Cinematographic analysis of the gait of lame horses

The gait characteristics of a horse with a non-articular fracture of the right supraglenoid tubercle are described. On physical examination, protraction of the injured limb was painful and limited in extent. Observation at the trot indicated that the horse was transferring weight onto the sound (left) diagonal by lowering the head, neck and trunk during the diagonal stance phase. There was little angular rotation of the shoulder and elbow joints present in the injured limb and consequently the toe barely cleared the ground during the swing phase.Analysis of high speed cinematography films was used to measure the stride parameters and quantify the gait asymmetries. The stance phase and the anterior phaseof the stride were significantly shorter in the right forelimb than the left (p<0.01) and the single support phase was minimized by increasing the overlap of the rightforelimb with the other limbs. Kinematic analysis showed a redistribution of body weight to relieve the load on the injured limb. During the right diagonal (RF- LH) stance phase the poll and withers sunk to their lowest point and the whole trunksegment advanced cranially over the left forelimb. In contrast during the left diagonal (LF-RH) stance phase the poll and withers were elevated and the trunk segment was shifted more caudally to transfer a greater proportion of the body weight onto the left hind limb rather than the painful right forelimb.     

Cinematographic analysis of the gait of lame horses V: Fibrotic myopathy

A horse with fibrotic myopathy of the semitendinosus muscle of the right hind limb was studied. Observation of the horse in movement showed that protraction of the affected limb terminated abruptly and the hoof was slapped down on the ground. High speed cinematography with computer-aided analysis of the film was used to analyze the gait in greater detail. The results showed that the right hind limb approached the ground almost vertically making impact toe-first, whereas the left hind limb was moving forward relative to the ground when it made heel-first impact. Significant differences were recorded in the sequence and placement of the limbs on the 2 diagonals. The hind limb preceded the forelimb at impact on both diagonals, but at lift-off the lame right hind limb preceded the left forelimb, whereas the sound left hind limb lifted off later than the right forelimb. The distance between the diagonal limb pair during the stance phase was shorter for the left diagonal (left fore-right hind limb pair) than for the right diagonal (right fore-left hind limb pair) (P<0.01). The suspension following the left diagonal was longer than that following the right diagonal (P<0.01).     

Changes in kinematic variables observed during pressure-induced forelimb lameness in adult horses trotting on a treadmill

OBJECTIVE: To determine whether kinematic changes induced by heel pressure in horses differ from those induced by toe pressure. ANIMALS: 10 adult Quarter Horses. PROCEDURE: A shoe that applied pressure on the cuneus ungulae (frog) or on the toe was used. Kinematic analyses were performed before and after 2 levels of frog pressure and after 1 level of toe pressure. Values for stride displacement and time and joint angles were determined from horses trotting on a treadmill. RESULTS: The first level of frog pressure caused decreases in metacarpophalangeal (fetlock) joint extension during stance and increases in head vertical movement and asymmetry. The second level of frog pressure caused these changes but also caused decreases in stride duration and carpal joint extension during stance as well as increases in relative stance duration. Toe pressure caused changes in these same variables but also caused maximum extension of the fetlock joint to occur before midstance, maximum hoof height to be closer to midswing, and forelimb protraction to increase. CONCLUSION AND CLINICAL RELEVANCE: Decreased fetlock joint extension during stance and increased head vertical movement and asymmetry are sensitive indicators of forelimb lameness. Decreased stride duration, increased relative stance duration, and decreased carpal joint extension during stance are general but insensitive indicators of forelimb lameness. Increased forelimb protraction, hoof flight pattern with maximum hoof height near midswing, and maximum fetlock joint extension in cranial stance may be specific indicators of lameness in the toe region. Observation of forelimb movement may enable clinicians to differentiate lameness of the heel from lameness of the toe.     

