Intermuscular Heterotopic Ossification in the Shoulder Region Associated with a Hopping-type Forelimb Lameness

Heterotopic ossification has not previously been described in the horse. An event horse was investigated due to poor performance and development of a hopping-type forelimb lameness when ridden. Comprehensive local analgesic techniques did not alter the hopping-type lameness. Radiological assessment revealed an osseous plate between the biceps brachii and brachiocephalicus muscles of the lame limb. Ultrasonographic examination verified that there was no involvement of the intertubercular bursa or tendon of biceps brachii or the muscles themselves. The horse was humanely destroyed because of multilimb lameness, with multiple sources of pain. Postmortem examination revealed a large plate of bone with very sharp, pointed margins, which was easily dissected from the adjacent muscles. The radiological and gross appearances of the bone plate were typical of heterotopic ossification in human beings.     

General Biomechanics: The Horse As a Biological Machine

The “Mechanical Mode” of a horse refers to the condition of the musculature appropriate to the moment or task—stretched, contracted, or slack. It can be because of posture or carriage, rigidity, as a result of defensiveness, sustained contraction of musculature beyond the need of the task at hand, general condition of the musculature from moment to moment, and much more. One way to demonstrate this is to address the concept of suppleness. The mechanics of gait can be divided into purity, quality, and way of going. The mechanics of gait should be well understood by the veterinarian so that when evaluating the horse with the complaint of lameness they are best able to integrate and differentiate the true lameness from a mechanical, riding, or performance problem.     

Induction of Noninflammatory Pain in an Experimental Foot Lameness Model in Horses

The mechanism by which nonsteroidal anti-inflammatory drugs mitigate pain caused by a heart bar shoe (HBS) model of lameness is unknown. The purpose of this study was to determine if this HBS model of lameness induces inflammation in horses. Five healthy adult horses from a university teaching herd were enrolled. A custom HBS was applied to the left front foot of each horse, followed by induction of the American Association of Equine Practitioners Lameness Score of 4. Inflammatory markers including serum amyloid A (SAA) concentration, local venous tumor necrosis factor alpha and prostaglandin E2 (PGE2) concentrations, and foot temperature were measured before lameness induction and 1, 3, and 13 hours after lameness induction. Lameness induction using the HBS model did not significantly increase production of plasma SAA, tumor necrosis factor alpha, or PGE2 concentrations at measured time points. Immediately and 1 hour after lameness induction, dorsal coronary band temperatures were higher in the left front foot compared with the right front foot, but there was no difference at 3 or 13 hours. In conclusion, the HBS model did not induce inflammation as assessed by select inflammatory markers, suggesting that the HBS model induces mechanical rather than inflammatory pain. This should be considered when using the HBS model to assess analgesic drugs in horses.     

Kinematic Characterization of the Menorca Horse at the Walk and the Trot: Influence of Hind Limb Pastern Angle

This paper describes the handled walking and trotting kinematics (linear, temporal, and angular traits) of 35 Menorca Purebred (MEN) stallions, and the relationships among these variables is presented for the first time, along with a discussion of the influence of the hind limb pastern angle on kinematic variables at both gaits. For data collection, all animals, aged between 3 and 10 years old and belonging to 28 different studs, were recorded under the same experimental and environmental conditions, using a three-dimensional (3D) semiautomatic movement analysis system. A total of 24 kinematic variables (temporal, linear, and angular) at the walk and the trot and a morphometric variable measured at the mid stance position of walking (hind pastern angle) were included in this analysis. Angle-time diagrams of the hind pastern angle while walking and trotting normalized to stride duration were also obtained. Generally the MEN stallions' forelimb movements closely resembled the movement characteristics of other European dressage performance breeds, while the hind limb locomotion showed a greater likeness to Iberian dressage Purebreds. Despite this, their ability in collection and propulsion at the walk and the trot was relatively low. The hind limb pastern conformation was partially connected to the hind limb movements for both gaits, with an apparently negative effect of excessively upright pasterns on the amplitude at the trot, which indirectly reduced collection ability.     

