B-mode and power Doppler ultrasonography of the equine suspensory ligament branches: A descriptive study on 13 horses.
Abstract: Ultrasonography is routinely used to achieve the diagnosis of equine suspensory ligament desmopathy. In human medicine, power Doppler ultrasonography has also been found to be useful for the diagnosis of tendon/ligament injuries. The aim of this prospective, pilot study was to assess the presence or absence of power Doppler signal in suspensory ligament branches and compare B-mode findings with power Doppler findings in suspensory ligament branches of lame and non-lame limbs. Thirteen horses were used (eight lame horses, with lameness related to pain in the suspensory ligament branches, and five non-lame horses). Ten lame limbs and 24 sound limbs were assessed by B-mode and power Doppler ultrasonography. The severity of power Doppler signal was scored by two independent readers. The B-mode ultrasonographic examination revealed abnormalities in branches of lame limbs and in branches of sound limbs. Suspensory ligament branches that were considered normal in B-mode showed no power Doppler signal. However, power Doppler signal was detected in suspensory ligament branches that were abnormal in B-mode, both in lame and sound limbs. Power Doppler scores were subjectively higher in suspensory ligament branches of lame limbs and in branches with more severe B-mode changes. Findings supported the use of power Doppler as an adjunctive diagnostic test for lame horses with suspected suspensory desmopathy.
© 2018 American College of Veterinary Radiology.
Publication Date: 2018-03-01 PubMed ID: 29498123DOI: 10.1111/vru.12610Google Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This study explores the use of B-mode and power Doppler ultrasonography for diagnosing equine suspensory ligament injuries. The research finds that power Doppler signals were present in abnormal suspensory ligament branches, suggesting it as a supplementary diagnostic tool for assessing horses with suspected suspensory desmopathy.
Objective of the Study
- The research aims to evaluate the presence or absence of power Doppler signals in suspensory ligament branches of horses, and to compare these findings with B-mode (2D ultrasound) results.
Methods
- Thirteen horses were used for the study, eight of which had lameness related to pain in the suspensory ligament branches, while five were non-lame.
- The researchers evaluated ten lame limbs and 24 sound limbs using both B-mode and power Doppler ultrasonography.
- The severity of power Doppler signal in suspensory ligament branches was scored by two independent readers.
Findings
- B-mode ultrasonographic examination revealed abnormalities in the suspensory ligament branches of both lame and sound limbs.
- Power Doppler signals were absent in suspensory ligament branches that were categorized normal by B-mode, i.e., there were no signals in healthy ligament branches.
- On the contrary, power Doppler signal was detected in suspensory ligament branches that were judged abnormal by the B-mode ultrasonography, regardless of whether the limbs were sound or lame.
- The power Doppler signal scores were subjectively higher in lame limbs and in ligament branches with more severe B-mode changes.
Conclusion
- The findings imply that power Doppler technology could be used as a supplementary tool for diagnosing horses with suspensory desmopathy. This would assist in better understanding the state of the suspensory ligament branches while making a diagnosis.
Cite This Article
APA
Rabba S, Grulke S, Verwilghen D, Evrard L, Busoni V.
(2018).
B-mode and power Doppler ultrasonography of the equine suspensory ligament branches: A descriptive study on 13 horses.
Vet Radiol Ultrasound, 59(4), 453-460.
https://doi.org/10.1111/vru.12610 Publication
Researcher Affiliations
- Faculty of Veterinary Medicine, Department of Clinical Sciences of Companion Animals and Equids, Diagnostic Imaging Section, University of Liège, Liège, Belgium.
- Department of Diagnostic Imaging, Istituto Veterinario di Novara, Granozzo con Monticello, Italy.
- Faculty of Veterinary Medicine, Department of Clinical Sciences of Companion Animals and Equids, Equine Surgery Section, University of Liège, Liège, Belgium.
- Faculty of Veterinary Medicine, Department of Clinical Sciences of Companion Animals and Equids, Equine Surgery Section, University of Liège, Liège, Belgium.
- Veterinary Teaching Hospital, Department of Veterinary Sciences, Faculty of Science, University of Sydney, Sydney, Australia.
- Faculty of Veterinary Medicine, Department of Clinical Sciences of Companion Animals and Equids, Diagnostic Imaging Section, University of Liège, Liège, Belgium.
- Faculty of Veterinary Medicine, Department of Clinical Sciences of Companion Animals and Equids, Diagnostic Imaging Section, University of Liège, Liège, Belgium.
MeSH Terms
- Animals
- Hindlimb / diagnostic imaging
- Hindlimb / pathology
- Horse Diseases / diagnostic imaging
- Horse Diseases / pathology
- Horses
- Lameness, Animal / diagnostic imaging
- Lameness, Animal / pathology
- Ligaments / diagnostic imaging
- Ligaments / pathology
- Pilot Projects
- Prospective Studies
- Ultrasonography / veterinary
- Ultrasonography, Doppler / instrumentation
- Ultrasonography, Doppler / veterinary
Citations
This article has been cited 9 times.- Fjordbakk CT, Marques-Smith P. The equine patellar ligaments and the infrapatellar fat pad - a microanatomical study. BMC Vet Res 2023 Jan 23;19(1):20.
- Evrard L, Joostens Z, Vandersmissen M, Audigié F, Busoni V. Comparison Between Ultrasonographic and Standing Magnetic Resonance Imaging Findings in the Podotrochlear Apparatus of Horses With Foot Pain. Front Vet Sci 2021;8:675180.
- Pluim M, Martens A, Vanderperren K, van Weeren R, Oosterlinck M, Dewulf J, Kichouh M, Van Thielen B, Koene MHW, Luciani A, Plancke L, Delesalle C. High-Power Laser Therapy Improves Healing of the Equine Suspensory Branch in a Standardized Lesion Model. Front Vet Sci 2020;7:600.
- Read RM, Boys-Smith S, Bathe AP. Subclinical Ultrasonographic Abnormalities of the Suspensory Ligament Branches Are Common in Elite Showjumping Warmblood Horses. Front Vet Sci 2020;7:117.
- Lacitignola L, Rossella S, Pasquale L, Crovace A. Power Doppler to investigate superficial digital flexor tendinopathy in the horse. Open Vet J 2020 Jan;9(4):317-321.
- Boado A, Pollard D, Dyson S. Retrospective Analysis of Suspensory Ligament Branch Injuries in 70 Dressage Horses. Animals (Basel) 2025 Oct 23;15(21).
- Guest DJ, Birch HL, Thorpe CT. A review of the equine suspensory ligament: Injury prone yet understudied. Equine Vet J 2025 Sep;57(5):1167-1182.
- Law E, Wright L, Uhlhorn M, Hernlund E, Nilemo C, Rhodin M. Hypoechoic ultrasonographic findings in the patellar ligaments are common in riding and trotting horses in training (116 cases). Vet Radiol Ultrasound 2025 Jan;66(1):e13446.
- Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP, Selberg KT, Ojeda A. Ultrasonography of the suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses: Prevalence, progression of findings and associations with racing performance. Equine Vet J 2025 Mar;57(2):384-397.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists