Marlis Blatter, Hannah-Sophie Chapman, Monika Heinzel-Gutenbrunner, Guido von Plato, Astrid Rijkenhuizen
{"title":"Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases.","authors":"Marlis Blatter, Hannah-Sophie Chapman, Monika Heinzel-Gutenbrunner, Guido von Plato, Astrid Rijkenhuizen","doi":"10.1111/evj.14437","DOIUrl":"https://doi.org/10.1111/evj.14437","url":null,"abstract":"<p><strong>Background: </strong>Desmotomy of the accessory ligament of the superficial digital flexor tendon (AL-SDFT) has been described for the treatment of superficial digital flexor tendon (SDFT) tendinopathy in Thoroughbred and Standardbred racehorses, and in event horses. To our knowledge, the outcome of this procedure has not been described in a population of warmblood horses.</p><p><strong>Objective: </strong>To report on the outcome of treatment of SDFT tendinopathy in warmblood horses using tenoscopic desmotomy of the main part of the AL-SDFT.</p><p><strong>Study design: </strong>Prospective observational case series.</p><p><strong>Methods: </strong>All 62 horses included in the case series had uni- or bilateral SDFT tendinopathy within the metacarpal/carpal region. The following data were collected and analysed using crosstabulations: breed, age, sex, use, affected limb(s), duration of tendinopathy, lameness grade, type and size of the SDFT lesion, bi- or unilateral desmotomy, duration of surgery, intraoperative findings, intraoperative/post-operative complications, duration of hospitalisation and outcome 24 months after surgery.</p><p><strong>Results: </strong>Forty-six horses (75%) were sound with 31 (51%) of these horses performing at the same level as prior to injury. Recurrent SDFT injuries or persistent lameness was observed in 15 (25%) horses. Two horses (3%) developed septic tenosynovitis post-operatively, one required euthanasia. Horses with lesions in the proximal third of the SDFT had a better outcome than those with lesions in the two distal thirds (OR = 4.71, 95% CI = 1.33-16.70).</p><p><strong>Main limitations: </strong>There were no control groups of horses with SDFT tendinopathy treated by conservative therapy, tenoscopic complete or conventional open desmotomy.</p><p><strong>Conclusions: </strong>Tenoscopic desmotomy of the main part of the AL-SDFT is a successful treatment for SDFT tendinopathy in warmblood horses, especially in proximal SDFT lesions.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruce McGorum, R. Scott Pirie, Luca Bano, Tracey Davey, John Harris, Cesare Montecucco
{"title":"Neurotoxic phospholipase A2: A proposed cause of equine grass sickness and other animal dysautonomias (multiple system neuropathies)","authors":"Bruce McGorum, R. Scott Pirie, Luca Bano, Tracey Davey, John Harris, Cesare Montecucco","doi":"10.1111/evj.14442","DOIUrl":"10.1111/evj.14442","url":null,"abstract":"","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":"57 1","pages":"11-18"},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/evj.14442","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristobal Navas de Solis, Claire Solomon, Mary Durando, Darko Stefanovski
{"title":"Electrocardiograms from different types of exercise in Eventing horses with and without cardiac signs.","authors":"Cristobal Navas de Solis, Claire Solomon, Mary Durando, Darko Stefanovski","doi":"10.1111/evj.14449","DOIUrl":"https://doi.org/10.1111/evj.14449","url":null,"abstract":"<p><strong>Background: </strong>Exercising arrhythmias can be clinically irrelevant or associated with poor performance, collapse and sudden cardiac death.</p><p><strong>Objectives: </strong>To test if readable exercising ECGs can be recorded by grooms or riders and to describe arrhythmias in ECGs from different types of exercise in Eventing horses and investigate associations with type of workout, the presence of previous cardiac signs and intensity of exercise.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Methods: </strong>Single lead exercising ECGs were obtained by riders or grooms during training and competition from a convenience sample of horses in training for Eventing competitions. Arrhythmias were described, and associations between different arrhythmia categories and variables that described the horse and the workouts were sought.</p><p><strong>Results: </strong>There were 1002 ECGs from 62 horses (median [range] 7 [2-97] ECGs/horse) evaluated and 737 workouts (73.6%) were >95% readable and included in the analysis. There were arrhythmias in 250 (33.9%) of the workouts, complex arrhythmias in 13 (1.8%) and the number of premature complexes was median (range) 0 (0-118). Peak heart rate and duration of exercise were associated with the number of premature complexes, the presence of arrhythmias and complex arrhythmias and were colinear with the type of exercise. Having previous signs of cardiac disease and the type of workout were associated with higher odds of having arrhythmias.</p><p><strong>Conclusions: </strong>Monitoring the rhythm of equine athletes with ECGs obtained by riders and transmitted to an online cloud was feasible. Arrhythmias were frequent, and complex arrhythmias were rare. The presence of cardiac signs, type of exercise and peak heart rate were associated with the presence of arrhythmias. None of the horses developed poor performance or collapse attributed to cardiac disease. The arrhythmias that should be concerning for equine veterinarians need further definition.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob M Morris, Mary E Lassaline, Catherine M Nunnery, Leandro B C Teixeira, Bianca C Martins, Bret A Moore, Kelly E Knickelbein, Nicki M Sherrer, Caryn E Plummer
