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Unipodal stance influences radiographic evaluation of foot balance in horses.

Abstract: Lifting the contralateral forelimb (unipodal stance) is often used as a method of restraint in horses. This experimental one group pretest, posttest study was conducted to evaluate the effects of unipodal stance on quantitative radiographic parameters in equine forefeet. Seven nonlame horses were randomly selected. Lateromedial (LM) and dorsopalmar (DP) projections were acquired for both forefeet, squarely placed on blocks, using two X-ray generators. Radiographs of each foot were acquired first in a bipodal stance, immediately followed by the same radiographic projections obtained in a unipodal stance. The following measurements were recorded for each stance: distal interphalangeal joint (DIPJ) space width on both projections; mediolateral joint balance as the difference between lateral and medial DIPJ space widths on DP projections; extensor process-to-middle phalangeal condyle distance; and deep digital flexor tendon angle on LM projections. A matched pairs design and Student's t-test with a 95% confidence level were used to test for statistical significance. Compared to a bipodal stance, lateral DIPJ space width was significantly reduced on unipodal DP views, whereas mediolateral joint imbalance and to a lesser extent medial DIPJ space width were significantly increased. On unipodal LM views, there was a significant higher degree of DIPJ flexion. These findings suggest that stance should be carefully taken into consideration when measuring radiographic parameters in equine forefeet, especially if assessing foot balance and conformation, as unipodal stance significantly affects the mediolateral balance of the DIPJ on DP radiographs and significantly alters the phalangeal axis on LM radiographs.
Publication Date: 2019-03-12 PubMed ID: 30864267DOI: 10.1111/vru.12729Google Scholar: Lookup
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  • Journal Article

Summary

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The study confirms that lifting one front leg (unipodal stance) affects the assessment of foot balance in horses when done through radiographic analysis.

Objective of the Research

The objective of this research was to ascertain how a unipodal stance, a commonly used restraint method in horses, affects quantitative radiographic parameters in equine forefeet. This was achieved through an experimental one-group pretest, posttest study on seven non-lame horses.

Methodology

The researchers used the following methodical approach:

  • For each horse, Lateromedial (LM) and dorsopalmar (DP) radiographic projections were acquired for both forefeet which were squarely placed on blocks. Two X-ray generators were used for this.
  • Radiographs defined by each foot were first obtained in a bipodal (using both front feet) stance, immediately followed by the same radiographic projections acquired while the horse was in a unipodal stance.
  • Various measurements were recorded for each stance such as the distal interphalangeal joint (DIPJ) space width on both projections, joint balance, extensor process-to-middle phalangeal condyle distance, and deep digital flexor tendon angle.
  • A matched pairs design and Student’s t-test with a 95% confidence level were used to test the statistical significance.

Findings

The study reached the following key findings:

  • The unipodal stance significantly reduced the lateral DIPJ space width and to a lesser extent increased the medial DIPJ space width.
  • The unipodal stance significantly increased mediolateral joint imbalance.
  • There was a significantly higher degree of DIPJ flexion in a unipodal stance.
  • The stance should be carefully taken into consideration when measuring radiographic parameters in equine forefeet, especially if assessing foot balance and conformation, as unipodal stance significantly affects the mediolateral balance of the DIPJ on DP radiographs and significantly alters the phalangeal axis on LM radiographs.

In essence, the findings confirm that the way a horse’s forefoot is positioned during radiographic analysis significantly alters the results, specifically regarding foot balance and conformation assessments. The study therefore advises caution in using stance as part of these assessments.

Cite This Article

APA
Joostens Z, Evrard L, Busoni V. (2019). Unipodal stance influences radiographic evaluation of foot balance in horses. Vet Radiol Ultrasound, 60(3), 273-279. https://doi.org/10.1111/vru.12729

Publication

ISSN: 1740-8261
NlmUniqueID: 9209635
Country: England
Language: English
Volume: 60
Issue: 3
Pages: 273-279

Researcher Affiliations

Joostens, Zoë
  • Department of Medical Imaging, Faculty of Veterinary Medicine, Université de Liège, Liège, Belgium.
Evrard, Laurence
  • Department of Medical Imaging, Faculty of Veterinary Medicine, Université de Liège, Liège, Belgium.
Busoni, Valeria
  • Department of Medical Imaging, Faculty of Veterinary Medicine, Université de Liège, Liège, Belgium.

MeSH Terms

  • Animals
  • Foot / diagnostic imaging
  • Forelimb / diagnostic imaging
  • Horses
  • Joints / diagnostic imaging
  • Posture
  • Radiography / methods
  • Radiography / veterinary
  • Random Allocation

Citations

This article has been cited 3 times.
  1. Van Houtte J, Vandenberghe F, Zheng G, Huysmans T, Sijbers J. EquiSim: An Open-Source Articulatable Statistical Model of the Equine Distal Limb. Front Vet Sci 2021;8:623318.
    doi: 10.3389/fvets.2021.623318pubmed: 33763462google scholar: lookup
  2. Wright S. Highlights of recent clinically relevant papers. Equine Vet Educ 2019 Sep;31(9):450-451.
    doi: 10.1111/eve.13155pubmed: 32313399google scholar: lookup
  3. Bowkett-Pritchard C, Bolt DM, Chang YM, Berner D. Measurements of equine foot parameters show limited agreement between radiographs and low-field magnetic resonance imaging. Equine Vet J 2025 Sep;57(5):1231-1244.
    doi: 10.1111/evj.14536pubmed: 40574279google scholar: lookup