The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the horse.
Abstract: Equine models of osteoarthritis (OA) have been used to investigate pathogenic pathways of OA and evaluate therapeutic candidates for naturally occurring equine OA which is a significant clinical disease in the horse. This review focuses on the macroscopic and microscopic criteria for assessing naturally occurring OA in the equine metacarpophalangeal joint as well as the osteochondral fragment-exercise model of OA in the equine middle carpal joint. Methods: A review was conducted of all published OA studies using horses and the most common macroscopic and microscopic scoring systems were summarized. Recommendations regarding methods of OA assessment in the horse have been made based on published studies. Results: A modified Mankin scoring system is recommended for semi-quantitative histological assessment of OA in horses due to its already widespread use and similarity to other scoring systems. Recommendations are also provided for histological scoring of synovitis and macroscopic lesions of OA as well as changes in the calcified cartilage and subchondral bone of naturally occurring OA. Conclusions: The proposed system for assessment of equine articular tissues provides a useful method to quantify OA change. It is believed that addition of quantitative tracing onto plastic and macroscopic measurement as recently described would be an improvement for overall assessment of articular cartilage change.
Copyright © 2010 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.
Publication Date: 2010-10-01 PubMed ID: 20864027DOI: 10.1016/j.joca.2010.05.031Google Scholar: Lookup
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Summary
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The research article discusses the use of a modified version of a common scoring system called the Mankin scoring system to assess the severity of osteoarthritis (OA) in horses. The scientists also make suggestions for grading synovitis and other OA-related changes in horses’ joints.
Understanding the Research
- The research is based on reviewing previous studies of osteoarthritis (OA) in horses. It specifically focuses on OA in the equine metacarpophalangeal joint and the equine middle carpal joint.
- The goal of the review was to summarize frequently used scoring systems for evaluating the severity of OA in horses and make recommendations for best practices based on these studies.
- The scoring system recommended by the researchers for histological assessment (i.e., examining tissue samples under a microscope) of horse OA is a modified version of the Mankin scoring system, which is commonly used to evaluate OA in humans.
The Modified Mankin Scoring System
- The Mankin scoring system measures changes in the structure of the joint, such as the thickness of the cartilage and the bone underneath it, the arrangement of cells within the cartilage, and the presence of cell clusters.
- The researchers modified this scoring system so that it would be more suited to evaluating equine OA.
Additional Recommendations
- In addition to recommending the use of the modified Mankin scoring system, the researchers also make suggestions for how to assess other changes caused by OA. These include changes in the synovium, a layer of tissue that surrounds joints, and the appearance of macroscopic (i.e., visible to the naked eye) lesions.
- The researchers believe that adding quantitative tracing (measuring and recording changes over time) onto plastic, followed by making macroscopic measurements, could improve the overall evaluation of changes in joint tissues.
Conclusion
- The researchers conclude that their proposed system for evaluating OA in horses offers a necessary method for quantifying changes in joint tissues due to OA. This system could improve understanding of OA pathology and help evaluate the efficacy of OA treatment strategies in horses.
Cite This Article
APA
McIlwraith CW, Frisbie DD, Kawcak CE, Fuller CJ, Hurtig M, Cruz A.
(2010).
The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the horse.
Osteoarthritis Cartilage, 18 Suppl 3, S93-S105.
https://doi.org/10.1016/j.joca.2010.05.031 Publication
Researcher Affiliations
- Orthopaedic Research Center, Colorado State University, 300 West Drake, Fort Collins, CO 80523, USA. wayne.mcilwraith@colostate.edu
MeSH Terms
- Animals
- Arthritis, Experimental / pathology
- Cartilage, Articular / pathology
- Disease Models, Animal
- Horses
- Joints / pathology
- Osteoarthritis / pathology
- Severity of Illness Index
- Synovial Membrane / pathology
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