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Topic:Veterinary Care

Veterinary care in horses encompasses the medical and preventive measures taken to maintain and improve the health and well-being of equine patients. It includes a wide range of practices such as routine health examinations, vaccinations, dental care, parasite control, and management of injuries and diseases. Veterinary care also involves diagnostic procedures, surgical interventions, and therapeutic treatments tailored to the specific needs of horses. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of equine veterinary care, including advancements in diagnostic techniques, treatment protocols, and health management strategies to support the well-being and performance of horses.
Foal Fractures: Osteochondral Fragmentation, Proximal Sesamoid Bone Fractures/Sesamoiditis, and Distal Phalanx Fractures.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 397-416 doi: 10.1016/j.cveq.2017.03.007
Reesink HL.Foals are susceptible to many of the same types of fractures as adult horses, often secondary to external sources of trauma. In addition, some types of fractures are specific to foals and occur routinely in horses under 1 year of age. These foal-specific fractures may be due to the unique musculoskeletal properties of the developing animal and may present with distinct clinical signs. Treatment plans and prognoses are tailored specifically to young animals. Common fractures not affecting the long bones in foals are discussed in this article, including osteochondral fragmentation, proximal ses...
Diagnosis and Treatment Considerations for Nonphyseal Long Bone Fractures in the Foal.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 431-438 doi: 10.1016/j.cveq.2017.03.013
Glass K, Watts AE.Many long bone fractures that are not considered repairable in the adult horse are repairable in the foal. This is largely because of reduced patient size and more rapid healing in the foal. When there is no articular communication, the long-term prognosis for athletic function can be very good. Emergency care and transport of the foal with a long bone fracture is different than the adult.
Angular Limb Deformities: Growth Retardation.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 353-366 doi: 10.1016/j.cveq.2017.03.006
McCarrel TM.Angular limb deformities are common in foals; however, the importance of the deformity and if treatment is required depend on the degree of deformity relative to normal conformation for stage of growth, the breed and discipline expectations, age, and response to conservative therapies. This article addresses the importance of the foal conformation examination to determine which foals need surgical intervention to correct an angular deformity and when. Techniques for surgical growth retardation include the transphyseal staple, screw and wire transphyseal bridge, and transphyseal screw. Appropri...
Septic Arthritis, Physitis, and Osteomyelitis in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 299-314 doi: 10.1016/j.cveq.2017.03.002
Glass K, Watts AE.Despite differences in etiology and diagnostics, the mainstay of therapy in the foal is similar to the adult: local lavage and/or debridement and local antimicrobial therapy. When musculoskeletal infection is concurrent with neonatal sepsis, the prognosis for survival is fair. When musculoskeletal infection is the primary problem, the prognosis is fair to good for survival of synovial, bony, and physeal infections with appropriate and aggressive local therapy. Recent literature may indicate that prognosis for survival and potential athleticism in foals that are treated expediently with local t...
Physeal Fractures in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 417-430 doi: 10.1016/j.cveq.2017.03.008
Levine DG, Aitken MR.Physeal fractures are common musculoskeletal injuries in foals and should be included as a differential diagnosis for the lame or nonweightbearing foal. Careful evaluation of the patient, including precise radiographic assessment, is paramount in determining the options for treatment. Prognosis mostly depends on the patient's age, weight, and fracture location and configuration.
Prelude to an Equine Athlete: Foal Orthopedics.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 xi-xii doi: 10.1016/j.cveq.2017.05.001
Watts AE.No abstract available
Routine Orthopedic Evaluation in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 253-266 doi: 10.1016/j.cveq.2017.03.011
Hunt RJ, Baker WT.In order to recognize abnormalities on the physical evaluation, it is mandatory to understand normal developmental variations of the musculoskeletal system. Many abnormalities are self-limiting and, therefore, it is important to recognize which problems require intervention for a successful outcome and which may be complicated by treatment. The importance of a complete and thorough physical evaluation cannot be overemphasized and is the most productive diagnostic tool for recognizing most abnormalities of the skeletal system whether as a component of an after-foaling examination or for lamenes...
