Descriptive epidemiology of fracture, tendon and suspensory ligament injuries in National Hunt racehorses in training.
Abstract: While fractures and tendon injuries are known to be important diseases in National Hunt (NH) racehorses during racing, there are no accurate estimates of their incidence in NH training yards. Objective: To estimate the incidence of fractures and tendon and suspensory ligament injuries (TLIs) in NH racehorses in training; to describe the injuries incurred and to compare injury incidence rates by horse age, trainer, gender and background (ex-flat vs. ex-store horses). Methods: Cohort data were collected from 14 UK NH training yards for 2 racing seasons. Daily exercise regimens and details of fractures and TLIs occurring in study horses were recorded. Results: Data were gathered from 1223 horses that spent 9466 months at risk of injury. The fracture incidence rate was 1.1/100 horse months and varied significantly by trainer (P<0.001) but not by gender, age or background. The pelvis and third metacarpal bone (MCIII) were the most common fracture sites, although this varied between racing and training. The TLI incidence rate was 1.9/100 horse months and varied significantly by trainer (P = 0.05) and age (P<0.001) but not by gender or background. However, ex-store horses were significantly more likely to have a TLI on the racecourse than ex-flat horses (P = 0.01). Superficial digital flexor injuries accounted for 89% of all TLIs, the remainder being suspensory ligament injuries. Conclusions: Fractures and TLIs are important causes of morbidity and mortality in NH racehorses in training in England. This study provides accurate estimates of their incidence in this population and provides a baseline against which to monitor the effect of future interventions.
Publication Date: 2009-07-01 PubMed ID: 19562899DOI: 10.2746/042516409x371224Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research paper investigates the incidence of fractures and tendon and ligament injuries in National Hunt (NH) racehorses during training, describing the types of injuries sustained, and comparing rates of injury according to different factors such as horse age, trainer, gender and background.
Study Methodology
- The researchers gathered cohort data from 14 UK National Hunt training yards over two racing seasons.
- Details of the horses’ daily exercise regimens and any fractures or tendon and ligament injuries occurring were recorded.
Study Results
- Data was collected from a total of 1223 horses, who collectively spent 9466 months at risk of injury.
- The fracture incidence rate was found to be 1.1 per 100 horse months, with variation observed between different trainers but not between different genders, ages or backgrounds of horses.
- The most common fracture sites were the pelvis and third metacarpal bone, although the specific site varied between training and actual racing.
- The rate of tendon and ligament injuries was 1.9 per 100 horse months, with variation again differing by trainer and age, but not by gender or background.
- However, horses previously used in store (ex-store horses) had a significantly higher likelihood of sustaining a tendon or ligament injury on the racecourse compared with horses previously used in flat racing.
- Of all tendon and ligament injuries, 89% were superficial digital flexor injuries, with the remaining being suspensory ligament injuries.
Conclusion
- The researchers concluded that fractures and tendon and ligament injuries are significant causing of morbidity and mortality in National Hunt racehorses during training in England.
- The study provides accurate estimates of the incidences of such injuries and serves as a baseline for monitoring the impact of future preventative interventions.
Cite This Article
APA
Ely ER, Avella CS, Price JS, Smith RK, Wood JL, Verheyen KL.
(2009).
Descriptive epidemiology of fracture, tendon and suspensory ligament injuries in National Hunt racehorses in training.
Equine Vet J, 41(4), 372-378.
https://doi.org/10.2746/042516409x371224 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.
MeSH Terms
- Animals
- England / epidemiology
- Female
- Fractures, Bone / epidemiology
- Fractures, Bone / veterinary
- Horse Diseases / epidemiology
- Horses
- Ligaments / injuries
- Male
- Physical Conditioning, Animal / adverse effects
- Tendon Injuries / epidemiology
- Tendon Injuries / veterinary
Citations
This article has been cited 32 times.- Vlahos TP. Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases.. Open Vet J 2023 Sep;13(9):1141-1149.
- Pedaprolu K, Szczesny SE. Mouse Achilles tendons exhibit collagen disorganization but minimal collagen denaturation during cyclic loading to failure.. J Biomech 2023 Apr;151:111545.
- Legg KA, Gee EK, Breheny M, Gibson MJ, Rogers CW. A Bioeconomic Model for the Thoroughbred Racing Industry-Optimisation of the Production Cycle with a Horse Centric Welfare Perspective.. Animals (Basel) 2023 Jan 30;13(3).
- Duddy HR, Schoonover MJ, Hague BA. Outcome following local injection of a liquid amnion allograft for treatment of equine tendonitis or desmitis - 100 cases.. BMC Vet Res 2022 Nov 7;18(1):391.
- Horan K, Coburn J, Kourdache K, Day P, Carnall H, Brinkley L, Harborne D, Hammond L, Peterson M, Millard S, Pfau T. Hoof Impact and Foot-Off Accelerations in Galloping Thoroughbred Racehorses Trialling Eight Shoe-Surface Combinations.. Animals (Basel) 2022 Aug 23;12(17).
- Hendry AP, Hendry CA, Hendry AS, Roffey HL, Hendry MA. Performance of wild animals with "broken" traits: Movement patterns in nature of moose with leg injuries.. Ecol Evol 2022 Aug;12(8):e9127.
- Doll CU, von Pueckler K, Offhaus J, Berner D, Burk J. Characterization of Equine Chronic Tendon Lesions in Low- and High-Field Magnetic Resonance Imaging.. Vet Sci 2022 Jun 15;9(6).
- Nath L, Stent A, Elliott A, La Gerche A, Franklin S. Risk Factors for Exercise-Associated Sudden Cardiac Death in Thoroughbred Racehorses.. Animals (Basel) 2022 May 18;12(10).
