Bone scanning for back problems in horses.
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Animals↗
Biomedical subjects
L B Jeffcott
Publications and source records attributed to L B Jeffcott.
In vivo measurement of bone quality in the horse: estimates of precision for ultrasound velocity measurement and single photon absorptiometry.
The in vivo precision of ultrasound velocity measurement and single photon absorptiometry for the assessment of equine bone quality is discussed. In vivo precisions for ultrasound velocity measurements were less than 0.5 per cent, whereas cortical cross-sectional area, compact bone density and modulus of elasticity were around 1 per cent, and bone mineral content and density were just over 2 per cent. Except for ultrasound velocity, substantial improvements could be achieved by taking the mean of five readings for each measurement. The long-term precision of the techniques was also high, with all precision values being less than 3 per cent. The possible sources of variation in ultrasound velocity measurements were also investigated. The method for combining ultrasonic and photon absorptiometric data for equine bone quality assessment has been proven to be highly accurate and precise. There appears to be no reason why the same principles cannot be applied with equal success to the noninvasive assessment of bone quality in humans.
Absorptiometry, Photon↗
Effects of treadmill exercise on cortical bone in the third metacarpus of young horses.
The effects of exercise and relative inactivity on cortical bone were compared in young horses. Two groups were used; one was given a 14-week programme of exercise (n = 6) and the other kept as unexercised controls (n = 6). The first nine weeks of exercise involved trotting and cantering (2 to 4 km d-1 at speeds up to 12 m s-1) on a treadmill set at an incline of 3 degrees. Over the next five weeks the horses were trained at near maximal speeds (that is, up to 14.5 m s-1) with no incline of the treadmill. At the end of the programme marked differences in cortical porosity and distribution of subperiosteal osteogenesis at the mid-shaft of the third metacarpal bone were found between the groups. Histomorphometrical examination of the dorsal cortex showed minimal bone remodelling in the exercised horses, but extensive modelling as evidenced by the large amount of subperiosteal bone formation. In contrast, the unexercised horses had significantly more bone remodelling and less formation of subperiosteal bone. The histomorphometric and microradiographic findings provided an explanation for changes in the non-invasive bone measurements that occurred during training. Bone mineral content of the mid-metacarpus was found to increase more in the exercised than the unexercised horses despite a lower overall growth in bodyweight. In those horses that completed the full training programme, ultrasound speed increased significantly by the end of the training programme. It remained unchanged in the horse that did not complete the full exercise programme and decreased slightly in the unexercised horses. The difference in ultrasound speed between the groups was considered to reflect differences in intracortical bone porosity, endosteal bone formation and alterations in skin thickness. The stiffness of cortical bone increased significantly in the exercised horses but remained unaltered in the unexercised horses.
Alkaline Phosphatase↗
Pathological aspects of Australian Stringhalt.
Nine horses with clinical signs of Australian Stringhalt were killed and tissues collected for a detailed pathological study. Lesions were limited to peripheral nerves and muscles. The most severely affected nerves were the superficial and deep peroneal, distal tibial, plantar digital, volar and recurrent laryngeal nerve with changes characterised by a selective loss of large diameter myelinated fibres with various degrees of demyelination, fibrosis, Schwann cell proliferation and onion-bulb formation. A routine evaluation of the brain and spinal cord by light microscopy failed to reveal any consistent abnormalities. Morphometric analysis of deep peroneal and recurrent laryngeal nerves confirmed the reduced number of large diameter myelinated axons. Teased fibre preparations of these nerves did not show any abnormalities in internodal distance. The most severe muscle lesions were in the long and lateral digital extensors, cranial tibial, dorsal cricoarytenoid, gracilis and lateral deep digital flexor with extensive atrophy of fibres and diffuse fibrosis. Histochemical evaluation of the long digital extensor from 3 affected horses showed an abnormally wide distribution in fibre size and a reduction in type II fibres compared with controls. These lesions are consistent with a distal axonopathy leading to neurogenic muscle atrophy. The distribution of neuromuscular lesions in Australian Stringhalt may be explained by the susceptibility of longer, larger myelinated nerve fibres to injury, but the cause for this distal axonopathy remains unknown.
Animals↗
Ultrasound speed in the metacarpal cortex--a survey of 347 thoroughbreds in training.