Lameness Associated with Mineralization of the Central Tarsal Bone and a Small Osseous Cyst-Like Lesion in Two Sport Horses

The clinical features, response to local analgesia, and imaging findings of two mature sport horses with lameness associated with abnormal mineralization of the dorsal aspect of the central tarsal bone and a small osseous cyst-like lesion are described. Although the radiological findings and the lesions identified using magnetic resonance imaging were similar, the lameness characteristics and responses to perineural analgesia differed. One horse failed to respond to treatment and was retired. The second horse was humanely destroyed. Postmortem examination confirmed the presence of an osseous cyst-like lesion distal to the subchondral bone plate of the central tarsal bone and extensive dense cancellous bone extending one-half the dorsoplantar depth of the bone.     

Validation of a Reversible Lameness Model and the Assessment of a Topically Applied Nonsteroidal Anti-Inflammatory Drug

The objective of this study was to validate and use a model of reversible foot lameness in the horse. The model used both forelimb hooves fitted with a clamp. After force platform baseline measurements, one clamp was tightened to induce an asymmetry index (ASI) between 25% and 30% and left in place for 120 hours. Serial force platform measurements were obtained. After 120 hours, the clamp was released, and force platform data were recorded until the horse returned to soundness. The procedure was repeated on the opposite forelimb. To use the model, the same procedure was performed in another group of horses with one limb treated with topical diclofenac at 12-hour intervals beginning when the initial ASI was between 25% and 30% and continued for 120 hours. The response was evaluated for each outcome variable using linear mixed models. Time (duration of clamp being tight), limb (left or right), and clamping order (first or second foot) were fixed effects, whereas horse was a random effect. A similar analysis was completed with the additional variable (diclofenac treatment) for the model utilization data. For model validation, the only significant force plate data variable was time, which is consistent with model design. For model utilization, there was a significant effect of time and a significant decrease in the ASI associated with topical diclofenac. The model created a consistent lameness that will provide a mechanism to compare treatments for pain and lameness. Topical diclofenac applied twice daily decreased the lameness associated with the model.     

Assessing the Association Between Hoof Thermography and Hoof Doppler Ultrasonography for the Diagnosis of Lameness in Horses

The objectives of this study were to assess the correlation between hoof surface temperature and ultrasonographic measurements of digital blood vessels in horses and to evaluate the measurements' potential as predictors for clinical lameness. Twelve 3-year-old American Quarter Horses, 6 geldings and 6 mares, with average initial body weight of 459 ± 31 kg were used. On days 0, 30, 60, and 90 of the study, horses were weighed and subjected to clinical lameness examinations. Doppler ultrasonography was used to measure diameter of the medial palmar artery in the distal left forelimb and velocity of blood flow through that artery, starting at 60 minutes after morning feeding and repeated at 30-minute intervals. Temperature measurements on the hoof were collected at 15-minute intervals beginning 75 minutes after feeding, using a digital thermographic camera. A series of bivariate linear mixed models were fitted to estimate the correlation between Doppler and temperature measurements. The within-horse and between-horse correlations between hoof surface temperature and velocity of blood flow in the distal limb through the medial palmar artery was estimated at 0.40 (P > .50) and 0.99 (P < .001), respectively. These results indicate that at the horse level, the correlation between hoof temperature and velocity of blood flow in the distal limb was very high but that the within-horse correlation was not significantly different from 0. Velocity of blood flow at 60 minutes after feeding improved model fit to the lameness data, so it was included as a model predictor for lameness.     

The Role of Thermography in the Management of Equine Lameness

Equine thermography has increased in popularity recently because of improvements in thermal cameras and advances in image-processing software. The basic principle of thermography involves the transformation of surface heat from an object into a pictorial representation. The colour gradients generated reflect differences in the emitted heat. Variations from normal can be used to detect lameness or regions of inflammation in horses. Units can be so sensitive that flexor tendon injuries can be detected before the horse develops clinical lameness. Thermography has been used to evaluate several different clinical syndromes not only in the diagnosis of inflammation but also to monitor the progression of healing. Thermography has important applications in research for the detection of illegal performance-enhancing procedures at athletic events.     

