Clinical insights: Musculoskeletal disorders of the sports horse.

1. Tóth F, Buko EO, Armstrong AR, Johnson CP. Relationship between the extent of vascular injury and the evolution of surgically induced osteochondrosis lesions in a piglet model. PLoS One 2024;19(8):e0308641.
   doi: 10.1371/journal.pone.0308641google scholar: lookup
2. Olstad K, Wormstrand B, Kongsro J, Grindflek E. Osteochondrosis in the distal femoral physis of pigs starts with vascular failure. Vet Pathol 2019;56(5):732–742.
   doi: 10.1177/0300985819843685google scholar: lookup
3. Olstad K, Aasmundstad T, Kongsro J, Grindflek E. Osteochondrosis and other lesions in all intervertebral, articular process and rib joints from occiput to sacrum in pigs with poor back conformation, and relationship to juvenile kyphosis. BMC Vet Res 2022;18(1):44.
   doi: 10.1186/s12917-021-03091-6google scholar: lookup
4. Olstad K, Ekman S, Björnsdóttir S, Fjordbakk CT, Hansson K, Sigurdsson SF. Osteochondrosis in the central and third tarsal bones of young horses. Vet Pathol 2024;61(1):74–87.
   doi: 10.1177/03009858231185108google scholar: lookup
5. Olstad K. Science in brief: recent advances in failure of the blood supply to growth cartilage, osteochondrosis and developmental orthopaedic disease. Equine Vet J 2025;57(5):1161–1166.
   doi: 10.1111/evj.14486google scholar: lookup
6. Bennet ED, Cameron‐Whytock H, Parkin TDH. Fédération Equestre Internationale eventing: risk factors for horse falls and unseated riders during the cross‐country phase (2008–2018). Equine Vet J 2021;54(5):885–894.
   doi: 10.1111/evj.13522google scholar: lookup
7. Lewis V, Taylor S, Dumbell L, Cameron L. 40 Factors influencing the activation of frangible devices and their impact on fall risk in eventing cross country. J Equine Vet Sci 2023;124:104342.
   doi: 10.1016/j.jevs.2023.104342google scholar: lookup
8. Cameron‐Whytock HA, O'Brien D, Lewis V, Parkin T, Bennet ED. Equine fatalities in equestrian eventing. Equine Vet J 2025;57(5):1387–1394.
   doi: 10.1111/evj.14529google scholar: lookup
9. Argue BJ, Labens R. Prevalence of musculoskeletal injuries associated with lamness in Australian campdraft horses. Equine Vet J 2025;57(5):1363–1374.
   doi: 10.1111/evj.14551google scholar: lookup
10. Jeffcott LB, Dalin G, Drevemo S, Fredricson I, Björne K, Bergquist A. Effect of induced back pain on gait and performance of trotting horses. Equine Vet J 1982;14(2):129–133.
11. Jeffcott LB. Disorders of the thoracolumbar spine of the horse – a survey of 443 cases. Equine Vet J 1980;12(4):197–210.
    doi: 10.1111/j.2042-3306.1980.tb03427.xgoogle scholar: lookup
12. Turner TA. Overriding spinous processes (‘kissing spines’) in horses: diagnosis, treatment, and outcome in 212 cases. Proc Am Assoc Equine Pract 2011;57:424–430.
13. VanderBroek A, Stubbs NC, Clayton HM. Osseous pathology of the synovial intervertebral articulations in the equine thoracolumbar spine. J Equine Vet Sci 2016;44:67–73.
14. Spoormakers TJP, Veraa S, Graat EAM, van Weeren PR, Brommer H. Osseous pathologic changes in the thoracic region of the equine vertebral column. A descriptive post‐mortem study in three breeds. Equine Vet J 2025;57(5):1290–1301.
    doi: 10.1111/evj.14429google scholar: lookup
15. Haussler KK. Application of chiropractic principles and techniques to equine practice. Proc Am Assoc Equine Pract 1997;43:312–318.
16. Patricio CR, Winter GHZ, Garbade P. Spinal articular dysfunction is common in athletic horses. Equine Vet J 2025;57(5):1357–1362.
    doi: 10.1111/evj.14541google scholar: lookup
17. Hill AE, Gardner IA, Carpenter TE, Lee CM, Hitchens PL, Stover SM. Prevalence, location and symmetry of noncatastrophic ligamentous suspensory apparatus lesions in California Thoroughbred racehorses, and association of these lesions with catastrophic injuries. Equine Vet J 2014;48(1):27–32.
    doi: 10.1111/evj.12367google scholar: lookup
18. Dyson SJ, Arthur RM, Palmer SE, Richardson D. Suspensory ligament desmitis. Vet Clin North Am Equine Pract 1995;1995(11):177–215.
