The Experts below are selected from a list of 2280 Experts worldwide ranked by ideXlab platform
S. Plevin - One of the best experts on this subject based on the ideXlab platform.
-
association between sesamoiditis subclinical ultrasonographic Suspensory Ligament branch change and subsequent clinical injury in yearling thoroughbreds
Equine Veterinary Journal, 2016Co-Authors: S. Plevin, J. Mclellan, T OkeeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with Suspensory Ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical Suspensory Ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent sesamoiditis and SSLBC would be more likely to develop clinical Suspensory Ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and Suspensory Ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/Suspensory Ligament branch pairs. A significant relationship existed between possibly significant (PS) sesamoiditis and PS SSLBC (P<0.001). The odds ratio of sesamoids with PS sesamoiditis also demonstrating concurrent PS SSLBC was 5.1 (95% confidence interval 2.68–9.70, P<0.001). A significant relationship also existed between the concurrent presence of PS sesamoiditis and PS SSLBC and the subsequent development of clinical signs of SLBI (P<0.001, odds ratio 11.7, 95% confidence interval 4.1–33.4). Conclusions The associations identified in this study highlight the importance of ultrasonographic examination of Suspensory Ligament branches in horses with PS sesamoiditis. This information should allow more accurate prognostic advice regarding potential SLBI development and also provide opportunities for intervention and prevention of clinical SLBI. The Summary is available in Chinese - see Supporting information
-
Association between sesamoiditis, subclinical ultrasonographic Suspensory Ligament branch change and subsequent clinical injury in yearling Thoroughbreds.
Equine veterinary journal, 2015Co-Authors: S. Plevin, J. Mclellan, T. O'keeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with Suspensory Ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical Suspensory Ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent sesamoiditis and SSLBC would be more likely to develop clinical Suspensory Ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and Suspensory Ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/Suspensory Ligament branch pairs. A significant relationship existed between possibly significant (PS) sesamoiditis and PS SSLBC (P
-
do radiographic signs of sesamoiditis in yearling thoroughbreds predispose the development of Suspensory Ligament branch injury
Equine Veterinary Journal, 2014Co-Authors: J. Mclellan, S. PlevinAbstract:SummaryReasons for performing study Sesamoiditis is believed to be associated with injury to the Suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling sesamoiditis and subsequent development of Suspensory Ligament branch injury (SLBI) in early racehorse training. Objectives To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and sesamoiditis to determine if sesamoiditis is a risk factor for clinical Suspensory branch injury. Study design Retrospective case control study. Methods Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between sesamoiditis and the development of SLBI during training. Results The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of sesamoiditis overall but SLBI cases demonstrated increased severity of sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent Suspensory branch (OR 4.56, 95% CI 2.18–9.53, P = 0.0001). Conclusions This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of sesamoiditis. Evidence of significant sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale.
-
Do radiographic signs of sesamoiditis in yearling Thoroughbreds predispose the development of Suspensory Ligament branch injury
Equine veterinary journal, 2013Co-Authors: J. Mclellan, S. PlevinAbstract:Sesamoiditis is believed to be associated with injury to the Suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling sesamoiditis and subsequent development of Suspensory Ligament branch injury (SLBI) in early racehorse training. To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and sesamoiditis to determine if sesamoiditis is a risk factor for clinical Suspensory branch injury. Retrospective case control study. Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between sesamoiditis and the development of SLBI during training. The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of sesamoiditis overall but SLBI cases demonstrated increased severity of sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent Suspensory branch (OR 4.56, 95% CI 2.18-9.53, P = 0.0001). This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of sesamoiditis. Evidence of significant sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale. © 2013 EVJ Ltd.
Osama Shaeer - One of the best experts on this subject based on the ideXlab platform.