Subjective Gait Assessment of 57 Sports Horses in Normal Work: A Comparison of the Response to Flexion Tests,Movement in Hand,on the Lunge,and Ridden

Historically, lameness has been evaluated in hand or on the lunge, but some lamenesses may only be apparent ridden. The objectives were to compare the response to flexion tests, movement in hand, on the lunge, and ridden in sports horses in regular work, assumed to be sound by the owners. It was hypothesized that lameness may be apparent in ridden horses that was not detectable in hand or on the lunge. Fifty-seven sports horses in regular work and assumed to be sound were assessed prospectively in hand, on the lunge on both soft and firm surfaces, and ridden. Flexion tests of all four limbs were performed. Lameness was graded (0–8) under each circumstance in which the horse was examined and after each flexion test. Fourteen horses (24.6%) were sound under all circumstances. Six horses were sound in hand, on the lunge, and ridden but showed a grade 1 or 2 lameness after flexion of a single limb. Sixteen horses (26.3%) were lame in hand. Twenty-four horses (42.1%) showed lameness on the lunge on a soft surface, and 23 horses (40.4%) were lame on the lunge on a firm surface. Twenty-seven horses (47.4%) showed lameness ridden; seven (12.3%) were only lame ridden. There was no significant association between age (P = .09) or work discipline (P = .1) and lameness. It was concluded that freedom from lameness in straight lines is not a reliable indicator of soundness. Some lamenesses are only apparent ridden.     

Use of Body-Mounted Inertial Sensors to Objectively Evaluate the Response to Perineural Analgesia of the Distal Limb and Intra-articular Analgesia of the Distal Interphalangeal Joint in Horses With Forelimb Lameness

Diagnostic analgesia of the distal interphalangeal (DIP) joint is theoretically helpful to localize the source of pain in the foot to the joint and/or navicular bursa. However, it has been suggested that potential diffusion of local anesthetic agent to nearby distal limb nerves may anesthetize other areas of the foot. The objective of this study was to compare the results of palmar digital (PD) and abaxial sesamoid (AS) nerve blocks to intra-articular anesthesia of the DIP joint in horses with distal forelimb lameness. Palmar digital nerve block (group 1) or PD and AS nerve blocks (group 2) were used to abolish digital pain in 22 horses. The following day lameness was again evaluated in all horses before and 2, 5, and 10 minutes after DIP joint anesthesia. All lameness evaluations were performed objectively with a body-mounted inertial sensor system (Lameness locator; Equinosis LLC, Columbia, MO). In group 1 horses, overall improvement in group lameness was the same after DIP joint block, but only six showed positive response after DIP joint analgesia, five after 2 minutes, and one after 5 minutes. In group 2 horses, overall improvement in lameness was less after DIP joint block, with seven showing a positive response after DIP joint analgesia, one after 2 minutes, four after 5 minutes, and two after 10 minutes. Intra-articular analgesia of the DIP joint and perineural analgesia of the digit result in overlapping but unequal areas of analgesia. In addition, a time-dependent response was observed after DIP joint block with full effect requiring 5–10 minutes.     

Evaluation of Horse Fitness for Exercise: The Use of a Logit-Log Function to Model Horse Postexercise Heart Rate Recovery