19. Guest DJ, Birch HL, Thorpe CT. A review of the equine suspensory ligament: injury prone yet understudied. Equine Vet J 2025;57(5):1167–1182.
    doi: 10.1111/evj.14447google scholar: lookup
20. Serra Bragança FM, Rhodin M, van Weeren PR. On the brink of daily clinical application of objective gait analysis: what evidence do we have so far from studies using an induced lameness model?. Vet J 2018;234:11–23.
    doi: 10.1016/j.tvjl.2018.01.006google scholar: lookup
21. Rhodin M, Egenvall A, Haubro Andersen P, Pfau T. Head and pelvic movement asymmetries at trot in riding horses in training and perceived as free from lameness by the owner. PLoS One 2017;12(4):e0176253.
    doi: 10.1371/journal.pone.0176253google scholar: lookup
22. McCracken MJ, Kramer J, Keegan KG, Lopes M, Wilson DA, Reed SK. Comparison of an inertial sensor system of lameness quantification with subjective lameness evaluation. Equine Vet J 2012;44(6):652–656.
23. Pfau T, Parkes RS, Burden ER, Bell N, Fairhurst H, Witte TH. Movement asymmetry in working polo horses. Equine Vet J 2016;48(4):517–522.
24. Pfau T, Scott WM, Sternberg Allen T. Upper body movement symmetry in reining Quarter Horses during trot in‐hand, on the lunge and during ridden exercise. Animals 2022;12:596.
25. Zetterberg E, Leclercq A, Persson‐Sjodin E, Lundblad J, Andersen PH, Hernlund E. Prevalence of vertical movement asymmetries at trot in Standardbred and Swedish Warmblood foals. PLoS One 2023;18:e0284105.
26. Clayton HM, Hobbs SJ, Rhodin M, Hernlund E, Peterson M, Bos R. Vertical movement of head, withers, and pelvis of high‐level dressage horses trotting in hand vs. being ridden. Animals 2025;15:241.
    doi: 10.3390/ani15020241google scholar: lookup
27. Taddey CM, Roecken M, Kreling KM, Cruz AM. Quantifying head and withers movement asymmetry in sound and naturally forelimb lame horses trotting on a circle on hard and soft surfaces. Equine Vet J 2025;57(5):1219–1230.
    doi: 10.1111/evj.14430google scholar: lookup
28. Valentine BA, Cooper BJ. Incidence of polysaccharide storage myopathy: necropsy study of 225 horses. Vet Pathol 2005;42(6):823–827.
    doi: 10.1354/vp.42-6-823google scholar: lookup
29. Valberg SJ, Nicholson AM, Lewis SS, Reardon RA, Finno CJ. Clinical and histopathological features of myofibrillar myopathy in Warmblood horses. Equine Vet J 2017;49(6):739–745.
    doi: 10.1111/evj.12702google scholar: lookup
30. Hansen S, Hopster‐Iversen C, Berg L, Fjeldborg J, Massey C, Piercy RJ. Chronic idiopathic myopathy in Icelandic horses: a case series. Equine Vet J 2025;57(5):1341–1346.
    doi: 10.1111/evj.14519google scholar: lookup
31. McIlwraith CW, Frisbie DD, Kawcak CE. The horse as a model of naturally occurring osteoarthritis. Bone Joint Res 2012;1(11):297–309.
    doi: 10.1302/2046-3758.111.2000132google scholar: lookup
32. Clarke E, Varela L, Jenkins RE, Lozano‐Andrés E, Cywińska A, Przewozny M. Proteome and phospholipidome interrelationship of synovial fluid‐derived extracellular vesicles in equine osteoarthritis: an exploratory ‘multi‐omics’ study to identify composite biomarkers. Biochem Biophys Rep 2024;37.
    doi: 10.1016/j.bbrep.2023.101635google scholar: lookup
33. Connard SS, Gaesser AM, Clarke EJ, Linardi RL, Even KM, Engiles JB. Plasma and synovial fluid extracellular vesicles display altered microRNA profiles in horses with naturally occurring post‐traumatic osteoarthritis: an exploratory study. J Am Vet Med Assoc 2024;262(S1):S83–S96.