-
congenital penile drop defective Suspensory Ligament versus severe proximal curvature a case series
The Journal of Sexual Medicine, 2012Co-Authors: Osama ShaeerAbstract:ABSTRACT Introduction Penile drop is a condition where the erect penis is pointing downward. It can either be congenital or posttraumatic. Congenital cases can be attributed to either a defective penile Suspensory Ligament (PSL) or severe congenital curvature, with the point of maximum curvature proximal, at the base of the penis, concealed within the pubic fat (proximal penile curvature [PPC]). It is important to diagnose the underlying abnormality and choose the surgical approach accordingly, considering that surgical correction of PSL defects results in shortening that can be avoided in PPC cases. Aim This work describes a method for discriminating PSL defects from PPC and their surgical management. Main Outcome Measures Accuracy of preoperative diagnosis and results of surgery in terms of erection angle and penile length. Methods This is a retrospective study of the management of 12 male patients with congenital penile drop. Diagnostic measures were the pubic gap sign: palpation of a gap between the pubis and the penis, the straightening sign: patients with PSL defects can correct the angle of erection while contrary to PPC cases, Sexual Health Inventory for Men (SHIM), and intraoperative trial rotation of the corpora cavernosa that will correct PPC cases and point them out. Accordingly, PSL cases were managed by anchoring the base of the penis to the pubis, while PPC cases were managed by corporal rotation. Results Penile drop was fully corrected with shortening in PSL group and without in the PPC group. The straightening sign, SHIM, and trial rotation were in agreement contrary to the pubic gap sign Conclusions. Discriminating PSL defects from PPC is possible by the combination between “straightening sign” and SHIM results. PSL cases should be managed by anchoring sutures despite the inevitable shortening. PPC cases can be spared the shortening by corporal rotation. Shaeer O. Congenital penile drop: Defective Suspensory Ligament versus severe proximal curvature, a case series. J Sex Med 2012;9:618–624.
-
Congenital Penile Drop: Defective Suspensory Ligament versus Severe Proximal Curvature, a Case Series
The journal of sexual medicine, 2011Co-Authors: Osama ShaeerAbstract:Penile drop is a condition where the erect penis is pointing downward. It can either be congenital or posttraumatic. Congenital cases can be attributed to either a defective penile Suspensory Ligament (PSL) or severe congenital curvature, with the point of maximum curvature proximal, at the base of the penis, concealed within the pubic fat (proximal penile curvature [PPC]). It is important to diagnose the underlying abnormality and choose the surgical approach accordingly, considering that surgical correction of PSL defects results in shortening that can be avoided in PPC cases. This work describes a method for discriminating PSL defects from PPC and their surgical management. Accuracy of preoperative diagnosis and results of surgery in terms of erection angle and penile length. This is a retrospective study of the management of 12 male patients with congenital penile drop. Diagnostic measures were the pubic gap sign: palpation of a gap between the pubis and the penis, the straightening sign: patients with PSL defects can correct the angle of erection while contrary to PPC cases, Sexual Health Inventory for Men (SHIM), and intraoperative trial rotation of the corpora cavernosa that will correct PPC cases and point them out. Accordingly, PSL cases were managed by anchoring the base of the penis to the pubis, while PPC cases were managed by corporal rotation. Penile drop was fully corrected with shortening in PSL group and without in the PPC group. The straightening sign, SHIM, and trial rotation were in agreement contrary to the pubic gap sign. Discriminating PSL defects from PPC is possible by the combination between "straightening sign" and SHIM results. PSL cases should be managed by anchoring sutures despite the inevitable shortening. PPC cases can be spared the shortening by corporal rotation. © 2011 International Society for Sexual Medicine.