The aim of this study was to test the adjustment of the logistic-log model with postexercise heart rate (HR) recovery data in horses and introduce the logit-log model as a parsimonious model, with the half recovery time as a measure of horse fitness. Postexercise HR (bpm) measurements at different timings were obtained from 32 polo ponies in two different exercise regimes: n = 16 “full chukker” and n = 16 in “half chukker.” Measurements were taken at rest, immediately after exercise and then 2, 4, 6, 10, and 20 minutes after exercise. The HR variable was transformed into a logit (HR) variable, and time was transformed into log (time). Means of logit (HR) at the different log (times) were obtained, creating two time series of transformed variables that were then adjusted by simple linear regression. The degree of adjustment of the model is high with values of r² = 0.989 for the full chukker and r² = 0.998 for the half chukker. Full chukker ponies have a half recovery time of 5.7 minutes and half chukker ponies of 11.2 minutes, with the former showing to be fitter than the latter, which is why they are chosen to play for longer periods. The logit-log model is parsimonious, and the half recovery time can be easily determined. The half recovery time has potential to be used as a measure of fitness degree, allowing comparison between horses.     

A Review of the Efficacy of Tiludronate in the Horse

Tiludronate is a compound in the bisphosphonate class of drugs. The main pharmacologic action of bisphosphonates is to inhibit bone resorption; they cause osteoclast apoptosis and disrupt intercellular trafficking of pro-inflammatory mediators. Bisphosphonates are used to treat humans with diseases such as osteoporosis and Paget's disease. Recently tiludronate has been studied as a treatment for bone resorptive diseases in horses. Tildren, an injectable form of tiludronate made for the horse, has been licensed to treat navicular disease and distal tarsal osteoarthritis in Europe. Some clinical studies have been completed to assess the efficacy of tiludronate in the horse. Many of the studies are reviewed here, and their standards of research are evaluated individually. Tiludronate may be beneficial in managing lameness isolated to the navicular bone and distal tarsal osteoarthritis by decreasing bone resorption and inflammation.     

An operation-level prospective study of risk factors associated with the incidence density of lameness in Michigan (USA) equine operations

A prospective cohort study of lameness in Michigan equids was conducted using the Michigan Equine Monitoring System (MEMS) Phase-II database. MEMS Phase II was an equine health-monitoring study of 138 randomly-selected Michigan equine operations. Management and health-related data were collected for operations in two 12-month periods. The median incidence density of lameness was 2.8 cases per 10000 horse-days at-risk (Minimum = 0; 25th Quartale (Q) = 0; 75th Q = 10.2; Maximum = 48.5). Equine operation-management and environmental risk factors associated with the incidence density of lameness were assessed using multivariable Poisson regression. Management risk factors associated with the incidence density of lameness included the total operation horse-days monitored (3rd Q: Relative Risk (RR) = 0.46; 95% Confidence Interval (CI): 0.29–0.71 and 4th Q: RR = 0.24; 95% CI: 0.16–0.37), the veterinary-related services score (3rd Q: RR = 0.61; 95% CI: 0.39–0.96 and 4th Q: RR = 1.45; 95% CI: 1.01–2.08), the farrier-related services score (4th Q: RR = 1.60; 95% CI: 1.07–2.42) and operations having equids participating in exercise-related activities (RR = 1.71; 95% CI: 1.16–2.50). Environmental risk factors associated with the incidence density of lameness included operations with stalls having medium flooring (RR = 0.48; 95% CI: 0.35–0.65), operations with stalls having loose flooring (RR = 2.78; 95% CI: 1.88–4.10) and operations using straw-like materials for stall bedding (RR = 2.02; 95% CI: 1.53–2.68).     

Biomechanics of the Distal Interphalangeal Joint

This article summarizes the kinematics of the distal interphalangeal (DIP) joint during locomotion at walk and trot. The patterns and ranges of motion in flexion and extension are very similar at walk (range of motion: 46±40) and trot (range of motion: 47±40). In both gaits there is a cucle of flexion that peaks in the first half of stance. The joint is extended through the remainder of stance in opposition to a palmar moment generated by the deep digital flexor tendon and its accessory ligament and the navicular ligaments. During locomotion in a straight line, small amounts of abduction/adduction (∼50) and internal/external rotation (5-60) occur, especially around the times of contact and breakover. Extra-sagittal motions increase as a consequence of hoof imbalance, during turning or when the horse moves over uneven terrain.