Documente Academic
Documente Profesional
Documente Cultură
Equine Vet
Research team
Collaborators
Funding
RIRDC
Racing Victoria
Victorian Government
Research team
Postdocs and postgraduate students
Dr Michiko Mirams
Gareth Trope
Dr Ebi Bani Hassan
Fatemeh Malikipour
Sandra Martig
Josie Holmes
Babatunde Awodele
Amy Williamson
Megan Thomas
Horsemanship
Observant
Aware of horses needs
Proactive
Racehorse injury
Whats the problem?
How injury occurs
Bone fatigue
Bone adaptation and
repair
Injury prevention
Racehorse
Extreme athlete
500kg
70km/hr
Racehorse
Extreme athlete
Joint loads
Injury
Bone injury
Fetlock
Injury
Bone injury
Fetlock
Injury
Bone injury
Fetlock
Injury
Bone injury
Fetlock
Injury
Bone injury
Fetlock
Injury
Bone injury
Fetlock
Injury rates
Victoria flat
racing
1 death/2272
starts
69% deaths
due to limb
injuries
92% due to
bone fatigue
Injury rates
Victoria flat
racing
1 death/2272
starts
63% of all
deaths due to
bone fatigue
Injury rates
Prevalence
Joint surface lesions
Hong Kong
70-80%
Victoria
Forelimbs 66%
Hindlimbs 58%
Racing injuries
Bone fatigue
Repeated high
loads
Bone damage
Racing injuries
Bone fatigue
Injuries specific for
racehorses
Accumulation of high
speed exercise a risk factor
Fractures occur
spontaneously
Pre-existing pathology
observed
Microcracks identified at
predeliction sites
Flat racing
Risk of fatality
Longer career duration
Greater number of races in career
Greater number of races in last 30d
Started 1-14 days prior
Accumulation
of damage over
time
Rapid
accumulation
of damage
Flat racing
Risk of joint surface injury
Total lifetime races
Multiple racing seasons
Shorter time between races
Shorter time since last race
Accumulation
of damage over
time
Rapid
accumulation
of damage
Fatigue injuries
Consequences
Fatalities
Jockey injuries
Premature retirement
Poor performance
Fatigue injuries
Jockey injuries
Fatigue injuries
Consequences
Bone fatigue in joints
Catastrophic failure
Joint surface failure
Fatigue injuries
Consequences
Bone fatigue in joints
Catastrophic failure
Joint surface failure
Fatigue injuries
Consequences
Bone fatigue in joints
Catastrophic failure
Joint surface failure
Fatigue injuries
Consequences
Bone fatigue in joints
Catastrophic failure
Joint surface failure
Fatigue injuries
Consequences
Bone fatigue in joints
Catastrophic failure
Joint surface failure
Fatigue injuries
Poor performance
Horses with bone injury
identified on bone scan
Performance inferior to
age matched controls
Bone fatigue
Prevalence
Microfractures
46/48 horses had
microfractures in
fetlock
Both 2-year-olds
resting from training
Bone fatigue
Prevalence
Microfractures
Increase with
career duration
Increase with
training duration
Bone fatigue
Fatigue behaviour
Gradual degrading
of mechanical
properties due to
repeated loading
Molecular debonding
Microcracks
Complete failure
1.00
0.80
En/Emax
0.60
0.40
0.20
0.00
0.20
0.40
0.60
n/nf
0.80
1.00
Bone fatigue
Fatigue life
No. of cycles to
failure
Related to load
Load
No. of cycles
Bone fatigue
High loads
Short fatigue life
Bone response
Man made structures
Overengineering
Bone response
Evolution
Minimum amount of
bone to get the job
done
Bone
Heavy
Requires energy
Bone response
Adapt
Net increase or decrease in bone
volume
Repair
Removal and replacement of bone
No net change in bone volume
Adaptation
Increased
loading
Adaptation by
increase in bone
volume
Adaptation
Adaptation
Greater risk of fracture (Parkin et al. 2005)
Adaptation
Adaptation
Condylar
fractures
Bone response
Repair
Normal process
Remodelling
Resorption and
deposition resulting
in replacement of
bone
Repair
Remodelling
Replacement of bone
repairs fatigue damage
Remodelling inhibited
when bone subjected to
high repeated load
Repair
Training
Resting
Repair
Training
Resting
Repair
Subchondral bone repair
Inhibited when training
Bone injury
Subchondral bone
Resting horse
Repair
Damage
Time
Bone injury
Subchondral bone
Galloping horse
Damage accumulating
Repair reduced
Damage
Repair
Time
Bone injury
High load environment
Repair inhibited
Fatigue accumulates
Rest
Resorption
Bone replaced
Failure
Bone injury
Microdamage
Microdamage accumulation
Time
Rest
Rest
Prevention
Why?
Early detection challenging
Many injuries unrepairable
Avoids prolonged rehabilitation
Low grade injuries impair performance
Fatigue
Management
Inspect
Replace with a
safety margin
Fatigue management
Inspection
Prerace veterinary
examination
Hong
Kong - 90% of
fatalities - no
abnormalities
Fatigue
Management
Inspect
Replace with
safety margin
Fatigue
Determining safe level of training
No of
Horses
Joint injury
Fracture
Fatigue damage
Fatigue
Determining safe level of training
No of
Horses
Joint injury
Fracture
Fatigue damage
Fatigue
Performance
Volume of training
Prevention
Military recruits
(Finestone & Milgrom 2008)
Modifications
Prevention
Military recruits
Reduce number of
cycles of load
Reduced stress
fractures by more than
half
Did not impair
performance
Horsemanship
Working with bone
Bone is a dynamic
tissue
Facilitate and maximise
adaptation
Allow bone repair
Prevention
Maximise adaptation
Humans
Horses
Prevention
Maximising adaptation
Most responsive prior to skeletal maturity
Distal MC adaptation with 8 weeks of canter (Boyde & Firth 2005)
When increasing speed reduce distance (Nunamaker 1996)
Prevention
Adaptation
Bone volume
Time
Rest
Rest
Prevention
Adaptation
Horses returning
from spell
5 weeks
8 weeks
Prevention
Adaptation
Potential to develop
highly porous bone
Horse rested for
greater than 10-14
days
Horses in training
2 weeks rest
Full work
Repair
Where we go wrong
Inhibit remodelling too much
Train for too long
Rest periods too short
Repair
Microdamage
Rest periods
Time
Rest
Rest
Repair
Microdamage
Rest periods
Time
Rest
Rest
Prevention
Bone
replacement
Duration of training
Less than 20 weeks
Duration of rest
periods
Benefit maximised in
first 10 weeks
Future
Reducing injuries
Monitor injury rates
Educate the industry
Continuing education mandatory
Invest in research
Horsemanship
A large proportion
of limb injuries are
due to bone fatigue
Bone fatigue is
preventable
Every injury is a
failure
Horsemanship
Bone can adapt and
repair
Understanding bone
better
Fewer injuries horses
and jockeys
Better performance
Horsemanship
Minimum amount of
work for optimum fitness
Maximise adaptation to
high speed
Allow adequate time for
bone repair