Contribution of dynamic calibration to the measurement accuracy of a pressure plate system throughout the stance phase in sound horses

The aim of this study was to evaluate the accuracy of the vertical force curve of a pressure plate (PP) using dynamic calibration with a force plate (FP) in six sound Warmblood horses. The animals were walked and trotted over a combined PP-FP system sampling at 250Hz. Five valid measurements of each forelimb were collected. The recalibration factor (RF), the ratio between the calibrated and raw PP data, was evaluated in each timeframe throughout the stance phase. Following dynamic calibration, the vertical force curve of the PP demonstrated a characteristic biphasic pattern at the walk and typical spikes at the beginning and end of stance at the trot. Both at walk and trot, the RF was considerably higher and more variable in the first 5% of stance (i.e. the impact phase) and during the final 20% of stance (i.e. the breakover phase), whereas between these phases (i.e. in the support phase), the RF was lower and remained relatively constant. These findings were confirmed by plotting the RF as a function of the vertical force and the RF in the loading part of the vertical force curve was lower than in the unloading part of the curve. Without dynamic calibration with a FP, the accuracy of the PP appears suboptimal, especially at the impact and breakover phases. However, the accuracy of the PP was relatively high and constant during the support phase, and higher loading was not associated with increasing deviation. It is therefore essential to optimise PP calibration, as this may downsize systematic measuring errors. However, in a clinical setting, where a stand-alone PP is used to objectively quantify locomotor symmetry, these errors can be readily eliminated by evaluating left:right symmetry ratios.     

RADIOGRAPHIC MEASUREMENTS OF HOOF BALANCE ARE SIGNIFICANTLY INFLUENCED BY A HORSE'S STANCE

Hoof balance radiographs are commonly used as the basis for corrective farriery decision‐making in horses, however there are limited published data quantifying effects of the stance of the horse or the horizontal radiographic beam angle. In this analytical study, the influence of variation of the horse's stance in the craniocaudal and lateromodial plane on hoof balance measurements as well as the influence of variation of the horizontal radiographic beam angle on dorsopalmar hoof balance measurements was examined. Distal left thoracic limb lateromedial radiographs were acquired using a standardized protocol while varying the craniocaudal stance of five horses, each selected to be sound and conformationally normal. Dorsopalmar foot radiographs were acquired while varying the lateromedial stance; and variable angle horizontal beam dorsopalmar foot radiographs were acquired while keeping the limb position constant. Analyses of measurements demonstrated that hoof pastern angle had a linear relationship (R² = 0.89, P < 0.001) with craniocaudal stance of the horse. The relationship of joint angle and stance was greater for the distal interphalangeal joint angle (R² = 0.89, P < 0.001) than the proximal interphalangeal joint angle (R² = 0.65, P = 0.001). The distal phalanx angle did not change with craniocaudal stance variation. The proximal interphalangeal joint width, distal interphalangeal joint width, or distal phalanx height did not change with lateromedial stance variation, nor within a 15 degree dorsolateral to caudomedial and dorsomedial to caudolateral variation from the dorsopalmar axis. Findings indicated that positioning of the thoracic limb needs to be considered during radiographic interpretation and decision‐making for corrective farriery.     

Relationship of foot conformation and force applied to the navicular bone of sound horses at the trot

