Vet Comp Orthop Traumatol 1992; 05(04): 151-157
DOI: 10.1055/s-0038-1633108
Original Research
Schattauer GmbH

The Influence of Intratendinous Sodium Hyaluronate on Tendon Healing in Horses

L. J. Gift
1   Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
,
E. M. Gaughan
1   Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
,
R. M. DeBowes
1   Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
,
J. P. Douglass
2   Department of Anatomy, Physiology, and Radiology, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
,
R. K. Frank
3   Department of Veterinary Diagnosis, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
,
R. D. Klemm
4   Department of Anatomy and Physiology, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
› Author Affiliations
Further Information

Publication History

Received for publication 23 March 1992

Publication Date:
06 February 2018 (online)

Summary

Acute tendinitis was created bilaterally in the mid-metacarpal region of the deep digital flexor tendons of six horses with intratendinous collagenase administration. The collagenase-induced lesion in one deep digital flexor tendon of each horse was injected 48 h later with 10.0 mg of sodium hyaluronate (1.0 ml) while employing ultrasound guidance. To serve as a control, the lesion in the contralateral deep digital flexor tendon was injected with 1.0 ml of 0.9% sodium chloride. Sequential ultra-sonographic examinations revealed that the sodium hyaluronate treated deep digital flexor tendons were significantly less enlarged and the collagenase-induced tendon lesions significantly smaller than control tendons and tendon lesions. Difference could not be detected between sodium hyaluronate treated tendons and control tendons using histological and video-interactive planar morphometric evaluation six weeks after treatment.

Collagenase-induced tendinitis lesions were treated with intratendinous administration of sodium hyaluronate in six horses. The size of the tendon lesions and the amount of tendon enlargement were significantly less in the sodium hyaluronate treated tendons compared to control tendons. A significant difference in the rate or quality of healing was not detected in the sodium hyaluronate treated tendons.