Transmission ultrasound speed was determined in the third metacarpal bone of 347 Thoroughbred racehorses in training. In addition to direct measurement of apparent ultrasound speed and lateral bone diameter, several derived parameters were estimated (cortical ultrasound speed, corticomedullary ratio and cortical cross-sectional area). Multiple regression equations were developed for each ultrasound measurement using the explanatory variables: sex, age, duration and intensity of training, preparation number and previous shin soreness. The horses (114 females, 82 entire males and 151 geldings ranging in age from 20 to 116 months) had been in continuous training for an average of 10.0 weeks when measurements were made. All measurements except corticomedullary ratio were influenced by the sex of the horse. Geldings had significantly lower ultrasound transmission speed than entire males and females, reflecting a lower bone density. However, the geldings had larger cross-sectional areas (ie bone size). We suggest that the relationship between low ultrasound speed (ie low bone density) and large cross-sectional area maintains the overall mechanical integrity of the metacarpus. This relationship (high ultrasound speed and low cross-sectional area) was also found in each sex group. Ultrasound speed and corticomedullary ratio, but not cross-sectional area, were affected by age. Both duration and intensity of training influenced the ultrasound speed measurements. This study indicated that sex, age and state of training affect ultrasound results, but this explained only about 30% of the variance in the data. Other factors, ie genetic variation in bone density and size, differences in soft tissue thickness and distal limb temperature, presumably account for most of the variance.
Age Factors↗
Osteopenic effects of forelimb immobilisation in horses.
Methods for the non-invasive assessment of bone quality were used to monitor the osteopenia induced by immobilising a forelimb in a cast. These techniques included the measurement of ultrasound velocity, single photon absorptiometry and radiographic photodensitometry. Serial measurements were made before, during and after an eight week period of immobilisation of the left forelimb of four adult standardbreds in a light fibreglass cast which included the foot and extended above the carpus. The measurements continued for 12 weeks after the removal of the cast. The results indicated a trend to decreasing bone strength and mineral content in both forelimbs, with the decreases being greater in the limb with the cast. The values tended to recover slowly after the removal of the cast, then more quickly after the horses returned to the paddock four weeks later. The differences between the limb with the cast and the opposite limb were significant at only a few points of comparison.
Absorptiometry, Photon↗
Bone biopsy in the horse. 1. Method using the wing of ilium.
Two hundred and five bone biopsies from the wing of ilium were taken from 52 growing and 70 older horses. The method was initially evaluated in 4 horses at post mortem and then performed in 26 horses under general anaesthesia. The technique was later developed for biopsying horses in the standing position under local anaesthesia (n = 70 adults; n = 22 foals). The core of the bone biopsy consisted of a central cancellous portion between two cortices. This type of sample allowed a complete histomorphometrical analysis. An integral part of the procedure was intravital bone labelling using fluorochromes with a known interval between labels. Potential hazards associated with the use of oxytetracycline labels included the onset of diarrhoea and laminitis in some foals. The method was simple, safe and efficient for both anaesthetised and standing horses. The only difficulties encountered were minor and were associated with blunting of the drill bit, scoring of the internal surface of the drill bit guide and occasional loss of the distal part of the biopsy core. Post operative complications included haematoma formation and skin infections. It was concluded that this technique offered a quick and effective method of collecting bone biopsies in horses, which facilitated the quantitative assessment of skeletal changes.
Animals↗
Bone biopsy in the horse. 2. Evaluation of histomorphometric examination.
The histomorphometrical examination of a series of bone biopsies from the wing of ilium of foals and older horses is reported. Biopsies were obtained from 20 clinically normal horses, which had previously been infused with tetracycline intravenously twice at a 7 day interval at a dose rate of 10 to 15 mg kg-1. The horses were divided into 2 groups. Group 1 consisted of 10 foals (mean age: 4 +/- 1 months) which were biopsied at 3 different sites in the wing of ilium. Group 2 comprised 10 older horses (mean age: 91 +/- 63 months) which were biopsied from only one site in the left ilium. A systematic evaluation of intra-observer, intra-core, intra-bone and inter-bone errors was made to investigate parameter variations that might affect interpretation of bone biopsies. The measurements carried out included cancellous bone volume (Cn-BV/TV), osteoid surface (OS/BS), eroded surface (ES/BS), mean wall thickness (W.Th), mean osteoid thickness (O.Th), distance between labels (Ir.L.Th) and mineralizing surface (MS/BS). The intra-observer variance, the variance between sections, the variance between adjacent biopsies and that between right and left sides proved to be smaller than the inter-individual variance. The estimate of errors associated with the histomorphometrical analysis of bone biopsies is important for correct interpretations of changes due to disease.
Animals↗
Bone biopsy in the horse. 3. Normal histomorphometric data according to age and sex.