REASONS FOR PERFORMING STUDY: Collapsed heels conformation has been implicated as causing radical biomechanical alterations, predisposing horses to navicular disease. However, the correlation between hoof conformation and the forces exerted on the navicular bone has not been documented. HYPOTHESIS: The angle of the distal phalanx in relation to the ground is correlated to the degree of heel collapse and foot conformation is correlated to the compressive force exerted by the deep digital flexor tendon on the navicular bone. METHODS: Thirty-one shod Irish Draught-cross type horses in routine work and farriery care were trotted over a forceplate, with 3-dimensional (3D) motion analysis system. A lateromedial radiograph of the right fore foot was obtained for each horse, and various measurements taken. Correlation coefficients were determined between hoof conformation measurements and between each of these and the force parameters at the beginning (15%) of stance phase, the middle of stance (50%) and at the beginning of breakover (86% of stance phase). Significance was defined as P<0.05. RESULTS: The force exerted on the navicular bone was negatively correlated (P<0.05) to the angle of the distal phalanx to the ground and to the ratio between heel and toe height. This was attributed to a smaller extending moment at the distal interphalangeal joint. There was not a significant correlation between the angle of the distal phalanx and the degree of heel collapse, and heel collapse was not significantly correlated to any of the force parameters. CONCLUSIONS: Hoof conformation has a marked correlation to the forces applied to the equine foot. Heel collapse, as defined by the change in heel angle in relation to toe angle, appears to be an inaccurate parameter. The forces applied on the foot are well correlated to the changes in the ratio of heel to toe heights and the angles of the distal phalanx. POTENTIAL RELEVANCE: Assessment of hoof conformation should be judged based on these parameters, as they may have clinical significance, whereas parallelism of the heel and toe is of less importance.     

Electromyographic activity of cubital joint muscles in horses during locomotion

Electromyographic (EMG) activity of 4 muscles of the cubital joint and the strain of forelimb hooves were recorded telemetrically in 4 Thoroughbreds (with and without a rider) standing, walking, trotting, and cantering. Bipolar fine wire electrodes were inserted into the muscles, and strain gauges were attached to the hoof wall. Motion pictures (16 mm), synchronized with EMG tracings, were taken to obtain kinematic data. When horses were standing, the biceps brachii had tonic activity, but the brachialis and the caput longum and the caput laterale of the triceps brachii had no EMG activity. The biceps brachii had EMG activity during the stance phase. The brachialis had EMG activity from the end of the stance phase to the middle of the swing phase. Unlike the biceps brachii, the brachialis acted as a flexor muscle of the cubital joint during locomotion. The EMG activity of the caput longum of the triceps brachii was detected from midswing phase to early stance phase. The EMG activity of the caput laterale of the triceps brachii began in midswing or late-swing phase and ceased in early stance or midstance phase. During locomotion, caput longum EMG activity always preceded caput laterale activity. When horses were cantering, the brachialis and the caput longum (acting mainly in the swing phase) had an EMG activity phase different from those in leading and trailing forelimbs. These 4 muscles had similar EMG activity patterns during locomotion in horses with and without a rider.     

Associations between hoof shape and the position of the frontal plane ground reaction force vector in walking horses

AIMS: To determine the frontal plane position of the ground reaction force vector at its centre of pressure under the hoof of walking horses, and its projection through the distal limb joints, and to relate this to hoof geometric measurements.

METHODS: Reflective markers were glued to the forelimb hooves and skin of 26 horses, over palpable landmarks representing centres of the coffin, fetlock and carpal joints, and the dorsal toe at its most distal point. A 4-camera kinematic system recorded the position of these markers as the horse walked in hand across a force platform, to generate a frontal plane representation of the ground reaction force vector passing between the markers at the joints. The position of the vector was calculated as the relative distance between the lateral (0%) and medial (100%) markers at each joint. Digital photos were taken of the hoof in frontal and sagittal views to determine hoof geometric measurements. Associations between these and the position of the force vector at each joint were examined using Pearson correlation coefficients.

RESULTS: Mean vector position for both forelimbs at the toe, coffin, fetlock and carpal joint was 50.1 (SD 8.9), 53.0 (SD 9.2), 54.6 (SD 11.4) and 50.5 (SD17.3)%, respectively, of the distance between the lateral and medial sides of the joint in the frontal plane. Across all four joints, the vector position was slightly more medial (2–4%) for the right than left limb (p>0.05). Medial hoof wall angle was correlated (p<0.05) with force vector position at the fetlock (r=?0.402) and carpal (r=?0.317) joints; lateral hoof wall angle with vector position at the toe (r=0.288) and carpal (r=?0.34) joint, and medial hoof wall height with vector position at the fetlock (r=?0.306) and carpal (r=?0.303) joints.

