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Horses are at risk of re-injury of the fracture site, especially when trying to rise after lying down, or when recovering from anesthesia following fracture repair. Forced recumbency is not an option for horses, making healing more difficult. Weight bearing on a single front or hind limb increases the likelihood of support limb laminitis.
Mechanical laminitis can occur when a horse habitually paws, is ridden or driven on hard surfaces ("road founder"), or in cases of excessive weight-bearing due to compensation for the opposing limb, a process called support limb laminitis. Support limb laminitis is most common in horses suffering from severe injury to one limb, such as fracture ...
Additionally, horses with a hind limb lameness will tend to reduce the degree of leg use. To do so, some horses will reduce the contraction time of the gluteals on the side of the lame leg, leading to a "hip roll" or "hip dip" and appearance that the hip drops a greater degree on the side of the lame leg. [10]
Support limb laminitis, which is the specific type Barbaro had, is caused by over-stressing the good leg during recovery from an injury in the opposite limb. [ 15 ] [ 16 ] A 1986 survey done by the Morris Animal Foundation found that laminitis was the fourth leading cause of death among horses. [ 17 ]
However, any horse that can store excess amounts of glycogen, usually genetic, can develop this form of ER. [1] Recurrent Exertional Rhabdomyolysis (RER) is commonly found in breeds that are high strung such as Arabians and thoroughbreds. However, any horse can develop this type of ER if it displays abnormal muscle contractions. [1]
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