-
ORIGINAL RESEARCH—SURGERY: Minimizing the Losses in Penile Lengthening: “V‐Y Half‐Skin Half‐Fat Advancement Flap” and “T‐Closure” Combined with Severing the Suspensory Ligament
The journal of sexual medicine, 2006Co-Authors: Osama Shaeer, Kamal Shaeer, Ashraf El-sebaieAbstract:The technique most commonly used for penile lengthening is the release of the Suspensory Ligament in combination with an inverted V-Y skin plasty. This technique has drawbacks such as the possibility of reattachment of the penis to the pubis, a hump that forms at the base of the penis, in addition to alteration in the angle of erection. In this work, we describe a new technique that overrides these drawbacks and minimize the loss of gained length. The Suspensory Ligament was released through a penopubic incision. The caudal flap of the resected Ligaments was reflected caudally and sutured to the Buck's fascia. The V flap was incised. The caudal half of the V was deskinned, leaving a cranial skin-covered V flap, and a caudal, rectangular fat flap. The fat flap was pulled into the gap between the base of the penis and the pubis and secured in position by suturing its deep surface and lower edge to the pubis. This maneuver filled up the gap. The V incision was closed as a Y. The penopubic incision was closed as a T shape, to avoid pulling the penis back at skin closure. A stay suture stretched from the glans to the thigh, maintaining the penis in the stretched position. A urinary catheter was inserted. Six months after surgery, there was no loss in the length gained. The angle of erection (as reported by the patient) was similar to that prior to the procedure. The skin incisions left no hump and a faint scar that was not troublesome to the patient. "V-Y half-skin half-fat advancement flap" and "T-closure" may improve the results of Suspensory Ligament release for penile lengthening. The reported techniques minimize the losses compromising length gain, whether in-surgery or following it.
-
original research surgery minimizing the losses in penile lengthening v y half skin half fat advancement flap and t closure combined with severing the Suspensory Ligament
The Journal of Sexual Medicine, 2006Co-Authors: Osama Shaeer, Kamal Shaeer, Ashraf ElsebaieAbstract:Introduction. The technique most commonly used for penile lengthening is the release of the Suspensory Ligament in combination with an inverted V-Y skin plasty. This technique has drawbacks such as the possibility of reattach- ment of the penis to the pubis, a hump that forms at the base of the penis, in addition to alteration in the angle of erection. Aim. In this work, we describe a new technique that overrides these drawbacks and minimize the loss of gained length. Methods. The Suspensory Ligament was released through a penopubic incision. The caudal flap of the resected Ligaments was reflected caudally and sutured to the Buck's fascia. The V flap was incised. The caudal half of the V was deskinned, leaving a cranial skin-covered V flap, and a caudal, rectangular fat flap. The fat flap was pulled into the gap between the base of the penis and the pubis and secured in position by suturing its deep surface and lower edge to the pubis. This maneuver filled up the gap. The V incision was closed as a Y. The penopubic incision was closed as a T shape, to avoid pulling the penis back at skin closure. A stay suture stretched from the glans to the thigh, maintaining the penis in the stretched position. A urinary catheter was inserted. Results. Six months after surgery, there was no loss in the length gained. The angle of erection (as reported by the patient) was similar to that prior to the procedure. The skin incisions left no hump and a faint scar that was not troublesome to the patient. Conclusion. "V-Y half-skin half-fat advancement flap" and "T-closure" may improve the results of Suspensory Ligament release for penile lengthening. The reported techniques minimize the losses compromising length gain, whether in-surgery or following it. Shaeer O, Shaeer K, and El-Sebaie A. Minimizing the losses in penile lengthening: "V-Y half-skin half-fat advancement flap" and "T-closure" combined with severing the sus- pensory Ligament. J Sex Med **;**:**-**.
J. Mclellan - One of the best experts on this subject based on the ideXlab platform.
-
association between sesamoiditis subclinical ultrasonographic Suspensory Ligament branch change and subsequent clinical injury in yearling thoroughbreds
Equine Veterinary Journal, 2016Co-Authors: S. Plevin, J. Mclellan, T OkeeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with Suspensory Ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical Suspensory Ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent sesamoiditis and SSLBC would be more likely to develop clinical Suspensory Ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and Suspensory Ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/Suspensory Ligament branch pairs. A significant relationship existed between possibly significant (PS) sesamoiditis and PS SSLBC (P<0.001). The odds ratio of sesamoids with PS sesamoiditis also demonstrating concurrent PS SSLBC was 5.1 (95% confidence interval 2.68–9.70, P<0.001). A significant relationship also existed between the concurrent presence of PS sesamoiditis and PS SSLBC and the subsequent development of clinical signs of SLBI (P<0.001, odds ratio 11.7, 95% confidence interval 4.1–33.4). Conclusions The associations identified in this study highlight the importance of ultrasonographic examination of Suspensory Ligament branches in horses with PS sesamoiditis. This information should allow more accurate prognostic advice regarding potential SLBI development and also provide opportunities for intervention and prevention of clinical SLBI. The Summary is available in Chinese - see Supporting information
-
Association between sesamoiditis, subclinical ultrasonographic Suspensory Ligament branch change and subsequent clinical injury in yearling Thoroughbreds.