Histomorphometrical analysis of bone biopsies from the wing of ilium in 35 clinically normal horses are reported according to age. The biopsies were collected from 20 mixed-bred foals (mean age 6 +/- 1 months) and 15 older horses (mean age 73 +/- 62 months). No gender differences were found in the group of foals examined, but a significant difference (p less than 0.001) in a number of the primary measurements occurred between them and the older horses. The parameters which altered with age were the extent of osteoid surface (OS/BS), the extent of resorption (erosion) surface (ES/BS), the osteoid thickness (O. Th), the mineral appositional rate (MAR), which corresponds to the rate of matrix mineralisation and, if no mineralisation defects exist reflects the amount of bone laid down per day, and the extent of labelled surfaces (MS/BS). These data indicate a much greater rate of bone remodelling in the foals. This was also reflected in a number of the derived parameters (i.e. the extent of quiescent surfaces [QS/BS] and the activation frequency [Ac.f]).
Age Factors↗
Plasma beta-endorphin and adrenocorticotrophin in young horses in training.
A controlled period of submaximal exercise on a treadmill was used as a standardised stress test in 6 young horses to monitor the effects of training. Circulating plasma concentrations of immunoreactive beta-endorphin (IR beta-EP) were measured before, during and after the exercise period. The stress test was conducted on 3 occasions during an intensive training program lasting 14 weeks. In week 3 a marked increase in plasma IR beta-EP (P = 0.003) was demonstrated as a result of training, but by the last exercise test performed in week 9 no significant increase in plasma IR beta-EP concentrations could be detected. During the training period the basal concentrations of plasma IR beta-EP significantly decreased (P = 0.0059). Plasma adrenocorticotrophin (ACTH) did not increase during exercise, although there was a trend of decreasing basal plasma ACTH by the end of the training period. It was concluded that a standardised work test acted as a mild stress to unfit horses, but as the horses' fitness increased the hormonal response to exercise diminished. Basal plasma beta-EP concentrations were decreased with increasing fitness.
Adrenocorticotropic Hormone↗
Use of phenytoin to treat horses with Australian stringhalt.
Five horses with Australian stringhalt were treated with 15 mg/kg phenytoin orally for 2 weeks. During the second week of the trial, 3 of the horses were given an additional dose of 10 mg/kg phenytoin. The response to treatment was clinically assessed by grading the severity of the gait abnormality at the walk, trot, turning and backing twice daily. There was a significant (P less than 0.05) improvement in the gait abnormality when pre-treatment values were compared with the mean of the last 3 assessments before treatment stopped. When reassessed 2 weeks after treatment ceased, there remained a significant (P less than 0.05) improvement compared with pre-treatment values at the trot and on backing, but not at the walk or turning. Surface electromyographic recordings were made weekly from the long digital extensor muscle, and there was a change to a near normal recording by the end of treatment. Plasma phenytoin concentrations were monitored during the trial, and the dose rates used achieved a steady state with a mean plasma level of 37 +/- 7 mumol/l. There was wide variability between plasma concentrations in different horses, although there was no difference in absorption between administration of the phenytoin as a paste, or when it was mixed in the feed. Although mild tranquilization was seen after treatment, there were no clinical, haematological or biochemical signs of toxicity from the phenytoin therapy.
Administration, Oral↗
Maternal and umbilical venous plasma lipid concentrations at delivery in the mare.
The concentrations and fatty acid composition of the plasma free fatty acid, triacylglycerol and phospholipid fractions were determined in maternal and umbilical cord vein blood samples taken at delivery from 17 mares. Maternal and umbilical vein plasma free fatty acid concentrations were of a similar order and a positive correlation was found between the two levels suggesting that the equine placenta is permeable to fatty acid. Substantial amounts of the essential fatty acids and their longer chain derivatives were seen in both umbilical vein plasma free fatty acid and phospholipid fractions supporting this view. Certain long chain polyunsaturated derivatives of the essential fatty acids found in the umbilical venous plasma phospholipid fraction were not seen in the maternal circulating lipids. The precursor fatty acids were readily available to both foetal and placental tissues and therefore must have been elongated and incorporated into phospholipid by either or both. Very small amounts of the essential fatty acids were found in adipose stores in the newborn foal and virtually no fat stores at all in the newborn foal liver.
Adipose Tissue↗
A rational approach to lameness and its prevention--at last?
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Animals↗
Osteochondrosis in the horse--searching for the key to pathogenesis.
