Abstract: To determine the prevalence of ununited plantar eminence (UPE) of the first phalanx (P1) in North American Standardbreds and evaluate its association with early racing performance. Methods: Retrospective cohort study with matched sibling controls. Methods: Imaging records from 1897 yearling Standardbred horses. Methods: Screening images were reviewed for the presence of UPE and other orthopedic abnormalities. Sex, age, sire, gait, and racing performance data were obtained from the United States Trotting Association. Affected horses were compared with unaffected siblings using non-parametric tests for performance outcomes. Within affected horses, regression analyses were used to assess the influence of sex, gait, and concurrent developmental orthopedic disease (DOD) lesions on performance. Results: UPE was identified in 74 of 1898 horses (3.9%). Most affected horses (67.6%) had concurrent DOD lesions, most commonly plantar osteochondral fragments. At two years of age, there were no differences in performance outcomes between groups. As 3-year-olds, affected horses were less likely to start, and had fewer starts and lower earnings than unaffected siblings. Conclusions: UPE of P1 was an uncommon finding frequently associated with other DOD lesions. While 2-year-old racing performance was similar between groups, affected horses showed reduced performance during the three-year-old season. Conclusions: UPE could have meaningful implications for long-term athleticism in Standardbred racehorses, given the reduced racing performance at 3 years of age in the affected study cohort. However, as UPE is frequently found in combination with other DOD lesions, the clinical relevance of UPE as an isolated lesion is not clear.
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Overview
This study investigated the occurrence of ununited plantar eminence (UPE) in the first phalanx bone of North American Standardbred horses and examined how UPE affects early racing performance, particularly at ages 2 and 3 years.
Background and Objectives
UPE is a specific orthopedic condition involving the first phalanx (P1) bone in horses.
Evaluate the relationship between UPE and early racing performance, especially the differences in performance at ages 2 and 3 years.
Assess the impact of other factors such as sex, gait type, and the presence of other developmental orthopedic disease (DOD) lesions on the performance of horses with UPE.
Methods
This was a retrospective cohort study using existing records and imaging data.
Data was collected from imaging records of 1897 yearling Standardbred horses.
Screening images were examined to identify UPE and other orthopedic abnormalities.
Information on sex, age, sire (father horse), gait type (trot or pace), and racing performance data was obtained from the United States Trotting Association.
Affected horses (those with UPE) were compared to their unaffected siblings to reduce genetic and environmental confounding factors.
Statistical analyses included non-parametric tests to compare performance data and regression analyses within the affected group to assess influences of sex, gait, and presence of other DOD lesions.
Key Findings
The prevalence of UPE in the studied population was 3.9% (74 out of 1898 horses).
A majority (67.6%) of horses with UPE also had other concurrent orthopedic issues, most commonly plantar osteochondral fragments (small bone/cartilage fragments in the plantar region).
At the age of 2 years, there was no significant difference in racing performance outcomes (such as starts, finishing positions, or earnings) between horses with UPE and their unaffected siblings.
At 3 years of age, horses affected by UPE were less likely to have started racing, had fewer race starts, and earned less prize money compared to unaffected siblings.
Conclusions and Implications
UPE is a relatively uncommon orthopedic lesion in yearling Standardbred horses but is commonly seen alongside other developmental orthopedic diseases.
The lack of performance differences at 2 years suggests that UPE may not initially impair early racing ability or that early performance impacts are masked by other factors.
The reduced racing participation and earnings at 3 years indicate that UPE is associated with decreased longer-term athletic performance or durability.
As UPE frequently co-occurs with other DOD lesions, it’s difficult to isolate its specific clinical significance; it may be one component in a broader orthopedic disease process impacting racing capacity.
This information is valuable to veterinarians, trainers, and breeders for assessing prognosis and training decisions in Standardbreds with UPE.
Cite This Article
APA
Graczyk Z, Kapraun P, McCoy AM.
(2026).
Impact of ununited plantar eminence of the first phalanx on early racing performance in North American Standardbreds.
Vet Surg.
https://doi.org/10.1111/vsu.70121
Grøndahl AM. Incidence and development of ununited proximoplantar tuberosity of the proximal phalanx in standardbred trotters.. Vet Radiology Ultrasound 1992;33(1):18‐21.
Grøndahl AM. The incidence of bony fragments and osteochondrosis in the metacarpo‐ and metatarsophalangeal joints of standardbred trotters a radiographic study.. J Equine Vet Sci 1992;12(2):81‐85.
Nixon AJ, Pool RR. Histologie appearance of axial osteochondral fragments from the proximoplantar/proximopalmar aspect of the proximal phalanx in horses.. Javma 1995;207(8):1076‐1080.
Torre F, Motta M. Osteochondrosis of the tarsocrural joint and osteochondral fragments in the fetlock joints: incidence and influence on racing performance in a selected group of Standardbred trotters.. Proceedings of the Annual Convention of the AAEP 2000;46:287‐294.