Arthrodesis of the Distal Intertarsal and Tarsometatarsal Joints in the Horse

Arthrodesis created by destruction of the articular surfaces of the distal intertarsal and tarsometatarsal joints by repeated insertion of a drill was studied in one limb of each of nine horses. Postoperatively, the horses were housed in box stalls for 8 weeks and then confined to a paddock for 19 weeks. Clinical and radiographic evaluations were performed prior to surgery, immediately following surgery, and at 2,4, 6, 8,10,12,16, 20, and 27 weeks following surgery. There was a statistically significant positive correlation between decreasing degree of lameness and increasing radiographic evidence of bony fusion; fusion of the distal intertarsal and tarsometatarsal joints was present in five horses 27 weeks after surgery. The horses lost weight during the first 8 weeks after surgery. Flexion of the treated tarsal joints was decreased significantly at the end of the experiment.
Complications encountered included fracture of the third tarsal bone (five horses), instability of the tarsus (four horses), septic arthritis (three horses), and diarrhea (four horses).
Arthrodesis, with this method of surgical drilling of the distal intertarsal and tarsometatarsal joints, is not recommended because of severe pain, prolonged convalescence, and high incidence of complications.     

In Vivo Investigation of Communication Between the Distal Intertarsal and Tarsometatarsal Joints in Horses and Ponies

The frequency of communication between the tarsometatarsal and distal intertarsal joints was investigated in 27 horses and 12 ponies. After the injection of diluted latex into the tarsometatarsal joints using the plantarolateral approach, the horses and ponies were walked for 200 meters. Latex was found in the distal intertarsal joints of 19 of 73 tarsi (26% communication) at necropsy. In 3 tarsi, latex was also found in the proximal intertarsal and tar-socrural joints.     

Osteochondral Fragments within the Dorsal Pouch or Dorsal Joint Capsule of the Proximal Intertarsal Joint of the Horse

The anatomy of the dorsal pouch of the proximal intertarsal joint (PIJ) and its communication with the tarsocrural joint (TCJ) was studied in 15 pairs of hocks from young and mature horses. The mediolateral length of the TCJ-PIJ fenestration was 14 to 29 mm. The potential volume of the dorsal pouch of the PIJ was 3 to 5 ml, and a recess extended 10 to 28 mm medial to the medial commissure of the TCJ-PIJ fenestration. In a correlated clinical study, osteochondral fragments were identified radiographically within the dorsal pouch (category 1) or dorsal joint capsule (category 2) of the PIJ in 17 horses undergoing arthroscopic surgery of the TCJ. In six horses with category 1 lesions, osteochondral fragments were found free within the dorsal pouch and were removed. In five horses, category 1 fragments were not located. All 11 horses were reported by owners to be sound after surgery. In seven horses, a minimally displaced fragment was identified at the distal aspect of the medial trochlear ridge, within the insertion of the synovium separating TCJ and PIJ (one horse had both types of lesions in the same hock). Five of the seven category 2 fragments were removed at surgery. Of the seven horses with category 2 lesions, four were training or racing, two were unsound, and one was still convalescing at the time of follow-up.     

Intertarsal and tarso-metatarsal subluxation in the dog

Forty-four cases of intertarsal subluxation and eight cases of tarso-metatarsal subluxation in the dog are reported. The anatomical features of the hock related to these conditions are briefly considered. There was evidence that the Shetland Sheepdog is predisposed to intertarsal subluxation and in this breed minimal trauma was associated with the occurrence of the condition. The history, clinical and radiographic features are reported for each condition and the methods and results of treatment described.     

Evaluation of Surgical Removal of Fractured Distal Splint Bones in the Horse

Between January 1977 and June 1980, 38 Standardbred and 23 Thoroughbred horses had fractured distal splint bones removed surgically. Standardbred horses were treated significantly more frequently compared with the hospital population. The incidence of distal splint bone fractures in the front legs was significantly greater (p 0.05) than in the rear legs in both breeds. Associated suspensory desmitis was present in 81% of Standardbred and 67% of Thoroughbred horses at the time of surgery.
The most common radiographic sign was fracture with associated callus. It was not possible to correlate preoperative radiographic signs with presence of associated suspensory desmitis. One Thoroughbred horse developed a large mass of amorphous bone at the surgical site which required a second surgical procedure.
Follow-up information was available on 21 of 38 Standardbred and 17 of 23 Thoroughbred horses. There was no correlation found between preoperative radiographic signs or the location and number of distal splint bone fractures with postoperative results. Twenty-five percent of Standardbreds that had preoperative suspensory desmitis eventually reached at least their previous level of performance. None of the Thoroughbred racehorses with preoperative suspensory desmitis returned to their previous level of performance. Five of 17 Thoroughbred horses were pleasure horses, and all were reported "sound for intended use" following surgery; however, only four of five were used at their previous level of performance.
The significant feature in the prognosis of distal splint bone fractures in this series was the presence of associated suspensory desmitis. Postsurgical performance was limited by the recurrence of suspensory desmitis.     

