Analyze Diet
New Zealand veterinary journal2005; 53(3); 184-192; doi: 10.1080/00480169.2005.36503

Risk factors for injury to the superficial digital flexor tendon and suspensory apparatus in Thoroughbred racehorses in New Zealand.

Abstract: To investigate risk factors for injury to the superficial digital flexor tendon (SDFT) and suspensory apparatus (SA) of the forelimbs in Thoroughbred racehorses in New Zealand. Methods: Poisson and negative binomial regression, with exposure time represented by cumulative training days for each horse, were used to relate explanatory variables to the incidence rate (IR) of cases of inflammation of the SDFT (n=51), and injuries involving the SA (n=48) in a population of 1,571 commercially- trained racehorses over 554,745 study days. Only the first occurrence of an injury for any one horse was eligible for inclusion. Separate analyses were run for data from horses in training regardless of whether they had started in a trial or race, and using a subset of these data restricted to those preparations associated with at least one start in a trial or race. Results were reported as incidence rate ratios (IRR) and 95% confidence intervals (CI). Results: Male horses had a higher risk of injury to the SA (IRR 2.57; p=0.005) and tended to have a higher risk of injury to the SDFT (IRR 1.74; p=0.09) than female horses. Increasing age was associated with increased risk of injury. Horses aged 4 and > or =5 years were 6.76 (p<0.001) and 15.26 (p<0.001) times more likely to incur injury to the SDFT, and 2.91 (p=0.02) and 3.54 (p=0.005) times more likely to incur injury to the SA, respectively, than 2-year-olds. Horses were more likely to suffer an injury to the SDFT or SA in a training preparation that was not associated with any starts in official trials or races compared with those preparations that were associated with more than one start (p<0.001), and more likely to injure the SA compared with preparations containing one start (p=0.03). The IR of injury to the SDFT tended to be lower between November-January (IRR 0.78; p=0.08) and February-April (IRR 0.75; p=0.08) compared with August-October. Incidence of injury to the SDFT or SA was not associated with the cumulative distance raced in the last 30 days of a training preparation. Conclusions: This study identified risk factors for injury to the SDFT and SA in Thoroughbred racehorses in New Zealand. Injuries were more likely in males, older horses and in horses in training preparations without any starts. There was no evidence of association between injury and cumulative high-speed exercise.
Publication Date: 2005-07-14 PubMed ID: 16012588DOI: 10.1080/00480169.2005.36503Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research study explores the risk factors related to injuries in the superficial digital flexor tendon and suspensory apparatus in New Zealand’s Thoroughbred racehorses, finding that these injuries are more common in male, older horses, and in those without any starts in their training preparations.

Study Design and Methods

  • The study employed Poisson and negative binomial regression to interpret explanatory variables related to the incidence of injuries in the superficial digital flexor tendon (SDFT) and the suspensory apparatus (SA) in forelimbs.
  • The study population was comprised of 1,571 commercially trained racehorses, studied over 554,745 cumulative training days.
  • Only the first instance of injury for each horse was considered.
  • The data was analyzed both for horses in training irrespective of whether they had started a trial or race and for a subset of horses with at least one start in a trial or race.

Results

  • Male horses were found to be at a higher risk of injury to the SA and were more likely to suffer injury to the SDFT than female horses.
  • Increasing age was a significant risk factor for injury. Compared to 2-year-olds, 4-year-old horses were approximately 6.76 times more likely to sustain an injury to the SDFT and horses aged 5 and above were roughly 15.26 times more likely. The risk of an injury to the SA was also higher for 4-year-olds and those aged 5 and above than for 2-year-olds.
  • Horses which were in training preparation not associated with any starts in official trials or races had a higher likelihood of incurring a SDFT or SA injury compared to those with more than one start.
  • The instance of injury to the SDFT was slightly lower between the months of November to April when compared with August to October.
  • The study found no connection between the cumulative distance raced in the last 30 days of a training preparation and the incidence of injury to the SDFT or SA.

Conclusions

  • The study successfully identified several risk factors for injuries to the SDFT and SA in Thoroughbred racehorses in New Zealand.
  • Injuries were found to be more prevalent in male horses, in older horses, and in horses that hadn’t started any official trials or races during their training preparations.
  • There was no evidence to suggest that cumulative high-speed exercise was a risk factor for these injuries.

