Summary
This study was performed to test the hypothesis that a localised bone hypertrophy could occur within the subchondral cancellous architecture of the third and radial carpal bones. Using 2 levels of controlled and defined exercise, it was observed that a high intensity treadmill exercise protocol resulted in functional adaptation of the carpal bones. The increase in trabecular thickening and density was seen to be localised to those regions underlying common sites of cartilage degradation, the interface of the thickened trabeculae with the normal architecture in the third carpal bone was coincident with a common site of clinical fractures. The bone changes were determined both qualitatively on examination of slab radiographs and quantified by dual energy x‐ray absorptiometry.
The findings from this study are relevant to mechanical factors involved in the pathophysiology of joint degeneration. The potential clinical implications of this study are in relation to changes in the type and duration of exercise regimens used in training of equine athletes. The rapid response of bone to mechanical stimulation has implications in the longer term for localised cartilage degradation. Imaging techniques could be developed to monitor these early bone changes in the specific areas identified in this study and thus allow appropriate changes in training intensity to minimise subsequent damage to the articular surface.
Summary
This study identified changes consistent with osteoarthritis; articular cartilage damage, subchondral bone sclerosis and marginal osteophytes, in the metacarpophalangeal joints of wild New Zealand horses. The articular cartilage lesions were identified by Indian ink staining techniques and histology. The lesions occurred on the proximodorsal aspect of the first phalanx (P1) and were more severe on the medial compared to the lateral eminence of the bone, and their severity increased with age. The bone mineral density of the subchondral bone underlying the cartilage lesions, assessed using conventional radiography and dual energy absorptiometry, also increased with age and with severity of the overlying cartilage lesion. Subjective assessment of cabinet radiographs revealed that the subchondral bone sclerosis was greater in horses with severe articular cartilage damage. Ossicles, with a distinct trabecular bone pattern, were identified at the proximo‐dorsal margin of P1 in 8 specimens from 5 horses from the older age groups (greater than age 5 years).
The results of this study demonstrate age‐related changes consistent with osteoarthritis in the metacarpophalangeal joints of wild horses. There appears to be a significant relationship between subchondral bone sclerosis and overlying cartilage degeneration in the proximodorsal aspect of P1. We have identified an age‐related osteoarthritic process naturally present in horses; and postulate that the stresses of racing and training may accelerate this ageing process.
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