CONCLUSION: The position of the two-dimensional frontal plane ground reaction force vector at the toe, and at the fetlock and carpal joints was associated with hoof shape. Mediolateral hoof balance has been shown in vitro to affect articular forces, which may be a factor in development of joint disease. The effect of hoof shape needs to be evaluated at faster gaits to determine the potential for joint injury in the presence of larger forces.     

The art of horseshoeing--between empiricism and science

To correctly shoe a horse requires the farriers to have a good working knowledge of postural anomalies and movement patterns, as well as of the different concepts of horseshoeing and to be able to apply the appropriate technique to every individual horse they shoe. The correct technique for specific problem cases is frequently a subject of debate amongst specialists and many theories would benefit from objective gait analyses. The case study presented examines the influence of different shoeing conditions on selected gait analysis parameters. The measurements were conducted on a Warmblood mare: (A) shod with long toes, (B) properly trimmed without shoes, (C) conventionally shod with rolled toes and finally (D) shod using the 4-point technique. Data on force-, time- and distance parameters were recorded using an instrumented treadmill. First contact and breakover of the hooves were documented using high-speed videography. A long toe resulted in a prolongation of the breakover time and, therefore, in a prolongation of the second half of the stance phase. Additionally, the prolonged stance duration associated with an unaltered force impulse, led to decreased force peaks. It was possible to objectively record differences between the trimmed, unshod foot, the shod long-toe and the shod rolled toe configurations. The differences between the rolled toe and the 4 point shoe however, were minimal. Gait analysis is a technique well suited for objective evaluation of different shoeing techniques under standardised conditions.     

Standardised terminology for the description and analysis of equine locomotion

Terminology for the analysis of equine locomotion is reviewed and the most appropriate terms selected for use by research workers in this field. Each cycle of limb movement comprises a stance phase, when the hoof is in contact with the ground, alternating with a swing phase. The stance phase is subdivided at the mid-stance position into an initial decelerative phase followed by a propulsive phase. When the stance phases of different limbs occur concurrently, the term overlap refers to the duration of simultaneous ground contact. Single support is the term used to describe the phase when the limb is in its stance phase unaided by any other limb. A gait consists of a limb coordination pattern repeated at each stride. The start and finish of the stride must be designated as a prerequisite to the determination of stride length, stride duration and stride frequency. In asymmetrical gaits, such as the gallop, the stride as a whole will have a stride stance phase, when one or more limbs are in contact with the ground, and a suspension phase. In symmetrical gaits, such as the trot and pace, the stride consists of left and right stance phases and suspension phases. Advanced placement and advanced lift off measure the time between ground placement and lift off respectively of consecutive limbs. The line of motion indicates the progressive movement of the centre of gravity in the X-Y plane. Measurements in th Y-Z plane, such as line gait and overcrossing, describe the ground placement of the hooves relative to the line of motion. Diagonal width is the distance between diagonal limb pairs in this plane.     

