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Home / Equine Research Bank / Vet Sci / Equine Distal Limb Wounds: Economic Impact and Short-Term Pr...
Veterinary sciences2025; 12(3); doi: 10.3390/vetsci12030205

Equine Distal Limb Wounds: Economic Impact and Short-Term Prognosis of Non-Synovial Versus Synovial Lesions in Southern Germany.

Abstract: Injuries to the distal limb are common in horses. The clinical aspect of the lesions is variable based on the structures that are involved. Synovial structures as well as tendons and/or ligaments may be involved in such injuries, affecting treatment modalities and costs, and prognosis. This retrospective study compares wounds involving synovial structures to wounds without such involvement in terms of treatment duration and costs, and prognosis. Synovial wounds were much more expensive to treat and carried a lower prognosis. Involvement of tendons and/or ligaments in the wounds resulted in more expensive and prolonged treatment courses compared to cases without such involvement, even without synovial contamination. The prognosis for discharge was good overall for both groups.
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Publication Date: 2025-03-01 PubMed ID: 40266953PubMed Central: PMC11946326DOI: 10.3390/vetsci12030205Google Scholar: Lookup
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  • 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.

This study focused on comparing the healing process, treatment costs and recovery outlook for injuries to the lower leg of horses that involve synovial structures versus those that do not. It was found that wounds implicating synovial structures were costlier to treat and had a bleaker recovery outlook.

Research Context

  • The study is based on the fact that injuries to a horse’s distal limb or lower leg are quite common. The lesions or injury characteristics vary based on the structures involved.
  • The structures that may be involved include synovial structures (joints, bursa, tendon sheaths) and tendons or ligaments. The involvement of these structures impacts the selection of treatment modalities, cost of treatment, and the recovery prospects.

Purpose of the Study

  • The aim of the study was to retrospectively analyze and compare the injuries involving synovial structures with those that did not.
  • The comparison parameters were duration of treatment, cost of treatment, and the prognosis, or the likely course and outcome of the disease.

Findings of the Study

  • The study concluded that wounds involving synovial structures were significantly more expensive to treat and had a poor prognosis compared to their non-synovial counterparts.
  • The involvement of tendons or ligaments, regardless of whether the synovial structures were contaminated or not, also contributed to increased costs and extended periods of treatment.
  • However, the prognosis for discharge, or the likelihood of recovery sufficient for the patient to be released from care, was generally good for both groups of injuries.

Significance of the Research

  • This research sheds light on the economic and clinical implications of various types of equine distal limb wounds.
  • The findings can assist veterinarians in developing a comprehensive and cost-effective treatment plan based on the type of structures involved in the injury.
  • Furthermore, the recovery insights provided in the study can be used for setting realistic expectations for the horse owners and caregivers.

Cite This Article

APA
Albanese V, Straticò P, Fischer H, Petrizzi L. (2025). Equine Distal Limb Wounds: Economic Impact and Short-Term Prognosis of Non-Synovial Versus Synovial Lesions in Southern Germany. Vet Sci, 12(3). https://doi.org/10.3390/vetsci12030205

Publication

Veterinary sciences
ISSN: 2306-7381
NlmUniqueID: 101680127
Country: Switzerland
Language: English
Volume: 12
Issue: 3

Researcher Affiliations

Albanese, Valeria
  • Tierärztliches Kompetenzzentrum für Pferde Großwallstadt Altano GmbH, Niedernberger Str. 9, 63868 Großwallstadt, Germany.
Straticò, Paola
  • Department of Veterinary Medicine, Località Piano D'Accio, 64100 Teramo, Italy.
Fischer, Holger
  • Tierärztliches Kompetenzzentrum für Pferde Großwallstadt Altano GmbH, Niedernberger Str. 9, 63868 Großwallstadt, Germany.
Petrizzi, Lucio
  • Department of Veterinary Medicine, Località Piano D'Accio, 64100 Teramo, Italy.