Equine veterinary journal, 2015Co-Authors: S. Plevin, J. Mclellan, T. O'keeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with Suspensory Ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical Suspensory Ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent sesamoiditis and SSLBC would be more likely to develop clinical Suspensory Ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and Suspensory Ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/Suspensory Ligament branch pairs. A significant relationship existed between possibly significant (PS) sesamoiditis and PS SSLBC (P
-
do radiographic signs of sesamoiditis in yearling thoroughbreds predispose the development of Suspensory Ligament branch injury
Equine Veterinary Journal, 2014Co-Authors: J. Mclellan, S. PlevinAbstract:SummaryReasons for performing study Sesamoiditis is believed to be associated with injury to the Suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling sesamoiditis and subsequent development of Suspensory Ligament branch injury (SLBI) in early racehorse training. Objectives To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and sesamoiditis to determine if sesamoiditis is a risk factor for clinical Suspensory branch injury. Study design Retrospective case control study. Methods Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between sesamoiditis and the development of SLBI during training. Results The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of sesamoiditis overall but SLBI cases demonstrated increased severity of sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent Suspensory branch (OR 4.56, 95% CI 2.18–9.53, P = 0.0001). Conclusions This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of sesamoiditis. Evidence of significant sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale.
-
Do radiographic signs of sesamoiditis in yearling Thoroughbreds predispose the development of Suspensory Ligament branch injury
Equine veterinary journal, 2013Co-Authors: J. Mclellan, S. PlevinAbstract:Sesamoiditis is believed to be associated with injury to the Suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling sesamoiditis and subsequent development of Suspensory Ligament branch injury (SLBI) in early racehorse training. To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and sesamoiditis to determine if sesamoiditis is a risk factor for clinical Suspensory branch injury. Retrospective case control study. Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between sesamoiditis and the development of SLBI during training. The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of sesamoiditis overall but SLBI cases demonstrated increased severity of sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent Suspensory branch (OR 4.56, 95% CI 2.18-9.53, P = 0.0001). This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of sesamoiditis. Evidence of significant sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale. © 2013 EVJ Ltd.
James L N Wood - One of the best experts on this subject based on the ideXlab platform.
-
descriptive epidemiology of fracture tendon and Suspensory Ligament injuries in national hunt racehorses in training
Equine Veterinary Journal, 2009Co-Authors: R K W Smith, E R Ely, C S Avella, Joanna S Price, James L N WoodAbstract:Reasons for performing study: While fractures and tendon injuries are known to be important diseases in National Hunt (NH) racehorses during racing, there are no accurate estimates of their incidence in NH training yards. Objectives: To estimate the incidence of fractures and tendon and Suspensory Ligament injuries (TLIs) in NH racehorses in training; to describe the injuries incurred and to compare injury incidence rates by horse age, trainer, gender and background (ex-flat vs. ex-store horses). Methods: Cohort data were collected from 14 UK NH training yards for 2 racing seasons. Daily exercise regimens and details of fractures and TLIs occurring in study horses were recorded. Results: Data were gathered from 1223 horses that spent 9466 months at risk of injury. The fracture incidence rate was 1.1/100 horse months and varied significantly by trainer (P<0.001) but not by gender, age or background. The pelvis and third metacarpal bone (MCIII) were the most common fracture sites, although this varied between racing and training. The TLI incidence rate was 1.9/100 horse months and varied significantly by trainer (P = 0.05) and age (P<0.001) but not by gender or background. However, ex-store horses were significantly more likely to have a TLI on the racecourse than ex-flat horses (P = 0.01). Superficial digital flexor injuries accounted for 89% of all TLIs, the remainder being Suspensory Ligament injuries. Conclusions and potential relevance: Fractures and TLIs are important causes of morbidity and mortality in NH racehorses in training in England. This study provides accurate estimates of their incidence in this population and provides a baseline against which to monitor the effect of future interventions.