The Effect of Stirrup Iron Style on Normal Forces and Rider Position

The stirrup iron has the potential to modify the forces experienced by a horse and rider during ridden exercise. A range of stirrup designs are available, but no previous studies have investigated if these modifications influence riders’ position and interaction with the horse. Novel flexible (F) or flexible and rotatable (FR) irons versus traditional (T) stirrups may positively impact the welfare and performance of the horse and rider. Four riders rode using the three stirrup types (T, F, and FR). Hip, knee, and ankle angles and toe position from film, and the normal force exerted bilaterally on force sensors on the stirrups tread were evaluated at the highest (HP) and lowest point (LP) of the posting trot (n = 4) and canter (n = 2). Statistics included Shapiro-Wilk’s test, Friedman’s test, and Wilcoxon signed rank test (significant at P < .05). No significant difference was seen between joint angles, toe position, or forces between the types of stirrups. At the HP, mean hip, knee, and ankle angles were 169.4° ± 10°, 150.7° ± 9.7°, and 94.5° ± 9.6°, and 139.1° ± 9.6°, 123.9° ± 10.9°, and 92.7° ± 9.5° at the LP. Riders had an 8.74° ± 6.66° difference of right versus left joints. Right toes rotated more laterally (P = .02) regardless of stirrup type. The mean trot and canter forces applied (N)/body weight (N) were 0.72 ± 0.15 (HP), 0.19 ± 0.15 (LP), and 0.18 ± 0.05 (canter). Riders shortened the stirrup leathers with F or FR. Stirrup style minimally impacted rider position or the forces experienced; however, forces differed by gait. Future studies regarding how a rider’s experience and painful joints may contribute to asymmetries are warranted.     

The horse-racetrack interface: a preliminary study on the effect of shoeing on impact trauma using a novel wireless data acquisition system

REASONS FOR PERFORMING STUDY: There is a need to determine accelerations acting on the equine hoof under field conditions in order to better assess the risks for orthopaedic health associated with shoeing practices and/or surface conditions. OBJECTIVES: To measure the acceleration profiles generated in Thoroughbred racehorses exercising at high speeds over dirt racetracks and specifically to evaluate the effect of a toe grab shoe compared to a flat racing plate, using a newly developed wireless data acquisition system (WDAS). METHODS: Four Thoroughbred racehorses in training and racing were used. Based on previous trials, each horse served as its own control for speed trials, with shoe type as variable. Horses were evaluated at speeds ranging from 12.0-17.3 m/sec. Impact accelerations, acceleration on break over and take-off, and temporal stride parameters were calculated. Impact injury scores were also determined, using peak accelerations and the time over which they occurred. RESULTS: Recorded accelerations for the resultant vector (all horses all speeds) calculated from triaxial accelerometers ranged 96.3-251.1 g, depending on the phase of the impact event. An association was observed between shoe type and change in acceleration in individual horses, with 2 horses having increased g on initial impact with toe grab shoes in place. In the final impact phase, one horse had an increase of 110 g while wearing toe grab shoes. Increased accelerations were also observed on break over in 2 horses while wearing toe grab shoes. CONCLUSIONS: Shoe type may change impact accelerations significantly in an individual horse and could represent increased risk for injury. Further work is needed to determine if trends exist across a population. POTENTIAL RELEVANCE: The WDAS could be used for performance evaluation in individual horses to evaluate any component of the horse-performance surface interface, with the goal of minimising risk and optimising performance.     

Effect of standing tarsal angle on joint kinematics and kinetics

REASONS FOR PERFORMING STUDY: The tarsal joint is a frequent site of lameness, but little objective information is available regarding the effects of tarsal conformation on joint movements or forces. OBJECTIVE: To compare tarsal kinematics and kinetics in horses with large, intermediate and small tarsal angles. METHODS: Sagittal plane standing angle of the right tarsal joint was measured in 16 horses as they stood squarely with the hind hooves vertically beneath the hip joint. Tarsal angles were classified as small (< 155.5 degrees), intermediate (155.5-165.5 degrees) or large (> 165.5 degrees). Reflective markers, attached over the centres of joint rotation, were tracked during stance as the horses trotted across a force plate at a standardised speed. Joint angles and ground reaction forces were combined with morphometric data to calculate net joint moments and net joint powers across the tarsus using inverse dynamics. RESULTS: In all horses, the tarsus flexed during the impact phase and extended in late stance. Tarsal angles were stratified according to standing tarsal angle throughout stance. Horses with large standing angles showed less flexion and less energy absorption at the tarsus during the impact phase than those with intermediate or small angles and generated less vertical impulse than horses with small standing angles. Net extensor moment at the tarsus during stance was lower for horses with large standing angles. CONCLUSIONS: In horses with large tarsal angles, less concussion was absorbed during the impact phase, which may be a factor in the development of degenerative joint disease; and the smaller vertical impulse and extensor moment later in stance may limit propulsive ability. However, the smaller net joint moment may reduce the risk of plantar ligament desmitis. CLINICAL SIGNIFICANCE: The effects of conformation on kinematics and kinetics of the tarsal joint may influence both performance and soundness.     