Angular Limb Deformities: Growth Augmentation.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 343-351 doi: 10.1016/j.cveq.2017.03.005
García-López JM.Angular limb deformities are seen in young foals and are defined as lateral or medial deviations of the limb in the frontal plane distal to a particular joint. Several factors can contribute to the development of an angular limb deformity. Early assessment of the level of ossification of the cuboidal bones is critical to avoid complications long term. Although most deviations self-correct with minimal intervention other than modifications in exercise and hoof trimming, some require surgical intervention in the form of growth acceleration or retardation. This article focuses on growth augmentat...
Flexural Deformity of the Distal Interphalangeal Joint.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 315-330 doi: 10.1016/j.cveq.2017.03.003
Caldwell FJ.Flexural deformities in young horses are commonly referred to as contracted tendons, which is a term that is not consistent with what is currently understood about their cause. Flexural deformity of the distal interphalangeal joint can be either congenital (present at birth) or acquired (develop at a later stage of growth typically between 1 and 6 months of age). These 2 manifestations are commonly managed differently depending on the cause, age of onset, severity, duration, complicating factors, and owner expectations. Early recognition and appropriate intervention are essential to ensure th...
Surgical Management of Osteochondrosis in Foals.
The Veterinary clinics of North America. Equine practice    July 9, 2017   Volume 33, Issue 2 379-396 doi: 10.1016/j.cveq.2017.03.010
Ortved KF.Osteochondrosis is common in young, athletic horses. Some lesions respond to conservative therapy. Surgical management is the mainstay of treatment. Arthroscopic debridement is useful in the femoropatellar joint, tarsocrural joint, fetlock joint, and shoulder joint. Debridement is associated with good outcomes, except in the shoulder joint. Osteochondrosis lesions in the elbow may be difficult to access arthroscopically, thereby transosseous debridement. Surgical management of subchondral cystic lesions of the medial femoral condyle consists of debridement, debridement with grafting, transcond...
Daboia (Vipera) palaestinae envenomation in horses: Clinical and hematological signs, risk factors for mortality and construction of a novel severity scoring system.
Toxicon : official journal of the International Society on Toxinology    July 8, 2017   Volume 137 58-64 doi: 10.1016/j.toxicon.2017.07.007
Tirosh-Levy S, Solomovich R, Comte J, Sutton GA, Steinman A.Daboia palaestinae is the most common venomous snake in Israel and an important cause of envenomations in humans and animals. Although specific antivenom is produced from horses, little documentation exists regarding the characteristics of envenomed horses. This survey was constructed to describe the clinical, hematological and biochemical characteristics of D. palaestinae envenomation in horses, to identify risk factors for fatality and to construct a prognostic snakebite severity scale (SSS) to be used by veterinarians in the field. Data regarding 123 equine snakebite cases were collected o...
Special issue on racehorse pathology: In the service of equine and human welfare. Uzal FA, Kennedy LA, Maxie G.No abstract available
Common lesions of the distal end of the third metacarpal/metatarsal bone in racehorse catastrophic breakdown injuries. Janes JG, Kennedy LA, Garrett KS, Engiles JB.Equine catastrophic skeletal breakdown injury is a serious issue within the racing industry, given the impact on equine and human health. The metacarpo- and metatarso-phalangeal (fetlock) joints are common sites of catastrophic injury. However, lesions involving articular cartilage, subchondral bone, and synovium are commonly identified within the fetlock of the contralateral limb; hence, it is imperative that lesions in both limbs are evaluated and characterized during postmortem examination. Bone and articular cartilage changes typically occur in specific locations, related to cyclic fetlock...
Parasagittal fractures of the proximal phalanx in Thoroughbred racehorses in the UK: Outcome of repaired fractures in 113 cases (2007-2011).
Equine veterinary journal    July 6, 2017   Volume 49, Issue 6 784-788 doi: 10.1111/evj.12707
Smith MRW, Corletto FC, Wright IM.Thirty years have elapsed since the last published review of outcome following fracture of the proximal phalanx in Thoroughbred racehorses in the UK and contemporary results are needed to be able to advise of expected outcome. Objective: Collect and analyse outcome data following repair of fractures of the proximal phalanx in Thoroughbred racehorses in the UK. Methods: Retrospective case series. Methods: Case records of all Thoroughbred racehorses admitted to Newmarket Equine Hospital for evaluation of a parasagittal fracture of the proximal phalanx during a 5 years period were reviewed. Follo...