-
Descriptive epidemiology of fracture, tendon and Suspensory Ligament injuries in National Hunt racehorses in training.
Equine veterinary journal, 2009Co-Authors: E R Ely, C S Avella, Joanna S Price, James L N Wood, Roger Smith, Kristien VerheyenAbstract:Reasons for performing study: While fractures and tendon injuries are known to be important diseases in National Hunt (NH) racehorses during racing, there are no accurate estimates of their incidence in NH training yards. Objectives: To estimate the incidence of fractures and tendon and Suspensory Ligament injuries (TLIs) in NH racehorses in training; to describe the injuries incurred and to compare injury incidence rates by horse age, trainer, gender and background (ex-flat vs. ex-store horses). Methods: Cohort data were collected from 14 UK NH training yards for 2 racing seasons. Daily exercise regimens and details of fractures and TLIs occurring in study horses were recorded. Results: Data were gathered from 1223 horses that spent 9466 months at risk of injury. The fracture incidence rate was 1.1/100 horse months and varied significantly by trainer (P
E R Ely - One of the best experts on this subject based on the ideXlab platform.
-
descriptive epidemiology of fracture tendon and Suspensory Ligament injuries in national hunt racehorses in training
Equine Veterinary Journal, 2009Co-Authors: R K W Smith, E R Ely, C S Avella, Joanna S Price, James L N WoodAbstract:Reasons for performing study: While fractures and tendon injuries are known to be important diseases in National Hunt (NH) racehorses during racing, there are no accurate estimates of their incidence in NH training yards. Objectives: To estimate the incidence of fractures and tendon and Suspensory Ligament injuries (TLIs) in NH racehorses in training; to describe the injuries incurred and to compare injury incidence rates by horse age, trainer, gender and background (ex-flat vs. ex-store horses). Methods: Cohort data were collected from 14 UK NH training yards for 2 racing seasons. Daily exercise regimens and details of fractures and TLIs occurring in study horses were recorded. Results: Data were gathered from 1223 horses that spent 9466 months at risk of injury. The fracture incidence rate was 1.1/100 horse months and varied significantly by trainer (P<0.001) but not by gender, age or background. The pelvis and third metacarpal bone (MCIII) were the most common fracture sites, although this varied between racing and training. The TLI incidence rate was 1.9/100 horse months and varied significantly by trainer (P = 0.05) and age (P<0.001) but not by gender or background. However, ex-store horses were significantly more likely to have a TLI on the racecourse than ex-flat horses (P = 0.01). Superficial digital flexor injuries accounted for 89% of all TLIs, the remainder being Suspensory Ligament injuries. Conclusions and potential relevance: Fractures and TLIs are important causes of morbidity and mortality in NH racehorses in training in England. This study provides accurate estimates of their incidence in this population and provides a baseline against which to monitor the effect of future interventions.
-
Descriptive epidemiology of fracture, tendon and Suspensory Ligament injuries in National Hunt racehorses in training.
Equine veterinary journal, 2009Co-Authors: E R Ely, C S Avella, Joanna S Price, James L N Wood, Roger Smith, Kristien VerheyenAbstract:Reasons for performing study: While fractures and tendon injuries are known to be important diseases in National Hunt (NH) racehorses during racing, there are no accurate estimates of their incidence in NH training yards. Objectives: To estimate the incidence of fractures and tendon and Suspensory Ligament injuries (TLIs) in NH racehorses in training; to describe the injuries incurred and to compare injury incidence rates by horse age, trainer, gender and background (ex-flat vs. ex-store horses). Methods: Cohort data were collected from 14 UK NH training yards for 2 racing seasons. Daily exercise regimens and details of fractures and TLIs occurring in study horses were recorded. Results: Data were gathered from 1223 horses that spent 9466 months at risk of injury. The fracture incidence rate was 1.1/100 horse months and varied significantly by trainer (P
