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Australian veterinary journal2017; 95(10); 362-369; doi: 10.1111/avj.12628

Prevalence of subchondral bone pathological changes in the distal metacarpi/metatarsi of racing Thoroughbred horses.

Abstract: To investigate the prevalence of microscopic subchondral bone injury in the distal metacarpi/tarsi of Thoroughbred racehorses and associations with recent and cumulative training history. Methods: Metacarpi/metatarsi were obtained from postmortem examination of Thoroughbred racehorses. The severity of palmar/plantar osteochondral disease (POD) was graded in forelimbs from 38 horses and in hindlimbs from a separate cohort of 45 horses. Forelimb samples were embedded in methyl methacrylate and examined using backscattered scanning electron microscopy. Microfracture density in the condylar subchondral bone was determined. Horizontal subchondral bone fractures were identified in hindlimb samples using sections of demineralised tissue. Empty osteocyte lacunae were quantified in hindlimb samples using sections of demineralised tissue. Results: The prevalence of gross POD was 65.8% (95% confidence interval (CI) 48.7-80.4%) in the forelimb and 57.8% (95% CI 42.2-72.3%) in the hindlimb cohort of horses. Microfractures occurred in the forelimbs of 97.4% (95% CI 86.2-99.9%) of horses. Microfracture density in forelimbs increased with age (r  = 0.50, P = 0.001), the number of race starts (r  = 0.47, P = 0.003) and was greater in the medial condyles of horses in training than in those not in training (n = 21, median: 3.1/mm; range: 0.8-10.0 vs n = 17, 1.4/mm; 0-4.5, P = 0.008). Empty osteocyte lacunae were observed in the subchondral bone of hindlimbs in 97.7% (95% CI 88.0-99.9%) of 44 horses. Conclusions: Subchondral bone pathology occurs with a high prevalence in Thoroughbred racehorses presented for postmortem examination. The accumulation of subchondral bone damage with longer career duration is consistent with bone fatigue.
Publication Date: 2017-09-28 PubMed ID: 28948629DOI: 10.1111/avj.12628Google Scholar: Lookup
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  • Journal Article

Summary

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The research investigates the rate and extent of minor bone damage in the lower fore and hind limbs of Thoroughbred racehorses, and examines any associations with the horse’s training history. The study concludes that subchondral bone damage is very common among the examined racehorses, and that the amount of damage tends to increase the longer the horse’s racing career.

Objective and Methods of the Study

  • The study’s objective was to examine the frequency and magnitude of subchondral (beneath the cartilage) bone damage in the distal (lower) metacarpi/tarsi (forelimb/hindlimb) of Thoroughbred racehorses. Furthermore, it aimed to ascertain any correlation between such injuries and the training history of the horses.
  • Postmortem examinations were carried out on the metacarpi/metatarsi of Thoroughbred racehorses. Samples from both the forelimbs and hindlimbs of separate horse cohorts were obtained for this purpose.
  • The severity of palmar/plantar osteochondral disease (POD), a degenerative disorder of the bones and joints, was graded in the limb samples. In the forelimb samples, microfracture density in the condylar subchondral bone was determined using backscattered scanning electron microscopy.
  • Various observations, such as identification of horizontal subchondral bone fractures and quantification of empty osteocyte lacunae (spaces in the bone that were once home to bone cells), were made in the hindlimb samples.

Results of the Study

  • A high prevalence of gross POD was found: 65.8% in the forelimb and 57.8% in the hindlimb samples.
  • Microfractures were found in the forelimbs of 97.4% of the horses. The density of these microfractures in the forelimbs was found to increase with age and the number of race starts.
  • Empty osteocyte lacunae were observed in the subchondral bone of the hindlimbs in 97.7% of the horses. These are spaces where bone cells were once present, suggesting cell death or damage.

Conclusions of the Study

  • Pathological changes to the subchondral bone were found to be very common in the Thoroughbred racehorses subjected to postmortem examinations in this study.
  • The accumulation of damage to the subchondral bone was found to be greater with a longer duration of the horse’s career, indicating that these injuries are likely due to fatigue of the bone over time.

Cite This Article

APA
Bani Hassan E, Mirams M, Mackie EJ, Whitton RC. (2017). Prevalence of subchondral bone pathological changes in the distal metacarpi/metatarsi of racing Thoroughbred horses. Aust Vet J, 95(10), 362-369. https://doi.org/10.1111/avj.12628

Publication

ISSN: 1751-0813
NlmUniqueID: 0370616
Country: England
Language: English
Volume: 95
Issue: 10
Pages: 362-369

Researcher Affiliations

Bani Hassan, E
  • Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee 3030, Victoria, Australia.
  • Australian Institute for Musculoskeletal Science (AIMSS) and Department of Medicine-Western Health, Melbourne Medical School, The University of Melbourne, Australia.
Mirams, M
  • Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee 3030, Victoria, Australia.
Mackie, E J
  • Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee 3030, Victoria, Australia.
Whitton, R C
  • Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee 3030, Victoria, Australia.

MeSH Terms

  • Animals
  • Athletic Injuries / diagnosis
  • Athletic Injuries / veterinary
  • Female
  • Forelimb
  • Fractures, Bone / etiology
  • Fractures, Bone / pathology
  • Fractures, Bone / veterinary
  • Horse Diseases / diagnosis
  • Horse Diseases / epidemiology
  • Horses
  • Male
  • Metacarpal Bones / injuries
  • Metacarpal Bones / pathology
  • Prevalence

Citations

This article has been cited 5 times.
  1. Pearce DJ, Hitchens PL, Malekipour F, Ayodele B, Lee PVS, Whitton RC. Biomechanical and Microstructural Properties of Subchondral Bone From Three Metacarpophalangeal Joint Sites in Thoroughbred Racehorses. Front Vet Sci 2022;9:923356.
    doi: 10.3389/fvets.2022.923356pubmed: 35847629google scholar: lookup
  2. 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
  3. Heales CJ, Summers IR, Fulford J, Knapp KM, Winlove CP. Investigation of changes in bone density and chemical composition associated with bone marrow oedema-type appearances in magnetic resonance images of the equine forelimb. BMC Musculoskelet Disord 2019 Jul 15;20(1):330.
    doi: 10.1186/s12891-019-2693-ypubmed: 31307450google scholar: lookup
  4. Malekipour F, Whitton RC, Muir P, Lee PV. Standing CT-based finite element models efficiently identify regions of high mechanical strain in equine metacarpal subchondral bone. Sci Rep 2025 Dec 11;16(1):1166.
    doi: 10.1038/s41598-025-30921-6pubmed: 41381693google scholar: lookup
  5. Hewitt-Dedman CL, Kershaw LE, Schwarz T, Del-Pozo J, Duncan J, Daniel CR, Cillán-García E, Pressanto MC, Taylor SE. Preliminary study of proton magnetic resonance spectroscopy to assess bone marrow adiposity in the third metacarpus or metatarsus in Thoroughbred racehorses. Equine Vet J 2025 Mar;57(2):471-479.
    doi: 10.1111/evj.14086pubmed: 38699829google scholar: lookup