopathy. Hyperlipaemic serum and peritoneal fluid, and elevated serum and peritoneal fluid amylase and lipase activities aided the diagnosis. Severe acute pancreatitis should be included as a differential in an acutely ill foal with diarrhoea, colic, cerebral...
Uterine haemodynamics in young and aged pregnant mares measured using Doppler ultrasonography.
Equine veterinary journal. Supplement    May 19, 2012   Issue 41 15-21 doi: 10.1111/j.2042-3306.2011.00446.x
Ousey JC, Kölling M, Newton R, Wright M, Allen WR.Aged mares with endometrosis suffer higher rates of pregnancy loss than young mares, due to poor placental development. Reduced uterine blood supply may be one contributory factor. Objective: To measure uterine artery (UA) blood flow and other Doppler indices throughout pregnancy and compare placental and foal development in young mares and aged mares. Methods: Thoroughbred mares were grouped according to age and endometrial biopsy score: 1) 6 young mares (mean age 7.3 years, Category ); 2) 6 aged mares (mean age 18.3 years, Category II). Vascular pathology was nil or mild except in one aged m...
Effect of oxytocin on suppression of oestrus in mares exhibiting normal oestrous cycles.
New Zealand veterinary journal    April 7, 2012   Volume 60, Issue 3 189-193 doi: 10.1080/00480169.2011.651095
Gee EK, Gillespie L, Bolwell CF.To compare the efficacy of oxytocin given once daily, either I/V or I/M, on Days 7-14 post-ovulation, on the expression of oestrus in mares through to 65 days post-ovulation. Methods: Eighteen mares of various breeds that were displaying normal oestrous cycles were randomly assigned to one of three treatment groups on the day of ovulation (Day 0), detected using transrectal ultrasonography. Mares in the control group (n = 6) were given 1 mL saline I/V; mares in the I/V and I/M groups (n = 6 per group) were injected with 10 IU oxytocin I/V and I/M, respectively. All treatments were given once d...
Granulosa theca cell tumour in a pregnant mare: concentrations of inhibin and testosterone in serum before and after surgery.
New Zealand veterinary journal    February 23, 2012   Volume 60, Issue 2 160-163 doi: 10.1080/00480169.2011.645776
Gee EK, Dicken M, Archer RM, Herdan CL, Pauwels FE, Drayton BM.A 14-year-old Thoroughbred mare was presented for evaluation of a rapidly enlarging ovary at 73 days gestation. The mare's owner reported behavioural changes in the mare since she returned from stud, notably aggression towards other horses. Results: Transrectal palpation and ultrasonography of the reproductive tract revealed a viable pregnancy, an enlarged, multiloculated right ovary, and a normal-sized left ovary with a corpus luteum present. Concentrations of inhibin and testosterone in serum were 13.8 ng/mL and 1,150 pg/mL, respectively, being markedly higher than reference ranges. Concentr...
Synovial hemangioma in an adult horse. Holzhausen L, Nowak M, Junginger J, Puff C.A 15-year-old gelding presented with a progressive lameness of the left forelimb of 2.5 months duration. Clinically, a dilation of the deep flexor tendon sheath with a firm elastic consistency and a pronounced tenderness was noted. Ultrasonically, a marked swelling of the flexor tendon sheath with an irregular density of the mesotendineum was observed. The white, firm material forming a nodular distension of the flexor tendon sheath with a diameter of approximately 1 cm was excised and sent for histopathological examination. Biopsies of the deep flexor tendon and corresponding tendon sheath we...
Relationship between dose of cloprostenol and age of corpus luteum on the luteolytic response of early dioestrous mares: a field study.
Reproduction in domestic animals = Zuchthygiene    November 4, 2011   Volume 47, Issue 4 660-665 doi: 10.1111/j.1439-0531.2011.01940.x
Cuervo-Arango J, Newcombe JR.The objective of this study was to establish and characterize the relationship between the dose of cloprostenol (37.5, 250, 500 and 750 μg) and the age of the early corpus luteum (CL) (80, 88, 96, 104 and 112 h) on the luteolytic response of mares. Behavioural oestrus and ultrasonographic signs of return to oestrus were considered as the occurrence of full luteolysis. A total of 298 mares were divided into groups according to dose of cloprostenol and CL age. There was an effect of dose of cloprostenol (p < 0.001) and age of the CL at the time of treatment (p 0.05); and that of 500 similar...
Failure of antimicrobial therapy to accelerate spontaneous healing of subclinical pulmonary abscesses on a farm with endemic infections caused by Rhodococcus equi.
Veterinary journal (London, England : 1997)    September 15, 2011   Volume 192, Issue 3 293-298 doi: 10.1016/j.tvjl.2011.07.004
Venner M, Rödiger A, Laemmer M, Giguère S.Mass antimicrobial treatment of foals with small ultrasonographic pulmonary lesions is common on farms with endemic disease caused by Rhodococcus equi. The objectives of this study were to compare the relative efficacy of three antimicrobial protocols for the treatment of pulmonary abscesses on a farm with endemic infections caused by R. equi and to determine the frequency of spontaneous resolution of subclinical pulmonary lesions. Foals with ultrasonographic evidence of pulmonary abscesses ≥ 1.0 cm in diameter (n=128) were randomly allocated to one of four equal treatment groups. Animals wi...