Does the injection of platelet-rich plasma induce changes in the gene expression and morphology of intact Thoroughbred skeletal muscle?
Journal of equine science    July 6, 2017   Volume 28, Issue 2 31-39 doi: 10.1294/jes.28.31
Fukuda K, Miyata H, Kuwano A, Kuroda T, Tamura N, Kotoyori Y, Kasashima Y.Platelet-rich plasma (PRP) therapy is promising for treating skeletal muscle injuries in human athletes by promoting muscle regeneration. It might also be useful for treating muscle injuries in equine athletes. In the present study, muscle regeneration induced by injection of PRP into intact muscle of Thoroughbred was investigated. Autologous PRP and saline were injected twice into intact left and right gluteus medius muscles of seven clinically healthy Thoroughbreds. Muscle samples were collected from the injection sites by needle biopsy at 2 and 7 days after PRP injection. Immunohistochemica...
Association between exercise-induced pulmonary hemorrhage and inflammatory airway disease in polo ponies.
Journal of equine science    July 6, 2017   Volume 28, Issue 2 55-59 doi: 10.1294/jes.28.55
da Silva KM, Otaka JNP, Gonçalves CAP, Silva EGA, de Alencar NX, Lessa DAB.The respiratory system is essential for health and high athletic performance in horses. Respiratory diseases have been recognized as having a major impact on training equine animals and are commonly cited as the second most common cause of wasted training time. Inflammatory airway disease (IAD) is an important cause of poor performance in young racehorses. Exercise-induced pulmonary hemorrhage (EIPH) is considered a major issue for the equine industry because of its high prevalence and association with reduced athletic performance. In Brazil, polo is a growing equestrian sport, but studies on ...
Prevalence of headshaking within the equine population in the UK.
Equine veterinary journal    July 6, 2017   Volume 50, Issue 1 73-78 doi: 10.1111/evj.12708
Ross SE, Murray JK, Roberts VLH.Headshaking in horses has been reported to be most commonly due to idiopathic neuropathic facial pain (trigeminal-mediated headshaking). The prevalence of headshaking in horses in the UK is unknown. Objective: To estimate owner-reported prevalence of headshaking in horses in the UK and to report their case background and disease characteristics, as reported by owners. Methods: Cross-sectional web based owner questionnaire. Methods: The questionnaire was advertised online via social media, horse forums, veterinary websites and equestrian magazines from 17th June 2016, until >1000 responses had ...
Accuracy of open magnetic resonance imaging for guiding injection of the equine deep digital flexor tendon within the hoof. Groom LM, White NA, Adams MN, Barrett JG.Lesions of the distal deep digital flexor tendon (DDFT) are frequently diagnosed using MRI in horses with foot pain. Intralesional injection of biologic therapeutics shows promise in tendon healing; however, accurate injection of distal deep digital flexor tendon lesions within the hoof is difficult. The aim of this experimental study was to evaluate accuracy of a technique for injection of the deep digital flexor tendon within the hoof using MRI-guidance, which could be performed in standing patients. We hypothesized that injection of the distal deep digital flexor tendon within the hoof coul...
What Is Your Diagnosis? Cranial nuchal bursitis.
Journal of the American Veterinary Medical Association    July 4, 2017   Volume 251, Issue 2 149-151 doi: 10.2460/javma.251.2.149
Beavers KN, McCauley CT, Rademacher N.No abstract available
Assessment of horse owners’ ability to recognise equine laminitis: A cross-sectional study of 93 veterinary diagnosed cases in Great Britain.