Conflict of Interest Statement

Author Valeria Albanese and Holger Fischer were employed by Tierärztliches Kompetenzzentrum für Pferde Großwallstadt Altano GmbH. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

References

This article includes 37 references
  1. Baxter G.M.. Management of Wounds Involving Synovial Structures in Horses. Clin. Tech. Equine Pract. 2004;3:204–214.
    doi: 10.1053/j.ctep.2004.08.008google scholar: lookup
  2. Joyce J.. Injury to Synovial Structures. Vet. Clin. N. Am. Equine Pract. 2007;23:103–116.
    doi: 10.1016/j.cveq.2006.12.001pubmed: 17379112google scholar: lookup
  3. Ludwig E.K., van Harreveld P.D.. Equine Wounds over Synovial Structures. Vet. Clin. Equine Pract. 2018;34:575–590.
    doi: 10.1016/j.cveq.2018.07.002pubmed: 30447770google scholar: lookup
  4. Michotte M., Raes E., Oosterlinck M.. Diagnostic Accuracy of Plain Radiography to Identify Synovial Penetration in Horses with Traumatic Limb Wounds. Equine Vet. J. 2024;57:62–68.
    doi: 10.1111/evj.14050pubmed: 38199977google scholar: lookup
  5. Bryant H.A., Dixon J.J., Weller R., Bolt D.M.. Use of Positive Contrast Radiography to Identify Synovial Involvement in Horses with Traumatic Limb Wounds. Equine Vet. J. 2019;51:20–23.
    doi: 10.1111/evj.12985pubmed: 29931725google scholar: lookup
  6. Ludwig E.K., Wiese R.B., Graham M.R., Tyler A.J., Settlage J.M., Were S.R., Petersson-Wolfe C.S., Kanewsky-Mullarky I., Dahlgren L.A.. Serum and Synovial Fluid Serum Amiloid A Response in Equine Models of Synovitis and Septic Arthritis. Vet. Surg. 2016;45:859–867.
    doi: 10.1111/vsu.12531pubmed: 27580707google scholar: lookup
  7. Carstanjen B., Boehart S., Cislakova M.. Septic Arthritis in Adult Horses. Pol. J. Vet. Sci. 2010;13:201.
    pubmed: 21077452
  8. Schneider R.K., Bramlage L.R., Mecklenburg L.M., Moore R.M., Gabel A.A.. Open Drainage, Intra-articular and Systemic Antibiotics in the Treatment of Septic Arthritis/Tenosynovitis in Horses. Equine Vet. J. 1992;24:443–449.
    doi: 10.1111/j.2042-3306.1992.tb02874.xpubmed: 1459057google scholar: lookup
  9. Cousty M., David Stack J., Tricaud C., David F.. Effect of Arthroscopic Lavage and Repeated Intra-articular Administrations of Antibiotic in Adult Horses and Foals with Septic Arthritis. Vet. Surg. 2017;46:1008–1016.
    doi: 10.1111/vsu.12696pubmed: 28771839google scholar: lookup
  10. Schneider R.K., Bramlage L.R., Moore R.M., Mecklenburg L.M., Kohn C.W., Gabel A.A.. A Retrospective Study of 192 Horses Affected with Septic Arthritis/Tenosynovitis. Equine Vet. J. 1992;24:436–442.
    doi: 10.1111/j.2042-3306.1992.tb02873.xpubmed: 1459056google scholar: lookup
  11. Gibson K.T., McIlwraith C.W., Turner A.S., Stashak T.S., Aanes W.A., Trotter G.W.. Open Joint Injuries in Horses: 58 Cases (1980–1986). J. Am. Vet. Med. Assoc. 1989;194:398–404.
    doi: 10.2460/javma.1989.194.03.398pubmed: 2917911google scholar: lookup
  12. Seabaugh K.A., Baxter G.M.. Diagnosis and Management of Wounds Involving Synovial Structures. 3rd ed. Wiley; Hoboken, NJ, USA: 2008; pp. 463–488.
  13. Walmsley E.A., Anderson G.A., Muurlink M.A., Whitton R.C.. Retrospective Investigation of Prognostic Indicators for Adult Horses with Infection of a Synovial Structure. Aust. Vet. J. 2011;89:226–231.