Cite This Article

APA
Perkins NR, Reid SW, Morris RS. (2005). Risk factors for injury to the superficial digital flexor tendon and suspensory apparatus in Thoroughbred racehorses in New Zealand. N Z Vet J, 53(3), 184-192. https://doi.org/10.1080/00480169.2005.36503

Publication

ISSN: 0048-0169
NlmUniqueID: 0021406
Country: England
Language: English
Volume: 53
Issue: 3
Pages: 184-192

Researcher Affiliations

Perkins, N R
  • EpiCentre, Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand. nigel@ausvet.com.au
Reid, S W J
    Morris, R S

      MeSH Terms

      • Age Factors
      • Animals
      • Athletic Injuries / epidemiology
      • Athletic Injuries / veterinary
      • Case-Control Studies
      • Female
      • Forelimb / injuries
      • Horse Diseases / epidemiology
      • Horse Diseases / etiology
      • Horses / injuries
      • Longitudinal Studies
      • Male
      • New Zealand / epidemiology
      • Physical Conditioning, Animal
      • Risk Factors
      • Seasons
      • Sex Factors
      • Surveys and Questionnaires
      • Tendinopathy / epidemiology
      • Tendinopathy / veterinary
      • Tendon Injuries / epidemiology
      • Tendon Injuries / veterinary