{"title":"Clinical and morphological features of corneal lymphoma in 26 horses (27 eyes).","authors":"Jacob M Morris, Mary E Lassaline, Catherine M Nunnery, Leandro B C Teixeira, Bianca C Martins, Bret A Moore, Kelly E Knickelbein, Nicki M Sherrer, Caryn E Plummer","doi":"10.1111/evj.14446","DOIUrl":"https://doi.org/10.1111/evj.14446","url":null,"abstract":"<p><strong>Background: </strong>Little information describing the biologic behaviour and therapies for corneal lymphoma exist.</p><p><strong>Objectives: </strong>To characterise histologically confirmed equine corneal lymphoma considering breed, age or sex predisposition, histologic and immunologic features, therapies and outcomes.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>A multicentre retrospective medical record review was used to identify horses that presented with corneal disease confirmed morphologically as corneal lymphoma from 2012 to 2022.</p><p><strong>Results: </strong>Mean age at diagnosis was 10.5 years. Males represented 18/26 cases. Warmblood (14) and Thoroughbred (6) breeds were most commonly represented. 25/26 had unilateral ocular involvement. No cases had evidence of multicentric lymphoma. Most eyes (77.7%) had a history of suspected immune-mediated keratitis (IMMK) or eosinophilic keratitis. Morphological diagnosis confirming lymphoma was available for all cases. B-cell lymphoma was diagnosed in 19/24 eyes for which immunohistochemistry was performed, with intermediate to large B-cell lymphoma being most common. Fifteen of 27 eyes received at least one form of adjunctive therapy following keratectomy. Four eyes, which did not receive adjunctive therapy following keratectomy, experienced recurrence. No horses treated with adjunctive therapy following keratectomy experienced recurrence. Malignant transformation of IMMK to lymphoma was morphologically documented in one eye and suspected in three others based on recurrence of clinical signs. All globes were retained and visualised at the last follow-up.</p><p><strong>Main limitations: </strong>Incomplete medical records, owner subjectivity concerning onset of disease and cases being lost to follow-up.</p><p><strong>Conclusions: </strong>Malignant transformation of IMMK to corneal lymphoma likely occurs in horses. Lymphoma should be a differential for nonulcerative keratitis in horses. Keratectomy and histopathology may be considered in progressive or refractory cases of IMMK to rule out neoplastic disease. Recurrence of corneal lymphoma is unlikely following excision and adjunctive therapy. Cases with large corneal surface area or deep stromal involvement may have a likelihood for recurrence.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deborah J Guest, Helen L Birch, Chavaunne T Thorpe
{"title":"A review of the equine suspensory ligament: Injury prone yet understudied.","authors":"Deborah J Guest, Helen L Birch, Chavaunne T Thorpe","doi":"10.1111/evj.14447","DOIUrl":"https://doi.org/10.1111/evj.14447","url":null,"abstract":"<p><p>The suspensory ligament (SL) is a key component of the elaborate and highly adapted suspensory apparatus in the horse. In addition to contributing to stabilisation of the metacarpophalangeal joint, the SL has a spring like function to reduce the energetic cost of locomotion. Although the SL is highly prone to injury in horses of all ages and competing in a wide range of disciplines, knowledge regarding fundamental structure-function relationships in the SL is lacking, particularly compared with other injury-prone tendinous structures such as the superficial digital flexor tendon. In this review, we discuss current knowledge of SL composition, structure and mechanical properties and describe the epidemiology, aetiology and pathophysiology of injuries. We evaluate different diagnostic approaches and treatment modalities and identify key areas for future research.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca Smith, Gina Pinchbeck, Catherine McGowan, Joanne Ireland, Elizabeth Perkins
{"title":"Challenges for the veterinary profession: A grounded theory study of veterinarians' experiences of caring for older horses.","authors":"Rebecca Smith, Gina Pinchbeck, Catherine McGowan, Joanne Ireland, Elizabeth Perkins","doi":"10.1111/evj.14444","DOIUrl":"https://doi.org/10.1111/evj.14444","url":null,"abstract":"<p><strong>Background: </strong>In Great Britain, owners are keeping their horses into increasingly older age, reflecting societal changes in human-animal relationships. The uptake of routine veterinary services is reported to reduce as horses age. Horse owners seek information regarding their animal's health from alternative sources before and/or following veterinary involvement. Information regarding the experiences and behaviours of veterinarians toward older horse health care provision is limited.</p><p><strong>Objective: </strong>This study sought to explore how veterinary care for the ageing horse is conceptualised and approached by veterinarians treating horses in Great Britain.</p><p><strong>Study design: </strong>Exploratory qualitative.</p><p><strong>Methods: </strong>A subset of qualitative data, collected as part of a larger study investigating how owners and veterinarians make decisions regarding the care of the older horses, was analysed using a constructivist grounded theory approach. Data included semi-structured in-depth interviews with nine veterinarians and veterinary clinical records pertaining to the horses of 13 participating owners.