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Veterinary surgery : VS2018; 47(7); 908-915; doi: 10.1111/vsu.12936

Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI.

Abstract: To compare the outcome following conservative vs surgical management of sports horses with a diagnosis of subchondral bone trauma of the proximal aspect of the proximal phalanx (PP) by low-field MRI. Methods: Retrospective case series. Methods: Twenty-one mature sports horses with evidence of high water signal within the proximal sagittal groove of the PP according to low-field MRI of the fetlock, with no definitive radiographic evidence of fracture. Methods: Medical records (2010-2017) of horses admitted to 2 referral hospitals were reviewed. Historical, clinical, radiographic, and MRI findings and treatment choice were recorded. Conservative management consisted of confinement to a stall followed by gradual reintroduction to exercise. Surgical management consisted of cortical screw fixation across the proximal aspect of the PP. Long-term outcome was determined by telephone questionnaire or by clinical records review. Fisher's exact test was used to compare outcome between the 2 treatment groups. Results: Follow-up was available in 17 of 21 horses in the study, including 8 horses treated conservatively and 9 treated surgically. No difference in outcome was detected in this study; 4 of 8 horses were sound after conservative management, and 5 of 9 horses were sound after surgery (P > .99). Conclusions: Approximately half of the horses that had a diagnosis of osseous trauma within the proximal aspect of PP returned to athletic activity, regardless of conservative or surgical management. Conclusions: The prognosis for return to athletic functions in horses with osseous trauma within the proximal aspect of the PP is guarded.
© 2018 The American College of Veterinary Surgeons.
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Publication Date: 2018-09-14 PubMed ID: 30216476PubMed Central: PMC6690071DOI: 10.1111/vsu.12936Google Scholar: Lookup
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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 compares the outcomes of conservative treatment against surgical treatment in sports horses diagnosed with bone injury in the proximal phalangeal sagittal groove by using low-field MRI. They found that approximately half of the injured horses managed to return to athletic activity, regardless of the treatment method.

Study Methodology

  • The researchers performed a retrospective case study on 21 sports horses. These horses were mature and had high water signals within the proximal sagittal groove of the proximal phalanx (PP), as detected by low-field MRI of the fetlock.
  • None of the horses involved in the study had definitive radiographic evidence of fracture.
  • They analyzed the medical records of these horses from the years 2010 to 2017. They reviewed the historical and clinical data, radiographic and MRI findings, as well as the treatment options pursued.
  • Conservative management involved keeping the horse in confinement followed by a gradual reintroduction to exercise. For horses that went under surgical management, cortical screw fixation across the proximal aspect of the PP was performed.
  • The long-term outcomes of the treatment were determined either by a telephone questionnaire or by reviewing the clinical records.

Study Results

  • Out of 21 horses, they were able to gather follow-up data on 17 horses, including 8 that received conservative treatment and 9 that underwent surgery.
  • The study found no significant difference in outcomes between the horses that received conservative management and those that had surgery.
  • Out of the 8 horses that received conservative treatment, 4 made a recovery and were capable of sound movement. Similarly, 5 out of the 9 horses that underwent surgical management could move soundly post-recovery.
  • Approximately half of the horses with an osseous trauma diagnosis in the proximal aspect of the PP were able to return to athletic activity.

Study Conclusion

  • Irrespective of whether conservative or surgical management was employed, about half of the sports horses diagnosed with osseous trauma in the proximal aspect of the PP managed to return to athletic activities.
  • The prognosis for horses with such traumas to return to athletic functionality remained guarded based on these findings.

Cite This Article

APA
Lipreri G, Bladon BM, Giorio ME, Singer ER. (2018). Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI. Vet Surg, 47(7), 908-915. https://doi.org/10.1111/vsu.12936

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 47
Issue: 7
Pages: 908-915

Researcher Affiliations

Lipreri, Giulia
  • Leahurst Equine Hospital, University of Liverpool, Neston, United Kingdom.
Bladon, Bruce M
  • Donnington Grove Veterinary Group, Newbury, United Kingdom.
Giorio, Maria Elisabetta
  • Donnington Grove Veterinary Group, Newbury, United Kingdom.
Singer, Ellen R
  • Institute of Chronic and Ageing Disease, University of Liverpool, Liverpool, United Kingdom.

MeSH Terms

  • Animals
  • Bone Screws / veterinary
  • Bone and Bones / diagnostic imaging
  • Extremities
  • Female
  • Fractures, Bone / surgery
  • Fractures, Bone / veterinary
  • Horse Diseases / diagnostic imaging
  • Horse Diseases / surgery
  • Horses
  • Magnetic Resonance Imaging / veterinary
  • Male
  • Prognosis
  • Retrospective Studies
  • Sports
  • Treatment Outcome

Grant Funding

  • Horserace Betting Levy Board

Conflict of Interest Statement

The authors declare no conflict of interest related to this report.

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Citations

This article has been cited 9 times.
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  5. 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).
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