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Home / Equine Research Bank / Acta Vet Scand / Hyaluronic acid in synovial fluid. VI. Effect of intra-artic...
Acta veterinaria Scandinavica1970; 11(2); 139-155; doi: 10.1186/BF03547976

Hyaluronic acid in synovial fluid. VI. Effect of intra-articular injection of hyaluronic acid on the clinical symptoms of arthritis in track horses.

Abstract: Twelve horses with traumatic arthritis were treated with intraarticular injection of hyaluronic acid mixed with cortisone and the results compared with 6 horses treated only with cortisone. There was a significantly better improvement in the group injected with a mixture of hyaluronic acid and cortisone. Further studies have given the same results in traumatic arthritis in horses if hyaluronic acid alone is injected. After injection of hyaluronic acid a large number of granulated monocytes appeared in the synovial fluid, but no inflammatory signs were observed. It is possible that this macrophage invasion is instrumental in producing improvement in the condition of the joint. The injected hyaluronic acid may also adhere to the surface of articular cartilage producing an “clastic cushion” protecting the cartilage surface. Experimental mechanical damage was also inflicted on the surface of articular cartilage in dogs and monkeys, and smoother healing was achieved if hyaluronic acid was injected into the joints after the damage. Injections of hyaluronic acid seem to be of value in treating traumatic arthritis or similar conditions. Tolv hästar med traumatisk arthrit har behandlats med intraartikulära hyaluronsyre-cortisoninjektioner och resultatet jämförts med 6 fall som endast behandlats med intraartikulära cortisoninjektioner. De hästar som behandlades med hyaluronsyra-cortisoninjektioner uppvisade en signifikant förbättring jämfört med kontrollgruppens. Senare studier har visat att samma goda resultat kan erhållas om enbart hyaluronsyra injiceras intraartikulärt vid traumatiska arthriter. Efter intraartikulära injektioner av hyaluronsyra uppträder ett stort antal granulerade monocyter i synovialvätskan men inga kliniska tecken på inflammation kan observeras. Det är möjligt att det ökade antal macrophager som uppträder i ledvätskan efter hyaluronsyreinjektion har betydelse för den observerade bättringen av ledsjukdomen. Den injicerade hyaluronsyran kan också tänkas bilda en tunn film på ledbroskets yta och på så sätt bilda en elastisk kudde, vilken skyddar broskytan mot nötning och även fungerar som en stötdämpare. Mekanisk skada som åstadkommits i ledbrosket hos hundar och åsnor visade en förbättrad läkning, om leden efter skadans uppkomst behandlades med hyaluronsyreinjektioner. Det förefaller som intraartikulära hyaluronsyreinjektioner vid traumatiska arthriter och liknande sjukdomstillstånd är av värde vid behandlingen av dessa tillstånd.
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Publication Date: 1970-01-01 PubMed ID: 5465141PubMed Central: PMC8561509DOI: 10.1186/BF03547976Google Scholar: Lookup
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  • Comparative Study
  • 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.

The research evaluates the effectiveness of injecting hyaluronic acid, in combination with cortisone, into the joints of horses suffering from traumatic arthritis, demonstrating a significant improvement in the condition compared to treatment with cortisone alone.

Objective of the Research

  • The primary objective of this research was to study the therapeutic benefits of injecting a hyaluronic acid (HA) and cortisone mixture into the joints of horses diagnosed with traumatic arthritis. The focus was on analyzing the clinical improvements in the arthritis symptoms of the treated horses, and comparing the results with a control group treated only with cortisone.

Research Methodology

  • The research was conducted using a sample of eighteen horses, twelve of which were treated with an intra-articular (IA) injection of a HA and cortisone mix, while the remaining six horses received only cortisone.
  • Subsequent studies were also performed where only HA was injected.
  • Experimental mechanical damage was additionally inflicted on the articular cartilage of dogs and monkeys, followed by HA injection into the damaged joints for the purpose of observing post-damage healing.

Findings and Observations

  • The results demonstrated a significantly improved condition in the group treated with the HA and cortisone mixture when compared to the control group.
  • The administration of HA alone also induced significant beneficial effects in horses suffering from traumatic arthritis.
  • Post-injection, a large number of granulated monocytes were observed in the synovial fluid, but no inflammatory signs were noticed.
  • The injected HA possibly resulted in a macrophage invasion in the synovial fluid which could be instrumental in joint condition improvement.
  • The hyaluronic acid likely created a thin film on the articular cartilage surface, serving as a protective barrier against wear, beside acting as a shock absorber.
  • Experimentally damaged articular cartilage in dogs and monkeys showed improved healing upon being treated with HA injections after inducing damage.

Implications and Conclusions

  • The findings indicate that intra-articular hyaluronic acid injections could prove greatly beneficial in treating traumatic arthritis and similar conditions in horses.
  • Additionally, the research findings suggest that HA injections could aid in quicker and smoother repair of mechanically damaged articular cartilage, bringing implications beyond just the treatment of arthritis.

Cite This Article

APA
Butler J, Rydell NW, Balazs EA. (1970). Hyaluronic acid in synovial fluid. VI. Effect of intra-articular injection of hyaluronic acid on the clinical symptoms of arthritis in track horses. Acta Vet Scand, 11(2), 139-155. https://doi.org/10.1186/BF03547976

Publication

Acta veterinaria Scandinavica
ISSN: 0044-605X
NlmUniqueID: 0370400
Country: England
Language: English
Volume: 11
Issue: 2
Pages: 139-155

Researcher Affiliations

Butler, J
    Rydell, N W
      Balazs, E A

        MeSH Terms

        • Animals
        • Arthritis / drug therapy
        • Arthritis / veterinary
        • Cartilage, Articular
        • Cortisone / therapeutic use
        • Horse Diseases / drug therapy
        • Horses
        • Hyaluronic Acid / therapeutic use
        • Injections, Intra-Articular
        • Monocytes / analysis
        • Synovial Fluid / analysis

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