The forelimb in walking horses: 1. Kinematics and ground reaction forces

Video (60 Hz) and force (2000 Hz) data were collected from 5 sound horses during walking. Forelimb data were analysed for 8 strides (4 left, 4 right) per horse to determine sagittal plane kinematics and ground reaction forces (GRFs). The results suggested that brachial rotation was responsible for protraction and retraction of the limb as a whole, while rotations of the scapula and antebrachium elevated the distal limb during breakover and early swing then lowered it in preparation for ground contact. The coffin joint was flexed maximally at the time of peak longitudinal braking force, which occurred during breakover of the contralateral forelimb. The metacarpus was vertical at 28% stride. This was considerably earlier than the change from a braking to a propulsive longitudinal force (34% stride), which coincided with maximal extension of the fetlock joint. The longitudinal propulsive force peaked just after contact of the contralateral forelimb. During the swing phase the joints distal to the shoulder showed a single flexion cycle that peaked at 76% stride at the carpus, 81% stride at the fetlock and 84% stride at the elbow and coffin joints. The coffin and shoulder joints began to extend in the terminal swing phase and continued to extend through ground contact and early stance. The results provide normative data that will be applied in detecting changes in kinematics and ground reaction forces that are associated with specific lamenesses.     

Contact areas and pressure distribution on the proximal articular surface of the proximal phalanx under sagittal plane loading

The objective of this study was to map topographically contact areas and pressure distributions on the proximal articular surface (PAS) of the proximal phalanx (PI) under various clinically relevant loading conditions. Left and right forelimbs of 13 mature horses were transected halfway down the radius and loaded in a position mimicking the weightbearing attitude close to the midstance phase. Five loads were used which corresponded with loads that can be expected in different gaits or during athletic performance (stance: 1800 N, walk: 3600 N, trot: 5400 N, gallop: 10,500 N and jumping: 12,000 N). Contact areas and pressure distributions at the PAS of PI were determined using a methylene blue dye staining technique and 2 pressure sensitive films (low pressure: range 2.5-10 MPa and medium pressure: range 10-50 MPa). The contact area of PI was positively correlated (r = 0.86; P<0.01) with the applied load. The contact area increased from 63% at 1800 N to 95% at 12,000 N and gradually shifted to include more of the edges of the articular surface, but especially the dorsal articular margin of PI. Pressure distribution patterns were similar under the different loading conditions. Pressure was less at the palmar margin and in the central depression and highest at the dorsal articular margin. With increasing load, the highest peak pressures were measured at sites of the dorsal articular margin that are not loaded in the standing or walking horse. The results of this study suggest that the frequent occurrence of osteochondral lesions at the dorsal articular margin of PI is caused by the combination of the intermittent character and the high absolute values of loads at this site as they occur during athletic performance.     