Gestational length in Carthusian broodmares: effects of breeding season, foal gender, age of mare, year of parturition, parity and sire.
Polish journal of veterinary sciences    July 5, 2011   Volume 14, Issue 2 173-180 doi: 10.2478/v10181-011-0027-6
Satué K, Felipe M, Mota J, Muñoz A.The length of gestation in Carthusian broodmares was calculated on the basis of 339 spontaneous full-term deliveries taking place in the 8-year period 1998-2005 from 158 broodmares and 29 stallions in a major farm of Spanish horses of Carthusian strain in southern Spain. Ultrasonography was used to determine follicular dehiscence, 1st day of pregnancy and to confirm conception in mares. Mean GL was 332.4 +/- 12.1 days, and a normal interval of 297-358 days was established for this breed. GL records were grouped on the basis of foal sex (colts or fillies), mating month (between November and Jan...
Synoviocoeles associated with the tarsal sheath: description of the lesion and treatment in 15 horses.
Equine veterinary journal    June 13, 2011   Volume 44, Issue 1 71-75 doi: 10.1111/j.2042-3306.2010.00360.x
Minshall GJ, Wright IM.To describe the presentation, clinical, ultrasonographic and endoscopic features associated with a defect in the tarsal sheath wall, to define the cavity created and to describe a method of treatment. Objective: So called 'false thoroughpins' can be caused by defects in the tarsal sheath wall creating a one way valve effect, removal of which could be therapeutic. Methods: Case records and diagnostic images of horses with synoviocoeles associated with the tarsal sheath were reviewed retrospectively and follow-up information obtained. Results: Synoviocoeles were diagnosed in 15 horses. All were ...
Evaluation of experimentally induced injury to the superficial digital flexor tendon in horses by use of low-field magnetic resonance imaging and ultrasonography.
American journal of veterinary research    June 2, 2011   Volume 72, Issue 6 791-798 doi: 10.2460/ajvr.72.6.791
Karlin WM, Stewart AA, Durgam SS, Naughton JF, O'Dell-Anderson KJ, Stewart MC.To evaluate tendon injuries in horses over a 16-week period by use of ultrasonography and low-field magnetic resonance imaging (MRI). Methods: Tendons of 8 young adult horses. Methods: The percentage of experimentally induced tendon injury was evaluated in cross section at the maximal area of injury by use of ultrasonography and MRI at 3, 4, 6, 8, and 16 weeks after collagenase injection. The MRI signal intensities and histologic characteristics of each tendon were determined at the same time points. Results: At 4 weeks after collagenase injection, the area of maximal injury assessed on cross ...
Tenosynovitis of the carpal sheath of the digital flexor tendons associated with tears of the radial head of the deep digital flexor: observations in 11 horses.
Equine veterinary journal    May 27, 2011   Volume 44, Issue 1 76-80 doi: 10.1111/j.2042-3306.2011.00366.x
Minshall GJ, Wright IM.Tears of the radial head of the deep digital flexor (DDF) have not previously been documented. Objective: To describe the presentation, clinical, ultrasonographic and tenoscopic features associated with tears of the radial head of the DDF and to report the results of treatment. Objective: Tears of the radial head of the DDF cause lameness and distension of the carpal sheath of the digital flexor tendons. Removal of disrupted tissue that is extruded into the sheath can result in clinical resolution and restoration of function. Methods: Case records and diagnostic images of horses in which teari...
Evaluation of four techniques for injecting the trochanteric bursa of horses.
Veterinary surgery : VS    April 26, 2011   Volume 40, Issue 4 489-493 doi: 10.1111/j.1532-950X.2011.00828.x
Tóth F, Schumacher J, Schramme M, Hecht S.To describe the anatomic features of the equine trochanteric bursa and to evaluate 4 techniques for bursa centesis. Methods: Prospective, randomized design. Methods: Equine cadavers (n=2) and 20 live horses. Methods: The trochanteric bursae of 2 equine cadavers were injected with latex to identify the boundaries of the bursae. Four techniques for centesis of the trochanteric bursa were evaluated by attempting to inject dye into both trochanteric bursae of 20 live horses. Techniques included injection of the bursa with the limb-bearing weight and injection with the limb nonweight bearing and su...
Description and genetic analysis of three sets of monozygotic twins resulting from transfers of single embryos to recipient mares.
Journal of the American Veterinary Medical Association    April 16, 2011   Volume 238, Issue 8 1040-1043 doi: 10.2460/javma.238.8.1040
Mancill SS, Blodgett G, Arnott RJ, Alvarenga M, Love CC, Hinrichs K.3 sets of monozygotic twins resulting from transfers of single embryos to recipient mares were examined. Results: In all 3 recipient mares with twin pregnancies, only 1 embryonic vesicle was detected before day 25 of gestation. In 1 recipient mare, 2 apparent adjacent vesicles, each containing an embryo with a heartbeat, were visualized on ultrasonographic examination on day 37 of gestation. The other 2 recipient mares underwent ultrasonographic examination on day 30 of gestation, at which time only 1 vesicle and embryo was identified. In these latter 2 recipient mares, however, a thorough ult...
