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Animals : an open access journal from MDPI2024; 14(10); 1417; doi: 10.3390/ani14101417

Magnetic Resonance Imaging, Computed Tomographic and Radiographic Findings in the Metacarpophalangeal Joints of 31 Warmblood Showjumpers in Full Work and Competing Regularly.

Abstract: There is a limited description of magnetic resonance imaging (MRI) and no information on computed tomographic (CT) findings in the fetlock of non-lame, non-racing sports horses. This study aimed to document comparative CT, MRI and radiographic findings in the metacarpophalangeal joints of showjumpers in full work. Clinical and gait assessments, low-field MRI, fan-beam CT and radiographic examinations of both metacarpophalangeal joints were performed on 31 showjumpers. Images were analysed descriptively. In most limbs (53/62, 85.5%), there were CT and MRI changes consistent with densification in the sagittal ridge and/or condyles of the third metacarpal bone (McIII). Hypoattenuation (subchondral bone resorption) was seen in CT reconstructions in the metacarpal condyle dorsoproximally (n = 2) and dorsodistally (n = 1), in the sagittal groove (n = 2) and medial fovea (n = 1) of the proximal phalanx. The McIII resorptive lesions were detected on MR images but not the proximal phalanx lesions. None were identified on radiographs. In conclusion, MRI and CT abnormalities previously associated with lameness were seen in the front fetlocks of showjumpers without relevant lameness. Densification in the sagittal ridge and the metacarpal condyles likely reflects an adaptive change to exercise. Subchondral bone resorption may indicate an early stage of disease; follow-up information is needed to establish its clinical significance.
Publication Date: 2024-05-09 PubMed ID: 38791635PubMed Central: PMC11117305DOI: 10.3390/ani14101417Google Scholar: Lookup
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  • Journal Article

Summary

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This research aims to document and compare CT, MRI, and radiographic imaging data from the joints of fully working showjumping horses, even though there are typically minimal or nonexistent symptoms of lameness. The study reveals that MRI and CT abnormalities, previously associated with lameness, were observed in the horses’ front fetlocks despite the absence of obvious lameness symptoms.

Methodology and Findings

  • The study conducted clinical and gait assessments on 31 showjumpers, followed by low-field MRI, fan-beam CT, and radiographic examinations focused on both metacarpophalangeal joints for each horse.
  • The images from these studies were then analyzed descriptively.
  • In most of the horses studied (53 out of 62 limbs, which is 85.5%), CT and MRI showed changes parallel to densification, which occurs mainly in the sagittal ridge and/or condyles of the third metacarpal bone (McIII).
  • In certain areas, hypoattenuation or subchondral bone resorption was observed in CT reconstructions, including the metacarpal condyle dorsoproximally and dorsodistally, the sagittal groove, and the medial fovea of the proximal phalanx.
  • While MRI could detect McIII resorptive lesions, lesions in the proximal phalanx were not identifiable through this method. Radiographs did not show any of these identified lesions.

Conclusions and Implications

  • Despite none of the participating horses showing symptoms of lameness, several MRI and CT abnormalities were noted in the front fetlocks of these horses. These abnormalities have been previously correlated with lameness.
  • Densification in the sagittal ridge and metacarpal condyles are believed to be adaptive changes resulting from regular strenuous exercise, a common aspect in the life of a showjumping horse.
  • The detected instances of subchondral bone resorption could be indicative of an early disease stage. However, more data is needed from follow-up studies to confirm the clinical significance of this finding.

Cite This Article

APA
Nagy A, Dyson S. (2024). Magnetic Resonance Imaging, Computed Tomographic and Radiographic Findings in the Metacarpophalangeal Joints of 31 Warmblood Showjumpers in Full Work and Competing Regularly. Animals (Basel), 14(10), 1417. https://doi.org/10.3390/ani14101417

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 14
Issue: 10
PII: 1417

Researcher Affiliations

Nagy, Annamaria
  • Department and Clinic of Equine Medicine, University of Veterinary Medicine Budapest, Dóra Major, 2225 Üllő, Hungary.
Dyson, Sue
  • The Cottage, Church Road, Market Weston, Diss IP22 2NX, UK.

