• 1. Bailey CJ, Reid SWJ, Hodgson D, et al. Risk factors associated with musculoskeletal injuries in Australian Thoroughbred racehorses. Prev Vet Med 1997;32:47–55.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2. Perkins NR, Reid SWJ, Morris RS. Risk factors for injury to the superficial digital flexor tendon and suspensory apparatus in Thoroughbred racehorses in New Zealand. N Z Vet J 2005;53:184–192.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3. Reardon RJM, Boden LA, Mellor DJ, et al. Risk factors for superficial digital flexor tendinopathy in Thoroughbred racehorses in hurdle starts in the UK (2001-2009). Equine Vet J 2012;44:564–569.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Henley WE, Rogers K, Harkins L, et al. A comparison of survival models for assessing risk of racehorse fatality. Prev Vet Med 2006;74:3–20.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. Mohammed HO, Hill T, Lowe J. Risk factors associated with injuries in Thoroughbred horses. Equine Vet J 1991;23:445–448.

  • 6. Estberg L, Stover SM, Gardner IA, et al. Relationship between race start characteristics and risk of catastrophic injury in Thoroughbreds: 78 cases (1992). J Am Vet Med Assoc 1998;212:544–549.

    • Search Google Scholar
    • Export Citation
  • 7. Estberg L, Stover SM, Gardner IA, et al. Fatal musculoskeletal injuries incurred during racing and training in Thoroughbreds. J Am Vet Med Assoc 1996;208:92–96.

    • Search Google Scholar
    • Export Citation
  • 8. Lyle CH, Blissitt KJ, Kennedy RN, et al. Risk factors for race-associated sudden death in Thoroughbred racehorses in the UK (2000-2007). Equine Vet J 2012;44:459–465.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9. Georgopoulos SP, Parkin TDH. Risk factors associated with fatal injuries in Thoroughbred racehorses competing in flat racing in the United States and Canada. J Am Vet Med Assoc 2016;249:931–939.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Georgopoulos SP, Parkin TDH. Risk factors for equine fractures in Thoroughbred flat racing in North America. Prev Vet Med 2016;139:99–104.

    • Search Google Scholar
    • Export Citation
  • 11. Boden LA, Anderson G, Charles J, et al. Risk factors for Thoroughbred racehorse fatality in flat starts in Victoria, Australia (1989-2004). Equine Vet J 2007;39:430–437.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Takahashi T, Kasashima Y, Ueno Y. Association between race history and risk of superficial digital flexor tendon injury in Thoroughbred racehorses. J Am Vet Med Assoc 2004;225:90–93.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Hernandez J, Hawkins DL, Scollay MC. Race-start characteristics and risk of catastrophic musculoskeletal injury in Thoroughbred racehorses. J Am Vet Med Assoc 2001;218:83–86.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14. Parkin TDH, Clegg PD, French NP, et al. Race- and course-level risk factors for fatal distal limb fracture in racing Thoroughbreds. Equine Vet J 2004;36:521–526.

    • Search Google Scholar
    • Export Citation
  • 15. Parkin TDH, Clegg PD, French NP, et al. Risk factors for fatal lateral condylar fracture of the third metacarpus/metatarsus in UK racing. Equine Vet J 2005;37:192–199.

    • Search Google Scholar
    • Export Citation
  • 16. Dohoo I, Martin W, Stryhn H. Cohort studies. In: Veterinary epidemiologic research. 3rd ed. Charlottetown, PE, Canada: AVC Inc, 2003;168–177.

    • Search Google Scholar
    • Export Citation
  • 17. Dirikolu L, Woods WE, Boyles J, et al. Nonsteroidal anti-inflammatory agents and musculoskeletal injuries in Thoroughbred racehorses in Kentucky. J Vet Pharmacol Ther 2009;32:271–279.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18. Beisser AL, McClure S, Rezabek G, et al. Frequency of and risk factors associated with catastrophic musculoskeletal injuries in Quarter Horses at two Midwestern racetracks: 67 cases (2000–2011). J Am Vet Med Assoc 2014;245:1160–1168.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19. Beisser AL, McClure S, Wang C, et al. Evaluation of catastrophic musculoskeletal injuries in Thoroughbreds and Quarter Horses at three Midwestern racetracks. J Am Vet Med Assoc 2011;239:1236–1241.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20. Stover SM. Nomenclature, classification, and documentation of catastrophic fractures and associated preexisting injuries in racehorses. J Vet Diagn Invest 2017;29:396–404.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21. Diab SS, Stover SM, Carvallo F, et al. Diagnostic approach to catastrophic musculoskeletal injuries in racehorses. J Vet Diagn Invest 2017;29:405–413.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22. Janes JG, Kennedy LA, Garret KS, et al. Common lesions of the distal end of the third metacarpal/metatarsal bone in racehorse catastrophic breakdown injuries. J Vet Diagn Invest 2017;29:431–436.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23. Gray SN, Spriet M, Garcia TC, et al. Preexisting lesions associated with complete diaphyseal fractures of the third metacarpal bone in 12 Thoroughbed racehorses. J Vet Diagn Invest 2017;29:437–441.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. DeLay J. Postmortem findings in Ontario racehorses, 2003–2015. J Vet Diagn Invest 2017;29:457–464.

