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Veterinary journal (London, England : 1997)2013; 197(1); 96-102; doi: 10.1016/j.tvjl.2013.03.048

Problems and pointers in osteochondrosis: Twenty years on.

Abstract: Twenty years ago a supplement of Equine Veterinary Journal was devoted to equine osteochondrosis (OC) and recognised the importance of this developmental disease to the equine industry. In the accompanying editorial several controversial issues were identified and a number of areas for further research were highlighted. Today, equine OC is still a major clinical problem, but the on-going research has resulted in much improved knowledge and understanding of this highly complicated disease. There is still conflicting evidence on the prevalence of OC due to the dynamic character of the condition, widely varying definitions in the literature, and the range of joints affected. Nevertheless there is now convincing evidence that early vascular damage, leading to chondronecrosis, is the major mechanism of onset. The aetiological factors that determine whether a horse will develop clinical signs of OC remain obscure and the complex nature of OC and its multi-factorial character has been clearly demonstrated by genetic studies. These have shown a multitude of loci on a variety of chromosomes linked to osteochondrotic phenotypes, depending on the type of manifestation of OC, the joint involved and the breed. The controversy surrounding the possible key role of copper in the pathogenesis of OC in the early 1990s has evolved into a more limited contribution to repair thus making it just one of the many environmental factors that may have an effect on the occurrence of OC, but not a decisive one. The semantic debate concerning the most appropriate nomenclature seems to have crystallised into a consensus on terminology at three levels: OC or osteochondritis dissecans (OCD) for the disturbance in the process of endochondral ossification, juvenile ostechondral conditions (JOCC) for all joint and growth plate related disorders, and developmental orthopaedic diseases (DOD) for the full range of skeletal conditions in young horses. Future progress in improved management of OC can be expected from more research on cellular and molecular processes and the influences that determine the process of endochondral ossification, the process of articular cartilage maturation, and from epidemiological studies quantifying the long-term effects of OC on health and performance.
Publication Date: 2013-04-30 PubMed ID: 23639371DOI: 10.1016/j.tvjl.2013.03.048Google Scholar: Lookup
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  • Journal Article

Summary

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The research article discusses the findings and progress of research over twenty years concerning osteochondrosis (OC), a developmental disease in horses, highlighting improvements in understanding of the disease, remaining unknown factors, and future research avenues.

Understanding Osteochondrosis

  • The research highlights the complicated nature of ocsteochondrosis (OC), a disease that affects horses, causing significant issues in the equine industry.
  • Despite ongoing research, some aspects of OC, such as its overall prevalence and the specific aetiological (cause and effect) factors that lead to a horse showing clinical symptoms, remain unclear. These challenges are due to the dynamic character of OC, variation in literature definitions, and the range of joints the condition affects.
  • Nonetheless, research has provided substantial evidence that vascular damage leading to chondronecrosis (a condition affecting cartilage cells) is the primary mechanism of onset for OC.

Genetics and Environmental Factors of Osteochondrosis

  • The study elucidates the multi-factorial nature of OC, demonstrated through genetic studies. These studies reveal numerous loci across different chromosomes linked with osteochondrotic phenotypes, for example, vary depending on OC manifestation, the joint involved, and the horse breed.
  • The paper discusses the evolving understanding of environmental factors in the pathogenesis (development) of OC. For instance, earlier belief in copper playing a vital role in OC’s development has been revised to it contributing to repair processes, thus making it just one of many environmental factors that may have an effect on OC’s occurrence, rather than a decisive factor.

Terminology and Future Research on Osteochondrosis

  • In terms of terminology, the paper explains that the debate has led to a consensus on using OC or osteochondritis dissecans (OCD) for disturbances in the process of endochondral ossification (bone formation from cartilage), juvenile ostechondral conditions (JOCC) for all joint and growth plate-related disorders, and developmental orthopaedic diseases (DOD) for the wide range of skeletal conditions in young horses.
  • The article ends with an anticipation of future progress in managing OC that can be achieved through further research. This includes studies on the cellular and molecular processes affecting endochondral ossification, the maturation of articular cartilage (cartilage in joints), and epidemiological studies quantifying OC’s long-term effects on health and performance.

Cite This Article

APA
van Weeren PR, Jeffcott LB. (2013). Problems and pointers in osteochondrosis: Twenty years on. Vet J, 197(1), 96-102. https://doi.org/10.1016/j.tvjl.2013.03.048

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 197
Issue: 1
Pages: 96-102
PII: S1090-0233(13)00166-4

Researcher Affiliations

van Weeren, P René
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, The Netherlands. r.vanweeren@uu.nl
Jeffcott, Leo B

    MeSH Terms

    • Animals
    • Cartilage / pathology
    • Horse Diseases / classification
    • Horse Diseases / etiology
    • Horse Diseases / pathology
    • Horse Diseases / therapy
    • Horses
    • Osteochondrosis / classification
    • Osteochondrosis / etiology
    • Osteochondrosis / therapy
    • Osteochondrosis / veterinary
    • Terminology as Topic

    Citations

    This article has been cited 9 times.
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