Grant Funding

  • FK 138825 / National Research, Development and Innovation Fund, Ministry of Innovation and Technology of Hungary from the National Research
  • u00daNKP-22-5 / New National Excellence Program of the Ministry for Culture and Innovation

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 59 references
  1. Dyson S.J., Murray R.. Osseous trauma in the fetlock region of mature sports horses.. Proc. Am. Assoc. Equine Pract. 2006;52:443–456.
  2. Gonzalez L.M., Schramme M.C., Robertson I.D., Thrall D.E., Redding R.W.. MRI features of metacarpo(tarso)phalangeal region lameness in 40 horses.. Vet. Radiol. Ultrasound 2010;51:404–414.
  3. Dyson S., Nagy A., Murray R.. Clinical and diagnostic imaging findings in horses with subchondral bone trauma of the sagittal groove of the proximal phalanx.. Vet. Radiol. Ultrasound 2011;52:596–604.
  4. Powell S.E.. Low-field standing magnetic resonance imaging findings of the metacarpo/metatarsophalangeal joint of racing Thoroughbreds with lameness localised to the region: A retrospective study of 131 horses.. Equine Vet. J. 2012;44:169–177.
  5. King J.N., Zubrod C.J., Schneider R.K., Sampson S.N., Roberts G.. MRI findings in 232 horses with lameness localized to the metacarpo(tarso)phalangeal region and without a radiographic diagnosis. MRI findings in 232 horses with lameness localised to the metacarpo(tarso)phalangeal region and without a radiographic diagnosis.. Vet. Radiol. Ultrasound 2013;54:36–47.
    pubmed: 23020207
  6. Gold S.J., Werpy N.M., Gutierrez-Nibeyro S.D.. Injuries of the sagittal groove of the proximal phalanx in Warmblood horses detected with low-field magnetic resonance imaging: 19 cases (2007–2016). Vet. Radiol. Ultrasound 2017;58:344–353.
    doi: 10.1111/vru.12488pubmed: 28281306google scholar: lookup
  7. Olive J., Serraud N., Vila T., Germain J.-P.. Metacarpophalangeal joint injury patterns on magnetic resonance imaging: A comparison in racing Standardbreds and Thoroughbreds.. Vet. Radiol. Ultrasound 2017;58:588–597.
    doi: 10.1111/vru.12512pubmed: 28516447google scholar: lookup
  8. Lipreri G., Bladon B.M., Giorio M.E., Singer E.R.. Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI.. Vet. Surg. 2018;47:908–915.
    doi: 10.1111/vsu.12936pmc: PMC6690071pubmed: 30216476google scholar: lookup
  9. Denoix J.-M., Coudry V.. Clinical insights: Imaging of the equine fetlock in Thoroughbred racehorses: Identification of imaging changes to predict catastrophic injury.. Equine Vet. J. 2020;52:342–343.
    doi: 10.1111/evj.13226pubmed: 32259379google scholar: lookup
  10. Ammann L., Ohlerth S., Fürst A., Jackson M.A.. Differences of morphological attributes between 62 proximal and distal subchondral cystic lesions of the proximal phalanx as determined by radiography and computed tomography.. Am. J. Vet. Res. 2022;83:ajvr.22.04.0071.
    doi: 10.2460/ajvr.22.04.0071pubmed: 36315450google scholar: lookup
  11. Mageed M.. Standing computed tomography of the equine limb using a multi-slice helical scanner: Technique and feasibility study.. Equine Vet. Educ. 2022;34:77–83.
    doi: 10.1111/eve.13388google scholar: lookup
  12. Brounts S.H., Lund J.R., Whitton R.C., Ergun D.L., Muir P.. Use of a novel helical fan beam imaging system for computed tomography of the distal limb in sedated standing horses: 167 cases (2019–2020). J. Am. Vet. Med. Assoc. 2022;22:1351–1360.
    doi: 10.2460/javma.21.10.0439pubmed: 35943949google scholar: lookup
  13. Mathee N., Robert M., Higgerty S.H., Fosgate G.T., Rogers A.L., d’Ablon X., Carstens A.. Computed Tomographic Evaluation of the Distal Limb in the Standing Sedated Horse: Technique, Imaging Diagnoses, Feasibility, and Artifacts.. Vet. Radiol. Ultrasound 2022;64:243–252.
    doi: 10.1111/vru.13182pubmed: 36373276google scholar: lookup
  14. Faulkner J.E., Joostens Z., Broeckx B.J.G., Hauspie S., Mariën T., Vanderperren K.. Follow-up magnetic resonance imaging of sagittal groove disease of the equine proximal phalanx using a classification system in 29 non-racing sports horses.. Animals 2024;14:34.
