Catastrophic musculoskeletal injuries in Thoroughbred racehorses on racetracks in Gauteng, South Africa.
Abstract: The incidence and types of catastrophic musculoskeletal injuries in Thoroughbreds that resulted in euthanasia on selected racetracks in South Africa between 1998 and 2012 were investigated by an observational retrospective investigation. Data from the National Horseracing Authority of Southern Africa for these racetracks were used to calculate incidence rates in Thoroughbreds (n = 114) that sustained catastrophic musculoskeletal injuries during racing that required immediate euthanasia, based on the diagnosis made by the on-site veterinarian as well as on fetlock radiographs and dissections of 53 cadaver limbs of horses that sustained a catastrophic musculoskeletal injury. The proximal sesamoid bones and the distal suspensory ligament were involved in 55.26% of horses; 73.58% of the cadaver limb radiographs were of the left forelimb, 64.15% were closed fractures, and 74.47% had biaxial proximal sesamoid bone fractures. Catastrophic musculoskeletal injuries occurred almost exclusively unilaterally and involved mostly the left front leg. The average incidence rate for a catastrophic musculoskeletal injury occurring in a year at any of the tracks was 0.6 of 1000 starts.
Publication Date: 2019-02-28 PubMed ID: 30843400PubMed Central: PMC7081728DOI: 10.4102/jsava.v90i0.1640Google 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.
The research paper looks into the occurrences and types of serious musculoskeletal injuries in Thoroughbred horses that led to euthanasia on specific South African racetracks from 1998 to 2012. The researchers used local data, vet diagnoses, and examinations of 53 horse limbs to reach findings such as that the left front leg was mostly affected and the average yearly injury rate was 0.6 per 1000 starts.
Research Methodology
- The scientists conducted a retrospective observational study – they looked back at past events and studied the data available to determine patterns.
- The study used data from the National Horseracing Authority of Southern Africa specifically regarding Thoroughbreds (n = 114) that experienced catastrophic injuries on selected racetracks between 1998-2012.
- A catastrophic injury here refers to a severe injury that required the immediate euthanasia of the horse.
- The diagnosis that led to euthanasia was made by veterinarians present on the site.
- Researchers also used information from radiograms of the fetlocks – the joint connecting the hoof and the leg – and dissections of 53 cadaver horse limbs that suffered the catastrophic injuries.
Research Findings
- Major injuries involved the proximal sesamoid bones – two small bones located at the back of the fetlock joint – and the distal suspensory ligament – a ligament in the lower leg – in over half (55.26%) of the injury cases.
- The majority (73.58%) of the radiographs of cadaver limbs were from the left forelimb of the horse.
- Of the injuries, 64.15% were closed fractures, and biaxial proximal sesamoid bone fractures were seen in 74.47% of the cases. A closed fracture refers to a break in a bone where the skin is not pierced, and biaxial signifies two axes or directions.
- Catastrophic injuries usually occurred in only one limb, particularly in the left front leg.
- The average incidence rate of these incidents was 0.6 per 1000 starts in a year at any of the tracks included in the study.
Cite This Article
APA
Spargo KE, Rubio-Martinez LM, Wheeler DP, Fletcher L, Carstens A.
(2019).
Catastrophic musculoskeletal injuries in Thoroughbred racehorses on racetracks in Gauteng, South Africa.
J S Afr Vet Assoc, 90, e1-e5.
https://doi.org/10.4102/jsava.v90i0.1640 Publication
Researcher Affiliations
- Department of Companion Animal Clinical Studies, University of Pretoria. keithspargo@yahoo.com.
MeSH Terms
- Animals
- Fractures, Bone / epidemiology
- Fractures, Bone / etiology
- Fractures, Bone / mortality
- Fractures, Bone / veterinary
- Horse Diseases / epidemiology
- Horse Diseases / etiology
- Horse Diseases / mortality
- Horses / injuries
- Incidence
- Ligaments / injuries
- Retrospective Studies
- Running
- South Africa
- Sports
- Wounds and Injuries / epidemiology
- Wounds and Injuries / etiology
- Wounds and Injuries / mortality
- Wounds and Injuries / veterinary
Conflict of Interest Statement
The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.
