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Veterinary surgery : VS2026; doi: 10.1111/vsu.70073

Natural progression of tarsal osteochondrosis in Standardbred pacers and trotters.

Abstract: To determine the natural progression of tarsal osteochondrosis (OC) in a cohort of Standardbred foals and assess the impact of gait preference (trotting vs. pacing). Methods: Longitudinal observational cohort study. Methods: Client-owned Standardbred foals (n = 148). Methods: Tarsal radiographs were taken every 2 months from 2 to 12 months of age and foals were video monitored to document time spent pacing or trotting. Differences between groups were assessed using χ analysis. Survival analysis was used to determine if lesion healing differed between groups over time. Results: Of 148 horses, 103 (69.6%) had OC lesions at 2 months of age but only 32 (21.6%) still had OC lesions by 12 months. In 28 of these horses, the lesions had progressed to osteochondrosis dissecans (OCD). Of 71 horses with lesions that healed, 60 (84.5%) did so by 6 months of age. Gait was not associated with presence or absence of OC lesions or healing of lesions over time. Foals spent less than 1% of their observed time trotting or pacing. Conclusions: Tarsal OC lesions were prevalent in this cohort of young Standardbreds, and most lesions healed within the first few months of life. There was no evidence for direct biomechanical forces from movement at the pace or trot affecting the location of OCD fragment development. Conclusions: The critical window for tarsal OC lesion healing was prior to 6 months of age and further investigation of risk factors present during this time frame is warranted.
Publication Date: 2026-01-03 PubMed ID: 41482995DOI: 10.1111/vsu.70073Google Scholar: Lookup
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  • Journal Article

Summary

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Overview

  • This study investigates how tarsal osteochondrosis (OC), a joint condition, naturally progresses in young Standardbred horses and whether the type of gait they prefer (trotting vs. pacing) influences this progression.

Study Purpose and Design

  • The goal was to understand how tarsal OC changes over time in Standardbred foals and to examine if gait preference affects lesion development or healing.
  • The study was a longitudinal observational cohort design, following the same group of foals over time.
  • Sample size consisted of 148 client-owned Standardbred foals.

Methods

  • Tarsal joint X-rays (radiographs) were taken every 2 months starting from 2 months until 12 months of age for each foal.
  • Foals were video monitored to record the amount of time spent trotting or pacing.
  • Statistical analysis included:
    • Chi-square (χ²) tests to compare differences between groups.
    • Survival analysis to evaluate if the healing of OC lesions occurred differently over time between groups.

Key Findings

  • At 2 months of age, 103 out of 148 foals (approximately 70%) had OC lesions in their tarsal joints.
  • By 12 months of age, only 32 foals (about 22%) still exhibited OC lesions, showing a significant healing rate.
  • Among these foals, 28 developed osteochondrosis dissecans (OCD), a more severe and fragmenting form of osteochondrosis.
  • For the 71 foals whose lesions healed, the majority (85%) had healed by 6 months of age, indicating a critical healing period early in life.
  • Gait preference (trotting vs. pacing) did not appear to correlate with the presence, absence, or healing rate of OC lesions.
  • Foals spent less than 1% of observed time actually trotting or pacing, suggesting low engagement in these specific movements during observation.

Conclusions and Implications

  • Tarsal OC lesions are common in young Standardbred foals but tend to heal naturally within the first few months.
  • The study found no evidence that the biomechanics associated with pacing or trotting influenced the development or location of OCD lesions.
  • The early life period, specifically before 6 months of age, is crucial for lesion healing; thus, factors affecting joint health during this time warrant further research.
  • Understanding this critical window may help inform management and prevention strategies to reduce the progression of osteochondrosis in racehorses.
  • The low time spent in the gaits studied suggests that mechanical stress from these specific movements is unlikely a major factor in lesion development during early life.

Cite This Article

APA
McCoy AM, Lopp-Schurter CT, Bishop RC, Narotsky A, Grogger K, Kemper AM. (2026). Natural progression of tarsal osteochondrosis in Standardbred pacers and trotters. Vet Surg. https://doi.org/10.1111/vsu.70073

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English

Researcher Affiliations

McCoy, Annette M
  • Department of Veterinary Clinical Medicine, University of Illinois Urbana-Champaign, Urbana, Illinois, USA.
Lopp-Schurter, Christine T
  • Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa, USA.
Bishop, Rebecca C
  • Department of Veterinary Clinical Medicine, University of Illinois Urbana-Champaign, Urbana, Illinois, USA.
Narotsky, Amy
  • Hoosier Equine Veterinary Services, Anderson, Indiana, USA.
Grogger, Kyle
  • Brazos Valley Equine Hospitals, Navasota, Texas, USA.
Kemper, Ann M
  • Department of Veterinary Clinical Medicine, University of Illinois Urbana-Champaign, Urbana, Illinois, USA.

Grant Funding

  • D16EQ-311 / Morris Animal Foundation
  • D20EQ-046 / Morris Animal Foundation
  • T35 OD011145 / ODCDC CDC HHS
  • ILLU-888-349 / USDA Hatch Funds

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