Assessment of ultrasonographic morphometric measurements of digital flexor tendons and ligaments of the palmar metacarpal region in Icelandic Horses

Sara BoehartEquine Clinic, Faculty of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany

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Gisela ArndtInstitute for Biometrics and Data Processing, Faculty of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany

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Georg RindermannEquine Clinic, Faculty of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany

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Maria GmachlEquine Clinic, Faculty of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany

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Bianca CarstanjenEquine Clinic, Faculty of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany

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Abstract

Objective—To obtain morphometric values for the superficial digital flexor tendon, deep digital flexor tendon, accessory ligament of the deep digital flexor muscle, and suspensory ligament in the palmar metacarpal region of Icelandic Horses.

Animals—50 nonlame Icelandic Horses in training.

Procedures—Horses included 2 stallions, 30 geldings, and 18 mares from 4 to 20 years of age with a body mass index from 149.1 to 250.11 kg/m2. Transverse ultrasonographic images were obtained with an 8- to 10-MHz linear transducer and a standoff pad. In both forelimbs, the cross-sectional area, circumference, dorsopalmar width, and lateromedial width were measured 3 times at 5 regions of interest (ROIs).

Results—The coefficient of variation for all measurements of each ROI was < 5%. Comparisons were performed among and within structures and for each variable at all ROIs. Comparisons among horses revealed homogeneity because no significant influences of age, sex, height at the withers, or body mass index were found. Additionally, a characteristic skin condition interfering with ultrasonographic examination was observed.

Conclusions and Clinical Relevance—The morphometric values of the structures examined were consistent with those reported for other breeds, although some differences were observed.

Abstract

Objective—To obtain morphometric values for the superficial digital flexor tendon, deep digital flexor tendon, accessory ligament of the deep digital flexor muscle, and suspensory ligament in the palmar metacarpal region of Icelandic Horses.

Animals—50 nonlame Icelandic Horses in training.

Procedures—Horses included 2 stallions, 30 geldings, and 18 mares from 4 to 20 years of age with a body mass index from 149.1 to 250.11 kg/m2. Transverse ultrasonographic images were obtained with an 8- to 10-MHz linear transducer and a standoff pad. In both forelimbs, the cross-sectional area, circumference, dorsopalmar width, and lateromedial width were measured 3 times at 5 regions of interest (ROIs).

Results—The coefficient of variation for all measurements of each ROI was < 5%. Comparisons were performed among and within structures and for each variable at all ROIs. Comparisons among horses revealed homogeneity because no significant influences of age, sex, height at the withers, or body mass index were found. Additionally, a characteristic skin condition interfering with ultrasonographic examination was observed.

Conclusions and Clinical Relevance—The morphometric values of the structures examined were consistent with those reported for other breeds, although some differences were observed.

Contributor Notes

Dr. Rindermann's present address is Tierärztliche Gemeinschaftspraxis Königslutter, Fischersteg 10, D-38154 Königslutter, Germany.

Dr. Gmachl's present address is Tierklinik Altheim, Badstr 3, A-4950 Altheim, Austria.

Dr. Carstanjen's present address is Department of Large Animal Diseases, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, PL-02-786 Warsaw, Poland.

Presented as a poster at the 11th World Equine Veterinary Association Congress, Guarujá, S P, Brazil, September 2009.

Address correspondence to Dr. Carstanjen (bcarstanjen@web.de).
  • 1

    Agut A, Martínez ML, Sánchez-Valverde , et al. Ultrasonographic characteristics (cross-sectional area and relative echogenicity) of the digital flexor tendons and ligaments of the metacarpal region in Purebred Spanish horses. Vet J 2009; 180:377383.

    • Search Google Scholar
    • Export Citation
  • 2

    Genovese RL, Rantanen N W, Hauser ML, et al. Diagnostic ultrasonography of equine limbs. Vet Clin North Am Equine Pract 1986; 2:145226.

  • 3

    Pickersgill CH, Marr CM, Reid S W. Repeatability of diagnostic ultrasonography in the assessment of the equine superficial digital flexor tendon. Equine Vet J 2001; 33:3337.

