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Gray SN, Spriet M, Garcia TC, Uzal FA, Stover SM. Preexisting lesions associated with complete diaphyseal fractures of the third metacarpal bone in 12 Thoroughbred racehorses. J Vet Diagn Invest 2017; 29:437-441. [DOI: 10.1177/1040638717704866] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We characterized features of complete diaphyseal fractures of third metacarpal bones in Thoroughbred racehorses. Given that stress fractures are known to occur in the third metacarpal bone, an additional aim was to determine if complete fractures are associated with signs of a preexisting incomplete stress fracture. Bilateral metacarpi from 12 Thoroughbred racehorses euthanized because of complete unilateral metacarpal diaphyseal fracture were examined visually and radiographically. Open, comminuted, transverse or short oblique fractures occurred in the middle of the diaphysis or supracondylar region. Periosteal surface discoloration and bone callus formation contiguous with the fracture line were present in fractured bones. All contralateral intact metacarpi had gross anatomic lesions, and 10 had radiographic abnormalities similar to those observed on fractured metacarpi. Catastrophic metacarpal fractures occurred in racehorses with bilateral evidence of preexisting bone injury.
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Affiliation(s)
- Sarah N. Gray
- Veterinary Medical Teaching Hospital (Gray), School of Veterinary Medicine, University of California, Davis, CA
- Department of Radiological and Surgical Sciences (Spriet), School of Veterinary Medicine, University of California, Davis, CA
- Department of Anatomy, Physiology, and Cell Biology (Garcia, Stover), School of Veterinary Medicine, University of California, Davis, CA
- California Animal Health and Food Safety Laboratory System (Uzal), School of Veterinary Medicine, University of California, Davis, CA
- Ballarat Veterinary Practice, Miners Rest, Ballarat, Victoria, Australia (Gray), School of Veterinary Medicine, University of California, Davis, CA
| | - Mathieu Spriet
- Veterinary Medical Teaching Hospital (Gray), School of Veterinary Medicine, University of California, Davis, CA
- Department of Radiological and Surgical Sciences (Spriet), School of Veterinary Medicine, University of California, Davis, CA
- Department of Anatomy, Physiology, and Cell Biology (Garcia, Stover), School of Veterinary Medicine, University of California, Davis, CA
- California Animal Health and Food Safety Laboratory System (Uzal), School of Veterinary Medicine, University of California, Davis, CA
- Ballarat Veterinary Practice, Miners Rest, Ballarat, Victoria, Australia (Gray), School of Veterinary Medicine, University of California, Davis, CA
| | - Tanya C. Garcia
- Veterinary Medical Teaching Hospital (Gray), School of Veterinary Medicine, University of California, Davis, CA
- Department of Radiological and Surgical Sciences (Spriet), School of Veterinary Medicine, University of California, Davis, CA
- Department of Anatomy, Physiology, and Cell Biology (Garcia, Stover), School of Veterinary Medicine, University of California, Davis, CA
- California Animal Health and Food Safety Laboratory System (Uzal), School of Veterinary Medicine, University of California, Davis, CA
- Ballarat Veterinary Practice, Miners Rest, Ballarat, Victoria, Australia (Gray), School of Veterinary Medicine, University of California, Davis, CA
| | - Francisco A. Uzal
- Veterinary Medical Teaching Hospital (Gray), School of Veterinary Medicine, University of California, Davis, CA
- Department of Radiological and Surgical Sciences (Spriet), School of Veterinary Medicine, University of California, Davis, CA
- Department of Anatomy, Physiology, and Cell Biology (Garcia, Stover), School of Veterinary Medicine, University of California, Davis, CA
- California Animal Health and Food Safety Laboratory System (Uzal), School of Veterinary Medicine, University of California, Davis, CA
- Ballarat Veterinary Practice, Miners Rest, Ballarat, Victoria, Australia (Gray), School of Veterinary Medicine, University of California, Davis, CA
| | - Susan M. Stover
- Veterinary Medical Teaching Hospital (Gray), School of Veterinary Medicine, University of California, Davis, CA
- Department of Radiological and Surgical Sciences (Spriet), School of Veterinary Medicine, University of California, Davis, CA
- Department of Anatomy, Physiology, and Cell Biology (Garcia, Stover), School of Veterinary Medicine, University of California, Davis, CA
- California Animal Health and Food Safety Laboratory System (Uzal), School of Veterinary Medicine, University of California, Davis, CA
- Ballarat Veterinary Practice, Miners Rest, Ballarat, Victoria, Australia (Gray), School of Veterinary Medicine, University of California, Davis, CA