References
This article includes 25 references
- Arthur RM. Comparison of racing fatality rates on dirt, synthetic, and turf at four California racetracks. Proceedings, 56th American Association of Equine Practitioners Baltimore, MD, December 4–8, 2010, pp. 405–408.
- Bailey CJ, Reid SW, Hodgson DR, Bourke JM, Rose RJ. Flat, hurdle and steeple racing: risk factors for musculoskeletal injury.. Equine Vet J 1998 Nov;30(6):498-503.
- Bailey CJ, Reid SW, Hodgson DR, Suann CJ, Rose RJ. Risk factors associated with musculoskeletal injuries in Australian thoroughbred racehorses.. Prev Vet Med 1997 Sep;32(1-2):47-55.
- Boden LA, Anderson GA, Charles JA, Morgan KL, Morton JM, Parkin TD, Slocombe RF, Clarke AF. Risk of fatality and causes of death of Thoroughbred horses associated with racing in Victoria, Australia: 1989-2004.. Equine Vet J 2006 Jul;38(4):312-8.
- Cilliers I. Catastrophic musculoskeletal injuries associated with four racetracks in Gauteng, South Africa during 1998–2004. MMedVet Dissertation, Department of Companion Animal Clinical Studies, University of Pretoria .
- Cohen ND, Peloso JG, Mundy GD, Fisher M, Holland RE, Little TV, Misheff MM, Watkins JP, Honnas CM, Moyer W. Racing-related factors and results of prerace physical inspection and their association with musculoskeletal injuries incurred in thoroughbreds during races.. J Am Vet Med Assoc 1997 Aug 15;211(4):454-63.
- Cruz AM, Poljak Z, Filejski C, Lowerison ML, Goldie K, Martin SW, Hurtig MB. Epidemiologic characteristics of catastrophic musculoskeletal injuries in Thoroughbred racehorses.. Am J Vet Res 2007 Dec;68(12):1370-5.
- Estberg L, Stover SM, Gardner IA, Johnson BJ, Case JT, Ardans A, Read DH, Anderson ML, Barr BC, Daft BM, Kinde H, Moore J, Stoltz J, Woods LW. Fatal musculoskeletal injuries incurred during racing and training in thoroughbreds.. J Am Vet Med Assoc 1996 Jan 1;208(1):92-6.
- Estberg L, Stover SM, Gardner IA, Johnson BJ, Jack RA, Case JT, Ardans A, Read DH, Anderson ML, Barr BC, Daft BM, Kinde H, Moore J, Stoltz J, Woods L. Relationship between race start characteristics and risk of catastrophic injury in thoroughbreds: 78 cases (1992).. J Am Vet Med Assoc 1998 Feb 15;212(4):544-9.
- Hill WT. Survey of injures in Thoroughbreds at The New York Racing Association tracks. Clinical Techniques in Equine Practice 2, 323–328.
- Hill AE, Stover SM, Gardner IA, Kane AJ, Whitcomb MB, Emerson AG. Risk factors for and outcomes of noncatastrophic suspensory apparatus injury in Thoroughbred racehorses.. J Am Vet Med Assoc 2001 Apr 1;218(7):1136-44.
- Hitchens PL, Hill AE, Stover SM. The role of catastrophic injury or sudden death of the horse in race-day jockey falls and injuries in California, 2007-2012.. Equine Vet J 2016 Jan;48(1):50-6.
- Johnson BJ, Stover SM, Daft BM, Kinde H, Read DH, Barr BC, Anderson M, Moore J, Woods L, Stoltz J. Causes of death in racehorses over a 2 year period.. Equine Vet J 1994 Jul;26(4):327-30.
- Lam KH, Parkin TD, Riggs CM, Morgan KL. Descriptive analysis of retirement of Thoroughbred racehorses due to tendon injuries at the Hong Kong Jockey Club (1992-2004).. Equine Vet J 2007 Mar;39(2):143-8.