Negative-Pressure Wound Therapy as Management of a Chronic Distal Limb Wound in the Horse

Wound healing in distal limb wounds with tissue loss in horses may be an expensive and long process due to prolonged inflammatory phase. Negative pressure wound therapy (NPWT) (also known as vacuum-assisted closure) is well established method of wound therapy in human plastic and reconstructive surgery for many years. It consists of a leak free bandage and a pump that applies subatmospheric pressure to the wound area. This report describes the successful use of the NPWT intended for the suppression of exuberant granulation tissue development of the wound on distal limb in a horse.     

Arthroscopic Approach and Intra-articular Anatomy of the Palmaroproximal or Plantaroproximal Aspect of Distal Interphalangeal Joints

An arthroscopic approach to the palmaroproximal or plantaroproximal pouch of the distal interphalangeal joint was developed in six cadaver limbs and seven limbs of three clinically normal horses. The dorsal aspect of the proximal border and the proximal articular margin of the distal sesamoid (navicular) bone, the palmar aspect of the distal articular margin of the middle phalanx, the collateral sesamoidean ligaments of the distal sesamoid bone, and the joint capsule attachments were readily accessible. Distending the joints with fluid gave access to portions of the articular surface between the distal sesamoid bone and the middle phalanx in all joints, and to a small portion of the distal phalanx in two hind distal interphalangeal joints. Two horses allowed to recover from anesthesia were not lame on days 30 and 37, respectively. Problems encountered initially were difficulty entering the joint, hemarthrosis, and minimal iatrogenic cartilage damage.     

Stress Protection Afforded by a Cast on Plate Fixation of the Distal Forelimb in the Horse In Vitro

Six forelimb specimens from three adult horses had the fetlock joint fused by application of a dorsal plate and by a screw placed in lag fashion through the metacarpus to each proximal sesamoid bone. Five specimens were instrumented on the central dorsal surface of the plate with a single rosette strain gage, and the plate of the sixth specimen was instrumented with four longitudinally oriented single-axis strain gages. The specimens were loaded axially in compression to 4,000 N in a cast (test 1), in a cast with a heel block (test 2), and uncast (test 3). The principal angle of strain in all specimens, in all tests, closely approximated the vertical axis at loads < 1,000 N. The principal angle in uncast specimens was significantly different at loads > 1,000 N than the cast specimens ( P <.05). At loads > 3,000 N, the principal angle in test 3 closely approximated the horizontal axis, indicating a change from tension to compression on the dorsal surface of the plate, whereas the principal angle of the cast specimens was unchanged. Specimens in a cast (tests 1 and 2) suffered less surface deformation than did uncast specimens (test 3). Therefore, the cast changed the direction and extent of bending at the point of fixation, and thereby decreased the deformation of the plate. This effect would lead to greater fatigue life of the implant in the cast specimens compared with the uncast specimens.     

The Effect of Lunging with Three Aids on the Thermographically Determined Temperatures of the Distal Portion of Horse Limbs

The regulation of head and neck position during physical exercise may be obtained using lunging aids (LAs): Chambon (CH), rubber band (RB), or triangle side reins (TR). The use of LAs would shift the center of horse mass caudally, thereby change the limb load. The aim is to evaluate the pattern of superficial temperatures (PST) of hoof wall (HW), the coronary band (CB), and the dorsal aspect of the fetlock joint (FJ) obtained before and after lunging with LAs and freely moving head (FMH). Sixteen horses were imaged using an infrared camera. The temperatures of HW, CB, and FJ were measured, and differences between images obtained before and after lunging were evaluated. The correlations between HW, CB, and FJ were then described using respective coefficients (r, rho). Before lunging PST was similar (P < .05) in FMH, CH, RB, and TR, with the strong positive correlations for forelimbs (HW/CB:rho = 0.9022; HW/FJ:rho = 0.7064; CB/FJ:rho = 0.8010) and hindlimbs (HW/CB:rho = 0.7287; HW/FJ:r = 0.7831; CB/FJ:r = 0.7233). After lunging, PST and correlations changed (P > .05) depending on LAs application. No correlations for FMH and CH, and positive correlations for RB and TR were noted: HW/CB for forelimbs (RB:r = 0.6813; TR:r = 0.8396), CB/FJ for hindlimbs (RB:r = 0.5621; TR:rho = 0.4579). The PST of the distal portion of limbs and relations between measured temperatures change depending on used LAs.     

Investigating the Link between Particulate Exposure and Airway Inflammation in the Horse

Inhalant exposure to airborne irritants commonly encountered in horse stables is implicated in the pathogenesis of inflammatory airway disease (IAD) and recurrent airway obstruction (RAO), non‐infectious, inflammatory pulmonary disorders that impact the health and performance of horses across all equine disciplines. IAD and RAO have overlapping clinical, cytological, and functional manifestations of the pulmonary response to organic dust and noxious gases encountered in the barn environment. Study of these diseases has provided important but incomplete understanding of the effect of air quality upon the respiratory health of horses. In this review, the principles of particulate exposure assessment, including health‐related aerosol size fractions and size‐selective sampling, the factors influencing air quality in equine environments, and the effect of air quality on the equine respiratory tract are discussed. The objective of this review is to provide the reader with a summary of the most common chronic inflammatory airway diseases in the horse and the principles of air sampling that are essential to the planning, interpretation, and assessment of equine respiratory health‐related exposure studies.     

