Prevalence, radiographic resolution and outcomes of slab fractures of the third and central tarsal bones in juvenile Thoroughbred horses.
Abstract: Veterinarians are required to interpret the significance of radiographic findings for sale, soundness and future racing performance of weanling and yearling Thoroughbreds. We investigated the prevalence and radiographic appearance of slab fractures of the third (T3) and central tarsal (Tc) bones. Methods: Weanling and yearling horses with complete or incomplete T3 or Tc fracture were identified by searching a database of radiographs. The prevalence and radiographic appearance at initial diagnosis and after continued pasture turnout, as well as prognosis for racing, of fractures of T3 and Tc were determined. Results: Fractures were identified in 186 tarsi (184 T3 fracture only, 1 Tc fracture only, 1 Tc and T3 fracture) of 157 horses (126 unilateral T3, 29 bilateral T3, 1 contralateral Tc and T3, 1 unilateral Tc and T3) from 7676 examinations. The prevalence of T3 and Tc fractures was 2.40 (95% CI 2.07, 2.76) and 0.04 (95% CI 0.01, 0.11) per 100 radiographic examinations respectively. Fractures were identified on the D556-65°MPlLO view and occurred by survey examination at 11.1 ± 1.3 months in 85.7% horses. At initial diagnosis, 84.3% of T3 fractures appeared incomplete and involved the distal articular surface. Fracture score improved (P < 0.001), and dorsal modelling (P < 0.001) and osteoarthritis score increased in the distal intertarsal joint (P 6 months between examinations. There was no difference in sale price, and horses with T3 fractures had fewer trials when 2 and 3 years old (P = 0.023), yet no difference in other parameters of racing success when 2 or 3 years old compared with controls. Conclusions: Tarsal slab fractures can occur in juvenile Thoroughbreds and most heal with continued pasture turnout of > 6 months. Further investigation is required to determine risk factors and before making firm conclusions regarding the optimal management, prognosis for racing and long-term soundness.
© 2019 Australian Veterinary Association.
Publication Date: 2019-03-29 PubMed ID: 30919440DOI: 10.1111/avj.12790Google Scholar: Lookup
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Summary
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The research study evaluates the occurrence and radiographic appearance of slab fractures of the third and central tarsal bones in juvenile Thoroughbred horses and their impact on their future racing performance. It suggests that these fractures can occur in young Thoroughbreds, and most heal with a minimum of six months’ continued pasture turnout. However, the study calls for further research to determine risk factors and conclusively understand optimal management, prognosis for racing, and long-term soundness.
Research Methodology
- The researchers analyzed weanling and yearling Thoroughbred horses with either complete or incomplete fractures in the third (T3) and central tarsal (Tc) bones. This data was found by searching a database of radiographs.
- The occurrence, radiographic appearance at initial diagnosis and post a continued pasture turnout, and the prognosis of the horse’s fractures were determined.
Research Findings
- Fractures were found in 186 tarsi (184 T3 fractures only, 1 Tc fracture only, 1 Tc and T3 fracture) of 157 horses out of 7676 examinations, giving an occurrence rate of 2.40 and 0.04 per 100 radiographic examinations respectively for T3 and Tc fractures.
- Most fractures were identified via the D556-65°MPlLO view method and were usuallyfound in horses around 11.1 ± 1.3 months old.
- At the time of initial diagnosis, 84.3% of T3 fractures appeared to be incomplete and involved the distal articular surface.
- Fractures tended to heal by the time the horses were examined again if there was more than 6 months between examinations (found true for 71.9% of tarsi).
- No discernable change in sale price due to these fractures, however, horses with T3 fractures had fewer trials at 2 and 3 years old, but there were no other apparent impacts on racing performance.
Conclusions and Further Research
- The study concludes that slab fractures can occur in juvenile Thoroughbred horses and generally heal with over six months of continuous pasture turnout.
- However, there is a need for further investigation to identify risk factors. In addition, more research is required to gather conclusive information about the optimal management of these cases, the prognosis for racing and thorough evaluation of long-term soundness.
Cite This Article
APA
Steel CM, Collins VL, Hance SR, Adkins AR, Hitchens PL.
(2019).
Prevalence, radiographic resolution and outcomes of slab fractures of the third and central tarsal bones in juvenile Thoroughbred horses.
Aust Vet J, 97(4), 108-115.
https://doi.org/10.1111/avj.12790 Publication
Researcher Affiliations
- Equine Centre, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee, Victoria, 3030, Australia.
- Equine Centre, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee, Victoria, 3030, Australia.
- Stephen Hance LLC, Oklahoma City, Oklahoma, 73122, USA.
- Scone Equine Hospital, Scone, New South Wales, Australia.
- Equine Centre, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy, Werribee, Victoria, 3030, Australia.
MeSH Terms
- Animals
- Australia
- Case-Control Studies
- Fractures, Bone / diagnostic imaging
- Fractures, Bone / epidemiology
- Fractures, Bone / veterinary
- Horse Diseases / diagnostic imaging
- Horse Diseases / epidemiology
- Horses
- Prevalence
- Retrospective Studies
- Tarsal Bones / diagnostic imaging
- Tarsal Bones / injuries
- Veterinary Sports Medicine / methods
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