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Equine veterinary journal2010; 42(4); 322-326; doi: 10.1111/j.2042-3306.2009.00021.x

An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse.

Abstract: 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 were horses training in the same establishment at the time of injury as the case horses and where the trainer reported that the horse had not had a previous SDF tendon injury or treatment. Results: Eighty percent of both case and control horses returned to racing after the date of injury, and the re-injury proportion within 3 years of treatment was 53%. The difference in Racing Post Rating((max)) (RPR((max))) and the Racing Post Rating in the race immediately before the treatment date was significantly smaller in case horses (mean = 9.6 lbs; range = 0-75) compared to control horses (mean = 17.0 lbs; range = 0-79). No significant decrease in RPR((max)) was noted post injury. No difference between case and control horses was found for return to racing and racing 3 times, but control horses were significantly more likely to compete 5 races post treatment date than case horses. Conclusions: Injury was associated with an individual's pre-injury maximum performance level and return to racing and completion of 3 races are not useful indicator of the outcome of horses with SDF tendonitis. The assessment of the outcome of horses with an SDF injury in a population of racehorses using the number of races post injury requires a minimum of 5 races post injury to be a useful indicator. Further, a re-injury proportion in a population of horses in training for 3 years post treatment.
Publication Date: 2010-06-09 PubMed ID: 20525050DOI: 10.1111/j.2042-3306.2009.00021.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research investigates how superficial digital flexor tendonitis (SDF tendonitis) affects the performance of Thoroughbred racehorses. It reveals that 80% of horses with this injury were able to return to racing, although subsequent re-injury occurred in 53% of cases. Importantly, the study indicates that a horse’s pre-injury peak performance level might predict its chances of injury and its performance post-injury.

Research Context and Objectives

  • This study was developed due to scarce information related to outcomes after Thoroughbred racehorses experience superficial digital flexor tendonitis (SDF tendonitis) – a common injury in racing horses.
  • The research aimed to evaluate the re-injury rate and racing performance of Thoroughbred racehorses that sustained SDF tendonitis compared to horses of the same age, sex, and training environment that never had the injury.

Research Methodology

  • The researchers used clinical records and racing histories of 401 racehorses with a first instance of SDF tendonitis, diagnosed via ultrasonography.
  • The control horses were selected based on age and sex similarity, and those undergoing training in the same establishment at the time of injury. The control horses also had no prior reported instances of SDF tendon injuries or treatments.

Results and Findings

  • Out of the examined racehorses, 80% from both case and control groups returned to racing post-injury.
  • A proportion of 53% experienced re-injury within three years after treatment.
  • The difference in Racing Post Rating (RPR), both pre-injury and the one immediately before the treatment, was significantly smaller in case horses compared to control horses.
  • The post-injury decrease in maximum RPR was not significant.
  • While the return rate to racing and completion of three races post-injury were similar for both case and control horses, control horses were more likely to compete in at least five races post-treatment date.

Conclusions and Future Research

  • The study concludes that the likelihood of a horse to get injured and its post-injury performance level is associated with the horse’s maximum performance level pre-injury.
  • Returning to racing and completing three races does not sufficiently indicate positive outcomes for horses with SDF tendonitis.
  • An effective evaluation should include at least five races post-injury.
  • The study provides a foundation for the re-injury proportion in a horse population that has undergone training for three years post-treatment.

Cite This Article

APA
O'Meara B, Bladon B, Parkin TD, Fraser B, Lischer CJ. (2010). An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse. Equine Vet J, 42(4), 322-326. https://doi.org/10.1111/j.2042-3306.2009.00021.x

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 42
Issue: 4
Pages: 322-326

Researcher Affiliations

O'Meara, B
  • Faculty of Veterinary Medicine, University of Glasgow, Glasgow G61 IQH, Scotland, UK.
Bladon, B
    Parkin, T D H
      Fraser, B
        Lischer, C J

