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.

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.

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]).

Navicular bone disease: a comparative histomorphometric study.

Twelve horses suffering from navicular bone disease were examined in a prospective, controlled histomorphometric study for six months. The objective was to compare the histology of navicular bones from untreated animals to those treated with the egg-bar shoeing technique. These data were compared to similar sections from three normal animals. The current investigation provided quantitative support to previous findings concerning clinical improvement. Detailed histology, changes in bone morphometry and pathophysiological reactions are discussed.

Navicular bone disease: results of treatment using egg-bar shoeing technique.

Although the diagnostic criteria of navicular disease are generally accepted in practice, their limitations are recognised. However, the authors believe that navicular disease per se is reversible and that only secondary changes like adhesions to the deep flexor tendon or spur formations are irreversible. This hypothesis is supported by the results presented of the effect of the application of an egg-bar shoe, which caused permanent cessation of signs of navicular disease in more than 50 per cent of treated cases. The egg-bar shoeing technique can be usefully applied in practice.

Histological study of navicular bone disease.

A histological investigation of navicular bones from 8 horses with navicular disease was carried out to investigate the aetiology of the radiological findings. Two of the horses were double labelled with tetracycline before slaughter in order to assess the vitality of the diseased navicular bone. The examinations revealed no evidence of loss of vitality in the diseased bone areas or in surrounding tissues. A very high rate of remodelling indicated by resorption and formation of bone was present in all cases. This was shown microscopically by the high number of osteoclasts and osteoblasts present, osteoid formation and particularly by a high rate of intravital uptake of tetracycline by the bone. The findings are considered to indicate that navicular disease is not primarily caused by ischaemia and subsequent necrosis, but rather is a consequence of increased activation of bone remodelling caused by altered pressure from the deep flexor tendon on the bone and increased load on the caudal part of the foot. This is further supported by the clinical changes seen after alterations occur in the hoof conformation. The disease is, therefore, considered to be reversible and may be alleviated by altering the load on the navicular bone by special shoeing. Only secondary lesions such as adhesions and spur formation render the disease irreversible.