    doi: 10.2460/javma.24.02.0102google scholar: lookup
34. Anderson JR, Phelan MM, Caamaño‐Gutiérrez E, Clegg PD, Rubio‐Martinez LM, Peffers MJ. Metabolomic and proteomic stratification of equine osteoarthritis. Equine Vet J 2025;57(5):1204–1218.
    doi: 10.1111/evj.14490google scholar: lookup
35. Page AE, Rauber‐Ramos AM, Humiston M, McPeek JL, Adam EN. Initial investigation into the metabolic effects of intra‐articular betamethasone on normal and insulin dysregulated horses. J Equine Vet Sci 2025;147:105404.
    doi: 10.1016/j.jevs.2025.105404google scholar: lookup
36. Murray RC, Debowes RM, Gaughan EM, Zhu CF, Athanasiou KKA. The effects of intra‐articular methylprednisolone and exercise on the mechanical properties of articular cartilage in the horse. Osteoarthr Cartil 1998;6(2):106–114.
    doi: 10.1053/joca.1997.0100google scholar: lookup
37. Luque RM, Henderson B, McCorkell TC, Alizadeh AH, Russell KA, Koch TG. Treatment outcomes for equine osteoarthritis with mesenchymal stromal cells and hyaluronic acid. Equine Vet J 2025;57(5):1245–1254.
    doi: 10.1111/evj.14531google scholar: lookup
38. Ogden NKE, Winderickx K, Bennell A, Stack JD. Computed tomography of the equine caudal spine and pelvis: technique, image quality and anatomical variation in 56 clinical cases (2018–2023). Equine Vet J 2025;57(5):1265–1278.
    doi: 10.1111/evj.14422google scholar: lookup
39. Ogden NKE, Winderickx K, Stack JD. Computed tomography of the equine caudal spine and pelvis. Pathological findings in 56 clinical cases (2018‐2023). Equine Vet J 2025;57(5):1279–1289.
    doi: 10.1111/evj.14426google scholar: lookup
40. Hellige M, Schröder C, Seehusen F, Cavalleri J‐M, Rohn K, Stadler P. Computed tomographic myelography of the cranial cervical spine in unaffected warmblood horses — inter‐ and intravertebral ratios and distribution of contarst columns in neutral and flexed cervical spine. Equine Vet J 2025;57(5):1375–1386.
    doi: 10.1111/evj.14552google scholar: lookup
41. Nagy A, Dyson SJ. Combined standing low‐field magnetic resonance imaging and fan‐beam computed tomographic diagnosis of fetlock region pain in 27 sports horses. Equine Vet J 2025;57(5):1313–1327.
    doi: 10.1111/evj.14504google scholar: lookup
42. Szabó L, Pollard D, Nagy A. Computed tomographic measurements in 110 front hooves of non‐lame Thoroughbred racehorses and Warmblood showjumpers. Equine Vet J 2025;57(5):1328–1340.
    doi: 10.1111/evj.14509google scholar: lookup
43. Scharf A, Acut E, Bills K, Werpy N. Magnetic resonance imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: insights, advances and future directions. Equine Vet J 2025;57(5):1183–1203.
    doi: 10.1111/evj.14508google scholar: lookup
44. Peeters MWJ, Ott S, van Veggel E, Berner D, Perrier M. Desmitis of the palmar or plantar ligaments of the proximal interphalangeal joint. Equine Vet J 2025;57(5):1347–1356.
    doi: 10.1111/evj.14547google scholar: lookup
45. Bowkett‐Pritchard C, Bolt DM, Chang Y‐M, Berner D. Measurements of equine foot parameters show limited agreement between radiographs and low‐field MRI. Equine Vet J 2025;57(5):1231–1244.
    doi: 10.1111/evj.14536google scholar: lookup
46. Balch O, White K, Butler D. Factors involved in the balancing of equine hooves. J Am Vet Med Assoc 1991;198:1980–1989.
47. Wilson AM, Seelig TJ, Shield RA, Silverman BW. The effect of foot imbalance on point of force application in the horse. Equine Vet J 2010;30(6):540–545.