- Macdonald DM, Wheeler DP, Guthrie AJ, Kok C, Pilgrim T. Incidence of musculo-skeletal injuries on racetracks in the central province of South Africa. Proceedings of the 17th international conference of racing analysts and veterinarians Antalya, Turkey, October 11–17, 2008, pp. 1–4.
- Parkin TD, Clegg PD, French NP, Proudman CJ, Riggs CM, Singer ER, Webbon PM, Morgan KL. Risk of fatal distal limb fractures among Thoroughbreds involved in the five types of racing in the United Kingdom.. Vet Rec 2004 Apr 17;154(16):493-7.
- Peloso JG, Cohen ND, Mundy GD, Watkins JP, Honnas CM, Moyer W. Epidemiologic study of musculoskeletal injuries in racing Thoroughbred horses in Kentucky. Proceedings of the 42nd American Association of Equine Practitioners Conference Denver, Colorado, December 8–11, 1996, pp. 284–285.
- Peloso JG, Mundy GD, Cohen ND. Prevalence of, and factors associated with, musculoskeletal racing injuries of thoroughbreds.. J Am Vet Med Assoc 1994 Feb 15;204(4):620-6.
- Radtke CL, Danova NA, Scollay MC, Santschi EM, Markel MD, Da Costa Gómez T, Muir P. Macroscopic changes in the distal ends of the third metacarpal and metatarsal bones of Thoroughbred racehorses with condylar fractures.. Am J Vet Res 2003 Sep;64(9):1110-6.
- Reardon RJ, Boden L, Stirk AJ, Parkin TD. Accuracy of distal limb fracture diagnosis at British racecourses 1999-2005.. Vet Rec 2014 May 10;174(19):477.
- Ross MW. Lameness in horses: Basic facts before starting. Diagnosis and management of lameness in the horse pp. 3–8, Saunders Company, Philadelphia, PA.
- . Software version 2014. SAS/STAT computer software, SAS Institute Inc., Cary, NC.
- Turner M, Fuller CW, Egan D, Le Masson B, McGoldrick A, Spence A, Wind P, Gadot PM. European consensus on epidemiological studies of injuries in the thoroughbred horse racing industry.. Br J Sports Med 2012 Aug;46(10):704-8.
- Williams RB, Harkins LS, Hammond CJ, Wood JL. Racehorse injuries, clinical problems and fatalities recorded on British racecourses from flat racing and National Hunt racing during 1996, 1997 and 1998.. Equine Vet J 2001 Sep;33(5):478-86.
- Wylie CE, McManus P, McDonald C, Jorgensen S, McGreevy P. Thoroughbred fatality and associated jockey falls and injuries in races in New South Wales and the Australian Capital Territory, Australia: 2009-2014.. Vet J 2017 Sep;227:1-7.
Citations
This article has been cited 6 times.- Shaffer SK, Stover SM, Fyhrie DP. Training drives turnover rates in racehorse proximal sesamoid bones. Sci Rep 2023 Jan 27;13(1):205.
- Pearce DJ, Hitchens PL, Malekipour F, Ayodele B, Lee PVS, Whitton RC. Biomechanical and Microstructural Properties of Subchondral Bone From Three Metacarpophalangeal Joint Sites in Thoroughbred Racehorses. Front Vet Sci 2022;9:923356.
- Bennet ED, Parkin TDH. Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023). Equine Vet J 2026 Jan;58(1):20-30.
- Yuan X, Yao X, Zeng Y, Wang J, Ren W, Wang T, Li X, Yang L, Yang X, Meng J. The Impact of the Competition on miRNA, Proteins, and Metabolites in the Blood Exosomes of the Yili Horse. Genes (Basel) 2025 Feb 15;16(2).
- Orozco Lopez D, Garcia-Lopez JM, Carpenter R, Bras JJ, Richardson DW, Ortved KF. Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis. Vet Surg 2025 Apr;54(3):439-452.
- 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.
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