Vet Comp Orthop Traumatol 2019; 32(04): 282-288
DOI: 10.1055/s-0039-1683368
Original Research
Georg Thieme Verlag KG Stuttgart · New York

The Risk of a Shod and Unshod Horse Kick to Create Orbital Fractures in Equine Cadaveric Skulls

Rahel Joss
1   Equine Department, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
,
Fabio Baschnagel
2   Mechanical Systems Engineering Laboratory, Empa, Swiss Federal Laboratories for Materials Science and Technology, Dübendorf, Switzerland
,
Stefani Ohlerth
3   Section of Diagnostic Imaging, Vetsuisse-Faculty, University of Zurich, Zurich, Switzerland
,
Gabor Piskoty
2   Mechanical Systems Engineering Laboratory, Empa, Swiss Federal Laboratories for Materials Science and Technology, Dübendorf, Switzerland
,
Anton Fürst
1   Equine Department, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
,
1   Equine Department, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
› Author Affiliations
Funding None.
Further Information

Publication History

07 May 2018

15 January 2019

Publication Date:
18 March 2019 (online)

Abstract

Objective The aim of this study was to compare the potential of an unshod and shod hoof to cause an orbital fracture in the event of a kick.

Materials and Methods Thirty-four equine cadaveric orbitae were exposed to a steel or horn impactor in a dropping test set-up. An impactor velocity of 7 m/s was used for both materials. Testing was repeated on the same orbit at a velocity of 10 m/s with the horn impactor if no damage occurred. A high-speed camera was used to analyse the impact process. Physical parameters (peak force and impact duration) were calculated based on quantitative video-tracking. Computed tomographic (CT) scans were generated and fracture configurations described.

Results At 7 m/s, the fracture probability was lower for horn (23.5%) than for steel impactors (70.6%, p = 0.015). On CT-images, damage of the frontal, temporal, zygomatic and lacrimal bones was detected. Furthermore, the orbital socket (17.2%), the supraorbital foramen (34.5%) and the temporomandibular joint (58.6%) were involved. The frequency of affected orbital bones was not significantly different between fractures generated by steel and horn impactors, but the fracture severity was subjectively greater when fractures were generated by steel impactors.

Clinical Significance The orbital fracture probability was significantly higher when a kick of a shod versus unshod horse was simulated. This indicates that keeping horses unshod would decrease the injury risk of neighbouring horses when considering group housing systems.

Author Contribution

Rahel Joss, Fabio Baschnagel, Stefani Ohlerth and Andrea S. Bischofberger contributed to conception of study, study design, acquisition of data and data analysis and interpretation. Gabor Piskoty and Anton Fürst contributed to conception of study, study design, and data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript.