    doi: 10.3390/ani14010034pmc: PMC10778323pubmed: 38200766google scholar: lookup
  15. Auth A., Hinnigan G., Smith M.A., Owen K.R.. Low-Field magnetic resonance imaging findings of the fetlock region of nonracehorses.. J. Equine Vet. Sci. 2024;132:104938.
    doi: 10.1016/j.jevs.2023.104938pubmed: 37832699google scholar: lookup
  16. Lin S.T., Bolas N.M., Sargan D.R., Peter V.G., Murray R.C.. Comparison of standing cone-beam computed tomography and low-field magnetic resonance imaging findings in the equine metacarpo- or metatarsophalangeal region of standing sedated horses.. Equine Vet. Educ. 2024.
    doi: 10.1111/eve.13967google scholar: lookup
  17. Faulkner J.E., Joostens Z., Broeckx B.J.G., Hauspie S., Mariën T., Vanderperren K.. Low-field magnetic resonance imaging of sagittal groove disease of the proximal phalanx in non-racing sport horses.. Equine Vet. J. 2024.
    doi: 10.1111/evj.14088pubmed: 38566459google scholar: lookup
  18. Murray R.C., Schramme M.C., Dyson S.J., Branch M.V., Blunden T.S.. Magnetic resonance imaging characteristics of the foot in horses with palmar foot pain and control horses.. Vet. Radiol. Ultrasound 2006;47:1–16.
  19. Nagy A., Dyson S.. Magnetic resonance imaging and histological findings in the proximal aspect of the suspensory ligament of forelimbs in nonlame horses.. Equine Vet. J. 2012;44:43–50.
  20. Nagy A., Dyson S.. Anatomical, magnetic resonance imaging and histological findings in the accessory ligament of the deep digital flexor tendon of forelimbs in nonlame horses.. Equine Vet. J. 2011;43:309–316.
  21. Nagy A., Dyson S.. Magnetic resonance findings in the carpus and proximal metacarpal region of non-lame horses.. Proc. Am. Assoc. Equine Prac. 2009;55:408–417.
    pubmed: 21895751
  22. Likon I., Dyson S., Nagy A.. Magnetic Resonance Imaging Measurements of the Proximal Palmar Cortex of the Third Metacarpal Bone and the Suspensory Ligament in Non-Lame Endurance Horses before and after Six Months of Training.. Animals 2023;13:1106.
    doi: 10.3390/ani13061106pmc: PMC10044202pubmed: 36978646google scholar: lookup
  23. Dyson S., Blunden A., Murray R.. Magnetic resonance imaging and gross post mortem and histological findings of the soft tissues of the plantar aspect of the tarsus and proximal metatarsal region in non-lame horses.. Vet. Radiol. Ultrasound 2017;58:217–227.
    doi: 10.1111/vru.12444pubmed: 27860072google scholar: lookup
  24. Biggi M., Dyson S.J.. Use of high-field and low-field magnetic resonance imaging to describe the anatomy of the proximal portion of the tarsal region of nonlame horses.. Am. J. Vet. Res. 2018;79:299–310.
    doi: 10.2460/ajvr.79.3.299pubmed: 29466044google scholar: lookup
  25. De Guio C., Ségard-Weisse E., Thomas-Cancian A., Schramme M.. Bone marrow lesions of the distal condyles of the third metacarpal bone are common and not always related to lameness in sports and pleasure horses.. Vet. Radiol. Ultrasound 2019;60:167–175.
    doi: 10.1111/vru.12700pubmed: 30475434google scholar: lookup
  26. van Veggel E., Selberg K., van der Velde-Hoogelander B., Bolas N., Vanderperren K., Bergman H.J.. Magnetic Resonance Imaging Findings of the Proximal Metacarpal Region in Warmblood Horses: 36 Lame and 26 Control Limbs (2015–2021). Front. Vet. Sci. 2021;8:714423.
    doi: 10.3389/fvets.2021.714423pmc: PMC8388851pubmed: 34458356google scholar: lookup
  27. Olive J., D’anjou M.A., Alexander K., Laverty S., Theoret C.. Comparison of magnetic resonance imaging, computed tomography, and radiography for assessment of noncartilaginous changes in equine metacarpophalangeal osteoarthritis.. Vet. Radiol. Ultrasound 2010;51:267–279.
  28. O’Brien T., Baker T.A., Brounts S.H., Sample S.J., Markel M.D., Scollay M.C., Marquis P., Muir P.. Detection of articular pathology of the distal aspect of the third metacarpal bone in thoroughbred racehorses: Comparison of radiography, computed tomography and magnetic resonance imaging.. Vet. Surg. 2011;40:942–951.
  29. Hontoir F., Nisolle J.F., Meurisse H., Simon V., Tallier M., Vanderstricht R., Antoine N., Piret J., Clegg P., Vandeweerd J.M.. A comparison of 3-T magnetic resonance imaging and computed tomography arthrography to identify structural cartilage defects of the fetlock joint in the horse.. Vet. J. 2014;199:115–122.
    doi: 10.1016/j.tvjl.2013.10.021pubmed: 24321368google scholar: lookup
  30. Johnston G.C.A., Ahern B.J., Palmieri C., Young A.C.. Imaging and Gross Pathological Appearance of Changes in the Parasagittal Grooves of Thoroughbred Racehorses.. Animals 2021;11:3366.
    doi: 10.3390/ani11123366pmc: PMC8697963pubmed: 34944142google scholar: lookup
  31. Lin S.T., Peter V.G., Schiavo S., Pokora R., Patrick H., Bolas N., Foote A.K., Sargan D.R., Murray R.C.. Identification of heterotropic mineralisation and adjacent pathology in the equine fetlock region by low-field magnetic resonance imaging, cone-beam and fan-beam computed tomography.. J. Equine Vet. Sci. 2023;126:104252.
    doi: 10.1016/j.jevs.2023.104252pubmed: 36796738google scholar: lookup
  32. Lin S.T., Bolas N.M., Peter V.G., Pokora R., Patrick H., Foote A.K., Sargan D.R., Murray R.C.. Comparison of cone-beam and fan-beam computed tomography and low-field magnetic resonance imaging for detection of palmar/plantar osteochondral disease in Thoroughbred horses.. Equine Vet. J. 2024;56:484–493.
    doi: 10.1111/evj.14023pubmed: 37488678google scholar: lookup
  33. Lin S.T., Foote A.K., Bolas N.M., Peter V.G., Pokora R., Patrick H., Sargan D.R., Murray R.C.. Three-dimensional imaging and histopathological features of third metacarpal/tarsal parasagittal groove and proximal phalanx sagittal groove fissures in Thoroughbred horses.. Animals 2023;13:2912.
    doi: 10.3390/ani13182912pmc: PMC10525482pubmed: 37760312google scholar: lookup
  34. Nagy A., Boros K., Dyson S.. Magnetic resonance imaging, computed tomographic and radiographic findings in the metacarpophalangeal joints of 40 non-lame Thoroughbred Yearlings.. Animals 2023;13:3466.
    doi: 10.3390/ani13223466pmc: PMC10668665pubmed: 38003084google scholar: lookup
  35. Dyson S.. Can lameness be graded reliably?. Equine Vet. J. 2011;43:379–382.
  36. Contino E., Daglish J., Kawcak C.. The prevalence of lameness in FEI athletes and its correlation to performance.. Proc. Am. Assoc. Equine Pract. 2023;69:369–370.
  37. Scheidegger M.D., Gerber V., Dolf G., Burger D., Flammer A., Ramseyer A.. Quantitative Gait Analysis before and after a Cross-country Test in a Population of Elite Eventing Horses.. J. Equine Vet. Sci. 2022;117:104077.
    doi: 10.1016/j.jevs.2022.104077pubmed: 35820497google scholar: lookup
  38. Keegan K.. Use of Equinosis Q with Lameness Locator to evaluate lameness in horses.. Proc. Am. Assoc. Equine Pract. 2022;69:335–344.
  39. Leclerq A., Persson-Sjödin E., Ask K., Zetterburg E., Hernlund E., Andersen P.H., Rhodin M.. Perceived and correlation to vertical motion asymmetry in young warmblood horses.. PLoS ONE 2023;18:e0288043.
    pmc: PMC10328353pubmed: 37418437
  40. Greve L., Dyson S.. What can we learn from visual and objective assessment of non-lame and lame horses in straight lines, on the lunge and ridden?. Equine Vet. Educ. 2020;32:479–491.
    doi: 10.1111/eve.13016google scholar: lookup
  41. Firth E.C.. The Response of Bone, Articular Cartilage and Tendon to Exercise in the Horse.. J. Anat. 2006;208:513–526.
  42. Kawcak C.E., McIlwraith C.W., Firth E.C.. Effects of early exercise on metacarpophalangeal joints in horses.. Am. J. Vet. Res. 2010;71:405–411.
    doi: 10.2460/ajvr.71.4.405pubmed: 20367048google scholar: lookup
  43. Dykgraaf S., Firth E.C., Rogers C.W., Kawcak C.E.. Effects of exercise on chondrocyte viability and subchondral bone sclerosis in the distal third metacarpal and metatarsal bone of young horses.. Vet. J. 2008;178:53–61.
    doi: 10.1016/j.tvjl.2007.08.016pubmed: 17996470google scholar: lookup