          MeSH Terms

          • Animals
          • Horse Diseases / therapy
          • Horses
          • Running / injuries
          • Sports
          • Tendinopathy / pathology
          • Tendinopathy / therapy
          • Tendinopathy / veterinary
          • Tendon Injuries / pathology
          • Tendon Injuries / therapy
          • Tendon Injuries / veterinary
          • Tendons / pathology
          • Treatment Outcome

          Citations

          This article has been cited 31 times.
          1. Lo Feudo CM, Stucchi L, Stancari G, Conturba B, Bozzola C, Zucca E, Ferrucci F. Associations between Medical Disorders and Racing Outcomes in Poorly Performing Standardbred Trotter Racehorses: A Retrospective Study. Animals (Basel) 2023 Aug 9;13(16).
            doi: 10.3390/ani13162569pubmed: 37627359google scholar: lookup
          2. Soltanfar A, Meimandi Parizi A, Foad-Noorbakhsh M, Sayyari M, Iraji A. The healing effects of thymoquinone on experimentally induced traumatic tendinopathy in rabbits. J Orthop Surg Res 2023 Mar 23;18(1):233.
            doi: 10.1186/s13018-023-03706-8pubmed: 36949516google scholar: lookup
          3. Abdelhakiem MAH, Hussein A, Seleim SM, Abdelbaset AE, Abd-Elkareem M. Silver nanoparticles and platelet-rich fibrin accelerate tendon healing in donkey. Sci Rep 2023 Feb 28;13(1):3421.
            doi: 10.1038/s41598-023-30543-wpubmed: 36854886google scholar: lookup
          4. Koch DW, Berglund AK, Messenger KM, Gilbertie JM, Ellis IM, Schnabel LV. Interleukin-1β in tendon injury enhances reparative gene and protein expression in mesenchymal stem cells. Front Vet Sci 2022;9:963759.
            doi: 10.3389/fvets.2022.963759pubmed: 36032300google scholar: lookup
          5. Bowers K, Amelse L, Bow A, Newby S, MacDonald A, Sun X, Anderson D, Dhar M. Mesenchymal Stem Cell Use in Acute Tendon Injury: In Vitro Tenogenic Potential vs. In Vivo Dose Response. Bioengineering (Basel) 2022 Aug 22;9(8).
            doi: 10.3390/bioengineering9080407pubmed: 36004932google scholar: lookup
          6. Melotti L, Carolo A, Elshazly N, Boesso F, Da Dalt L, Gabai G, Perazzi A, Iacopetti I, Patruno M. 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. Front Vet Sci 2022;9:843131.
            doi: 10.3389/fvets.2022.843131pubmed: 35252428google scholar: lookup
          7. Gaesser AM, Underwood C, Linardi RL, Even KM, Reef VB, Shetye SS, Mauck RL, King WJ, Engiles JB, Ortved KF. Evaluation of Autologous Protein Solution Injection for Treatment of Superficial Digital Flexor Tendonitis in an Equine Model. Front Vet Sci 2021;8:697551.
            doi: 10.3389/fvets.2021.697551pubmed: 34291103google scholar: lookup
          8. Secchi V, Masala G, Corda A, Corda F, Potop E, Barbero Fernandez A, Pinna Parpaglia ML, Sanna Passino E. Strain Elastography of Injured Equine Superficial Digital Flexor Tendons: A Reliability Study of Manual Measurements. Animals (Basel) 2021 Mar 12;11(3).
            doi: 10.3390/ani11030795pubmed: 33809249google scholar: lookup
          9. Depuydt E, Broeckx SY, Van Hecke L, Chiers K, Van Brantegem L, van Schie H, Beerts C, Spaas JH, Pille F, Martens A. The Evaluation of Equine Allogeneic Tenogenic Primed Mesenchymal Stem Cells in a Surgically Induced Superficial Digital Flexor Tendon Lesion Model. Front Vet Sci 2021;8:641441.
            doi: 10.3389/fvets.2021.641441pubmed: 33748217google scholar: lookup