Optimisation of bone marrow aspiration from the equine sternum for the safe recovery of mesenchymal stem cells.
Equine veterinary journal    September 23, 2010   Volume 43, Issue 3 288-294 doi: 10.1111/j.2042-3306.2010.00215.x
Kasashima Y, Ueno T, Tomita A, Goodship AE, Smith RK.Mesenchymal stem cell (MSC) therapy for orthopaedic disease is being used with increasing frequency; there is a need to define a safe, reliable and effective technique for the recovery of MSCs from the sternum of the horse. Objective: To describe an optimised safe technique for obtaining bone marrow-derived MSCs from the sternum of the Thoroughbred horse. Methods: The anatomical relationship of the sternum with the heart and internal anatomy was demonstrated in cadavers. Sternal anatomy was evaluated ultrasonographically and after midline sectioning. Sternebrae were examined histologically aft...
Ascending placentitis in the mare: an update.
Reproduction in domestic animals = Zuchthygiene    July 16, 2010   Volume 45 Suppl 2 28-34 doi: 10.1111/j.1439-0531.2010.01633.x
LeBlanc MM.Ascending placentitis is a common cause of premature birth, abortion and delivery of compromised, ill foals. Recent experimental models have investigated diagnostic procedures and treatment strategies in an attempt to improve live foal rate. Diagnostics such as transrectal and transabdominal ultrasonography are used to evaluate foetal well-being and placental separation, while measurement of plasma progestins or oestrogen identifies a stressed or hypoxic foetus. Treatment is directed at stopping spread of infection, maintaining uterine quiescence and blocking production of pro-inflammatory cyt...
An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse.
Equine veterinary journal    June 9, 2010   Volume 42, Issue 4 322-326 doi: 10.1111/j.2042-3306.2009.00021.x
O'Meara B, Bladon B, Parkin TD, Fraser B, Lischer CJ.There is limited information regarding the number of races and the period for evaluation of outcome which is critical for assessment of SDF tendonitis treatments. Objective: To evaluate the re-injury rate and racing performance of Thoroughbred racehorses that sustain SDF tendonitis in relation to matched controls in terms of number of races post treatment and maximum racing performance ratings before and after injury. Methods: Clinical records and racing histories of 401 racehorses with a first occurrence of SDF tendonitis diagnosed by ultrasonography. Controls were of the same age, sex and we...
Endocrine alterations around the time of abortion in mares impregnated with donkey or horse semen.
Animal reproduction science    May 27, 2010   Volume 121, Issue 1-2 124-130 doi: 10.1016/j.anireprosci.2010.05.015
Boeta M, Zarco L.The objective of this study was to monitor and compare the concentrations of equine chorionic gonadotropin (eCG), progesterone and estrone sulphate during normal and failed pregnancies of mares impregnated with donkey or horse semen, relating their individual endocrine profiles to the time of pregnancy loss, and to the histopathologic findings in the aborted fetuses and placenta. Mares (n=54) were used, 32 of them impregnated with donkey semen and 22 impregnated with horse semen. Blood samples were taken twice a week from Day 35 to 120 of pregnancy. Ultrasonographic observations of the fetus w...
Rib osteomyelitis in three foals.
Australian veterinary journal    April 21, 2010   Volume 88, Issue 3 96-100 doi: 10.1111/j.1751-0813.2009.00547.x
Neil KM, Charman RE, Vasey JR.Three foals aged between 21 and 44 days were presented for evaluation of pyrexia and lameness. Each had subcutaneous abscessation associated with osteomyelitis of a rib at the costochondral junction and pathological fracture of the affected rib; one foal had more than one rib affected. Other localised sites of infection included other sites of osteomyelitis, omphalophlebitis, uveitis, enterocolitis, and calcaneal bursitis. The subcutaneous abscessation and rib osteomyelitis was treated surgically in two foals. Salmonella typhimurium was isolated from the subcutaneous abscess in one foal and fr...
The effect of platelet-rich plasma on the neovascularization of surgically created equine superficial digital flexor tendon lesions.
Scandinavian journal of medicine & science in sports    March 10, 2010   Volume 21, Issue 4 554-561 doi: 10.1111/j.1600-0838.2009.01070.x
Bosch G, Moleman M, Barneveld A, van Weeren PR, van Schie HT.The repair process of tendon injuries, which are common in both human and equine athletes, is slow and the quality of the repair tissue is often inferior to the original tendon tissue, which frequently leads to re-injury. The relatively poor vascularization of tendons is considered to be one of the reasons for their limited healing potential. Recently, platelet-rich plasma (PRP), an autologous concentrate of platelets, rich in growth factors, has been shown to enhance the repair process of injured tendons. This effect has been ascribed to the high levels of growth factors in PRP, several of wh...