    doi: 10.1111/j.1751-0813.2011.00720.xpubmed: 21595644google scholar: lookup
  14. Wright I.M., Scott M.. Management of Penetrating Wounds in Joints, Tendon Sheaths and Bursae. Equine Vet. Educ. 1989;1:15–22.
    doi: 10.1111/j.2042-3292.1989.tb01330.xgoogle scholar: lookup
  15. Fraser B.S.L., Bladon B.M.. Tenoscopic Surgery for Treatment of Lacerations of the Digital Flexor Tendon Sheath. Equine Vet. J. 2004;36:528–531.
    doi: 10.2746/0425164044877396pubmed: 15460078google scholar: lookup
  16. Ahern B., Richardson D.. Surgical Site Infections and the Use of Antimicrobials. In: Auer J.A., Stick J.A., editors. Equine surgery. 4th ed. Elsevier Saunders; St. Louis, MO, USA: 2012. pp. 68–84.
    doi: 10.1016/B978-1-4377-0867-7.00007-7google scholar: lookup
  17. Freeman S.L., Ashton N.M., Elce Y.A., Hammond A., Hollis A.R., Quinn G.. BEVA Primary Care Clinical Guidelines: Wound Management in the Horse. Equine Vet. J. 2021;53:18–29.
    doi: 10.1111/evj.13289pubmed: 32463930google scholar: lookup
  18. Morton A.J.. Diagnosis and Treatment of Septic Arthritis. Vet. Clin. Equine Pract. 2005;21:627–649.
    doi: 10.1016/j.cveq.2005.08.001pubmed: 16297725google scholar: lookup
  19. Wright I.M., Smith M.R.W., Humphrey D.J., Eaton-Evans T.C.J., Hillyer M.H.. Endoscopic Surgery in the Treatment of Contaminated and Infected Synovial Cavities. Equine Vet. J. 2003;35:613–619.
    doi: 10.2746/042516403775467225pubmed: 14515964google scholar: lookup
  20. Wereszka M.M., White N.A., Furr M.O.. Factors Associated with Outcome Following Treatment of Horses with Septic Tenosynovitis: 51 Cases (1986–2003). J. Am. Vet. Med. Assoc. 2007;230:1195–1200.
    doi: 10.2460/javma.230.8.1195pubmed: 17501662google scholar: lookup
  21. Findley J.A., Pinchbeck G.L., Milner P.I., Bladon B.M., Boswell J., Mair T.S., Suthers J.M., Singer E.R.. Outcome of Horses with Synovial Structure Involvement Following Solar Foot Penetrations in Four UK Veterinary Hospitals: 95 Cases. Equine Vet. J. 2014;46:352–357.
    doi: 10.1111/evj.12124pubmed: 23789739google scholar: lookup
  22. Rubio-Martínez L.M., Cruz A.M.. Antimicrobial Regional Limb Perfusion in Horses. J. Am. Vet. Med. Assoc. 2006;228:706–712.
    doi: 10.2460/javma.228.5.706pubmed: 16506931google scholar: lookup
  23. Honnas C.M., Schumacher J., Cohen N.D., Watkins J.P., Taylor T.S.. Septic Tenosynovitis in Horses: 25 Cases (1983–1989). J. Am. Vet. Med. Assoc. 1991;199:1616–1622.
    doi: 10.2460/javma.1991.199.11.1616pubmed: 1778749google scholar: lookup
  24. Furness M.C., Snyman H.N., Abrahams M., Moore A., Vince A., Anderson M.E.C.. Severe Gastric Impaction Secondary to a Gastric Polyp in a Horse. Can. Vet. J. 2013;54:979–982.
    pmc: PMC3781432pubmed: 24155420
  25. Ross M.W., Orsini J.A., Richardson D.W., Martin B.B.. Closed Suction Drainage in the Treatment of Infectious Arthritis of the Equine Tarsocrural Joint. Vet. Surg. 1991;20:21–29.
    doi: 10.1111/j.1532-950X.1991.tb00301.xpubmed: 2008770google scholar: lookup
  26. Ooi C.C., Schneider M.E., Malliaras P., Chadwick M., Connell D.A.. Diagnostic Performance of Axial-Strain Sonoelastography in Confirming Clinically Diagnosed Achilles Tendinopathy: Comparison with B-Mode Ultrasound and Color Doppler Imaging. Ultrasound Med. Biol. 2015;41:15–25.
    doi: 10.1016/j.ultrasmedbio.2014.08.019pubmed: 25438847google scholar: lookup