          10. Aimaletdinov A, Mindubaeva G, Khalikova S, Kabwe E, Salmakova A, Alexandrova N, Rutland C, Rizvanov A, Zakirova E. Application of gene therapy in the treatment of superficial digital flexor tendon injury in horses. Open Vet J 2020 Oct;10(3):261-266.
            doi: 10.4314/ovj.v10i3.3pubmed: 33282696google scholar: lookup
          11. Bukowska J, Szóstek-Mioduchowska AZ, Kopcewicz M, Walendzik K, Machcińska S, Gawrońska-Kozak B. Adipose-Derived Stromal/Stem Cells from Large Animal Models: from Basic to Applied Science. Stem Cell Rev Rep 2021 Jun;17(3):719-738.
            doi: 10.1007/s12015-020-10049-ypubmed: 33025392google scholar: lookup
          12. Peter VG, O'Keeffe TA, Smith LCR, Schweizer-Gorgas D. Radiographic Identification of Osseous Cyst- Like Lesions in the Distal Phalanx in 22 Lame Thoroughbred Horses Managed Conservatively and Their Racing Performance. Front Vet Sci 2018;5:286.
            doi: 10.3389/fvets.2018.00286pubmed: 30525046google scholar: lookup
          13. Jacquet-Guibon S, Dupays AG, Coudry V, Crevier-Denoix N, Leroy S, Siñeriz F, Chiappini F, Barritault D, Denoix JM. Randomized controlled trial demonstrates the benefit of RGTA® based matrix therapy to treat tendinopathies in racing horses. PLoS One 2018;13(3):e0191796.
            doi: 10.1371/journal.pone.0191796pubmed: 29522564google scholar: lookup
          14. Alzola R, Easter C, Riggs CM, Gardner DS, Freeman SL. Ultrasonographic-based predictive factors influencing successful return to racing after superficial digital flexor tendon injuries in flat racehorses: A retrospective cohort study in 469 Thoroughbred racehorses in Hong Kong. Equine Vet J 2018 Sep;50(5):602-608.
            doi: 10.1111/evj.12810pubmed: 29352495google scholar: lookup
          15. Biasutti S, Dart A, Smith M, Blaker C, Clarke E, Jeffcott L, Little C. Spatiotemporal variations in gene expression, histology and biomechanics in an ovine model of tendinopathy. PLoS One 2017;12(10):e0185282.
            doi: 10.1371/journal.pone.0185282pubmed: 29023489google scholar: lookup
          16. Geburek F, Roggel F, van Schie HTM, Beineke A, Estrada R, Weber K, Hellige M, Rohn K, Jagodzinski M, Welke B, Hurschler C, Conrad S, Skutella T, van de Lest C, van Weeren R, Stadler PM. Effect of single intralesional treatment of surgically induced equine superficial digital flexor tendon core lesions with adipose-derived mesenchymal stromal cells: a controlled experimental trial. Stem Cell Res Ther 2017 Jun 5;8(1):129.
            doi: 10.1186/s13287-017-0564-8pubmed: 28583184google scholar: lookup
          17. Geburek F, Gaus M, van Schie HT, Rohn K, Stadler PM. Effect of intralesional platelet-rich plasma (PRP) treatment on clinical and ultrasonographic parameters in equine naturally occurring superficial digital flexor tendinopathies - a randomized prospective controlled clinical trial. BMC Vet Res 2016 Sep 7;12(1):191.
            doi: 10.1186/s12917-016-0826-1pubmed: 27604193google scholar: lookup
          18. Dudhia J, Becerra P, Valdés MA, Neves F, Hartman NG, Smith RK. In Vivo Imaging and Tracking of Technetium-99m Labeled Bone Marrow Mesenchymal Stem Cells in Equine Tendinopathy. J Vis Exp 2015 Dec 9;(106):e52748.
            doi: 10.3791/52748pubmed: 26709915google scholar: lookup
          19. Jacobson E, Dart AJ, Mondori T, Horadogoda N, Jeffcott LB, Little CB, Smith MM. Focal experimental injury leads to widespread gene expression and histologic changes in equine flexor tendons. PLoS One 2015;10(4):e0122220.
