Ultrasonographic assessment of the superficial digital flexor tendons of National Hunt racehorses in training over two racing seasons.
Abstract: It is important to ascertain the prevalence of superficial digital flexor tendon (SDFT) injuries and to improve methods of predicting injury in National Hunt (NH) racehorses. Objective: To establish: 1) the prevalence of SDFT tendinopathy in NH horses; 2) whether routine ultrasonography can be used to predict SDFT injuries; 3) whether previous tendinopathy predisposes to reinjury; 4) a normal range for the SDFT cross-sectional area (CSA); and 5) the effects of gender, age, background (ex-flat or ex-store), limb, training and rest periods on SDFT CSA. Methods: Routine ultrasound assessment of the palmar metacarpal soft tissues of 263 NH racehorses was performed on up to 6 occasions over 2 NH racing seasons. Results: The prevalence of SDFT pathology detected using ultrasonography was 24% (n = 148), with a nonsignificant variation between yards of 10-40%. No changes in SDFT CSA or ultrasonographic appearance were detected prior to injury. Older horses had a significantly higher prevalence of SDFT pathology compared to younger horses, and horses with tendinopathy were more likely to suffer an acute injury compared to horses with no evidence of pathology. A reference range for normal CSA measurements was established as 77-139 mm2 at level 4, from 142 horses with no ultrasonographic evidence of SDFT pathology. The CSA of normal horses did not vary significantly with age, limb or over 2 racing seasons, but did with sex and background. Conclusions: The study confirms that SDFT tendinopathy is common in NH horses, with substantial variation between training yards. Ultrasonography at 3 month intervals did not seem to predict acute SDFT injuries. Conclusions: Variation in the prevalence of tendinopathy between yards suggests that training methods may influence injury rate. It was not possible to predict injury using routine ultrasonography and therefore other methods must be identified. A normal reference range for SDFT CSA is provided.
Publication Date: 2009-08-01 PubMed ID: 19642404DOI: 10.2746/042516409x391042Google 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.
The research is a study of National Hunt racehorses over two racing seasons, examining the prevalence and predictors of superficial digital flexor tendon (SDFT) injuries. Utilizing routine ultrasonography, the study explores factors such as gender, age, and training methods, and also establishes a normal range for SDFT cross-sections.
Research Methods
- The study used ultrasound to monitor the superficial digital flexor tendons (SDFT), a tendon area prone to injury in racehorses, in 263 National Hunt (NH) racehorses across two racing seasons.
- The monitoring was done on six different occasions to examine the state of the SDFT and to gauge if there were any visible changes or indicators of impending injury.
Findings
- The study found that 24% of the racehorses displayed signs of SDFT injuries, called ‘SDFT tendinopathy’.
- No visible changes were detected in the cross-sectional area (CSA) or appearance of the SDFT even prior to injury.
- Older horses were found to be more susceptible to SDFT tendinopathy, and horses already exhibiting tendinopathy were more likely to suffer acute injuries.
- The research provided a reference range for the CSA in normal horses, which did not significantly vary with age, limb, or over two racing seasons.
- However, the CSA of normal horses varied with the horse’s sex and background.
Implications and Conclusions
- The prevalence of tendinopathy varied between different training yards, suggesting that the training methods employed could have an impact on the risk of injury to the tendons.
- The routine ultrasonography performed did not prove to be effective in predicting the occurrence of SDFT injuries. This suggests that other, more effective methods need to be identified and implemented for prediction and prevention of injury.
- The researchers provided a normal reference range for the SDFT cross-sectional area, which could be useful for further study in this area.
Cite This Article
APA
Avella CS, Ely ER, Verheyen KL, Price JS, Wood JL, Smith RK.
(2009).
Ultrasonographic assessment of the superficial digital flexor tendons of National Hunt racehorses in training over two racing seasons.
Equine Vet J, 41(5), 449-454.
https://doi.org/10.2746/042516409x391042 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.
MeSH Terms
- Animals
- Female
- Forelimb / diagnostic imaging
- Forelimb / pathology
- Horse Diseases / diagnostic imaging
- Horse Diseases / pathology
- Horses
- Male
- Physical Conditioning, Animal
- Tendon Injuries / diagnostic imaging
- Tendon Injuries / pathology
- Tendon Injuries / veterinary
- Time Factors
- Ultrasonography
Citations
This article has been cited 25 times.- Likon I, Dyson S, Nagy A. Magnetic Resonance Imaging Measurements of the Proximal Palmar Cortex of the Third Metacarpal Bone and the Suspensory Ligament in Non-Lame Endurance Horses before and after Six Months of Training.. Animals (Basel) 2023 Mar 20;13(6).
- Abdelhakiem MAH, Hussein A, Seleim SM, Abdelbaset AE, Abd-Elkareem M. Silver nanoparticles and platelet-rich fibrin accelerate tendon healing in donkey.. Sci Rep 2023 Feb 28;13(1):3421.
- Iimori M, Tamura N, Seki K, Kasashima Y. Relationship between the ultrasonographic findings of suspected superficial digital flexor tendon injury and the prevalence of subsequent severe superficial digital flexor tendon injuries in Thoroughbred horses: a retrospective study.. J Vet Med Sci 2022 Feb 23;84(2):261-265.
- Secchi V, Masala G, Corda A, Corda F, Potop E, Barbero Fernandez A, Pinna Parpaglia ML, Sanna Passino E. Strain Elastography of Injured Equine Superficial Digital Flexor Tendons: A Reliability Study of Manual Measurements.. Animals (Basel) 2021 Mar 12;11(3).