  44. Brama P.A.J., Tekoppele J.M., Bank R.A., Karssenberg D., Barneveld A., van Weeren P.R.. Topographical mapping of biomechanical properties of articular cartilage in the equine fetlock joint.. Equine Vet. J. 2000;23:19–26.
    doi: 10.2746/042516400777612062pubmed: 10661380google scholar: lookup
  45. Brama P.A.J., Karssenberg D., Barneveld A., van Weeren P.R.. Contact areas and pressure distribution on the proximal articular surface of the proximal phalanx under sagittal plane loading.. Equine Vet. J. 2001;33:26–32.
    doi: 10.2746/042516401776767377pubmed: 11191606google scholar: lookup
  46. Singer E., Garcia T., Stover S.. How does bone strain vary between the third metacarpal and the proximal phalangeal bones of the equine distal limb?. J. Biomech. 2021;123:110455.
  47. Stewart H.L., Kawcak C.E.. The importance of subchondral bone in the pathophysiology of osteoarthritis.. Front. Vet. Sci. 2018;5:178.
    doi: 10.3389/fvets.2018.00178pmc: PMC6122109pubmed: 30211173google scholar: lookup
  48. Brommer H., van Weeren P.R., Brama P.A.J., Barneveld A.. Quantification and age-related distribution of articular cartilage degeneration in the equine fetlock joint.. Equine Vet. J. 2003;35:697–701.
    doi: 10.2746/042516403775696357pubmed: 14649362google scholar: lookup
  49. Wright I.M., Minshall G.J.. Identification and treatment of osteochondritis dissecans of the distal sagittal ridge of the third metacarpal bone.. Equine Vet. J. 2014;46:585–588.
    doi: 10.1111/evj.12187pubmed: 24102887google scholar: lookup
  50. Bolamperti S., Villa I., Rubinacci A.. Bone remodeling: An operational process ensuring survival and bone mechanical competence.. Bone Res. 2022;10:48.
    doi: 10.1038/s41413-022-00219-8pmc: PMC9293977pubmed: 35851054google scholar: lookup
  51. Riggs C.M., Boyde A.. Effect of exercise on bone density in distal regions of the equine third metacarpal bone in 2-year-old thoroughbreds.. Equine Vet. J. 1999;31((Suppl. S30)):555–560.
  52. Firth E.C., Rogers C.W., Jopson N.. Effects of racetrack exercise on third metacarpal and carpal bone of New Zealand thoroughbred horses.. J. Muscoskelet. Neuron. Interact. 2000;1:145–147.
    pubmed: 15758509
  53. Firth E.C., Rogers C.W., van Weeren P.R., Barneveld A., McIlwraith C.W., Kawcak C.E., Goodship A.E., Smith R.K.. Mild exercise early in life produces changes in bone size and strength but not density in proximal phalangeal, third metacarpal and third carpal bones of foals.. Vet. J. 2011;190:383–389.
    doi: 10.1016/j.tvjl.2010.11.016pubmed: 21186128google scholar: lookup
  54. Ciamillo S.A., Wulster K.B., Gassert T.M., Richardson D.W., Brown K.A., Stefanovski D., Ortved K.F.. Prospective, longitudinal assessment of subchondral bone morphology and pathology using standing, cone-beam computed tomography in fetlock joints of 2-year-old Thoroughbred racehorses in their first year of training.. Equine Vet. J. 2024:1–14.
    doi: 10.1111/evj.14048pubmed: 38247205google scholar: lookup
  55. van Weeren P.R., Barneveld A.. The effect of exercise on the distribution and manifestation of osteochondrotic lesions in the Warmblood foal.. Equine Vet. J. 1999;31:16–25.
  56. Barneveld A., van Weeren P.R.. Conclusions regarding the influence of exercise on the development of the equine musculoskeletal system with special reference to osteochondrosis.. Equine Vet. J. 1999;31((Suppl. S31)):112–119.
  57. Bramlage L.. Operative orthopedics of the fetlock joint of the horse: Traumatic and developmental diseases of the equine fetlock joint.. Proc. Am. Assoc. Equine Pract. 2009:96–143.
  58. Ammann L., Fürst A.E., Jackson M.A.. Complete fractures through osseous cyst-like lesions of the proximal phalanx in three horses.. Equine Vet. Educ. 2024.
    doi: 10.1111/eve.13965google scholar: lookup
  59. O’Brien E.J.O., Smith R.K.W.. Mineralization can be an incidental ultrasonographic finding in equine tendons and ligaments.. Vet. Radiol. Ultrasound 2018;59:613–623.
    doi: 10.1111/vru.12628pubmed: 29776006google scholar: lookup

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