            doi: 10.1371/journal.pone.0122220pubmed: 25837713google scholar: lookup
          20. Bertuglia A, Bullone M, Rossotto F, Gasparini M. Epidemiology of musculoskeletal injuries in a population of harness Standardbred racehorses in training. BMC Vet Res 2014 Jan 10;10:11.
            doi: 10.1186/1746-6148-10-11pubmed: 24410888google scholar: lookup
          21. Smith RK, Werling NJ, Dakin SG, Alam R, Goodship AE, Dudhia J. Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy. PLoS One 2013;8(9):e75697.
            doi: 10.1371/journal.pone.0075697pubmed: 24086616google scholar: lookup
          22. Rich T, Henderson LB, Becker DL, Cornell H, Patterson-Kane JC. Indicators of replicative damage in equine tendon fibroblast monolayers. BMC Vet Res 2013 Sep 11;9:180.
            doi: 10.1186/1746-6148-9-180pubmed: 24025445google scholar: lookup
          23. Campbell ML. The role of veterinarians in equestrian sport: a comparative review of ethical issues surrounding human and equine sports medicine. Vet J 2013 Sep;197(3):535-40.
            doi: 10.1016/j.tvjl.2013.05.021pubmed: 23773811google scholar: lookup
          24. Muttini A, Salini V, Valbonetti L, Abate M. Stem cell therapy of tendinopathies: suggestions from veterinary medicine. Muscles Ligaments Tendons J 2012 Jul;2(3):187-92.
            pubmed: 23738296
          25. Tommasa SD, Raspe S, Farí G, Imperante A, Brehm W. Autologous conditioned serum IRAP efficacy for tendon and ligament injuries in horses: An observational study. Open Vet J 2025;15(8):3787-3793.
            doi: 10.5455/OVJ.2025.v15.i8.43pubmed: 41036008google scholar: lookup
          26. Najeb M, Samy A, Rizk A, Mosbah E, Karrouf G. Regenerative biologics modulating inflammation and promoting tenogenesis in equine superficial digital flexor tendonitis: from molecular pathways to clinical translation. Ir Vet J 2025 Sep 17;78(1):21.
            doi: 10.1186/s13620-025-00309-zpubmed: 40963139google scholar: lookup
          27. Boado A, Pollard D, Dyson S. A Retrospective Study of the Evolution of Orthopaedic Injuries in 70 Dressage Horses. Animals (Basel) 2025 Jun 12;15(12).
            doi: 10.3390/ani15121740pubmed: 40564292google scholar: lookup
          28. Hanousek K, Fiske-Jackson A, O'Leary L, Smith RKW. Injury to the palmar supporting structures of the fetlock alters limb stiffness and fetlock angle. Equine Vet J 2025 May;57(3):636-644.
            doi: 10.1111/evj.14409pubmed: 39219092google scholar: lookup
          29. Giraldo A, Koch TG, Madan P, Lepage S, Monteith G, Alizadeh AH, Tran A, Mortagy N, Koenig JB. Effect of extracorporeal shockwave therapy on the immunomodulatory and anti-inflammatory properties of cultured equine umbilical cord blood mesenchymal stromal cells. Can J Vet Res 2024 Jul;88(3):87-93.
            pubmed: 38988333
          30. Jacklin BD, Hanousek K, Gillespie S, Liedtke A, Tucker R, Fiske-Jackson A, Smith RK. Validation of a novel clinical tool for monitoring distal limb stiffness. Front Vet Sci 2023;10:1271036.
            doi: 10.3389/fvets.2023.1271036pubmed: 38249548google scholar: lookup
          31. Altmann N, Bowlby C, Coughlin H, Belacic Z, Sullivan S, Durgam S. Interleukin-6 upregulates extracellular matrix gene expression and transforming growth factor β1 activity of tendon progenitor cells. BMC Musculoskelet Disord 2023 Nov 22;24(1):907.
            doi: 10.1186/s12891-023-07047-9pubmed: 37993850google scholar: lookup