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American journal of veterinary research2005; 66(8); 1314-1320; doi: 10.2460/ajvr.2005.66.1314

Evaluation of horseshoe characteristics and high-speed exercise history as possible risk factors for catastrophic musculoskeletal injury in thoroughbred racehorses.

Abstract: To evaluate horseshoe characteristics and high-speed exercise history as risk factors for catastrophic musculoskeletal injury in Thoroughbred racehorses. Methods: 377 horses (37,529 race starts). Methods: Shoe characteristics included material, toe grab height, heel traction device, pads, and rim shoes. Racing variables were obtained from a computerized database. Forty-three horses that had a musculoskeletal injury and then failed to race or train for 6 months (cases) and 334 noninjured horses from the same race in which a horse was injured (controls) were compared regarding risk factors. Results: Overall, 98% of race starts were associated with aluminum shoes, 85% with toe grabs, 32% with pads, and 12% with rims on forelimb horseshoes. Among 43 horses with musculoskeletal injury, sex (geldings), an extended interval since last race, and reduced exercise during the 30 or 60 days preceding injury were risk factors for catastrophic injury. Odds of injury in racehorses with toe grabs on front shoes were 1.5 times the odds of injury in horses without toe grabs, but this association was not significant (95% confidence interval, 0.5 to 4.1). Conclusions: Results suggest that horses that return to racing after an extended period of reduced exercise are at high risk of catastrophic musculoskeletal injury. Results regarding the use of toe grabs as a possible risk factor for catastrophic injury were inconclusive because the probability of declaring (in error) that use of toe grabs was associated with an increased risk of musculoskeletal injury (eg, odds ratio > 1.0) was 38%.
Publication Date: 2005-09-22 PubMed ID: 16173471DOI: 10.2460/ajvr.2005.66.1314Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research paper aims to evaluate how characteristics of horseshoes and intensive exercise regimes could possibly contribute to severe musculoskeletal injuries in Thoroughbred racehorses. The study analyzes horse hoof treatments and training variables to identify potential risk factors for such injuries.

Study Design and Participants

  • The study involved a pool of 377 Thoroughbred racehorses, which collectively had participated in 37,529 races.
  • The horseshoes of these horses were assessed with regard to their material, toe grab height, incorporation of heel traction devices, use of pads and rim shoes.
  • Racing variables, or data related to high-speed exercise and race history, were sourced from a specialized database.
  • The researchers classified the horses into two groups: 43 injured horses who were unable to participate in racing or training for a period of six months, and a control group consisting of 334 non-injured horses from the same races.

Results

  • The study found that a whopping 98% of races involved horses wearing aluminum shoes. Additionally, 85% of the horses had shoe designs that incorporated toe grabs, 32% used pads, and 12% wore shoes with rims on the forelimbs.
  • Possible risk factors that were identified among the 43 horses with musculoskeletal injuries include gelding (being a neutered male horse), extended intervals since the last race, and reduced exercise during the 30 or 60 days prior to the injury.
  • The study indicates that horses shod with toe grabs on front shoes were 1.5 times more likely to experience injury than those without toe grabs on front shoes. However, this risk increase was not statistically significant.

Conclusions

  • The study suggests that horses returning to racing after a substantial reduction in exercise are at high risk for catastrophic musculoskeletal injuries.
  • While the use of toe grabs was found to be potentially associated with an increased risk of injury, this implication remains inconclusive due to a sizable (38%) probability of error in the relevant calculations.

Cite This Article

APA
Hernandez JA, Scollay MC, Hawkins DL, Corda JA, Krueger TM. (2005). Evaluation of horseshoe characteristics and high-speed exercise history as possible risk factors for catastrophic musculoskeletal injury in thoroughbred racehorses. Am J Vet Res, 66(8), 1314-1320. https://doi.org/10.2460/ajvr.2005.66.1314

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 66
Issue: 8
Pages: 1314-1320

Researcher Affiliations

Hernandez, Jorge A
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610-0136, USA.
Scollay, Mary C
    Hawkins, Dan L
      Corda, Julie A
        Krueger, Traci M

          MeSH Terms

          • Animals
          • Case-Control Studies
          • Equipment Design
          • Female
          • Forelimb / injuries
          • Hindlimb / injuries
          • Horses / injuries
          • Male
          • Muscle, Skeletal / injuries
          • Physical Conditioning, Animal
          • Risk Factors
          • Running / injuries
          • Shoes

          Citations

          This article has been cited 9 times.
          1. 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).
            doi: 10.3390/ani12172161pubmed: 36077882google scholar: lookup
          2. Horan K, Kourdache K, Coburn J, Day P, Carnall H, Harborne D, Brinkley L, Hammond L, Millard S, Lancaster B, Pfau T. The effect of horseshoes and surfaces on horse and jockey centre of mass displacements at gallop. PLoS One 2021;16(11):e0257820.
            doi: 10.1371/journal.pone.0257820pubmed: 34813584google scholar: lookup
          3. Legg KA, Gee EK, Cochrane DJ, Rogers CW. Preliminary Examination of the Biological and Industry Constraints on the Structure and Pattern of Thoroughbred Racing in New Zealand over Thirteen Seasons: 2005/06-2017/18. Animals (Basel) 2021 Sep 27;11(10).
            doi: 10.3390/ani11102807pubmed: 34679829google scholar: lookup
          4. 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).
            doi: 10.3390/ani11040928pubmed: 33805873google scholar: lookup
          5. Hitchens PL, Hill AE, Stover SM. Relationship Between Historical Lameness, Medication Usage, Surgery, and Exercise With Catastrophic Musculoskeletal Injury in Racehorses. Front Vet Sci 2018;5:217.
            doi: 10.3389/fvets.2018.00217pubmed: 30246014google scholar: lookup
          6. Wang L, Gao W, Xiong K, Liu N, Wang B. The effects of an early return to training on the bone-tendon junction post-acute micro-injury healing. J Sports Sci Med 2012;11(2):238-44.
            pubmed: 24149196
          7. Pfau T, Forbes B, Sepulveda-Caviedes F, Chan Z, Weller R. Exploring Monthly Variation of Gait Asymmetry During In-Hand Trot in Thoroughbred Racehorses in Race Training. Animals (Basel) 2025 Aug 20;15(16).
            doi: 10.3390/ani15162449pubmed: 40867777google scholar: lookup
          8. Bennet ED, Parkin TDH. Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023). Equine Vet J 2026 Jan;58(1):20-30.
            doi: 10.1111/evj.14503pubmed: 40134143google scholar: lookup
          9. Horan K, Coburn J, Kourdache K, Day P, Carnall H, Brinkley L, Harborne D, Hammond L, Millard S, Weller R, Pfau T. Hoof slip duration at impact in galloping Thoroughbred ex-racehorses trialling eight shoe-surface combinations. PLoS One 2024;19(10):e0311899.
            doi: 10.1371/journal.pone.0311899pubmed: 39392818google scholar: lookup