- Doll CU, Niebert S, Burk J. Mesenchymal Stromal Cells Adapt to Chronic Tendon Disease Environment with an Initial Reduction in Matrix Remodeling.. Int J Mol Sci 2021 Nov 26;22(23).
- Crawford KL, Finnane A, Greer RM, Phillips CJC, Bishop EL, Woldeyohannes SM, Perkins NR, Ahern BJ. A Prospective Study of Training Methods for Two-Year-Old Thoroughbred Racehorses in Queensland, Australia, and Analysis of the Differences in Training Methods between Trainers of Varying Stable Sizes.. Animals (Basel) 2021 Mar 25;11(4).
- Nash A, Notou M, Lopez-Clavijo AF, Bozec L, de Leeuw NH, Birch HL. Glucosepane is associated with changes to structural and physical properties of collagen fibrils.. Matrix Biol Plus 2019 Nov;4:100013.
- Hu H, Wang D, Li L, Yin H, He G, Zhang Y. Role of microRNA-335 carried by bone marrow mesenchymal stem cells-derived extracellular vesicles in bone fracture recovery.. Cell Death Dis 2021 Feb 4;12(2):156.
- Crawford KL, Finnane A, Phillips CJC, Greer RM, Woldeyohannes SM, Perkins NR, Kidd LJ, Ahern BJ. The Risk Factors for Musculoskeletal Injuries in Thoroughbred Racehorses in Queensland, Australia: How These Vary for Two-Year-Old and Older Horses and with Type of Injury.. Animals (Basel) 2021 Jan 21;11(2).
- Ribitsch I, Oreff GL, Jenner F. Regenerative Medicine for Equine Musculoskeletal Diseases.. Animals (Basel) 2021 Jan 19;11(1).
- Parkes RSV, Pfau T, Weller R, Witte TH. The effect of curve running on distal limb kinematics in the Thoroughbred racehorse.. PLoS One 2020;15(12):e0244105.
- Crawford KL, Finnane A, Greer RM, Phillips CJC, Woldeyohannes SM, Perkins NR, Ahern BJ. Appraising the Welfare of Thoroughbred Racehorses in Training in Queensland, Australia: The Incidence and Type of Musculoskeletal Injuries Vary between Two-Year-Old and Older Thoroughbred Racehorses.. Animals (Basel) 2020 Nov 5;10(11).
- 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.
- Pollard D, Wylie CE, Verheyen KLP, Newton JR. Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach.. BMC Vet Res 2019 Feb 12;15(1):59.
- Thorpe CT, Riley GP, Birch HL, Clegg PD, Screen HRC. Fascicles and the interfascicular matrix show decreased fatigue life with ageing in energy storing tendons.. Acta Biomater 2017 Jul 1;56:58-64.
- 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.
- Thorpe CT, Peffers MJ, Simpson D, Halliwell E, Screen HR, Clegg PD. Anatomical heterogeneity of tendon: Fascicular and interfascicular tendon compartments have distinct proteomic composition.. Sci Rep 2016 Feb 4;6:20455.
- Rogers CW, Bolwell CF, Gee EK. Proactive Management of the Equine Athlete.. Animals (Basel) 2012 Dec 19;2(4):640-55.
- Peffers MJ, Thorpe CT, Collins JA, Eong R, Wei TK, Screen HR, Clegg PD. Proteomic analysis reveals age-related changes in tendon matrix composition, with age- and injury-specific matrix fragmentation.. J Biol Chem 2014 Sep 12;289(37):25867-78.
- Takahashi T, Mukai K, Ohmura H, Aida H, Hiraga A. In vivo measurements of flexor tendon and suspensory ligament forces during trotting using the thoroughbred forelimb model.. J Equine Sci 2014;25(1):15-22.
- Bertuglia A, Bullone M, Rossotto F, Gasparini M. Epidemiology of musculoskeletal injuries in a population of harness Standardbred racehorses in training.. BMC Vet Res 2014 Jan 10;10:11.
- Thorpe CT, Riley GP, Birch HL, Clegg PD, Screen HR. Fascicles from energy-storing tendons show an age-specific response to cyclic fatigue loading.. J R Soc Interface 2014 Mar 6;11(92):20131058.
- Campbell ML. The role of veterinarians in equestrian sport: a comparative review of ethical issues surrounding human and equine sports medicine.. Vet J 2013 Sep;197(3):535-40.
- Muttini A, Salini V, Valbonetti L, Abate M. Stem cell therapy of tendinopathies: suggestions from veterinary medicine.. Muscles Ligaments Tendons J 2012 Jul;2(3):187-92.
- Thorpe CT, Birch HL, Clegg PD, Screen HR. The role of the non-collagenous matrix in tendon function.. Int J Exp Pathol 2013 Aug;94(4):248-59.
- Pinchbeck GL, Clegg PD, Boyde A, Barr ED, Riggs CM. Horse-, training- and race-level risk factors for palmar/plantar osteochondral disease in the racing Thoroughbred.. Equine Vet J 2013 Sep;45(5):582-6.
- Whitton RC, Mirams M, Mackie EJ, Anderson GA, Seeman E. Exercise-induced inhibition of remodelling is focally offset with fatigue fracture in racehorses.. Osteoporos Int 2013 Jul;24(7):2043-8.
- Thorpe CT, Udeze CP, Birch HL, Clegg PD, Screen HR. Specialization of tendon mechanical properties results from interfascicular differences.. J R Soc Interface 2012 Nov 7;9(76):3108-17.
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