The hindlimb in walking horses: 1. Kinematics and ground reaction forces

The objective was to study associations between kinematics and ground reaction forces in the hindlimb of walking horses. Video (60 Hz) and force (2000 Hz) data were gathered for 8 strides from each of 5 sound horses during the walk. Sagittal plane kinematics were measured concurrently with the vertical and longitudinal ground reaction forces. The hindlimb showed rapid loading and braking in the initial 10% stride. The stifle, tarsal and coffin joints flexed and the fetlock joint extended during this period of rapid loading. The vertical ground reaction force showed 2 peaks separated by a dip; this pattern was similar to the fetlock joint angle-time graph. Peaks in the longitudinal ground reaction force did not appear to correspond with kinematic events. Total braking impulse was equal to total propulsive impulse over the entire stride. Flexion and extension of the hip were responsible for protraction and retraction of the entire limb. Maximal protraction occurred shortly before the end of swing and maximal retraction occurred during breakover. During the middle part of stance the tarsal joint extended slowly, while the stifle began to flex when the limb was retracted beyond the midstance position at 28% stride. Flexion cycles of the stifle and tarsal joints were well coordinated during the swing phase to raise the distal limb as it was protracted. The results demonstrate a relationship between limb kinematics and vertical limb loading in the hindlimbs of sound horses. Future studies will elucidate the alterations in response to lameness.     

Ground reaction force patterns of Dutch Warmblood horses at normal walk

The ground reaction force patterns from 20 clinically sound Dutch Warmblood horses (Group A) were recorded at the normal walk. The data from four to 10 stance phases of each limb were computer averaged after normalisation to the animal's body mass and to the stance time. This analysis method allowed comparison of data from left and right fore- and hindlimbs within and between horses. The left-to-right symmetry in the reaction force peaks of contralateral limbs of one horse exceeded 90 per cent. The time in the stance phase at which the peaks occur were even more symmetrically distributed. A characteristic force-force diagram was constructed by plotting the longitudinal horizontal and the vertical ground reaction forces against each other; in this way the symmetry of loading of contralateral fore- and hindlimbs could be interpreted easily. Force plate tracings were obtained from eight horses (Group B) in three successive years. The similarity of the tracings from a sound, well-trained horse over that period was better than the differences between horses of the same breed.     

Successful Management of Severe Open Metacarpophalangeal Joint Dorsal Luxation in a Horse

A 3-year-old Darreh-Shuri stallion was presented with left forelimb open dorsal fetlock luxation immediately after being hit by a motorized vehicle. The horse was in a non–weight-bearing position on the affected limb. General physical examination revealed normal vital parameters and no special concurrent abnormality. Radiographic examination in lateromedial and dorsopalmar views of the affected limb showed complete luxation of the metacarpophalangeal joint with no fractures. Ultrasonographic evaluation revealed intact collateral ligaments. Under general anesthesia and following routine preparations, forceful manual pressure was exerted on the distal part of the metacarpus and proximal part of the first phalanx to reduce the luxation. Joint capsule and skin laceration were sutured. Intraarticular amikacin (500 mg) was administered and repeated on the third and fifth days postoperatively. A palmar polyvinyl chloride, synthetic plastic polymer (PVC) splint was placed following adequate padding from the carpus to the toe. The higher and lower third of the splint was casted and the middle part left open to manage the joint and skin lesion. Intraarticular sodium hyaluronate (20 mg) was administered 10 days later. After cast removal following 5 weeks, the stallion revealed no sign of lameness. The owner was instructed to keep the stallion confined to a stall for at least 2 more months with a restricted daily short hand walk. Special casting methods for immobilization of a limb with an open joint luxation can tremendously improve the healing process.     

African Horse Sickness Fever in Vaccinated Horses: Short Communication

Our investigation has shown that multiple vaccinations with inactivated African horse sickness (AHS) vaccines containing all 9 serotypes and produced at the Central Veterinary Research Laboratory in Dubai, UAE, protect horses from AHS. However, the immunization did not prevent African horse sickness fever (AHSF) in approximately 10% of the vaccinated horses despite high enzyme-linked immunosorbent assay and virus neutralizing antibodies. African horse sickness fever is a very mild form of AHS with similar clinical signs. From all 6 horses which had developed AHSF, no virus was isolated from EDTA blood withdrawn during the acute phase of infection. Despite high neutralizing antibodies, serotype 9 was detected by polymerase chain reaction in 4 of them. All 6 horses recovered within 72 hours, after they developed mild clinical signs of AHS.