</p><p><strong>Results: </strong>Veterinarians valued regular interactions with owners to optimise a horse's management, however, the timing and nature of veterinary involvement varied. The context of older age shaped decision-making and 'age-appropriate' interventions were negotiated within the context of each horse and owner. Where participants had concerns about a horse, they sought to achieve an owner's adherence to their advice while navigating the veterinarian-owner relationship. Interpersonal dimensions of veterinarian-owner interactions appeared to shape, and could challenge, veterinarians' delivery of health care services and their own sense of being a professional who cares for animals, and about people.</p><p><strong>Main limitations: </strong>A sample of veterinarians were recruited for this study based on horse owners' involvement.</p><p><strong>Conclusions: </strong>The provision of veterinary care for the older horse rests upon networks of relationships. Collaboration between the profession and owners in both the design and delivery of, veterinary health care services may better enable different types of knowledge and values to be brought together more effectively.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to “Plasma syndecan-1 concentration as a biomarker for endothelial glycocalyx degradation in septic adult horses”","authors":"","doi":"10.1111/evj.14441","DOIUrl":"10.1111/evj.14441","url":null,"abstract":"<p>\u0000 <span>Hobbs, KJ</span>, <span>Johnson, PJ</span>, <span>Wiedmeyer, CE</span>, <span>Schultz, L</span>, <span>Foote, CA</span>. <span>Plasma syndecan-1 concentration as a biomarker for endothelial glycocalyx degradation in septic adult horses</span>. <i>Equine Vet J</i>. <span>2023</span>; <span>55</span>(<span>3</span>): <span>456</span>–<span>462</span>. https://doi.org/10.1111/evj.13862\u0000 </p><p>The units used for syndecan in this paper were incorrect. The units have been updated to ng/ml throughout the article.</p><p>We apologize for this error.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":"57 1","pages":"282"},"PeriodicalIF":2.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/evj.14441","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgia Skelton, Elizabeth Acutt, Darko Stefanovski, Andrew van Eps
{"title":"Evaluation of digital radiographic measurements for the diagnosis of acute laminitis.","authors":"Georgia Skelton, Elizabeth Acutt, Darko Stefanovski, Andrew van Eps","doi":"10.1111/evj.14436","DOIUrl":"https://doi.org/10.1111/evj.14436","url":null,"abstract":"<p><strong>Background: </strong>Traditional radiographic measurements of distal phalanx (Pd) displacement based on the outer hoof wall are not useful for diagnosis of acute laminitis.</p><p><strong>Objectives: </strong>We hypothesised that the distance between the inner hoof wall and Pd ('lamellar lucent zone'; LLZ) measured on lateromedial digital radiographs would be increased in horses with acute and subacute laminitis compared with healthy horses.</p><p><strong>Study design: </strong>Retrospective cohort study and in vivo experimental study.</p><p><strong>Methods: </strong>Forelimb radiographs from 32 healthy and 18 laminitic mixed-breed horses were analysed retrospectively. Laminitis was defined by at least two clinical signs (acute multi-limb lameness, increased digital pulse amplitude and/or persistently warm hooves) for ≤3 days (acute), or >3 and ≤14 days (subacute) duration, without overt palmar rotation (≥3°), remodelling, or distal displacement of the Pd. Some laminitic limbs initially classified as acute were subsequently radiographed later in hospitalisation and also included as subacute. Twelve measurements including LLZ at proximal, middle, and distal locations were performed on 126 forelimb radiographs that met the criteria for acute laminitis (n = 39), subacute laminitis (n = 23) or healthy control (n = 64). A mixed effects linear regression model was used for comparisons and a receiver-operator characteristic (ROC) curve was created for select measurements. Three horses were serially radiographed to study the impact of magnification and obliquity.</p><p><strong>Results: </strong>The mean [95% confidence interval] LLZ (mm) was increased in acute and subacute laminitis compared with control in the proximal (acute = 8.8 [8.4-9.2]; subacute = 9 [8-9.9]; control = 7.3 [7-7.7]), middle (acute = 8.9 [8.5-9.3]; subacute = 9.1 [8.2-10]; control = 6.9 [6.5-7.2]), and distal (acute = 9.1 [8.5-9.7]; subacute = 10.2 [9.1-11.3]; control = 7.5 [7.2-7.8]) dorsal lamellar regions (p < 0.001). At a cut-off of >7.5 mm for middle LLZ, sensitivity was 87% [73%-94%] and specificity 91% [81%-96%] for diagnosis of acute laminitis. Using the ratio of middle LLZ to distal phalanx cortical length, sensitivity was 95% [81%-99%] and specificity was 95% [87%-99%] (cut-off >0.11). Magnification and obliquity affected absolute LLZ measurements but did not alter LLZ ratios.</p><p><strong>Main limitations: </strong>No histological confirmation of laminitis.</p><p><strong>Conclusions: </strong>LLZ measurements are potentially useful for radiographic diagnosis of acute and subacute laminitis.</p>","PeriodicalId":11796,"journal":{"name":"Equine Veterinary Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}