ObjectiveTo determine the outcome of tenoscopically guided palmar/plantar annular ligament (PAL) desmotomy to treat PAL constriction without concurrent intrathecal soft-tissue injury, notably of the digital flexor tendons and manica flexoria. Study designRetrospective multicenter cohort study. AnimalsSixty-five horses. MethodsHorses from four UK equine hospitals, with digital flexor tendon sheath (DFTS) tenosynovitis, which underwent tenoscopically guided PAL desmotomy for treatment of PAL constriction between 2017 and 2022 were included. All horses had lameness isolated to the DFTS/PAL, and PAL constriction was diagnosed tenoscopically when there was difficulty maneuvering the endoscope into or through the fetlock canal. Horses with tearing of the digital flexor tendons and/or manica flexoria, or any other intrathecal pathology, were excluded. Follow up was via structured telephone questionnaire. ResultsFollow up (median 25 months) was available for 61 horses with cobs and ponies predominating. Forty-two returned to their previous level of work, or a higher level, postoperatively and 50 owners were satisfied with the outcome of surgery. Eleven horses returned to lower level exercise, and six were retired/euthanized as they did not regain soundness. Fifty-two horses achieved soundness (median 3 months postoperatively). ConclusionTenoscopically guided PAL desmotomy for the treatment of PAL constriction in the absence of intrathecal soft tissue injury had a good prognosis for return to previous levels of exercise in a UK horse population. Clinical significanceThe prognosis for horses undergoing tenoscopically guided PAL desmotomy to treat PAL constriction in the absence of intrathecal injury is better than previously described. Cobs and ponies seem to be predisposed to PAL constriction in agreement with the previous literature.

Prevalence of endocrine disease in sport horses has been sparsely reported. They often compete well into their teenage years; thus, diagnosis and control of endocrine disease could be important to maintain performance and optimise health and welfare. The aim was to compare the prevalence of pituitary pars intermedia dysfunction (PPID), insulin dysregulation (ID) and metabolic obesity between sport and non-sport type breeds and assess disease progression. Blood samples submitted for plasma adrenocorticotropic hormone (ACTH), serum insulin or adiponectin were included in this study. Horses were grouped according to their breed into sport horses, which are typically used for athletic purposes, and non-sport horses, which are less-athletic breeds typically used for leisure. Cases included 1365 non-sport horse initial samples with 1850 non-sport horse follow-up samples and 1022 sport horse initial samples with 1081 sport horse follow-up samples. PPID and metabolic obesity were found to be as prevalent in the sport horse population, but non-sport horses were more likely to have ID. Upon follow up examination PPID was more prevalent with higher median ACTH in sport horses. This was also true of metabolic obesity in sport horses at follow-up, although median adiponectin was higher, perhaps indicating that the population is less severely affected than non-sport horses. Screening for endocrinopathies should be considered in sport horses presenting with poor performance.

The equine digital flexor tendon sheath is surrounded by three annular ligaments: the palmar/plantar annular ligament, the proximal digital annular ligament and the distal digital annular ligament. These ligaments all have similar functions with pathology leading to lameness as a result of constriction of the digital flexor tendon sheath. Palmar/plantar annular ligament pathology is well recognised in horses but there are limited reports of pathology of the proximal and distal digital annular ligaments of the digital flexor tendon sheath. This article provides an overview of the basic anatomy of the annular ligaments and highlights the clinical features, diagnostics and treatment options for equine annular ligament pathology.