48. Seery S, Gardiner J, Bates KT, Pinchbeck G, Clegg P, Ireland JL. Changes in pressure distribution of the solar surface after a single trimming event are associated with external hoof measurements in the equine fore foot. Equine Vet J 2025;57(5):1255–1264.
    doi: 10.1111/evj.14463google scholar: lookup
49. Thorpe CT, Clegg PD, Birch HL. A review of tendon injury: why is the equine superficial digital flexor tendon most at risk?. Equine Vet J 2010;42(2):174–180.
    doi: 10.2746/042516409x480395google scholar: lookup
50. Tamura N, Kodaira K, Yoshihara E, Mae N, Yamazaki Y, Mita H. A retrospective cohort study investigating risk factors for the failure of Thoroughbred racehorses to return to racing after superficial digital flexor tendon injury. Vet J 2018;235:42–46.
    doi: 10.1016/j.tvjl.2018.03.003google scholar: lookup
51. Salz RO, Elliott CRB, Zuffa T, Bennet ED, Ahern BJ. Treatment of racehorse superficial digital flexor tendonitis: a comparison of stem cell treatments to controlled exercise rehabilitation in 213 cases. Equine Vet J 2023;55(6):979–987.
    doi: 10.1111/evj.13922google scholar: lookup
52. Shoemaker RS, Bertone AL, Mohammad LN, Arms SW. Desmotomy of the accessory ligament of the superficial digital flexor muscle in equine cadaver limbs. Vet Surg 1991;20:245–252.
53. Alexander GR, Gibson KT, Day RE, Robertson ID. Effects of superior check desmotomy on flexor tendon and suspensory ligament strain in equine cadaver limbs. Vet Surg 2001;30:522–527.
54. Hogan PM, Bramlage LR. Transection of the accessory ligament of the superficial digital flexor tendon for treatment of tendinitis: long term results in 61 Standardbred racehorses (1985–1992). Equine Vet J 1995;27(3):221–226.
    doi: 10.1111/j.2042-3306.1995.tb03066.xgoogle scholar: lookup
55. Hu AJ, Bramlage LR. Racing performance of Thoroughbreds with superficial digital flexor tendonitis treated with desmotomy of the accessory ligament of the superficial digital flexor tendon: 332 cases (1989–2003). J Am Vet Med Assoc 2014;244(12):1441–1448.
    doi: 10.2460/javma.244.12.1441google scholar: lookup
56. Gibson KT, Burbidge HM, Pfeiffer DU. Superficial digital flexor tendonitis in thoroughbred race horses: outcome following non‐surgical treatment and superior check desmotomy. Aust Vet J 1997;75:631–635.
57. Blatter M, Chapman H‐S, Heinzel‐Gutenbrunner M, von Plato G, Rijkenhuizen A. Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases. Equine Vet J 2025;57(5):1302–1312.
    doi: 10.1111/evj.14437google scholar: lookup
58. Zimmerman M, Dyson S, Murray R. Close, impinging and overriding spinous processes in the thoracolumbar spine: the relationship between radiological and scintigraphic findings and clinical signs. Equine Vet J 2012;44(2):178–184.
    doi: 10.1111/j.2042-3306.2011.00373.xgoogle scholar: lookup
59. Coomer RPC, McKane SA, Smith N, Vandeweerd JME. A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses. Vet Surg 2012;41(7):890–897.
    doi: 10.1111/j.1532-950x.2012.01013.xgoogle scholar: lookup
60. Jacklin BD, Minshall GJ, Wright IM. A new technique for subtotal (cranial wedge) ostectomy in the treatment of impinging/overriding spinous processes: description of technique and outcome of 25 cases. Equine Vet J 2014;46(3):339–344.
    doi: 10.1111/evj.12215google scholar: lookup
61. de Souza TC, Crowe OM, Bowles D, Poore LA, Suthers JM. Minimally invasive cranial ostectomy for the treatment of impinging dorsal spinous processes in 102 standing horses. Vet Surg 2022;51(S1):O60–O68.
    doi: 10.1111/vsu.13736google scholar: lookup
62. Brink P. Subtotal ostectomy of impinging dorsal spinous processes in 23 standing horses. Vet Surg 2014;43(1):95–98.
    doi: 10.1111/j.1532-950x.2013.12078.xgoogle scholar: lookup
63. Connaughton MT, MacDonald EJ, Ireland JL, Rocchigiani G, Stack JD. Experimental comparison of caudal wedge ostectomy to cranial wedge ostectomy for surgical treatment of overriding/impinging spinous processes in horses. Equine Vet J 2025;57(5):1395–1404.
    doi: 10.1111/evj.14498google scholar: lookup

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