    • Search Google Scholar
    • Export Citation
  • 4

    van Schie HT, Bakker EM. Structure-related echoes in ultrasonographic images of equine superficial digital flexor tendons. Am J Vet Res 2000; 61:202209.

    • Search Google Scholar
    • Export Citation
  • 5

    van Schie JT, Bakker EM, van Weeren PR. Ultrasonographic evaluation of equine tendons: a quantitative in vitro study of the effects of amplifier gain level, transducer-tilt, and transducer-displacement. Vet Radiol Ultrasound 1999; 40:151160.

    • Search Google Scholar
    • Export Citation
  • 6

    Smith RKW, Jones R, Webbon PM. The cross-sectional areas of normal equine digital flexor tendons determined ultrasonographically. Equine Vet J 1994; 26:460465.

    • Search Google Scholar
    • Export Citation
  • 7

    Reef VB. Superficial digital flexor tendon healing: ultrasonographic evaluation of therapies. Vet Clin North Am Equine Pract 2001; 17:159178.

    • Search Google Scholar
    • Export Citation
  • 8

    Çelimli N, Seyrek-Intas D & Kaya M. Morphometric measurements of flexor tendons and ligaments in Arabian horses by ultrasonographic examination and comparison with other breeds. Equine Vet Educ 2004; 16:8185.

    • Search Google Scholar
    • Export Citation
  • 9

    Gillis CL, Meagher DM, Cloninger A, et al. Ultrasonographic cross-sectional area and mean echogenicity of the superficial and deep digital flexor tendons in 50 trained Thoroughbred racehorses. Am J Vet Res 1995; 56:12651269.

    • Search Google Scholar
    • Export Citation
  • 10

    Gillis CL, Sharkey N, Stover SM, et al. Effect of maturation and aging on material and ultrasonographic properties of equine superficial digital flexor tendon. Am J Vet Res 1995; 56:13451350.

    • Search Google Scholar
    • Export Citation
  • 11

    Gillis CL, Meagher DM, Stover SM, et al. Effect of maturation and aging on the histomorphometric and biochemical characteristics of equine superficial flexor tendon. Am J Vet Res 1997; 58:425430.

    • Search Google Scholar
    • Export Citation
  • 12

    International Federation of Icelandic Horse Associations. FIZO 8/2009, FEIF rules for Icelandic Horse breeding, 2002. 8th ed. Vienna: International Federation of Icelandic Horse Associations, 2009.

    • Search Google Scholar
    • Export Citation
  • 13

    Gillis CL, Meagher DM, Stover SM, et al. Ultrasonographically detected changes in equine superficial digital flexor tendons during the first months of race training. Am J Vet Res 1993; 54:17971802.

    • Search Google Scholar
    • Export Citation
  • 14

    Micklethwaith L, Wood AKW, Sehgal CM, et al. Use of quantitative analysis of sonographic brightness for detection of early healing of tendon injury in horses. Am J Vet Res 2001; 62:13201327.

    • Search Google Scholar
    • Export Citation
  • 15

    Nicoll RG, Wood AKW, Martin ICA. Ultrasonographic observations of the flexor tendons and ligaments of the metacarpal region of horses. Am J Vet Res 1993; 54:502506.

    • Search Google Scholar
    • Export Citation
  • 16

    Wood AKW, Sehgal CM & Polansky M. Sonographic brightness of the flexor tendons and ligaments in the metacarpal region of horses. Am J Vet Res 1993; 54:19691974.

    • Search Google Scholar
    • Export Citation
  • 17

    Smith RKW. Tendon and ligament injury, in Proceedings. 54th Annu Meet Am Assoc Equine Pract 2008;475501.

  • 18

    Genovese RL, Rantanen N W, Simpson BS. The use of ultrasonography in the diagnosis and management of injuries in the equine limb. Compend Contin Educ Pract Vet 1987; 9:945955.

    • Search Google Scholar
    • Export Citation
  • 19

    Dik KL, van den Belt AJM. Ultraschall-Fehldiagnostik bei Sehnenerkrankungen des Pferdes. Pferdeheilkunde 1991; 7:8390.

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