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Journal of equine veterinary science2020; 94; 103268; doi: 10.1016/j.jevs.2020.103268

Magnetic Resonance Imaging Findings in the Proximal Metacarpal Region of 359 Horses and Proximal Metatarsal Region of 64 Horses Acquired Under Standing Sedation.

Abstract: Standing magnetic resonance (MR) images of proximal metacarpal/metatarsal regions are increasingly being acquired. This study aimed at describing ranges of abnormalities detected in sport/racehorses, using retrospective evaluation of magnetic resonance imaging (MRI) reports from horses with lameness isolated to proximal metacarpal/metatarsal regions with images acquired standing. It was hypothesized that MRI features are different between metacarpal and metatarsal regions and between horses doing different sports. Reports from 359 forelimbs and 64 hindlimbs were included. Palmar/plantar metacarpal/metatarsal bone injury and suspensory desmopathy, which often occurred concurrently, were most frequently reported. Third metacarpal abnormalities were more likely at palmar/medial locations, including cortical (86.4%) and trabecular (38.2%) pathology with frequent thickening, irregularity, and periosteal/endosteal abnormalities. Fluid signal was reported in cortical (38.7%) and trabecular (22.6%) bone. Medial intermetacarpal articulation abnormalities were more frequently reported (52.5%) than lateral. Suspensory ligament pathology was reported in 83.8% forelimbs, frequently with cortical (74.1%) or trabecular (32.9%) pathology. Tarsal-joint abnormalities were significantly more likely than carpal-joint abnormalities. Third metatarsal cortical (57.8%) and trabecular (20.3%) pathology was most frequently plantar, but significantly more likely to be dorsal than forelimbs. Metatarsal fluid signal was significantly less likely than metacarpal. Lateral intermetatarsal articulation pathology (23.4%) was more frequent than medial; medial was significantly more likely in forelimbs. Suspensory ligament abnormalities were reported in 64.1% hindlimbs, 39.1% having concurrent cortical pathology. Metacarpal fluid signal was significantly more likely in endurance/racehorses than dressage/show jumping horses. Dressage was overrepresented in hindlimb suspensory origin pathology. These findings indicate different pathology patterns between forelimb/hindlimb and between different sports and may be useful for MRI interpretation.
Publication Date: 2020-09-17 PubMed ID: 33077090DOI: 10.1016/j.jevs.2020.103268Google Scholar: Lookup
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  • Journal Article

Summary

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The research article discusses the diverse range of abnormalities identified in the proximal metacarpal/metatarsal regions of sport and racehorses, using magnetic resonance imaging (MRI) conducted under standing sedation. The article highlights how MRI features vary between the metacarpal and metatarsal regions and between various horse sports.

Research Methodology

  • The researchers used retrospective assessment of MRI reports in identifying various abnormalities. The MRIs were carried out on horses with lameness originating from the proximal metacarpal/metatarsal regions.
  • Thorough evaluation of MRIs from 359 forelimbs and 64 hindlimbs was performed, giving an encompassing spectrum of possible abnormalities.

Findings

  • The most frequent abnormalities identified were suspensory desmopathy and palmar/plantar injuries to the metacarpal/metatarsal bones, which often occurred simultaneously.
  • Peculiar abnormalities to the third metacarpal were more often observed at palmar/medial locations. These include trabecular (38.2%) and cortical (86.4%) pathology with regular thickening, irregularity, and periosteal/endosteal abnormalities.
  • Liquid signal was detected in cortical (38.7%) and trabecular (22.6%) bone, indicative of possible inflammation or injury.
  • Tarsal-joint abnormalities were more prevalent than carpal-joint abnormalities, indicating a disparity in injury location based on limb orientation.
  • Abnormalities in forelimbs were more frequently found than in hindlimbs, implying differences in strain or injury based on limb usage.
  • Specific patterns of abnormalities were observed between different sports, with more metacarpal fluid signal found in endurance/racehorses than in dressage/show jumping horses.
  • Dressage was notably overrepresented in pathological cases related to the hindlimb suspensory origin.

Conclusion

  • The research findings suggest variable patterns of pathology between forelimb and hindlimb regions, and between different sports.
  • The results could be of significance in the interpretation of MRIs for horses, aiding more accurate diagnosis of lameness issues.
  • A potential implication of the research could be the development of tailored therapeutic and preventive approaches based on the specific demands of different equestrian sports and horse breeds.

Cite This Article

APA
Murray RC, Tranquille CA, Walker VA, Milmine RC, Bak L, Tacey JB, Bolas NM. (2020). Magnetic Resonance Imaging Findings in the Proximal Metacarpal Region of 359 Horses and Proximal Metatarsal Region of 64 Horses Acquired Under Standing Sedation. J Equine Vet Sci, 94, 103268. https://doi.org/10.1016/j.jevs.2020.103268

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 94
Pages: 103268

Researcher Affiliations

Murray, Rachel C
  • VetCT, St Johns Innovation Centre, Cambridge, UK. Electronic address: rmurray@ibikus.co.uk.
Tranquille, Carolyne A
  • Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK.
Walker, Vicki A
  • Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK.
Milmine, Rebecca C
  • Dubai Equine Hospital, Dubai, United Arab Emirates.
Bak, Lars
  • Hoejgaard Equine Hospital, Denmark.
Tacey, Jack B
  • Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK.
Bolas, Nick M
  • Hallmarq Veterinary Imaging Ltd., Guildford, UK.

MeSH Terms

  • Animals
  • Horse Diseases / diagnostic imaging
  • Horses
  • Lameness, Animal
  • Magnetic Resonance Imaging
  • Metacarpal Bones / diagnostic imaging
  • Metatarsal Bones / diagnostic imaging
  • Retrospective Studies