Chronic Collateral Sesamoidean Desmopathy in Draft Horses: Magnetic Resonance Imaging and Histopathological Findings.

Desmopathy of the collateral sesamoidean ligament (CSL) is an unusual disorder in draft horses. This study records the magnetic resonance imaging (MRI) features of chronic CSL desmopathy in eight draft horses and confirms these features by histopathology. The recorded chronic CSL desmopathy has usually affected the forelimbs (100%) and commonly bilateral (62.5%). All horses showed positive proximal digital nerve block, positive front digital flexion test, and negative interphalangeal extension test. Radiography revealed no osseous abnormalities in all feet. MRI features of chronic CSL desmopathy included thickening of the ligament with increased moderate intensity in fast low-angle shot, T1 turbo spin echo, and proton density images in the affected part of the ligament. Chronic CSL desmopathy was concomitant with deep digital flexor tendon injury and distal sesamoidean impar desmitis. In most chronic cases of CSL desmopathy, heterogeneous signal intensities were seen with multiple foci of low signal intensities interlaced with increased moderate signal intensities of thickened CSL. Histopathology confirmed the MRI findings and revealed separated bundles and fascicles by septa of less organized and loose connective tissues containing fibroblasts and loose collagen fibers. Multifocal islands of cartilaginous metaplasia, mineralized areas, and dystrophic calcification were observed in the injured ligament. In conclusion, chronic CSL desmopathy may progress to cartilaginous metaplasia and dystrophic calcification. MRI is a beneficial diagnostic and prognostic tool for chronic CSL desmopathy, and histopathology is a gold standard to document the MRI findings associated with CSL dysmopathy in draft horses.

Relationships between morphometric measurements and musculoskeletal disorders in jumping Thoroughbred horses.

There is limited knowledge about causes of musculoskeletal injury in jumping Thoroughbred horses. The objective of this study was to describe the relationships between musculoskeletal disorders and linear and angular limb measurements acquired from photographs of horses with markers at specific reference points. The diagnosed musculoskeletal disorders in either fore or hind limbs were flexor tendonitis, suspensory ligaments desmitis, and osteoarthritis of the distal intertarsal and tarso-metatarsal and carpometacarpal joints. Lengths and angles in 17 clinically normal jumping Thoroughbred horses and 34 horses with musculoskeletal problems were measured. Horses with musculoskeletal disorders had significantly shorter neck, shoulder, and pelvis lengths (P<0.05), significantly longer arm and forearm front lengths (P<0.05), and significantly lower front shoulder, elbow, and hind fetlock joint angles (P<0.05). In conclusion, this study describes significant relationships between linear and angular morphometric measurements and musculoskeletal disorders in jumping Thoroughbred horses. These data could possibly provide indicators for better selection of jumpers with less risk of developing orthopedic disorders.

Suspensory Branch Desmitis in a Horse: Ultrasonography, Computed Tomography, Magnetic Resonance Imaging, and Gross Postmortem Findings.

Injury of suspensory ligament (SL) branch is a frequently diagnosed problem in horses of different ages and disciplines. This case reports for the first time the ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI) findings in a 10-year-old draught horse with traumatic chronic SL branch desmitis of 8 months duration. The horse had a grade 3 of 5 left hindlimb lameness with a moderately hot, painful, and diffuse swelling from the tarsus till the hoof. Ultrasonography, both SL branches appeared as enlarged hyperechogenic structures with poor demarcation of their margins and massive periligamentous echogenic materials consistent with fibrosis. Computed tomography showed no osseous lesions but did show enlarged, hypodense, and heterogeneous SL branches with an evidence of periligamentar and peritendenious adhesions and air entrapment areas intermingled within fibrous adhesion. Magnetic resonance imaging revealed no abnormal signal intensity received from the proximal part of SL and its body. There were high and intermediate signal intensities received from inflammatory fluid and periligamentar fibrous adhesions, respectively, around SL branches. Both CT and MRI findings were confirmed by gross postmortem examination. In conclusion, CT and MRI are valuable tools for diagnosis of extensive adhesions associated with chronic SL branch desmitis.