 
  • REFERENCES

  • 1 Mcllwraith CW. Diseases of joints, ten-dons, ligaments, and related structures. In: Adams’ Lameness in Horses. Stashak TS. (ed). Philadelphia: Lea & Febiger; 1987: 447-63.
  • 2 McCullagh KG, Goodship AE, Silver IA. Tendon injuries and their treatment in the horse. Vet Rec 1979; 105: 54-7.
  • 3 Williams IF, McCullagh KG, Goodship AE. et al. Studies on the pathogenesis of equine tendonitis following collagenase injury. Res Vet Sci 1984; 36: 326-38.
  • 4 Silver IA, Brown PN, Goodship AE. et al. A clinical and experimental study of tendon injury, healing and treatment in the horse. Equine Vet J (Supp) 1983; 1: 10-2.
  • 5 Jackson RL, Busch SJ, Cardin AD. Glycosaminoglycans: molecular properties, protein interactions, and role in physiologic processes. Physiol Rev 1991; 71 (Suppl. 02) 481-2.
  • 6 Varma R, Varma RS. Chemistry and metabolism of glycosaminoglycans and proteoglycans. In: Mucopolysaccharides, Glycosaminoglycans of Body Fluids in Health and Disease. Berlin: Walter de Gruyter and Co; 1983: 22-3.
  • 7 Balazs EA, Denlinger JL. Sodium hyaluronate and joint function. Equine Vet Sci 1985; 5 (Suppl. 04) 217-28.
  • 8 Goldberg RL, Toole BP. Hyaluronate inhibition of cell proliferation. Arthritis and Rheum 1987; 30 (Suppl. 07) 769-8.
  • 9 Balazs EA, Darynkiewicz A. The effect of hyaluronic acid on fibroblasts, mononuclear phagocytes, and lymphocytes. In: Biology of the Fibroblast. Kulonen E, Pikkarainen J. (eds). San Diego: Academic Press; 1973: 237-52.
  • 10 Gaughan EM, Nixon AJ, Krook LP. et al. Effects of sodium hyaluronate on tendon healing and adhesion formation in horses. Am J Vet Res 1991; 52 (Suppl. 05) 764-73.
  • 11 Spurlock GH, Spurlock SL, Parker GA. Evaluation of Hylartin V therapy for induced tendinitis in the horse. Equine Vet Sci 1989; 9 (Suppl. 05) 242-6.
  • 12 Churchill EA. Treating tendinitis with sodium hyaluronate. Equine Vet Sci 1985; 5 (Suppl. 04) 240-1.
  • 13 Genovese RL, Rantanen NW, Hauser ML. et al. Diagnostic ultrasonography of equine limbs. Vet Clin North Am (Equine Pract) 1986; 2 (1): 170.
  • 14 Doillon CJ, Silver FH. Collagen-based wound dressing: effects of hyaluronic acid and fibronectin on wound healing. Biomaterials 1986; 7 (Suppl. 01) 3-8.
  • 15 Weigel PH, Fuller GM, LeBoeuf RD. A model for the role of hyaluronic acid and fibrin in the early events during the inflammatory response and wound healing. J Theor Biol 1986; 119: 219-34.
  • 16 Weiss C, Balazs EA. The physiology of hyaluronic acid and the role of viscosurgery in orthopaedics. In: Mcdiguide to Orthopedics, Vol 4. Jaffee WL, Neuwirth MG. (eds). New York: Delia Corte Pub.; 1982: 1-4.
  • 17 St Onge R, Weiss C, Dcnlinger JL. et al. A preliminary assessment of Na-hyaluronate injection into “no man’s land” for primary flexor tendon repair. Clin Orthop 1980; 146: 269-74.
  • 18 Weiss C, Levy HJ, Denlinger JL. et al. The role of Na-hylan in reducing postsurgical tendon adhesions. Bull Hosp Jt Dis Orthop Inst 1986; 46 (Suppl. 01) 9-15.
  • 19 Weiss C, Suros JM, Michalow A. et al. The role of Na-hylan in reducing postsurgical tendon adhesions: part 2. Bull Hosp Jt Dis Orthop Inst 1987; 47 (Suppl. 01) 31-9.
  • 20 Wiig ME, Amiel D, VandeBcrg J. et al. The early effect of high molecular weight hyaluronan (hyaluronic acid) on anterior cruciate ligament healing: an experimental study in rabbits. J Orthop Res 1990; 8: 425-34.
  • 21 Thomas SC, Jones LC, Hungerford DS. Hyaluronic acid and its effect on postoperative adhesions in the rabbit flexor tendon. Clin Orthop 1986; 206: 281-9.
  • 22 Foland JW, Trotter GW, Powers BE. et al. Sodium hyaluronate in induced equine digital flexor tendinits. Vet Surg 1991; 20 (5): 336.
  • 23 Hilbert BJ, Rowley G, Antonas KN. et al. Changes in the synovia after the intraarticular injection of sodium hyaluronate into normal horse joints and after arthrotomy and experimental cartilage damage. Aust Vet J 1985; 62 (Suppl. 06) 182-4.
  • 24 Mayhew TM, Reith A. Introducing basic principles and methods of stcreology and morphometry. In: Stereology and Morphometry in Electron Microscopy. Mayhew TM, Reith A. (eds). New York: Hemisphere Publishing Corp; 1988: 1-11.
  • 25 Loud AV, Anversa P. Biology of disease -morphometric analysis of biologic processes. Lab Invest 1984; 50 (Suppl. 03) 250-61.
  • 26 Watkins JP, Auer JA, Gay S. et al. Healing of surgically created defects in the equine superficial digital flexor tendon: collagen-type transformation and tissue morphologic reorganization. Am J Vet Res 1985; 46 (Suppl. 10) 2091-6.
  • 27 Watkins JP, Auer JA, Morgan SJ. et al. Healing of surgically created defects in the equine superficial digital flexor tendon: effects of pulsing electromagnetic field therapy on collagen-type transformation and tissue morphologic reorganization. Am J Vet Res 1985; 46 (Suppl. 10) 2097-103.