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Metacarpophalangeal joint injury patterns on magnetic resonance imaging: A comparison in racing Standardbreds and Thoroughbreds.

Abstract: The metacarpal condyle has received extensive attention as a predominant site of overload arthropathy in racehorses. However, detailed descriptions of MRI lesion patterns for the metacarpophalangeal joint and comparisons between types of racing horses are currently lacking. Aims of this retrospective, cross-sectional study were to describe and compare standing low-field magnetic resonance findings in the metacarpophalangeal joints for groups of Standardbreds and Thoroughbreds using systematic semiquantitative scores. Data archives at the Clinique Vétérinaire Equine de Chantilly and Imavet were searched during the period from June 2010 to February 2016. Images were retrieved and reviewed by one reader. A total of 30 Standardbreds and 77 Thoroughbreds were sampled. The Thoroughbreds developed a much higher rate of stress fractures (40.3% vs. 10%) and overall more severe scores of subchondral sclerosis and bone marrow lesions than Standardbreds. The Standardbreds had more sites of subchondral bone defect and resorption, as well as higher synovitis and joint capsule thickening scores. Both Standardbreds and Thoroughbreds frequently developed multifocal subchondral lesions not limited to the distal palmar condyle. The Standardbreds had a higher tendency to develop dorsomedial joint pole subchondral injuries. Both Standardbreds and Thoroughbreds developed a noticeably high rate of periarticular soft tissue injuries (36.7% in Standardbreds and 20.8% in Thoroughbreds), which were rarely considered as the main contributors to the lameness. Findings supported the use of low-field MRI as a whole-organ assessment tool for Standardbreds and Thoroughbreds with suspected metacarpophalangeal joint injuries.
Publication Date: 2017-05-17 PubMed ID: 28516447DOI: 10.1111/vru.12512Google Scholar: Lookup
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  • Comparative Study
  • Journal Article

Summary

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This study compared the magnetic resonance imaging findings of the metacarpophalangeal joint in two types of racing horses, Standardbreds and Thoroughbreds. The report suggested that each breed experiences different injury patterns and levels of severity, with Thoroughbreds more likely to develop stress fractures and metacarpophalangeal joint injuries being common in both breeds.

Introduction

  • The research focuses on the metacarpophalangeal joint of racing horses, a known common location of arthropathy due to overuse.
  • Both Standardbreds and Thoroughbreds – two different breeds of racehorses – were included in the study.
  • The study was conducted retrospectively, using data from June 2010 to February 2016. The study aimed to understand and compare breed-based differences in metacarpophalangeal injuries.

Methodology

  • Researchers fetched and reviewed images from the Clinique Vétérinaire Equine de Chantilly and Imavet data archives.
  • The study sample included a total of 107 horses: 30 Standardbreds and 77 Thoroughbreds. One reader reviewed all images.
  • A system of semiquantitative scores was used to evaluate and compare the MRI findings for each breed.

Findings

  • Thoroughbreds had a higher incidence of stress fractures (40.3% compared to 10% in Standardbreds).
  • Overall, Thoroughbreds showed more severe scores of subchondral sclerosis and bone marrow lesions than Standardbreds.
  • On the other hand, Standardbreds had more instances of subchondral bone defect and resorption. They also had higher synovitis and joint capsule thickening scores.
  • Subchondral lesions occurring in multiple locations were common in both breeds. These were not confined only to the distal palmar condyle.
  • Dorsomedial joint pole subchondral injuries were more prevalent in Standardbreds.
  • Both breeds had a high rate of periarticular soft tissue injuries (36.7% in Standardbreds and 20.8% in Thoroughbreds). However, these were rarely considered as the main causes of lameness.

Conclusion

  • This study highlighted the variability in injury patterns between the two breeds of racehorses.
  • Though both breeds showed a high prevalence of joint injuries, the types and severity of injuries differed between them.
  • Findings also validated the importance of using low-field MRI as a tool to assess potential whole-organ injuries in racehorses.

Cite This Article

APA
Olive J, Serraud N, Vila T, Germain JP. (2017). Metacarpophalangeal joint injury patterns on magnetic resonance imaging: A comparison in racing Standardbreds and Thoroughbreds. Vet Radiol Ultrasound, 58(5), 588-597. https://doi.org/10.1111/vru.12512

Publication

ISSN: 1740-8261
NlmUniqueID: 9209635
Country: England
Language: English
Volume: 58
Issue: 5
Pages: 588-597

Researcher Affiliations

Olive, Julien
  • Vet-CT Specialists, St. John's Innovation Park, Milton, Cambridge, CB40WS, UK.
Serraud, Nicolas
  • 60 Impasse du Tourmalet, 31330, Merville, France.
Vila, Thibault
  • Clinique Vétérinaire Equine de Chantilly, 60500, Chantilly, France.
Germain, Jean-Philippe
  • Imavet, 31330 Grenade-sur-Garonne, France.

MeSH Terms

  • Animals
  • Cross-Sectional Studies
  • Female
  • Hand Joints / diagnostic imaging
  • Hand Joints / injuries
  • Horse Diseases / diagnostic imaging
  • Horses / injuries
  • Joint Diseases / diagnostic imaging
  • Joint Diseases / veterinary
  • Magnetic Resonance Imaging / veterinary
  • Male
  • Retrospective Studies

Citations

This article has been cited 2 times.
  1. Johnston GCA, Ahern BJ, Palmieri C, Young AC. Imaging and Gross Pathological Appearance of Changes in the Parasagittal Grooves of Thoroughbred Racehorses.. Animals (Basel) 2021 Nov 24;11(12).
    doi: 10.3390/ani11123366pubmed: 34944142google scholar: lookup
  2. Johnston GCA, Ahern BJ, Woldeyohannes SM, Young AC. Does the Low-Field MRI Appearance of Intraosseous STIR Hyperintensity in Equine Cadaver Limbs Change when Subjected to a Freeze-Thaw Process?. Animals (Basel) 2021 Feb 11;11(2).
    doi: 10.3390/ani11020475pubmed: 33670209google scholar: lookup