  • 25. Warden SJ. Prophylactic misuse and recommended use of nonsteroidal anti-inflammatory drugs by athletes. Br J Sports Med 2009;43:548–549.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26. Warden SJ. Prophylactic use of NSAIDs by athletes: a risk/benefit assessment. Phys Sportsmed 2010;38:132–138.

  • 27. Mueller-Wohlfahrt HW, Haensel L, Mithoefer K, et al. Terminology and classification of muscle injuries in sport: the Munich consensus statement. Br J Sports Med 2013;47:342–350.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28. Speed C, Wolfarth B. Challenges of pain masking in the management of soft tissue disorders: optimizing patient outcomes with a multi-targeted approach. Curr Med Res Opin 2014;30:953–959.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. Riggs CM. Aetiopathogenesis of parasagittal fractures of the distal condyles of the third metacarpal and third metatarsal bones—review of the literature. Equine Vet J 1999;31:116–120.

    • Crossref
    • Search Google Scholar
    • Export Citation

Advertisement

Association between the administration of phenylbutazone prior to racing and musculoskeletal and fatal injuries in Thoroughbred racehorses in Argentina

Teresita Zambruno1School of Veterinary Medicine, University of Glasgow, Glasgow, G61 1QH, Scotland.

Search for other papers by Teresita Zambruno in
Current site
Google Scholar
PubMed
Close
 MV, MVM
,
Stamatis P. Georgopoulos1School of Veterinary Medicine, University of Glasgow, Glasgow, G61 1QH, Scotland.

Search for other papers by Stamatis P. Georgopoulos in
Current site
Google Scholar
PubMed
Close
 MEng, MSc, PhD
,
Lisa A. Boden1School of Veterinary Medicine, University of Glasgow, Glasgow, G61 1QH, Scotland.

Search for other papers by Lisa A. Boden in
Current site
Google Scholar
PubMed
Close
 BVSc, PhD
, and
Tim D. H. Parkin1School of Veterinary Medicine, University of Glasgow, Glasgow, G61 1QH, Scotland.

Search for other papers by Tim D. H. Parkin in
Current site
Google Scholar
PubMed
Close
 BSc, BVSc, PhD
View More View Less

Abstract

OBJECTIVE

To examine the association between prerace administration of phenylbutazone and the risk of musculoskeletal injury (MSI) and fatal injury in Thoroughbred racehorses that raced between 2006 and 2015 at 2 of the 4 official racetracks in Argentina.

SAMPLE

Data from racetrack databases and veterinary reports on 283,193 race starts.

PROCEDURES

Data were collected relating to race performance and injury outcomes for starts at these tracks. The incidence of MSI and fatal injury was calculated for each year, stratified by the declared prerace administration of phenylbutazone. Univariable logistic regression, followed by multivariable logistic regression, was used to identify significant risk factors for both MSI and fatal injury.

RESULTS

Analyses identified associations between the declared prerace administration of phenylbutazone and the risk of MSI and fatal injury during racing. Horses with declared prerace phenylbutazone administration had greater odds of MSI (OR, 1.45 [95% CI, 1.03 to 2.04]) and fatal injury (OR, 1.59 [95% CI, 1.1 to 2.27]) than did horses racing without prerace phenylbutazone administration. These associations remained significant when other risk factors were accounted for in both multivariable models.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested an association between the prerace administration of phenylbutazone and the risk of MSI and fatal injury in Thoroughbred racehorses during racing. Although these results did not imply a direct causal relationship between prerace phenylbutazone administration and injury, they may be considered in the development of more conservative medication policies to optimize racehorse welfare in North and Latin America.

Abstract

OBJECTIVE

To examine the association between prerace administration of phenylbutazone and the risk of musculoskeletal injury (MSI) and fatal injury in Thoroughbred racehorses that raced between 2006 and 2015 at 2 of the 4 official racetracks in Argentina.

SAMPLE

Data from racetrack databases and veterinary reports on 283,193 race starts.

PROCEDURES

Data were collected relating to race performance and injury outcomes for starts at these tracks. The incidence of MSI and fatal injury was calculated for each year, stratified by the declared prerace administration of phenylbutazone. Univariable logistic regression, followed by multivariable logistic regression, was used to identify significant risk factors for both MSI and fatal injury.

RESULTS

Analyses identified associations between the declared prerace administration of phenylbutazone and the risk of MSI and fatal injury during racing. Horses with declared prerace phenylbutazone administration had greater odds of MSI (OR, 1.45 [95% CI, 1.03 to 2.04]) and fatal injury (OR, 1.59 [95% CI, 1.1 to 2.27]) than did horses racing without prerace phenylbutazone administration. These associations remained significant when other risk factors were accounted for in both multivariable models.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested an association between the prerace administration of phenylbutazone and the risk of MSI and fatal injury in Thoroughbred racehorses during racing. Although these results did not imply a direct causal relationship between prerace phenylbutazone administration and injury, they may be considered in the development of more conservative medication policies to optimize racehorse welfare in North and Latin America.

Supplementary Materials

    • Supplementary Appendix S1 (PDF 188 kb)

Contributor Notes

Dr. Zambruno's present address is Jockey Club, HipĂłdromo de San Isidro, Argentina.

Dr. Georgopoulos’ present address is Deus Ex Machina, Chimarras 5, Athens, Greece.

Dr. Boden's present address is the Global Academy of Agriculture and Food Security, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh EH25 9RG, Scotland.

Address correspondence to Dr. Parkin (tim.parkin@glasgow.ac.uk).