马生长激素(GH)基因的PCR-SSCP研究

选取4个蒙古马地方品种、1个国内培育品种和1个国外引人品种共281匹马，采用PCR—SSCP技术，检测了GH基因5’侧翼区、第1内含子、第2外显子和第5外显子4个位点的遗传多态性。结果显示：仅第5外显子出现多态性，表现出AA、BB和AB3种基因型，其余位点未检测到多态。群体遗传学分析结果表明：除纯血马外，其余品种都是等位基因A为优势基因；Hardy-Weinberg平衡检验显示，乌审马、乌珠穆沁马、巴尔虎马处于平衡状态，锡尼河马、三河马、纯血马处于非平衡状态；各品种马的多态信息含量均为中度多态（0．25〈PIC〈0．5）。本研究为今后马的分子育种奠定一定基础。     

A Retrospective Analysis of Renal Carcinoma in the Horse

Background: Renal carcinoma is a rare tumor of horses.
Hypothesis: Presenting complaints and clinical signs of this disease are vague and early diagnosis increases survival time.
Animals: Data were collected from the medical records of 4 horses presented to Washington State University as well as the 23 previously published case reports of horses with renal carcinoma.
Methods: Retrospective study.
Results: Renal carcinoma affects horses of all ages with most cases observed in geldings and Thoroughbreds. The most common presenting complaints are nonspecific and usually do not occur until late in the course of the disease. Routine laboratory results generally are unremarkable with no evidence of renal dysfunction. Urine and peritoneal fluid analyses are consistently abnormal, but the changes usually are nonspecific. Rectal palpation often allows detection of an abnormal kidney or a mass in the area of the kidney. Renal ultrasound examination is the most rewarding imaging procedure, and when combined with renal biopsy, antemortem diagnosis can be achieved. Renal carcinoma is both locally invasive and metastatic, necessitating careful staging for metastasis using thoracic radiography and abdominal ultrasound examination. If the tumor is localized to 1 kidney, nephrectomy is the treatment of choice. No chemotherapy or radiation treatment for renal carcinoma has been reported in the horse. Median survival for this series of cases was 11 days (0 days–1 year).
Conclusions and Clinical Importance: Prognosis is poor to grave.     

Osteochondral Defects of the Lateral Trochlear Ridge of the Distal Femur of the Horse Clinical, Radiographic, and Pathological Examination and Results of Surgical Treatment

Osteochondral defects of the lateral trochlear ridge of the distal femur were identified in 15 joints of 10 horses. Lesions were bilateral in five horses and unilateral in five horses. Thirteen of these 15 defects were treated by curettage through a craniolateral femoropatellar arthrotomy. Subcutaneous seroma formation and partial skin dehiscence occurred in nine stifles. Lameness attributable to the stifle joint was no longer apparent at 6 and 12 months after surgery. The normal subchondral bony contour of the lateral trochlear ridge was altered in all joints after surgery. The subchondral bone was uniformly increased in density in all joints, and six lateral trochlear ridges had small focal radiolucent regions within the subchondral bone, which suggested that complete removal of the original lesion had not been achieved. Healing of the surgical site between 2 weeks and 14 months was evaluated in four joints. Granulation tissue from mesenchymal elements in subchondral marrow spaces gradually filled the defects with fibrocartilage.     

Analysis of the population structure of the Black Forest Draught Horse

Gene contributions of foreign populations as well as coefficients of inbreeding and relationship were evaluated in 699 Black Forest Draught horses of Baden-Württemberg actually registered in the year 2002. Based on nearly complete 5-generation-pedigrees and after taking into account the remaining incompleteness, the mean coefficient of inbreeding for the total population was 6.5%. The recently by incrossing with different breeds newly established lines of stallions showed significantly lower mean coefficients of inbreeding. High rates of inbreeding of about 1.6% in the last five generations could also be faced by incrossing stallions of foreign coldblooded populations what resulted in a decrease of inbreeding in the last generation. In the total population the mean degree of relationship was 16%. The mean degree of relationships within lines of stallions was between 18.3 and 26.8%. The coefficients of relationships between lines of stallions varied between 5.1 and 16.6%. Especially, the newly established lines of stallions showed a lower mean degree of relationships to the other different lines of stallions. The proportion of purebred Black Forest Draught horses in the total population was nearly 70%. Assuming that most animals of unknown origin were purebred, the proportion of purebred Black Forest Draught horses reached about 90%. Austrian Noric, Swiss Freiberg and South German Coldblood stallions were the most important contributors to the Black Forest Draught horse population.