Equine veterinary journal    July 3, 2017   Volume 49, Issue 6 759-766 doi: 10.1111/evj.12704
Pollard D, Wylie CE, Verheyen KLP, Newton JR.Use of owner-reported data could further epidemiological knowledge of equine laminitis. However, owner recognition of laminitis has not previously been assessed. Objective: The primary objective was to establish whether cases of owner-suspected laminitis would be confirmed as laminitis by the attending veterinary surgeon. Secondary objectives were to compare owner- and veterinary-reported information from veterinary-confirmed cases of equine laminitis. Methods: Cross-sectional study. Methods: Twenty-five British veterinary practices were invited to submit laminitis reporting forms (LRFs) for a...
Thoroughbred fatality and associated jockey falls and injuries in races in New South Wales and the Australian Capital Territory, Australia: 2009-2014.
Veterinary journal (London, England : 1997)    July 3, 2017   Volume 227 1-7 doi: 10.1016/j.tvjl.2017.06.008
Wylie CE, McManus P, McDonald C, Jorgensen S, McGreevy P.Monitoring racehorse fatality and associated jockey falls provides benchmarks for intervention strategies. The aims of this study were to describe the incidence of and reasons for fatalities in Thoroughbred horses during flat races in the Australian Capital Territory and New South Wales (NSW), Australia, and to describe reported jockey falls and injuries associated with racehorse fatalities. A cohort study identified all racehorse fatalities reported through Racing NSW for the 2009-2010 to 2013-2014 racing seasons. Risks of racehorse fatality, fatal musculoskeletal injury, spontaneous death (a...
Comparison of an alcohol-based hand sanitation product with a traditional chlorhexidine hand scrub technique for hand hygiene preparation in an equine hospital.
New Zealand veterinary journal    July 2, 2017   Volume 65, Issue 5 242-247 doi: 10.1080/00480169.2017.1342175
Edwards RA, Riley CB, Howe L, Burrows EA, Riley KT, Frellstedt L.To investigate the efficacy of an alcohol gel-based hand antisepsis protocol compared with a traditional chlorhexidine-based protocol under conditions of routine clinical contamination, and following heavy faecal contamination. Methods: Twelve adult participants were recruited and on four separate days completed a hand sanitation protocol using a chlorhexidine scrub or an alcohol-based gel, with hands that were grossly clean but contaminated or with faecal contamination. Bacterial samples were obtained from participants' hands before sanitation, immediately after and then 2 hours later. All sa...
Erratum to: The refractive state of the eye in Icelandic horses with the Silver mutation.
BMC veterinary research    June 29, 2017   Volume 13, Issue 1 207 doi: 10.1186/s12917-017-1111-7
Johansson MK, Fegraeus KJ, Lindgren G, Ekesten B.No abstract available
Validation of an Improved Computer-Assisted Technique for Mining Free-Text Electronic Medical Records.
JMIR medical informatics    June 29, 2017   Volume 5, Issue 2 e17 doi: 10.2196/medinform.7123
Duz M, Marshall JF, Parkin T.The use of electronic medical records (EMRs) offers opportunity for clinical epidemiological research. With large EMR databases, automated analysis processes are necessary but require thorough validation before they can be routinely used. Objective: The aim of this study was to validate a computer-assisted technique using commercially available content analysis software (SimStat-WordStat v.6 (SS/WS), Provalis Research) for mining free-text EMRs. Methods: The dataset used for the validation process included life-long EMRs from 335 patients (17,563 rows of data), selected at random from a larger...
Isolated limb perfusion electrochemotherapy for the treatment of an advanced squamous cell carcinoma of the hoof in a mare.
Open veterinary journal    June 28, 2017   Volume 7, Issue 2 192-196 doi: 10.4314/ovj.v7i2.18
Spugnini EP, Bolaffio C, Scacco L, Baldi A.A twenty-year-old female saddle horse was referred for evaluation of a seven month, non-healing erosive lesion of the right hind hoof with proliferation and bleeding of the underlying soft tissues. This lesion had been twice surgically treated as a canker but rapidly recurred. Histological examination of the second excision revealed a well-differentiated squamous cell carcinoma. At presentation, the horse was mildly depressed, lame and partially non-weight-bearing on the right hind leg, which exhibited a 10 x 10 cm erosive and proliferative lesion remodeling the hoof. After completing staging ...