  27. Milner P.I., Bardell D.A., Warner L., Packer M.J., Senior J.M., Singer E.R., Archer D.C.. Factors Associated with Survival to Hospital Discharge Following Endoscopic Treatment for Synovial Sepsis in 214 Horses. Equine Vet. J. 2014;46:701–705.
    doi: 10.1111/evj.12212pubmed: 24417437google scholar: lookup
  28. Smith L.J., Mellor D.J., Marr C.M., Mair T.S.. What Is the Likelihood That a Horse Treated for Septic Digital Tenosynovitis Will Return to Its Previous Level of Athletic Function?. Equine Vet. J. 2006;38:337–341.
    doi: 10.2746/042516406777749155pubmed: 16866201google scholar: lookup
  29. Sousa S.A., Feliciano J.R., Pita T., Soeiro C.F., Mendes B.L., Alves L.G., Leitao J.H.. Bacterial Nosocomial Infections: Multidrug Resistance as a Trigger for the Development of Novel Antimicrobials. Antibiotics 2021;10:942.
    doi: 10.3390/antibiotics10080942pmc: PMC8389044pubmed: 34438992google scholar: lookup
  30. Stewart A.A., Goodrich L.R., Byron C.R., Evans R.B., Stewart M.C.. Antimicrobial Delivery by Intrasynovial Catheterisation with Systemic Administration for Equine Synovial Trauma and Sepsis. Aust. Vet. J. 2010;88:115–123.
    doi: 10.1111/j.1751-0813.2010.00553.xpubmed: 20402698google scholar: lookup
  31. Smith L.J., Marr C.M., Payne R.J., Stoneham S.J., Reid S.W.J.. What Is the Likelihood That Thoroughbred Foals Treated for Septic Arthritis Will Race?. Equine Vet. J. 2004;36:452–456.
    doi: 10.2746/0425164044868396pubmed: 15253089google scholar: lookup
  32. Post E.M., Singer E.R., Clegg P.D., Smith R.K., Cripps P.J.. Retrospective Study of 24 Cases of Septic Calcaneal Bursitis in the Horse. Equine Vet. J. 2003;35:662–668.
    doi: 10.2746/042516403775696285pubmed: 14649357google scholar: lookup
  33. Meijer M.C., Van Weeren P.R., Rijkenhuizen A.B.M.. Clinical Experiences of Treating Septic Arthritis in the Equine by Repeated Joint Lavage: A Series of 39 Cases. J. Vet. Med. Ser. A. 2000;47:351–365.
    doi: 10.1046/j.1439-0442.2000.00290.xpubmed: 11008444google scholar: lookup
  34. Vos N.J., Ducharme N.G.. Analysis of Factors Influencing Prognosis in Foals with Septic Arthritis. Ir. Vet. J. 2008;61:102.
    doi: 10.1186/2046-0481-61-2-102pmc: PMC3113883pubmed: 21851707google scholar: lookup
  35. Johnson S.A., Biscoe E.W., Eilertson K.E., Lutter J.D., Schneider R.K., Roberts G.D., Cary J.A., Frisbie D.D.. Tissue Predictability of Elastography Is Low in Collagenase Induced Deep Digital Flexor Tendinopathy. Vet. Radiol. Ultrasound. 2022;63:111–123.
    doi: 10.1111/vru.13026pubmed: 34585463google scholar: lookup
  36. Steel C.M., Hunt A.R., Adams P.L.E., Robertson I.D., Chicken C., Yovich J.V., Stick J.A.. Factors Associated with Prognosis for Survival and Athletic Use in Foals with Septic Arthritis: 93 Cases (1987–1994). J. Am. Vet. Med. Assoc. 1999;215:973–977.
    doi: 10.2460/javma.1999.215.07.973pubmed: 10511863google scholar: lookup
  37. de Souza T.C., Burford J., Busschers E., Freeman S., Suthers J.M.. Multicenter Study Investigating Long-Term Survival After Synovial Lavage of Contaminated and Septic Synovial Structures in Horses Presented to 10 UK Referral Hospitals. Vet. Surg. 2024;53:1083–1092.
    doi: 10.1111/vsu.14107pubmed: 38863154google scholar: lookup
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