 
  • References

  • 1 Gerding JC, Clode A, Gilger BC, Montgomery KW. Equine orbital fractures: a review of 18 cases (2006-2013). Vet Ophthalmol 2014; 17 (Suppl. 01) 97-106
  • 2 Hartley C, Grundon RA. Diseases and surgery of the globe and orbit. In: Gilger BC. , ed. Equine Ophthalmology. 3rd ed. Ames Iowa: John Wiley & Sons Inc; 2017: 151-196
  • 3 Wissdorf H, Otto B, Gerhards H. Nebenorgane des Auges. In: Wissdorf H, Gerhards H, Huskamp B, Deegen E. , eds. Praxisorientierte Anatomie und Propädeutik des Pferdes. 3rd ed. Hannover: Schaper; 2010: 91-111
  • 4 Pierce KE, Townsend WM. Surgery of the globe and orbit. In: Auer JA, Stick JA. , eds. Equine Surgery, 4th ed. St. Louis, MO: Elsevier/Saunders; 2012: 728-743
  • 5 Derungs SB, Fürst A, Hässig M. , et al. Frequency, consequences and clinical outcome of kick injuries in horses: 256 Cases (1992–2000). Wien Tierarztl Monatsschr 2004; 91: 114-119
  • 6 Sprick M, Fürst A, Baschnagel F. , et al. The influence of aluminium, steel and polyurethane shoeing systems and of the unshod hoof on the injury risk of a horse kick. An ex vivo experimental study. Vet Comp Orthop Traumatol 2017; 30 (05) 339-345
  • 7 Piskoty G, Jäggin S, Michel SA, Weisse B, Terrasi GP, Fürst A. Resistance of equine tibiae and radii to side impact loads. Equine Vet J 2012; 44 (06) 714-720
  • 8 Muylle S. Aging. In: Baker GJ, Easly J. , eds. Equine Dentistry. 2nd ed. New York: Elsevier/Saunders; 2005: 55-66
  • 9 Gfrerer L, Jackson M, Fürst A. , eds. Frakturkonfiguration der Mandibularfrakturen beim Pferd. Netzwerktagung; 2016; Avenches: Schweiz Archiv Tierheilk. (Fracture configuration of equine mandibular fractures. Network conference; 2016; Avenches: Swiss Archive of Veterinary Science)
  • 10 Schweizer A. Formelsammlung und Berechnungsprogramm für Anlagenbau [homepage on internet]. 2007. [cited on 2018 February 12]. Available at: http://www.schweizer-fn.de/festigkeit/festigkeitswerte/stahl_start.php . Accessed February 12, 2018
  • 11 Buitrago-Téllez CH, Schilli W, Bohnert M, Alt K, Kimmig M. A comprehensive classification of craniofacial fractures: postmortem and clinical studies with two- and three-dimensional computed tomography. Injury 2002; 33 (08) 651-668
  • 12 Blogg JR, Stanley RG, Phillip CJ. Skull and orbital blow-out fractures in a horse. Equine Vet J Suppl 1990; 10 (10) 5-7
  • 13 Caron JP, Barber SM, Bailey JV, Fretz PB, Pharr JW. Periorbital skull fractures in five horses. J Am Vet Med Assoc 1986; 188 (03) 280-284
  • 14 Andrade MGS, Sá CN, Marchionni AM, dos Santos Calmon de Bittencourt TC, Sadigursky M. Effects of freezing on bone histological morphology. Cell Tissue Bank 2008; 9 (04) 279-287
  • 15 Linde F, Sørensen HCF. The effect of different storage methods on the mechanical properties of trabecular bone. J Biomech 1993; 26 (10) 1249-1252
  • 16 Matter HP, Garrel TV, Bilderbeek U, Mittelmeier W. Biomechanical examinations of cancellous bone concerning the influence of duration and temperature of cryopreservation. J Biomed Mater Res 2001; 55 (01) 40-44
  • 17 Panjabi MM, Krag M, Summers D, Videman T. Biomechanical time-tolerance of fresh cadaveric human spine specimens. J Orthop Res 1985; 3 (03) 292-300
  • 18 Pelker RR, Friedlaender GE, Markham TC, Panjabi MM, Moen CJ. Effects of freezing and freeze-drying on the biomechanical properties of rat bone. J Orthop Res 1984; 1 (04) 405-411
  • 19 McMaster M, Caldwell F, Gillen A, Hespel A, Budny P, Abarca E. Reconstruction of a complicated orbital depression fracture with medial wall and globe repositioning in a horse: a collaboration across disciplines and specialties. Vet Surg 2016; 45 (04) 529-535
  • 20 Brooks DE, Dan Wolf E. Ocular trauma in the horse. Equine Vet J 1983; 15: 141-146
  • 21 Pfeiffer RL. Traumatic enophthalmos. Trans Am Ophthalmol Soc 1943; 41: 293-306
  • 22 Ahmad F, Kirkpatrick NA, Lyne J, Urdang M, Waterhouse N. Buckling and hydraulic mechanisms in orbital blowout fractures: fact or fiction?. J Craniofac Surg 2006; 17 (03) 438-441
  • 23 Bullock JD, Warwar RE, Ballal DR, Ballal RD. Mechanisms of orbital floor fractures: a clinical, experimental, and theoretical study. Trans Am Ophthalmol Soc 1999; 97: 87-110 , discussion 110–113
  • 24 Smith B, Regan Jr WF. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957; 44 (06) 733-739
  • 25 Rhee JS, Kilde J, Yoganadan N, Pintar F. Orbital blowout fractures: experimental evidence for the pure hydraulic theory. Arch Facial Plast Surg 2002; 4 (02) 98-101
  • 26 Fujino T, Sugimoto C, Tajima S, Moribe Y, Sato TB. Mechanism of orbital blowout fracture. II. Analysis by high speed camera in two dimensional eye model. Keio J Med 1974; 23 (03) 115-124
  • 27 Waterhouse N, Lyne J, Urdang M, Garey L. An investigation into the mechanism of orbital blowout fractures. Br J Plast Surg 1999; 52 (08) 607-612
  • 28 Fraioli RE, Branstetter IV BF, Deleyiannis FW. Facial fractures: beyond Le Fort. Otolaryngol Clin North Am 2008; 41 (01) 51-76 , vi
  • 29 Ahmad Z, Nouraei R, Holmes S. Towards a classification system for complex craniofacial fractures. Br J Oral Maxillofac Surg 2012; 50 (06) 490-494
  • 30 Bächli H, Leiggener C, Gawelin P. , et al. Skull base and maxillofacial fractures: two centre study with correlation of clinical findings with a comprehensive craniofacial classification system. J Craniomaxillofac Surg 2009; 37 (06) 305-311
  • 31 Ong HS, Qatarneh D, Ford RL, Lingam RK, Lee V. Classification of orbital fractures using the AO/ASIF system in a population surveillance cohort of traumatic optic neuropathy. Orbit 2014; 33 (04) 256-262