Vet Comp Orthop Traumatol 2009; 22(04): 278-282
DOI: 10.3415/VCOT-08-05-0043
Original Research
Schattauer GmbH

Pressure distribution between the deep digital flexor tendon and the navicular bone, and the effect of raising the heels in vitro

M.P. Weaver
1   University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK
,
D.J. Shaw
2   Royal (Dick) School of Veterinary Medicine, University of Edinburgh, Roslin, UK
,
G. Munaiwa
3   University College Dublin, School of Agriculture, Food Science and Veterinary Medicine, Belfield, Dublin, Ireland
,
D.P. FitzPatrick
4   University College Dublin, School of Electrical, Electronic and Mechanical Engineering, Belfield, Dublin, Ireland
,
C.R. Bellenger
3   University College Dublin, School of Agriculture, Food Science and Veterinary Medicine, Belfield, Dublin, Ireland
› Author Affiliations
Further Information

Publication History

Received:08 May 2008

Accepted:12 February 2009

Publication Date:
18 December 2017 (online)

Summary

The objectives of this study were to topo-graphically map pressure distribution across the palmar surface of the navicular bone in response to forces applied by the deep digital flexor tendon (DDFT), and evaluate the effect of raising the heels in vitro. A rig was constructed to hold an equine cadaver limb and apply controlled pressure to the navicular bone from the DDFT. Pressure-sensitive paper was used to quantify and map the resultant pressure. Changes in response to heel wedges (5° and 10°) were recorded. The areas subject to maximum pressure from the DDFT were: the central ridge, the paired symmetrical areas adjacent to the ridge and the distal edge of the palmar bone surface. These regions correspond to the known sites of navicular pathology. Heel wedges redistributed the pressure exerted on the palmar surface of the navicular bone, with measurements varying depending on fetlock angle and wedge angle. These in vitro results support the hypothesis that inappropriate forces exerted via the DDFT on the bone cause navicular disease. However, they throw doubt on the practice of shoeing such horses with heel wedges as the redistribution of pressure may increase the force exerted on regions predisposed to disease.

 
  • References

  • 1 Benjamin M, Evans E. Fibrocartilage (Research Review). J Anat 1990; 171: 1-15.
  • 2 Oxspring G. Navicular disease – a short review. J Royal Army Vet Corps; 1934; 5: 66-71.
  • 3 Pool R, Meagher D., Stover S. Pathophysiology of navicular disease. Vet Clin North Am Equine Pract 1989; 5: 109-129.
  • 4 Wright I, Kidd L, Thorp B. (1998) Gross, histological and histomorphometric features of the navicular bone and related structures in the horse. Equine Vet J 1998; 30: 220-235.
  • 5 Wright I, Douglas J. Biomechanical considerations in the treatment of navicular disease. Vet Rec 1993; 133: 109-114.
  • 6 Riemersma DJ, van den Bogert AJ, Jansen MO. et al. Influence of shoeing on ground reaction forces and tendon strains in the forelimb of ponies. Equine Vet J 1996; 28: 126-132.
  • 7 Schoonover MJ, Jann HW, Blaik MA. (2005) Quantitative comparison of three commonly used treatments for navicular syndrome in horses. Am J Vet Res 2005; 66: 1247-1251.
  • 8 Willemen M, Savelberg H, Barneveld A. (1999) The effect of orthopaedic shoeing on the force exerted by the deep digital flexor tendon on the navicular bone in horses. Equine Vet J 1999; 31: 25-30.
  • 9 Chateau H, Degueurce C, Denoix JM. Effects of 60 elevation of the heels on 3D kinematics of the distal portion of the forelimb in the walking horse. Equine Vet J 2004; 36: 649-654.
  • 10 Chateau H, Degueurce C, Denoix JM. Three-dimensional kinematics of the distal forelimb in horses trotting on a treadmill and effects of elevation of heel and toe. Equine Vet J 2006; 38: 164-169.
  • 11 Lochner FK, Milne DW, Mills EJ. et al. In vivo and in vitro measurements of tendon strain in the horse. Am J Vet Res 1980; 41: 19-29.
  • 12 Stephens PR, Nunamaker DM, Butterweck DM. Application of a Hall-effect transducer for measurement of tendon strain in horses. Am J Vet Res 1989; 50: 1089-1095.
  • 13 Thompson KN, Cheung TK, Silverman M. The influence of toe angle on tendon, ligament and hoof wall strain in vitro. J Equine Vet Sci 1993; 13: 651-654.
  • 14 Wilson A, McGuigan M, Fouracre L. et al. The force and contact stress on the navicular bone during trot locomotion in horses sound or with navicular disease. Equine Vet J 2001; 33: 159-165.
  • 15 Palmer J, Bertone A, Litsky A. Contact area and pressure distribution changes of the equine third carpal bone during loading. Equine Vet J 1994; 26: 197-202.
  • 16 Brama P, Karssenberg D, Barneveld A. et al. Contact areas and pressure distribution on the proximal articular surface of the proximal phalanx under sagittal plane loading. Equine Vet J 2001; 33: 26-32.
  • 17 Bowker RM, Atkinson PJ, Atkinson TS. et al. Effect of contact stress in bones of the distal interphalangeal joint on microscopic changes in articular cartilage and ligaments. Am J Vet Res 2001; 62: 414-424.
  • 18 Pozzi A, Litsky AS, Field J. et al. Pressure distributions on the medial tibial plateau after medial meniscal surgery and tibial plateau levelling osteotomy in dogs. Vet Comp Orthop Traumatol 2008; 21: 8-14.
  • 19 Munaiwa G. Deep digital flexor tendon force and insertion in the horse. MVM Dissertation; University College Dublin 2001: 20
  • 20 Liggins A, Surry K, Finlay J. Sealing Fuji Prescale pressure-sensitive film for protection against fluid damage; the effect on its response. Strain 1995; 31: 57-62.
  • 21 Ratzlaff M, Wilson P, Hyde M. et al. Relationships between locomotor forces, hoof position and joint motion during the support phase of the stride of galloping horses. Acta Anat 1993; 143: 200-204.
  • 22 Clayton H, Lanovaz J, Schamhardt HC. et al. Net joint movements and powers in the equine forelimb during the stance phase of the trot. Equine Vet J 1998; 30: 384-389.
  • 23 Benjamin M, Qin S, Ralphs JR. Fibrocartilage associated with human tendons and their pulleys. J Anat 1995; 187: 625-633.
  • 24 Smith MRW, Wright IM, Smith RKW. Endoscopic assessment and treatment of lesion of the deep digital flexor tendon in the navicular bursae of 20 lame horses. Equine Vet J 2007; 39: 18-24.
  • 25 Pleasant RS, Baker GJ, Foreman JH. et al. Intraosseous pressure and pathologic changes in horses with navicular disease. Am J Vet Res 1993; 54: 7-12.
  • 26 Meershoek LS, Lanovaz JL, Shamhardt HC. et al. Calculated forelimb flexor tendon forces in horses with experimentally induced superficial digital flexor tendinitis and the effects of application of heel wedges. Am J Vet Res 2002; 633.3: 432-437.
  • 27 Viitanen MJ, Wilson AM, McGuigan HP. et al. Effect of foot balance on the intra-articular pressure in the distal interphalangeal joint in vitro. Equine Vet J 2003; 35: 184-189.
  • 28 Parks A. The foot and shoeing. In: Diagnosis and Management of Lameness in the Horse. MW. Ross and SJ. Dyson (eds). Philadelphia: W.B.: Saunders C; 2003: p 252-275.