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Sarrafian TL, Case JT, Kinde H, Daft BM, Read DH, Moore JD, Uzal FA, Stover SM. Fatal musculoskeletal injuries of Quarter Horse racehorses: 314 cases (1990-2007). J Am Vet Med Assoc 2013; 241:935-42. [PMID: 23013508 DOI: 10.2460/javma.241.7.935] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To determine major causes of death and the anatomic location of musculoskeletal injuries in Quarter Horse racehorses in California. DESIGN Retrospective case series. ANIMALS 314 Quarter Horse racehorses with musculoskeletal injuries that were necropsied through the California Horse Racing Board Postmortem Program from 1990 to 2007. PROCEDURES Postmortem pathology reports were retrospectively reviewed. Musculoskeletal injuries were categorized by anatomic region and described. The number of Quarter Horse starts and starters for the same period of time were obtained from a commercial database for determination of fatal injury incidence. RESULTS Musculoskeletal injuries accounted for 314 of the 443 (71 %) Quarter Horse racehorses that died during the 18-year study period. Fatal musculoskeletal injuries occurred at a rate of 2.0 deaths/1,000 race starts and 18.6 deaths/1,000 horses that started a race. Musculoskeletal injuries occurred predominantly during racing (84%) and in the forelimbs (81%). The most common fatal musculoskeletal injuries were metacarpophalangeal and metatarsophalangeal joint (fetlock) support injuries (40%) and carpal (24%), vertebral (10%), and scapular (8%) fractures. Proximal interphalangeal (pastern) joint luxations resulted in death of 3% of horses. Fracture configurations of some bones were consistent with those of Thoroughbred racehorses. Evidence of preexisting stress remodeling of bone was reported for some fractures. CONCLUSIONS AND CLINICAL RELEVANCE Knowledge of common locations and types of fatal musculoskeletal injuries in racing Quarter Horses may enhance practitioners' ability to detect mild injuries early, rest horses, and help prevent catastrophic injuries.
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Affiliation(s)
- Tiffany L Sarrafian
- JD Wheat Veterinary Orthopedic Research Laboratory, School of Veterinary Medicine, University of California-Davis, 95616, USA
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Rutherford DJ, Bladon B, Rogers CW. Outcome of lag-screw treatment of incomplete fractures of the frontal plane of the radial facet of the third carpal bone in horses. N Z Vet J 2007; 55:94-9. [PMID: 17410217 DOI: 10.1080/00480169.2007.36748] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AIM To describe outcomes for horses diagnosed with incomplete, non-displaced fractures of the frontal plane of the radial facet (INFR) of the third carpal bone (C3) treated by placement of a lag screw across the fracture under arthroscopic guidance. METHODS Horses (n=13) diagnosed with INFR and treated between December 1999 and January 2005 using a lag screw placed over the fracture were studied. For each case, five horses matched for sire, age and sex which were not known to have INFR were sought for comparison. Racing performance data were collected from a commercial online database. The racing performance of cases pre- and post-operatively, and of cases and matched horses in the post-operative period was compared. RESULTS Sixteen INFR were found in the 13 horses. Radiographic evidence of healed fracture lines 2-4 months after surgery was seen in 11/16 (69%) fractures; 11/13 (85%) cases raced again after a median recovery period of 292 (range 149-681) days. Treatment was considered successful in 9/13 (69%) cases, which were still in training or had been retired for reasons other than lameness localised to the middle carpal joint at the end of the study period. Just 6/13 (46%) cases had raced prior to injury. The racing ability pre- and post-operatively of five cases was compared, three (60%) of which performed better post-operatively than they had before. There was no significant difference in racing longevity or ability post-operatively between patients and matched (control) horses. CONCLUSIONS Post-operatively, there was little difference in the racing performance between horses diagnosed with INFR which had a lag screw placed across the fracture line and horses matched for sire, age and sex which were not known to have INFR. CLINICAL RELEVANCE Horses which were diagnosed with INFR of C3 and had a lag screw placed across the fracture had a good prognosis for future racing performance.
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Affiliation(s)
- D J Rutherford
- Massey Equine, Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand.
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