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Equine veterinary journal2010; 42(2); 164-169; doi: 10.2746/042516409X478695

Clinical and imaging features of suspected prodromal fracture of the proximal phalanx in three Thoroughbred racehorses.

Abstract: Sagittal fracture of the proximal phalanx (P1) is an important musculoskeletal injury of the performance horse. Although widely considered to be monotonic in nature, there is emerging evidence that some P1 fractures may have stress-injury aetiology. Three cases are described in which imaging features found were suggestive of prodromal bone injury. All cases returned to full performance use after a period of rest. The authors conclude that it is possible that some P1 fractures in the Thoroughbred racehorse may develop through stress/fatigue injury pathways. It is proposed that intervention prior to overt fracture may be possible in some cases.
Publication Date: 2010-02-17 PubMed ID: 20156254DOI: 10.2746/042516409X478695Google Scholar: Lookup
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Summary

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This research article is about an investigation into fractures of the proximal phalanx (P1) in Thoroughbred racehorses, suspecting that some of these injuries may originate from continuous stress or fatigue, and that some fractures could potentially be prevented with early intervention.

About the Study

  • The researchers are trying to understand fractures of a bone called the proximal phalanx (P1) in Thoroughbred racehorses. The P1 bone is critical for a horse’s performance and the nature of these fractures is a key research focus in veterinary athletics.
  • Typically, these fractures were thought to occur spontaneously due to extreme force or stress at one instance (monotonic nature). However, this research provides evidence that chronic stress or fatigue to the bone could play a role in some fractures (stress-injury aetiology).

Cases Studied

  • Three horses were observed with suspected prodromal bone injuries, which subtly manifest before a critical fracture of the P1. Horses showing early signs of stress on the bone were identified and their imaging features studied.
  • All three had returned to their original performance level after resting. This indicates recoverability from early signs of P1 fractures, highlighting the importance of early detection.

Conclusions and Recommendations

  • The researchers concluded that some P1 fractures in Thoroughbred racehorses could be a result of stress or fatigue to the bone, as opposed to only a one-time force or blow.
  • This suggests that there may be opportunities to intervene and possibly prevent some of these fractures before they fully form, saving the horses from potential harm and owners from economic loss.
  • This research is significant for advising preventative measures in horse racing and for future studies in the field of veterinary medicine and horse racing.

Cite This Article

APA
Ramzan PH, Powell SE. (2010). Clinical and imaging features of suspected prodromal fracture of the proximal phalanx in three Thoroughbred racehorses. Equine Vet J, 42(2), 164-169. https://doi.org/10.2746/042516409X478695

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 42
Issue: 2
Pages: 164-169

Researcher Affiliations

Ramzan, P H L
  • Rossdale and Partners, Beaufort Cottage Stables, High Street, Newmarket, Suffolk CB8 8JS.
Powell, S E

    MeSH Terms

    • Animals
    • Forelimb / diagnostic imaging
    • Forelimb / pathology
    • Fractures, Stress / diagnosis
    • Fractures, Stress / diagnostic imaging
    • Fractures, Stress / veterinary
    • Horses
    • Male
    • Radiography

    Citations

    This article has been cited 11 times.
    1. Mizobe F, Nomura M, Ueno T, Yamada K. Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses. J Vet Med Sci 2019 Apr 16;81(4):593-597.
      doi: 10.1292/jvms.18-0530pubmed: 30828037google scholar: lookup
    2. Lipreri G, Bladon BM, Giorio ME, Singer ER. Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI. Vet Surg 2018 Oct;47(7):908-915.
      doi: 10.1111/vsu.12936pubmed: 30216476google scholar: lookup
    3. Hopper N, Singer E, Henson F. Increased sclerostin associated with stress fracture of the third metacarpal bone in the Thoroughbred racehorse. Bone Joint Res 2018 Jan;7(1):94-102.
    4. Noble P, Singer ER, Jeffery NS. Does subchondral bone of the equine proximal phalanx adapt to race training?. J Anat 2016 Jul;229(1):104-13.
      doi: 10.1111/joa.12478pubmed: 27075139google scholar: lookup
    5. De Zani D, Rabbogliatti V, Rabba S, Auletta L, Longo M, Zani DD. Subchondral and Osteochondral Unit Bone Damage in the Fetlock Region of Sport Horses Using Low-Field MRI: Case Series. Animals (Basel) 2025 Dec 2;15(23).
      doi: 10.3390/ani15233468pubmed: 41375526google scholar: lookup
    6. Lin ST, Foote AK, Bolas NM, Sargan DR, Murray RC. Histological and Histopathological Features of the Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove in Thoroughbred Horses with Racing History. Animals (Basel) 2024 Jun 30;14(13).
      doi: 10.3390/ani14131942pubmed: 38998057google scholar: lookup
    7. Schiavo S, Beccati F, Pokora R, Lin ST, Milmine RC, Bak L, Peter VG, Murray RC. Lesion Distribution in the Metacarpophalangeal and Metatarsophalangeal Region of 341 Horses Using Standing Magnetic Resonance Imaging. Animals (Basel) 2024 Jun 25;14(13).
      doi: 10.3390/ani14131866pubmed: 38997978google scholar: lookup
    8. van Veggel ECS, Vanderperren K, Selberg KT, Bergman HJ, Hoogelander B. The Evolution of Lesions on Follow-Up Magnetic Resonance Imaging of the Proximal Metacarpal Region in Non-Racing Sport Horses That Returned to Work (2015-2023). Animals (Basel) 2024 Jun 8;14(12).
      doi: 10.3390/ani14121731pubmed: 38929351google scholar: lookup
    9. Faulkner JE, Joostens Z, Broeckx BJG, Hauspie S, Mariën T, Vanderperren K. Follow-Up Magnetic Resonance Imaging of Sagittal Groove Disease of the Equine Proximal Phalanx Using a Classification System in 29 Non-Racing Sports Horses. Animals (Basel) 2023 Dec 21;14(1).
      doi: 10.3390/ani14010034pubmed: 38200766google scholar: lookup
    10. Nagy A, Boros K, Dyson S. Magnetic Resonance Imaging, Computed Tomographic and Radiographic Findings in the Metacarpophalangeal Joints of 40 Non-Lame Thoroughbred Yearlings. Animals (Basel) 2023 Nov 9;13(22).
      doi: 10.3390/ani13223466pubmed: 38003084google scholar: lookup
    11. Lin ST, Foote AK, Bolas NM, Peter VG, Pokora R, Patrick H, Sargan DR, Murray RC. Three-Dimensional Imaging and Histopathological Features of Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove Fissures in Thoroughbred Horses. Animals (Basel) 2023 Sep 14;13(18).
      doi: 10.3390/ani13182912pubmed: 37760312google scholar: lookup