Summary The vascular and microvascular anatomy of normal equine superficial digital flexor tendons was studied by dissection of vinyl‐perfused specimens and by microangiography on high detail film. The presence of an extensive intratendinous vascular latticework was confirmed, and a ‘nutrient artery’ described closely associated with the accessory ligament of the superficial digital flexor tendon (proximal check ligament). Circumferential stripping of the paratenon from the tendon to eliminate afferent vessels was performed bilaterally in three horses and unilaterally in a fourth, followed by a treadmill training regimen. No resulting intratendinous lesions could be documented on gross post mortem and histological examination at three, 10, or 35 days post operatively. There was mild paratendinous proliferation in all instances. In one horse, four intratendinous ligatures were placed within the medial and lateral borders of the contralateral tendon to isolate further from its blood supply a 10 cm segment. Gross lesions at 35 days post operatively included a marked paratendinous response involving the entire 10 cm segment, and a darkened, soft focus within the core of the tendon. Histopathology and electron microscopy demonstrated focal degeneration. It was concluded that the blood supply of the normal equine superficial digital flexor tendon is primarily intratendinous, rather than paratendinous as previously thought. The lesions in one horse similar to those in naturally occurring tendinitis supported a vascular aetiology of the disease, and set the groundwork for studies aimed at the development of a clinically relevant tendinitis model.

Summary The material properties of the accessesory ligament of the deep digital flexor tendon (AL) of 21 forelimbs from horses between ages one day and 15 years were determined. The force (634–11416 N), failure stress (45–138 N/mm2), failure strain (7–24%) and tangent modulus (33–1639 MPa) are presented in relation to age. Tangent modulus did not indicate changes in elasticity due to age. The results demonstrate that complete ligament failures (CLF) of ALs of older horses (mean 7835 N) occur at lower forces than ALs of young adult horses (mean 8894 N). Sudden decreases, ‘dips’, in the force‐time curves were noticed in ligaments from foals and yearlings and in ligaments from horses >10 years. They were interpreted as the failure of a number of fibres which either fail at lower forces or are subject to higher forces than the rest. These differences in mechanical properties could be the result of age related differences in the material properties of ALs of older horses similar to alterations in collagenous tissue in other species. When analysing the data of the proximal, middle and distal regions of the ligaments separately, higher strain and elasticity were found in the distal compared to the proximal parts. It is suggested that the clinical occurrence of desmitis of the AL of older horses could be due to fibrillar failure caused by differences in the material properties of the ligaments.

Summary An analysis of joint moments was used to study the biomechanical implications, load redistribution and kinematic pattern following desmotomy of the accessory ligament of the deep digital flexor tendon (AL) in adult horses. Recordings of 6 sound horses were made before and 10 days after desmotomy of the AL of the right forelimb at the walk and the trot. Kinematic recordings of the right forelimb and the left distal forelimb were made using the CODA-3 system. Kinetic recordings of the ground reaction forces in both forelimbs were made using a Kistler force plate simultaneously with the kinematic recordings. Radiographic localisation of the CODA-3 markers in both distal limbs allowed an analysis of coffin and fetlock joint moments, moment arms and forces in the digital flexor tendons. No transfer of load from the operated to the contralateral limb was found. In the operated limb the total joint moment of the coffin joint decreased substantially due to a reduced moment arm of the vertical ground reaction force component during the entire stance phase, while the fetlock joint moment decreased only slightly. To compensate for the loss of AL function, the superficial digital flexor tendon (SDFT) took a higher load during midstance, while at the end of the stance phase, the deep digital flexor tendon (DDFT) carried a higher load with a marked load peak just before heel off. While the compensation was adequate during midstance (no changes in maximal hyperextension of the fetlock joint), a prolonged hyperextension of the fetlock joint together with a rapid flexion at the start of the swing phase indicated that the DDFT was unable to compensate completely for the loss of AL function. It was concluded that the changes in total joint moments and increases in loading of the SDFT and DDFT allow locomotion without serious overloading of the compensating tendons following AL desmotomy.

on the tenocytes resulting in a decrease of the production of PSGAGs. Therefore, inappropriate or excessive exercise may damage developing tendon, with limited recovery after normalising the exercise level. These possibly deleterious effects of a training regimen on tendon development may be important for the management of young would-be equine athletes.

SummaryTo evaluate a novel tendon biopsy technique for use in the horse and to assess the effect of different exercise levels on the healing process of minimally damaged superficial digital flexor tendons (SDFT), 24 Dutch Warmblood foals were randomly divided into 3 equally sized groups one week after birth. One group was box rested, one group got box rest with additional enforced exercise, and one group got free pasture exercise. Biopsies from the peripheral region of the SDFT were taken at age 2 months using a new micro-biopsy technique. At age 5 months the foals were euthanized and samples from the biopsy site and a control site were harvested. Collagen fibrillar index (CFI, the total amount of collagen as a percentage of the measured area), mass-average diameter (MAvD, mean of the diameter versus area distribution) and collagen fibrillar diameter frequency (the distribution of collagen fibril sizes expressed as a percentage of the number of collagen fibrils) were calculated. The CFI, MAvD values were significantly lower in the wound samples. It is concluded that the biopsy technique may be a useful tool for research applications. The absence of exercise-induced effects on the collagen fibril population in the wound samples suggests that the first phase of the process of tendon healing in immature equine SDFT’s sustaining a minor surgically-induced wound, is not exercise-dependent. However, findings may be different in mature horses sustaining accidental trauma.A novel technique to take biopsies from immature equine flexor tendons was developed and used to evaluate the effect of various levels of exercise on the development of the collagen fibril diameter distribution in the resulting wounds. The technique appeared to be minimally invasive, but complication rate was deemed too high for clinical use. There was no effect of exercise on mass average diameter of collagen fibrils, suggesting that the repair process, at least in its initial stage, is exercise-independent.