      Citations

      This article has been cited 21 times.
      1. Bennet ED, Parkin TDH. Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023). Equine Vet J 2026 Jan;58(1):20-30.
        doi: 10.1111/evj.14503pubmed: 40134143google scholar: lookup
      2. Choi Y, Parkin T. Risk factors for superficial digital flexor tendinopathy in Thoroughbred racehorses in South Korea (2015-2019). Equine Vet J 2026 Jan;58(1):31-39.
        doi: 10.1111/evj.14493pubmed: 40104935google scholar: lookup
      3. Beaumont RE, Smith EJ, Zhou L, Marr N, Thorpe CT, Guest DJ. Exogenous interleukin-1 beta stimulation regulates equine tenocyte function and gene expression in three-dimensional culture which can be rescued by pharmacological inhibition of interleukin 1 receptor, but not nuclear factor kappa B, signaling. Mol Cell Biochem 2024 May;479(5):1059-1078.
        doi: 10.1007/s11010-023-04779-zpubmed: 37314623google scholar: lookup
      4. Zamboulis DE, Marr N, Lenzi L, Birch HL, Screen HRC, Clegg PD, Thorpe CT. The Interfascicular Matrix of Energy Storing Tendons Houses Heterogenous Cell Populations Disproportionately Affected by Aging. Aging Dis 2024 Feb 1;15(1):295-310.
        doi: 10.14336/AD.2023.0425-1pubmed: 37307816google scholar: lookup
      5. Palmer AL, Rogers CW, Stafford KJ, Gal A, Bolwell CF. Risk-Factors for Soft-Tissue Injuries, Lacerations and Fractures During Racing in Greyhounds in New Zealand. Front Vet Sci 2021;8:737146.
        doi: 10.3389/fvets.2021.737146pubmed: 34926634google scholar: lookup
      6. Morrice-West AV, Hitchens PL, Walmsley EA, Wong ASM, Whitton RC. Association of Thoroughbred Racehorse Workloads and Rest Practices with Trainer Success. Animals (Basel) 2021 Nov 1;11(11).
        doi: 10.3390/ani11113130pubmed: 34827862google scholar: lookup
      7. Crawford KL, Finnane A, Greer RM, Barnes TS, Phillips CJC, Woldeyohannes SM, Bishop EL, Perkins NR, Ahern BJ. Survival Analysis of Training Methodologies and Other Risk Factors for Musculoskeletal Injury in 2-Year-Old Thoroughbred Racehorses in Queensland, Australia. Front Vet Sci 2021;8:698298.
        doi: 10.3389/fvets.2021.698298pubmed: 34796223google scholar: lookup
      8. Crawford KL, Finnane A, Greer RM, Phillips CJC, Bishop EL, Woldeyohannes SM, Perkins NR, Ahern BJ. A Prospective Study of Training Methods for Two-Year-Old Thoroughbred Racehorses in Queensland, Australia, and Analysis of the Differences in Training Methods between Trainers of Varying Stable Sizes. Animals (Basel) 2021 Mar 25;11(4).
        doi: 10.3390/ani11040928pubmed: 33805873google scholar: lookup
      9. Crawford KL, Finnane A, Phillips CJC, Greer RM, Woldeyohannes SM, Perkins NR, Kidd LJ, Ahern BJ. The Risk Factors for Musculoskeletal Injuries in Thoroughbred Racehorses in Queensland, Australia: How These Vary for Two-Year-Old and Older Horses and with Type of Injury. Animals (Basel) 2021 Jan 21;11(2).
        doi: 10.3390/ani11020270pubmed: 33494508google scholar: lookup
      10. Crawford KL, Ahern BJ, Perkins NR, Phillips CJC, Finnane A. The Effect of Combined Training and Racing High-Speed Exercise History on Musculoskeletal Injuries in Thoroughbred Racehorses: A Systematic Review and Meta-Analysis of the Current Literature. Animals (Basel) 2020 Nov 11;10(11).
        doi: 10.3390/ani10112091pubmed: 33187122google scholar: lookup
      11. Ikeda Y, Ishihara A, Nakajima M, Yamada K. Risk factors for superficial digital flexor tendinopathy in Thoroughbred racing horses in Japan. J Equine Sci 2019;30(4):93-98.
        doi: 10.1294/jes.30.93pubmed: 31871411google scholar: lookup
      12. Alzola R, Easter C, Riggs CM, Gardner DS, Freeman SL. Ultrasonographic-based predictive factors influencing successful return to racing after superficial digital flexor tendon injuries in flat racehorses: A retrospective cohort study in 469 Thoroughbred racehorses in Hong Kong. Equine Vet J 2018 Sep;50(5):602-608.
        doi: 10.1111/evj.12810pubmed: 29352495google scholar: lookup
      13. Bolwell C, Rogers C, Gee E, McIlwraith W. Epidemiology of Musculoskeletal Injury during Racing on New Zealand Racetracks 2005-2011. Animals (Basel) 2017 Aug 11;7(8).
        doi: 10.3390/ani7080062pubmed: 28800064google scholar: lookup
      14. Tanner J, Rogers C, Bolwell C, Cogger N, Gee E, Mcllwraith W. Analysis of Failure to Finish a Race in a Cohort of Thoroughbred Racehorses in New Zealand. Animals (Basel) 2016 May 25;6(6).
        doi: 10.3390/ani6060036pubmed: 27231944google scholar: lookup
      15. Thorpe CT, Godinho MSC, Riley GP, Birch HL, Clegg PD, Screen HRC. The interfascicular matrix enables fascicle sliding and recovery in tendon, and behaves more elastically in energy storing tendons. J Mech Behav Biomed Mater 2015 Dec;52:85-94.
        doi: 10.1016/j.jmbbm.2015.04.009pubmed: 25958330google scholar: lookup
      16. Whitworth DJ, Ovchinnikov DA, Sun J, Fortuna PR, Wolvetang EJ. Generation and characterization of leukemia inhibitory factor-dependent equine induced pluripotent stem cells from adult dermal fibroblasts. Stem Cells Dev 2014 Jul 1;23(13):1515-23.
        doi: 10.1089/scd.2013.0461pubmed: 24555755google scholar: lookup
      17. Bertuglia A, Bullone M, Rossotto F, Gasparini M. Epidemiology of musculoskeletal injuries in a population of harness Standardbred racehorses in training. BMC Vet Res 2014 Jan 10;10:11.
        doi: 10.1186/1746-6148-10-11pubmed: 24410888google scholar: lookup
      18. Thorpe CT, Birch HL, Clegg PD, Screen HR. The role of the non-collagenous matrix in tendon function. Int J Exp Pathol 2013 Aug;94(4):248-59.
        doi: 10.1111/iep.12027pubmed: 23718692google scholar: lookup
      19. Spaas JH, Guest DJ, Van de Walle GR. Tendon regeneration in human and equine athletes: Ubi Sumus-Quo Vadimus (where are we and where are we going to)?. Sports Med 2012 Oct 1;42(10):871-90.
        doi: 10.1007/BF03262300pubmed: 22963225google scholar: lookup
      20. Breton A, Sharma R, Diaz AC, Parham AG, Graham A, Neil C, Whitelaw CB, Milne E, Donadeu FX. Derivation and characterization of induced pluripotent stem cells from equine fibroblasts. Stem Cells Dev 2013 Feb 15;22(4):611-21.
        doi: 10.1089/scd.2012.0052pubmed: 22897112google scholar: lookup
      21. Birch HL. Tendon matrix composition and turnover in relation to functional requirements. Int J Exp Pathol 2007 Aug;88(4):241-8.