Osteochondral Fragmentation in the Synovial Pad of the Fetlock in Warmblood Horses

Objectives— To determine clinical and arthroscopic characteristics associated with fragments in the synovial pad of the fetlock and to characterize their morphology. Study Design— Retrospective study. Animals— Warmblood horses (n=104) with fragment(s) in the synovial pad. Methods— S ignalment and results of radiographic and clinical examination were collected before surgery. After arthroscopic fragment removal and joint evaluation for synovial and/or cartilage abnormalities, fragments were measured, and evaluated by histopathology. Results— Synovial pad fragments (n=142) were removed from 127 fetlocks. Two older horses had lameness. During arthroscopy, abnormalities were observed in 40 joints (31.5%) and multivariate logistic regression analysis showed a significant correlation between the observed arthroscopic abnormalities and the presence of large fragments (P=.016). Fragments were osteochondral bodies completely surrounded by fibrous tissue. At the edges of the hyaline cartilage cap an underlying fibrous structure was obvious in the extracellular matrix giving it a reactive pattern. Conclusions— Although the impact on lameness was minimal, there was a significant correlation between arthroscopic abnormalities and presence of large synovial pad fragments. On histopathology, these osteochondral fragments are embedded in fibrous tissue and show a reactive pattern. They are not a manifestation of any well‐described joint pathology. Clinical Relevance— Large synovial pad fragments in Warmblood horses can be associated with synovial and cartilage abnormalities, but further studies are warranted to determine their origin and clinical importance.     

Postanesthetic Neuropathy/Myopathy in the Nondependent Forelimb in 4 Horses

Postanesthetic lameness in the form of myopathy or neuropathy is a well-known complication associated with equine general anesthesia and is most often reported in the dependent limb of horses treated in lateral recumbency. The aim of this case series was to report clinical data of 4 horses treated under general anesthesia in lateral recumbency and that developed postanesthetic neuropathy/myopathy in the nondependent forelimb. With anti-inflammatory and analgesic medical treatment, locomotor problems associated with neuropathy/myopathy resolved after 12–24 hours in all cases. The pathogenesis remains unclear. A first hypothesis may be the decreased hydrostatic pressure in limb vessels elevated above the level of the heart, and consequent reduction of muscle perfusion. Second, abduction and/or endorotation of the upper forelimb may have caused injury to the brachial plexus. Therefore, positioning of the nondependent forelimb should be done judiciously and may be the subject of further research.     

The Forelimb and Hoof Conformation in a Population of Mongolian Horses

This article describes the lower limb and hoof conformation of a population of semi-feral Mongolian horses living on an open tundra/steppe environment. Data were collected from a convenience sample of 120 Mongolian horses used in the 2011 Mongolian Derby. Digital images of the hooves were obtained, and the lower limb conformation was assessed by four veterinarians involved in the screening of the horses offered for the derby. The horses were predominantly geldings (96%, 100/104), approximately 8.6 ± 2.5 years old, and 137 ± 8 cm at the withers. None of the horses were subjected to routine hoof trimming. Based on a 7-point linear score, lower limb conformation was normal, with a trend (>1 linear score deviation) slightly toward carpal valgus, mildly offset cannon (third metacarpal), and valgus at the matacarpophalangeal joint. Hoof measurements were within the norm for horses of this size. Fetlock valgus was associated with a smaller hoof width:length ratio (P = .016). None of the other hoof measurements were significantly associated with abnormal conformation scores. Overall, few conformation abnormalities were observed, and hoof shape and size was within the normal expected range for horses of this size. The hoof conformation in this population of Mongolian horses represented the natural interaction of the hoof with the environment.     

Arthroscopic Examination of the Femorotibial Joints of Horses

A technique for satisfactory arthroscopic examination of the lateral and medial femorotibial joints of the horse is described. The entry portal is made between the middle and medial patellar ligaments with the horse on its back and the stifle flexed. This position allows easy access to view the intercondylar eminence of the tibia. From this reference point, examination of all but the most caudal and medial structures of the joints are possible by manipulating the sleeve and telescope and maintaining joint distention. In a series of 20 examinations, iatrogenic trauma was recognized only once.     

Effects of Steel and Aluminum Shoes on Forelimb Kinematics in Stock-Type Horses as Measured at the Trot

To meet the needs of sport horses, horseshoes of various styles and materials have been implemented to enhance performance. Steel shoes are commonly used for their affordability and longevity; however, the use of aluminum horseshoes is being adopted to satisfy the various requirements of certain equestrian activities. Owing to the importance of the allure of movement in many aspects of competitive riding, the lightweight nature of aluminum horseshoes has been recognized to accentuate foreleg action. By performing a repeated-measures crossover study on nine healthy stock-type horses, the effects of these two horseshoe types on forelimb action were analyzed at the trot using two-dimensional kinematics. Horses were trotted in hand for three repetitions over a distance of 50.1 meters on days 4, 18, 32, and 46 postshoeing for two 6-week shoeing cycles. Video footage was collected and analyzed using gait analysis software (EquineTec) for each repetition. The measured stride length, fetlock extension, elbow and knee range of motion, and minimum and maximum elbow angle remained constant between treatments. However, there was a significant treatment effect on minimum carpal angle and maximum hoof height, with aluminum shoes having a larger minimum carpal angle than those in steel shoes (P < .05) and a lower maximum hoof height (P < .05). An overall 3-degree difference in minimum carpal angle and approximate 2.5-cm difference in maximum hoof height was observed between treatments. This finding is of particular importance to performance horse disciplines for which a lesser degree of knee action is desirable.     