Vaccination of horses with Lyme vaccines for dogs induces short-lasting antibody responses.
Vaccine    June 28, 2017   Volume 35, Issue 33 4140-4147 doi: 10.1016/j.vaccine.2017.06.052
Guarino C, Asbie S, Rohde J, Glaser A, Wagner B.Borrelia burgdorferi can induce Lyme disease. Approved Lyme vaccines for horses are currently not available. In an effort to protect horses, veterinarians are using Lyme vaccines licensed for dogs. However, data to assess the response of horses to, or determine the efficacy of this off-label vaccine use are missing. Here, antibodies against outer surface protein A (OspA), OspC, and OspF were quantified in diagnostic serum submissions from horses with a history of vaccination with canine Lyme vaccines. The results suggested that many horses respond with low and often short-lasting antibody resp...
Evaluation of clinical and tenoscopic findings in the carpal flexor sheath of horses.
American journal of veterinary research    June 27, 2017   Volume 78, Issue 7 840-846 doi: 10.2460/ajvr.78.7.840
Zetterström SM, Johansson BC, Carmalt JL.OBJECTIVE To evaluate clinical and tenoscopic findings in a large group of horses undergoing surgery of the carpal flexor sheath (CFS) and determine whether any of the presurgical clinical signs were associated with tenoscopic findings. ANIMALS 242 horses that had undergone diagnostic and therapeutic tenoscopy of the CFS because of aseptic tenosynovitis. PROCEDURES Medical and tenoscopic video records (when available) of 242 horses undergoing tenoscopy of the CFS at a single equine clinic between January 2005 and June 2014 were reviewed. Tenoscopic findings were categorized as present or absen...
Trans-endoscopic diode laser fenestration of equine conchae via contralateral nostril approach.
Veterinary surgery : VS    June 23, 2017   Volume 46, Issue 7 915-924 doi: 10.1111/vsu.12680
Kološ F, Bodeček Š, Žert Z.To describe and report preliminary outcomes of a contralateral trans-nasal endoscopic laser fenestration of the conchae for endoscopic examination and treatment of paranasal sinuses in horses. Methods: Cadaveric experimental and prospective clinical study. Methods: Normal cadaveric equine heads (n = 7) and equine patients (horses n = 7, donkey n = 1) diagnosed with sinusitis. Methods: Ex vivo: a video-endoscope containing a diode laser fiber in the working canal was passed through the nostril and retroflexed in the nasopharynx toward the contralateral conchae. Ventral or dorsal con...
Description of the incidence, clinical presentation and outcome of proximal limb and pelvic fractures in Hong Kong racehorses during 2003-2014.
Equine veterinary journal    June 23, 2017   Volume 49, Issue 6 789-794 doi: 10.1111/evj.12696
McGlinchey L, Hurley MJ, Riggs CM, Rosanowski SM.Few studies have described incidences of proximal limb and pelvic fracture (PLPF) in Thoroughbred racehorses occurring on race day and during training. Information regarding clinical presentations and future racing careers in cases of PLPF is limited. Objective: To describe the incidence, clinical presentation and outcome of PLPF sustained by horses in racing and training at the Hong Kong Jockey Club (HKJC) between 2003 and 2014. Methods: Retrospective cohort study. Methods: Horses with PLPF confirmed by nuclear scintigraphy, ultrasonography, radiography or post-mortem examination were identif...
The diagnosis of equine insulin dysregulation.
Equine veterinary journal    June 23, 2017   Volume 49, Issue 5 570-576 doi: 10.1111/evj.12703
Bertin FR, de Laat MA.Insulin dysregulation is the hallmark of equine metabolic syndrome and has received attention because of its direct association with laminitis. In the absence of an adequate treatment for laminitis, a focus on prophylaxis is needed, making early detection of individuals at risk of developing laminitis one of the main challenges in equine endocrinology. Recent studies have shown that insulin dysregulation goes beyond tissue insulin resistance and it is now demonstrated that the equine enteroinsular axis plays a major role in insulin secretion and equine hyperinsulinaemia. In this review, we dis...