This paper reviews current developments in equine osteochondrosis complex and the clinical syndromes associated with it. Although the primary lesion has been defined as a failure of endochondral ossification, its definitive cause is unknown and appears to involve heredity, growth rate, nutrition, mineral imbalance, endocrinological dysfunction and biomechanical trauma. Despite the international importance of osteochondrosis in horses, surprisingly few controlled investigations have been performed on its pathogenesis. The studies that have been conducted suggest that local effects on differentiating growth cartilage are the key to a more complete understanding of the problem. Gaps in the current knowledge include in-depth understanding of the life cycle of chondrocytes in growth cartilage, the process of mineralisation and the use of a standard experimental model for the induction of osteochondrosis. The ultimate goal of osteochondrosis research must be to prevent or reduce the incidence of the condition in horses.
Animal Nutritional Physiological Phenomena↗
Ultrasound speed in equine cortical bone: effects of orientation, density, porosity and temperature.
Ultrasound speed, as measured by a transmission technique in equine cortical bone, was found to vary markedly with the direction of the ultrasound path through the bone. Using bone samples from the mid-site of the third metacarpus of 20 horses, the ultrasound speed was measured as 4125 m s-1 in the longitudinal direction, 3442 m s-1 in the circumferential or transverse direction, and 3428 m s-1 in the radial direction. These results confirm the anisotropic properties of compact bone. Ultrasound speed had a positive linear relationship when compared with bone specific gravity of cortical bone (r = 0.773, n = 35, p less than 0.0001), and an inverse linear relationship with porosity. Specific gravity has an inverse correlation with porosity (r = 0.857, n = 35, p less than 0.0001). Over the temperature range of 4-42 degrees C, ultrasound speed varied inversely according to temperature with a logarithmic function giving the best fit. These results have important implications for the clinical applications of ultrasound speed in assessing bone quality in racehorses and provide important basic information for the understanding of the passage of ultrasound through cortical bone, which has possible clinical applications in humans.
Age Factors↗
Equine laminitis--another hypothesis for pathogenesis.
Laminitis is an important condition in horses and ponies, not just because of the seriousness of the clinical signs and systemic changes involved, but because of the potentially poor prognosis and likelihood of recurrence. Laminitis is particularly prevalent in ponies and involves a multiplicity of aetiological factors. Fat ponies and those having previously suffered laminitis were found to be far more intolerant to oral glucose loading (1 g/kg bwt) than normal ponies or Standardbred horses. These ponies also exhibited a far greater response in plasma insulin levels after glucose loading. Insulin response tests (0.4 iu/kg bwt insulin intravenously) showed only a minimal and very protracted response in both the fat and laminitic ponies establishing the existence of an apparently innate insulin insensitivity in these animals. These findings are important in regulation of carbohydrate and lipid metabolism and play a role in the pathogenesis of laminitis. The reduction of insulin effectiveness leads to elevation in thromboxane A2 activity, predisposing the animal to peripheral vasoconstriction, compromisation of blood flow to the foot and the development of laminitis.
Animals↗
Australian Stringhalt--epidemiological, clinical and neurological investigations.
An investigation of 78 cases of typical Australian Stringhalt from 52 properties in Victoria was carried out from 1985 to 1987. Horses were either examined in the field (n = 52), referred to the Veterinary Clinical Centre (n = 13) or clinical details were obtained verbally (n = 13). In addition 10 cases of false or atypical stringhalt were examined. Detailed soil and pasture analysis was carried out on 14 properties where Australian Stringhalt had occurred. Information was also obtained on epidemiology of the condition from a survey of practitioners. Fifty of the 52 cases examined in the field occurred in horses that were dependent upon poor quality unimproved dry pasture. In all but a few cases, there was no pasture improvement or fertiliser application, leading to the development of weed-dominated pastures, particularly by flatweed, Hypochaeris radicata. The range of clinical signs exhibited by horses with Australian Stringhalt was described and a grading system proposed to classify horses according to severity of signs. Laryngeal abnormalities were present in 10 of 11 cases examined endoscopically and these horses exhibited increased electromyographic (EMG) activity in the long digital extensor muscle at rest and during hindlimb flexion. To a large extent, the EMG changes disappeared and digital extensor muscle atrophy improved in two horses that were monitored to recovery. Deep peroneal nerve conduction studies in four horses with Australian Stringhalt showed a substantial reduction in nerve conduction velocity and when stimulated at 50 Hz were unable to sustain activation of the long digital extensor muscle. EMG and evoked responses appeared to be sensitive indicators of the state of the disease.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Preparing a case report for publication.
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Animals↗