Effects of 0.05% Chlorhexidine Lavage on the Tarsocrural Joints of Horses

In six horses, a 0.05% solution of chlorhexidine diacetate was used to lavage one tarsocrural joint; the contralateral control joint was lavaged with lactated Ringer's solution. Horses were evaluated daily for lameness. Synovial fluid samples were collected on days 1, 4, and 8 for determination of protein concentration, total and differential leukocyte counts, and mucin clot formation. After death on day 8, synovium and osteochondral samples were collected from the tarsocrural joints for examination of morphology and proteoglycan staining. Lavage with chlorhexidine solution caused lameness that was reduced but still evident at day 8. Synovial protein concentration was significantly increased by chlorhexidine lavage; the greatest increase occurred on day 1. Joint lavage increased synovial leukocyte counts on day 1, primarily by increasing polymorphonuclear (PMN) cell counts. Although total synovial leukocyte counts returned to normal by day 4, PMN cell counts remained elevated through day 8; PMN cell counts for chlorhexidine-lavaged joints were typically twice that of control joints. Chlorhexidine lavage caused synovial ulceration, inflammation, and abundant fibrin accumulation. Consistent differences in proteoglycan staining were not detected between control and chlorhexidine-lavaged joints. Joint lavage with 0.05% chlorhexidine diacetate, the lowest known bactericidal concentration, is not recommended for equine joints.     

An In Vitro Biomechanical Comparison of Two Fixation Methods for Transverse Osteotomies of the Medial Proximal Forelimb Sesamoid Bones in Horses

OBJECTIVE: This study compared the mechanical properties of the normal intact suspensory apparatus and two methods of fixation for repair of transverse, midbody fractures of the proximal sesamoid bones of adult horses: transfixation wiring (TW) and screws placed in lag fashion (LS). STUDY DESIGN: An in vitro, paired study using equine cadaver limbs mounted in a loading apparatus was used to test the mechanical properties of TW and LS. ANIMAL OR SAMPLE POPULATION: Seventeen paired (13 repaired, 4 normal) equine cadaver limbs consisting of the suspensory apparatus third metacarpal bone, and first and second phalanges. METHOD: The two methods of repair and normal intact specimens were evaluated in single cycle-to-failure loading. Yield failure was defined to occur at the first notable discontinuity (>50 N) in the load-displacement curve, the first visible failure as evident on the videotape, or a change in the slope of the moment-fetlock angle curve. Ultimate failure was defined to occur at the highest load resisted by the specimen. Corresponding resultant force and force per kg of body weight on the suspensory apparatus, fetlock joint moment, and angle of fetlock dorsiflexion were calculated by use of specimen dimensions and applied load. These were compared along with specimen stiffness, and ram displacement. RESULTS: Load on the suspensory apparatus, load on the suspensory apparatus per kg of body weight, moment, applied load, and angle of fetlock dorsiflexion at yield failure were significantly greater for the TW-repaired than for the LS-repaired specimens. A 3 to 5 mm gap was observed before yield failure in most TW-repaired osteotomies. CONCLUSIONS: Transfixation wiring provided greater strength to yield failure than screws placed in lag fashion in single cycle load-to-failure mechanical testing of repaired transverse osteotomized specimens of the medial proximal forelimb sesamoid bone.     

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.     

Forelimb lameness in the young patient.

Forelimb lameness is a common problem in young dogs and can be caused by a wide variety of problems. Accurate and comprehensive diagnosis and treatment must be provided for these patients. Differential diagnoses for forelimb lameness in the young patient fall into the categories of congenital abnormalities; developmental disorders; trauma; and infectious, nutritional, metabolic, and neoplastic causes. The etiopathogeneses of many of these disorders are still unknown, and treatment options and prognoses vary tremendously. Until definitive causes are determined, it is the responsibility of veterinarians to address the factors that contribute to the development and progression of these disorders. These areas primarily involve weight and nutritional management as well as breeding programs.     

Forelimb lameness in the adult patient.

Lameness of the forelimb may be one of the more frustrating problems in small animal orthopedics. It is likely that numerous causes of forelimb lameness are not yet defined or well understood. The common and some less common causes of forelimb lameness are discussed as well as their means of diagnosis. The application of new diagnostic tools including arthroscopy and ultrasound are also discussed.     

Morphologic Radiographic Study of the Proximal Sesamoid Bones of the Forelimb in Thoroughbred Racehorses in Training

The aim of this study was to identify differences in bone shape (height and width) of proximal sesamoid bones (PSB) in 2‐year‐old Thoroughbred racehorses in training. Dorsal 15° proximal‐palmarodistal oblique images of each metacarpophalangeal joint were acquired before the horses started training and at 1 year after the start of exercise and racing. There were no changes in height and width of PSBs induced by training. There was a significant difference of height and width between medial and lateral PSBs. In both forelimbs, the medial PSB was significantly wider and shorter than the lateral PSB. The medial PSB of the right forelimb was significantly wider than that of the left forelimb. These results might explain some limb predilection for fracture of PSBs. The difference in strain pattern between medial and lateral PSBs in different loading conditions needs to be investigated.     

Morphometrical Features of the Corneal Epithelium in Mammals

The study has been conducted on 40 species of mammals included in different taxonomic orders: 10 carnivores (felines and canides), 13 primates and 17 herbivores (artiodactyles, perisodactyles and proboscideans). Domestic, experimental and wild animals have been included in the sample. The purpose of the study is to offer new data regarding morphometric aspects of the epithelium of the cornea of mammals. We also aim to establish the relationships and differences between the different epithelia studied and to determine the morphometric characteristics which best define the epithelium of the different species under study. The results obtained have demonstrated the existence of correlations between thicknesses, number of cellular layers and number of the epithelial cells in the different groups. It has also been established that the variants in thickness and number of layers define and characterize the epithelia. Finally, the study reveals that morphometric characteristics of the epithelium of primates and carnivores have more similarities than those of herbivores.