- Nash A, Notou M, Lopez-Clavijo AF, Bozec L, de Leeuw NH, Birch HL. Glucosepane is associated with changes to structural and physical properties of collagen fibrils.. Matrix Biol Plus 2019 Nov;4:100013.
- Smith R, Önnerfjord P, Holmgren K, di Grado S, Dudhia J. Development of a Cartilage Oligomeric Matrix Protein Neo-Epitope Assay for the Detection of Intra-Thecal Tendon Disease.. Int J Mol Sci 2020 Mar 20;21(6).
- Tsang AS, Dart AJ, Biasutti SA, Jeffcott LB, Smith MM, Little CB. Effects of tendon injury on uninjured regional tendons in the distal limb: An in-vivo study using an ovine tendinopathy model.. PLoS One 2019;14(4):e0215830.
- Ahrberg AB, Horstmeier C, Berner D, Brehm W, Gittel C, Hillmann A, Josten C, Rossi G, Schubert S, Winter K, Burk J. Effects of mesenchymal stromal cells versus serum on tendon healing in a controlled experimental trial in an equine model.. BMC Musculoskelet Disord 2018 Jul 18;19(1):230.
- Jacquet-Guibon S, Dupays AG, Coudry V, Crevier-Denoix N, Leroy S, Siñeriz F, Chiappini F, Barritault D, Denoix JM. Randomized controlled trial demonstrates the benefit of RGTA® based matrix therapy to treat tendinopathies in racing horses.. PLoS One 2018;13(3):e0191796.
- 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.
- Biasutti S, Dart A, Smith M, Blaker C, Clarke E, Jeffcott L, Little C. Spatiotemporal variations in gene expression, histology and biomechanics in an ovine model of tendinopathy.. PLoS One 2017;12(10):e0185282.
- Metcalf GL, McClure SR, Hostetter JM, Martinez RF, Wang C. Evaluation of adipose-derived stromal vascular fraction from the lateral tailhead, inguinal region, and mesentery of horses.. Can J Vet Res 2016 Oct;80(4):294-301.
- Geburek F, Gaus M, van Schie HT, Rohn K, Stadler PM. Effect of intralesional platelet-rich plasma (PRP) treatment on clinical and ultrasonographic parameters in equine naturally occurring superficial digital flexor tendinopathies - a randomized prospective controlled clinical trial.. BMC Vet Res 2016 Sep 7;12(1):191.
- Dudhia J, Becerra P, Valdés MA, Neves F, Hartman NG, Smith RK. In Vivo Imaging and Tracking of Technetium-99m Labeled Bone Marrow Mesenchymal Stem Cells in Equine Tendinopathy.. J Vis Exp 2015 Dec 9;(106):e52748.
- Jacobson E, Dart AJ, Mondori T, Horadogoda N, Jeffcott LB, Little CB, Smith MM. Focal experimental injury leads to widespread gene expression and histologic changes in equine flexor tendons.. PLoS One 2015;10(4):e0122220.
- Gonçalves PV, Silva LA, Silva LH, Costa AP, Bragato N, Cardoso JR, Kofler J, Borges NC. Ultrasonography of the distal limbs in Nellore and Girolando calves 8 to 12 months of age.. BMC Vet Res 2014 Apr 28;10:102.
- Dakin SG, Dudhia J, Smith RK. Resolving an inflammatory concept: the importance of inflammation and resolution in tendinopathy.. Vet Immunol Immunopathol 2014 Apr 15;158(3-4):121-7.
- Thorpe CT, Riley GP, Birch HL, Clegg PD, Screen HR. Fascicles from energy-storing tendons show an age-specific response to cyclic fatigue loading.. J R Soc Interface 2014 Mar 6;11(92):20131058.
- Dakin SG, Smith RK, Heinegård D, Önnerfjord P, Khabut A, Dudhia J. Proteomic analysis of tendon extracellular matrix reveals disease stage-specific fragmentation and differential cleavage of COMP (cartilage oligomeric matrix protein).. J Biol Chem 2014 Feb 21;289(8):4919-27.
- Smith RK, Werling NJ, Dakin SG, Alam R, Goodship AE, Dudhia J. Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy.. PLoS One 2013;8(9):e75697.
- Rich T, Henderson LB, Becker DL, Cornell H, Patterson-Kane JC. Indicators of replicative damage in equine tendon fibroblast monolayers.. BMC Vet Res 2013 Sep 11;9:180.
- Carvalho Ade M, Badial PR, Álvarez LE, Yamada AL, Borges AS, Deffune E, Hussni CA, Garcia Alves AL. Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: a randomized controlled trial.. Stem Cell Res Ther 2013 Jul 22;4(4):85.
- Dakin SG, Dudhia J, Werling NJ, Werling D, Abayasekara DR, Smith RK. Inflamm-aging and arachadonic acid metabolite differences with stage of tendon disease.. PLoS One 2012;7(11):e48978.
- Kavaguchi De Grandis A, Boulocher C, Viguier E, Roger T, Sawaya S. Ultrasonograph and clinical quantitative characterization of tendinopathy by modified splitting in a goat model.. ScientificWorldJournal 2012;2012:472023.
- Dakin SG, Werling D, Hibbert A, Abayasekara DR, Young NJ, Smith RK, Dudhia J. Macrophage sub-populations and the lipoxin A4 receptor implicate active inflammation during equine tendon repair.. PLoS One 2012;7(2):e32333.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists