Hindlimb Lameness Research Articles

Patellar luxation in Hejazi goats.

Background:Patellar luxation (PL) is a common orthopedic affection among farm and pet animals with mostly congenital (environmental and/or genetic) background.Aim:We report here the first observation of lateral PL in Hejazi goats bred in Libya.Methods:Five Hejazi goats aged between 4 months and 2 years with severe hind limb lameness were admitted to Al-Sorouh veterinary clinic in Tripoli during the period from 2016 to 2018. The goats were thoroughly examined clinically and radiographically. Two goats were surgically treated, and the other three cases were not because of either the cost limitation or expected poor prognosis. The surgical intervention involved femoral trochlear sulcoplasty, medial joint capsule imbrication, and tibial tuberosity transposition.Results:The clinical examination showed grade III–IV lateral PL. Radiologically, there were unilateral or bilateral, ventrocaudal, and dorsal PLs. Two cases were referred to surgical correction. One case almost restored the normal movement of stifle joint together with a good general status 1 year postsurgery. However, the surgical treatment was not effective in correcting the luxated patella in the second case.Conclusion:Lateral PL is common among orthopedic affections in Hejazi goats in Libya, and its surgical treatment provided a quite convenient approach. An association between inbreeding and the PL was suggested in those cases.

Evaluation of Diseases Affecting Hindlimb Lameness in Domestic Small Breed Dogs

Evaluation of Diseases Affecting Hindlimb Lameness in Domestic Small Breed Dogs

Retrospective analysis of lameness localisation in Western Performance Horses: A ten-year review.

Similar to other high-level athletic disciplines, the western performance horse experiences a variety of orthopaedic conditions as a result of rigorous sport-specific physical demands. While musculoskeletal injury rates have been quantified in other equine disciplines, these data are lacking for the western performance athlete. To identify the most common anatomical regions of lameness in western performance horses being evaluated at the nation's largest sanctioned shows over a 10-year study period. Retrospective review of clinical records. Records of diagnostic analgesia of western performance horses competing at nationally sanctioned shows were retrospectively reviewed over a 10-year period to identify affected limb(s) and lameness localisation patterns. A total of 2267 lameness examinations on 2512 horses were included. The average lameness grade was 2.21/5 with 1504/2267 (56%) cases being primarily forelimb in origin while 1173/2267 (44%) were hindlimb related. Forelimb lameness localised to the distal limb in 40% of cases. The proximal metatarsus/distal tarsus was an identified source of lameness in 16% of cases, followed by the stifle in 9% of cases. All-around western performance horses most commonly presented with a single hindlimb lameness (315/1188, 26.5%) in contrast to reining horses that presented with a single forelimb lameness (135/616, 22%). Determining the source of lameness through diagnostic analgesia remains challenging, but the continued assessment of response to diagnostic analgesia may help characterise discipline-specific injuries in western performance horses. Retrospective review of subjective responses to diagnostic analgesia. The distal forelimb and distal tarsus/proximal metatarsus were the two most common anatomical regions of lameness based on response to diagnostic analgesia.

Patellar luxation in rabbits (Oryctolagus cuniculus): 6 cases (2017-2020)

Four cases of patellar luxation in rabbits have been reported in the literature, but the prevalence and etiology are unknown. This study aimed to characterize the presentation, anamnesis, prevalence, etiology, and treatment options for patellar luxation in rabbits. Medical records of 1249 rabbits presented to the Exotic Animal Service between January 2017 and March 2020 were reviewed. Data collection of the rabbits with patellar luxation included signalment, patient history, onset of lameness, position and grade of the luxation, radiographic findings, treatment, and clinical outcome. Six rabbits met the inclusion criteria (0.48% prevalence). The chief complaint in all rabbits was acute onset of hind limb lameness, ranging from weight-bearing to nonweight-bearing. The luxation was unilateral in all cases and ranged from grades II to IV. Four rabbits were managed medically with cage rest, but acute recurrence of the luxation was seen in two 18-month-old animals with grade III patellar luxation. Two 4-month-old animals with grade II patellar luxation responded well to medical treatment. Three rabbits, including one medically managed rabbit that reluxated, were managed surgically using soft tissue reconstruction described in dogs with traumatic patellar luxation. The methods included medial desmotomy, lateral imbrication, fabellotibial, and fabellopatellar sutures to stabilize supporting femoropatellar structures. A trochlear sulcoplasty was performed in one rabbit with grade IV luxation. At 12–24 months follow-up, reluxation had not occurred in the three rabbits. Patellar luxation is an uncommon cause of hind limb lameness in rabbits. Both medical and surgical treatment provided a good long-term outcome in five out of six patients. The surgery was relatively straightforward and took less than 1 hour in experienced hands. Further research is needed to determine the causes of patellar luxation in rabbits and to assess the indications, advantages, and complications of both treatments.

Upper body movement analysis of multiple limb asymmetry in 367 clinically lame horses

Compensatory lameness is common in horses and evaluation can be challenging. To investigate patterns of compensatory movements in clinical cases with fore- or hindlimb lameness before and after diagnostic analgesia. Retrospective clinical study. Multiple limb lameness of 367 horses was characterised by type (push-off, impact or mixed), limb (fore- or hindlimb in predominant lameness) and side (ipsi- or contralateral in concurrent lameness) using a body-mounted inertial sensor (BMIS). Diagnostic analgesia was performed until the percentage improvement of the vector sum in forelimb lameness and the mean difference of the maximum or minimum pelvic height (PDmax or PDmin ) in hindlimb lameness was ≥50%. Linear mixed model and post-estimation of effects were performed by contrast command with multiple comparisons adjusted by Bonferroni method. Correlation of pre- and post-analgesia of all head and pelvis asymmetry parameters was tested with Spearman's rank correlation. Improvement in vector sum per mm after diagnostic analgesia in forelimb impact lameness positively correlated with decrease in PDmax in contralateral mixed lameness (0.187mm, r=.58, P<.05). Improvement in PDmin per mm after diagnostic analgesia in hindlimb mixed and PDmax in hindlimb push-off lameness decreased vector sum in ipsilateral forelimb impact lameness by 0.570 and 0.696mm, respectively (P<.05), with no positive correlation. A variety of cases with inhomogeneous distribution of lameness patterns was investigated retrospectively, therefore, it is impossible to distinguish between true multiple limb lameness and compensatory lameness in this clinical material. Various asymmetry patterns of concurrent lameness were seen in horses with naturally occurring primary forelimb impact lameness with contralateral compensatory hindlimb lameness with a mixed component being the most common. In horses with hindlimb lameness, compensatory movements were seen in ipsilateral forelimbs, mostly as an ipsilateral impact lameness during straight line trot.

Postcastration adhesions: clinical signs, diagnosis, treatment and prognosis in 20 horses

The main goal of this short communication is to report the clinical signs, diagnostic modalities, surgical treatment and prognosis associated with postcastration adhesions. Twenty horses, castrated on average 30 months...

Bilateral proximal tibial epiphysiodesis and juvenile pubic symphysiodesis in a 22-week-old golden retriever

A 22-week-old male golden retriever with acute bilateral hind limb lameness was diagnosed with bilateral complete cranial cruciate ligament rupture and hip joint laxity. Laxity index was 0.72 on the...

Intestinal Mycobacterium avium Infection in Pet Dwarf Rabbits (Oryctolagus cuniculus)

Mycobacteriosis has been rarely described in pet rabbits (Oryctolagus cuniculus). Here we present two cases of intestinal mycobacteriosis from north-eastern Germany. The first adult rabbit was euthanized due to severe cardiovascular failure, hypothermia and chronic weight loss. Necropsy revealed cachexia and a focal, fibrinonecrotic lesion in the caecum. Histologically, severe granulomatous inflammation, with numerous multinucleated giant cells and abundant acid-fast bacilli, was detected under the fibrinonecrotic material in the abdominal wall adjacent to the caecal lesion, caecal lymph nodes, spleen, liver and lungs. Microbiological culture detected Mycobacterium avium subspecies hominissuis, Escherichia coli, Clostridium disporicum and Bacteroides ovatus. A retrospective assessment of 2,013 other pet rabbit necropsies, performed between 1995 and 2019, revealed one additional case of intestinal mycobacteriosis. This animal had been euthanized due to persistent hindlimb lameness and necropsy revealed comminuted fractures of the pelvic bones and multiple large liquefied abscess-like lesions in the caecal and colonic walls. Histology revealed granulomatous inflammation with acid-fast bacilli. Polymerase chain reaction on formalin-fixed, paraffin-embedded tissue identified the presence of M. avium spp. In contrast to European wild rabbits (Oryctolagus cuniculus) from Scotland, these findings indicate that intestinal mycobacteriosis is rare in pet rabbits from north-eastern Germany. Zoonotic potential should be considered due to the close contact between pets and their owners and the chronic course of the disease with an initial lack of clinical signs.

Advanced imaging of a histologically confirmed bone infarction of the distal tibia in a Warmblood mare

SummaryAn 8‐year‐old Warmblood‐cross mare presented for investigation of acute onset left hindlimb lameness. Nuclear scintigraphy identified a marked, focal, increase in radiopharmaceutical uptake in the distal aspect of the left tibia. Radiography revealed a large, oval, multi‐loculated radiolucent area within the medulla of the distal metaphysis of the left tibia. The mare was treated conservatively for 6 months but showed little improvement in the lameness so the owner elected for euthanasia. Post‐mortem computed tomographic imaging revealed a large, oval, hypoattenuating area within the distal tibia, surrounded by a thick, irregular, sclerotic border. The lesion occupied the majority of the medullary cavity but the cortical bone was unaffected. Gross and histopathological examination confirmed a diagnosis of a bone infarction in the medullary cavity of the distal tibia.

Infective endocarditis due to Erysipelothrix rhusiopathiae in a dog \u2013 a case report

BackgroundInfective endocarditis is a rare but severe condition associated with a high mortality rate in small animal patients. This condition is caused by a microbial (most often bacterial) infection of the valvular portion of the endocardium, from which proliferative and/or erosive lesions on the cardiac valves or immediately adjacent structures develop. The two most commonly affected cardiac valves are the aortic and mitral valves.Case presentationWe report the clinical case of a 4-year old male neutered Bull terrier, 27.6 kg, body condition score 4/9, that presented with a 3-months history of pyrexia and general weakness. The patient history also revealed a transient left hind limb lameness (grade 2/4), which coincided with the onset of clinical signs about 3 months before presentation. On physical examination, a left-sided systolic heart murmur (grade 3/6) with the same intensity at the left heart base and apex, and an irregularly irregular heart rhythm were noted. Electrocardiography showed ventricular premature complexes, and echocardiography revealed lesions consistent with endocarditis involving the aortic and mitral valve. Bacterial culture of blood yielded a positive result, and the organism isolated was identified as Erysipelothrix rhusiopathiae. The extended patient history revealed that the dog lived close to a farm housing pigs and other livestock.ConclusionWe report a rare case of the premortal diagnosis of infective bacterial endocarditis in a dog due to E. rhusiopathiae infection. Most reports about this condition are from necropsy series. This clinical case report emphasizes that E. rhusiopathiae infection and bacteremia should be considered as a differential diagnosis in dogs with suspected infective endocarditis, especially in dogs living in rural areas with access to livestock and particularly farm pigs. Also, particular emphasis should be placed on the zoonotic potential of this infectious disease.

Transient radial paralysis occurring in a Belgian White Blue bull undergoing general anaesthesia for claw amputation

A four-year-old, 973 kg Belgian White Blue bull was presented for further evaluation of a persistent right hindlimb lameness. The physical and radiographic examinations revealed osteitis of the medial second phalanx of the right hindlimb. A claw amputation was performed under general anaesthesia. The bull was premedicated with 0.17 mg/kg xylazine intramuscularly and general anaesthesia was induced with 2 mg/kg ketamine administered intravenously. During the recovery phase, the bull could not bear any weight on his left thoracic limb. Further examinations revealed left radial nerve paralysis. Treatment consists of a bolus of dexamethasone (0.05 mg/kg) intravenously in order to decrease the inflammation; fluid therapy in an attempt to improve muscle perfusion and to replace the fluid losses and cold showers to decrease the rise in temperature. After 90 minutes from the end of general anaesthesia, the radial paralysis resolved spontaneously without any major consequences.

Save Your Maximum Tolerated Dose: How to Diagnose Procedure-Related Spinal Cord Lesions After Lumbar Intrathecal Bolus Administration of Oligonucleotides in Cynomolgus Monkeys.

Many potential drugs for treatment of neurodegenerative diseases, particularly antisense oligonucleotides (ASOs), are administered via lumbar intrathecal injection, because these drugs do not cross the blood-brain barrier. Intrathecal injection is a well-established method in cynomolgus monkeys, a species that is used in preclinical safety assessment when other nonrodent species cannot be used. The authors completed intrathecal ASO administration in over 30 preclinical safety studies (>1000 animals and >4500 dose administrations) during which we observed 3 cases of procedure-related spinal cord necrosis (incidence <0.1%). We describe clinical symptoms, diagnostic approaches, morphological features, and prognosis of this rare injury, and compare these findings with typical drug-related findings of ASOs dosed by intrathecal injection. The low incidence of procedure-related and dose-limiting lesions confines this analysis to a small sample set. The pattern of effects is similar across all monkeys despite differences in age, body weight, and intrathecal injection site. All 3 cases presented a combination of the following findings: blood in cerebrospinal fluid at time of injection, clinical signs that increase in severity within a day of dosing, lameness of both hind limbs, reduced muscle tone, and loss of patellar, foot grip, and/or anal reflexes. In all cases, magnetic resonance imaging (MRI) showed a linear hyperintense lesion in the lumbar spinal cord. In 2 cases, this hyperintensity was associated with evidence of spinal cord edema. We conclude that a pattern of in-life and pathology findings, including noninvasive MRI assessment, is indicative of procedure-related effects.

The clinical features and short‐term treatment outcomes of scirrhous cord: A retrospective study of 32 cases

SummaryScirrhous cord (SC) is an uncommon complication of castration, characterised by chronic infection of the spermatic cord remnant. It is reported that surgical excision of the infected tissue is the most effective means of treatment, but there are few published studies assessing the outcomes of horses treated for SC. The aims of this retrospective study were to describe the clinical features and short‐term outcomes in horses treated for SC at two equine hospitals in the UK. The clinical records of horses diagnosed with SC over a 10‐year period were reviewed. A diagnosis of SC was made if the gelding presented with typical clinical signs with confirmation at surgery. Thirty‐two cases of SC were identified at the two equine hospitals. The mean age at presentation was 6 years (range 2–14 years, n = 22), and the median time from castration to presentation was 29.5 days (range 20–2500 days). Mean age at castration was 4.3 years (range 6 months to 10 years, n = 10). Clinical signs included scrotal swelling, discharging wounds, hindlimb lameness and pyrexia. Five horses demonstrated hyperfibrinogenaemia (n = 8). Microbial culture isolated various bacterial species. All 32 cases were treated with surgical excision of the infected tissue and discharged from the hospitals between 1 and 10 days post‐operatively. A limitation of this study is that it was a retrospective study with no long‐term follow‐up available. It was concluded that the results of this study confirm that SC can present at variable time points following castration, even many years later, and that a variety of bacterial species may be involved. Surgical excision of infected tissue is a successful treatment with a good short‐term prognosis for survival.

Equine hindlimb hoof biomechanics: an evaluation of the effect of routine hoof trimming on force and pressure distribution at midstance

Proper hoof function is vital for equine health and performance. Many musculoskeletal injuries in horses originate from the foot. Most studies performed to date have focused on the forehoof while the hindhoof (HH) has received less attention. Our goal was to examine the influence of routine hoof trimming on HH medio-lateral hoof balance. The objective of this study was to examine force (F), contact pressure (CP), and contact area (CA) at the medial and lateral aspects of the HH to evaluate the impact of routine hoof trimming on HH biomechanics. Clinically sound Arabian horses (n=9) were walked across a calibrated pressure plate before and after routine hoof trimming and the F, CP, and CA at the medial and lateral aspects of the HH were recorded at midstance pre- and post-trimming. The differences between these regions were investigated using a paired T-test. P-values &lt;0.05 were considered significant. Among measured variables, force increased by 25% (P=0.007) and contact pressure increased by 13% (P=0.032) at the medial aspect of the HH after routine hoof trimming. Analysing data from hindlimb hoof-surface interaction in sound horses will allow for a better understanding of imbalances that may lead to pathologies and hindlimb lameness in horses.

The occurrence of tarsal injuries in male mice of C57BL/6N substrains in multiple international mouse facilities.

Dislocation in hindlimb tarsals are being observed at a low, but persistent frequency in group-housed adult male mice from C57BL/6N substrains. Clinical signs included a sudden onset of mild to severe unilateral or bilateral tarsal abduction, swelling, abnormal hindlimb morphology and lameness. Contraction of digits and gait abnormalities were noted in multiple cases. Radiographical and histological examination revealed caudal dislocation of the calcaneus and partial dislocation of the calcaneoquartal (calcaneus-tarsal bone IV) joint. The detection, frequency, and cause of this pathology in five large mouse production and phenotyping centres (MRC Harwell, UK; The Jackson Laboratory, USA; The Centre for Phenogenomics, Canada; German Mouse Clinic, Germany; Baylor College of Medicine, USA) are discussed.

Crooked tail carriage in horses: Increased prevalence in lame horses and those with thoracolumbar epaxial muscle tension or sacroiliac joint region pain

SummaryThe relationship between lameness and crooked tail carriage (CTC) in horses is unclear. The objectives of this study were (i) to determine the association between CTC and lameness; (ii) among lame horses, to determine associations between CTC and lameness diagnosis, saddle slip, thoracolumbar range of motion (ROM), epaxial muscle tension and pain, and sacroiliac joint region (SIJR) pain, and (iii) to determine whether abolition of lameness and SIJR pain by diagnostic anaesthesia modified CTC. In this study, 520 lame and 170 nonlame sports horses were examined for CTC and other characteristics by one clinician (S.J.D.). All horses were evaluated when ridden. Lame horses were also assessed in hand and on the lunge. Crooked tail carriage, its direction, lameness, musculoskeletal and tack‐related parameters were recorded as binary variables and analysed using 2 × 2 contingency tables. Sacroiliac joint region pain was diagnosed using local anaesthesia. Standard errors are shown in square brackets. 32.5% of lame horses had CTC, compared with 5.3% of nonlame horses (odds ratio = 8.6 [confidence intervals 4.4, 16.7]; P = 2×10−12). Of 169 lame horses with CTC, 103 (60.9% [3.8%]) held their tail to the left. There was no association between the side of the predominant lame limb and CTC direction. However, CTC was more common (P = 0.005) in horses with hindlimb lameness (35.7% [2.4%], N = 401) compared with forelimb lameness (21.0% [4.1%], N = 100). Crooked tail carriage was associated with SIJR pain (P = 0.0007) and thoracolumbar epaxial muscle tension (P = 0.0007), but not with saddle slip, reduced thoracolumbar ROM or thoracolumbar epaxial muscle pain. Limitations of the study included the facts that nonlame horses were a convenience sample and lameness assessment, other clinical observations and determination of the presence of CTC were subjective, with potential for bias. Video recordings and photographs are available for verification of tail position. It was concluded that CTC is more prevalent in lame horses than nonlame horses. There is a positive association between CTC and hindlimb lameness, SIJR pain and thoracolumbar epaxial muscle tension.

Long‐term outcome of a combined surgical approach for repair of femoral avulsion fracture of the caudal cruciate ligament in a dog

A four-month-old male boxer dog was presented with a one-week history of acute right hindlimb lameness after an injury. Physical and radiographic examinations confirmed a femoral avulsion fracture of the caudal cruciate ligament. Surgical repair was elected using a combination of arthroscopy and arthrotomy to place a monofilament absorbable suture material through the parallel bone tunnels to reduce the avulsed bone fragment. The last follow-up examination 2.5 years postoperatively showed good to excellent limb function and mild periarticular changes.

Radiographic findings have an association with weight bearing and locomotion in English bulldogs

BackgroundEnglish bulldogs are known to be prone to skeletal problems, but knowledge is lacking of the effect of these problems on locomotion and function. This study was undertaken to report the conformational, orthopaedic and radiographic findings in a cohort of English bulldogs in Finland and to evaluate how these findings affect weight bearing and locomotion of the dogs. Twenty-eight English bulldogs were prospectively recruited to this cross-sectional study. An orthopaedic examination, measurements of conformation, static and dynamic weight bearing, and radiographic examinations of elbow, hip, stifle joints and spine were done.ResultsThe English bulldogs carried a mean of 67.3% and 62.1% of their body weight in front limbs while standing and trotting, respectively. Front and hind limb lameness was seen in 20.8% (5/24) and 12.5% (3/24) of dogs, respectively. At orthopaedic examination, abnormal palpation findings (i.e. pain response, crepitation, swelling or subjectively decreased range of motion) were observed in a median of one joint (range 0–5) in each dog. Medial patellar luxation was diagnosed in 33.0% (8/24) of the evaluated dogs. At radiographic examination, elbow dysplasia was diagnosed in 48.2% (27/56) of elbow joints and severe hip dysplasia in 55.4% (31/56) of hip joints. The grade of elbow dysplasia was negatively associated with the ratio of static weight bearing between the front and hind limbs (slope estimate − 1.46, 95% CI − 2.75 to − 0.16, P = 0.03) and in dynamic weight bearing the ratio of total pressure index between the front and hind limbs (slope estimate − 0.088, 95% CI − 0.164 to 0.025, P = 0.03). The severity of hip dysplasia or hip osteoarthritis was not associated with the amount of static or dynamic weight bearing, but all except one dog were diagnosed with Fédération Cynologique Internationale grade C, D or E hips (dysplastic). In the spine, 78.6% (22/28) of the dogs had at least one malformed vertebra.ConclusionsOrthopaedic diseases and abnormal radiographic findings were common in the English bulldogs studied. The static weight bearing of the dogs was heavily distributed to the front limbs. With increasing severity of elbow dysplasia, the static and dynamic weight bearing shifted from dysplastic elbows to hind limbs.

Clinical and ultrasonographic findings of a tear of the gastrocnemius muscle and enthesopathy of the origin of the superficial digital flexor muscle in a reining Quarter Horse mare

SummaryProximal gastrocnemius and superficial digital flexor (SDF) muscle injuries are reported in the horse but are uncommon. In adult horses, the definitive diagnosis is more commonly based on clinical signs with or without the use of radiographic examination and/or nuclear scintigraphy. This case report describes the clinical and ultrasonographic findings of a tear of the gastrocnemius muscle in a 6‐year‐old reining mare. At standing physical examination, there was a sickled hock appearance, with the point of the hock of the left hindlimb lower (dropped hock) than that of the right hindlimb. At dynamic examination at walk, the mare had instability of the left hock characterised by medial rotation of the hoof and lateral rotation of the point of the hock (twisting motion); at trot, the horse showed mild/moderate left hindlimb lameness characterised by more downward movement of the pelvis during weightbearing of the lame limb compared with that of the sound limb. Ultrasonographic examination of the left thigh and crus showed a large irregular hypoechogenic area and irregularly shaped, retracted muscle stumps on the lateral aspect of the gastrocnemius muscles; the proximal insertion of the SDF muscle on the supracondylar fossa of the femur was irregular in its outline, hypoechogenic and thickened compared with that of the right side. Characteristic muscle fibre pattern was not identified in the left gastrocnemius muscle. On the radiography, a mild irregularity of the bone margin of the lateral supracondylar tuberosity was detected on the caudo 45° medial‐craniolateral oblique view of the distal femur. Clinical and diagnostic imaging findings were consistent with partial failure of the caudal part of the reciprocal apparatus and injury of the gastrocnemius and SDF muscles/origin. The horse was managed conservatively by corrective shoeing, muscle relaxing drugs, controlled exercise and manual stretching.

Comparison of results for body-mounted inertial sensor assessment with final lameness determination in 1,224 equids.

To compare results for initial body-mounted inertial sensor (BMIS) measurement of lameness in equids trotting in a straight line with definitive findings after full lameness evaluation. 1,224 equids. Lameness measured with BMIS equipment while trotting in a straight line was classified into categories of none, forelimb only, hind limb only, and 8 patterns of combined forelimb and hind limb lameness (CFHL). Definitive findings after full lameness evaluation were established in most horses and classified into types (no lameness, forelimb- or hind limb-only lameness, CFHL, or lameness not localized to the limbs). Observed proportions of lameness type in equids with definitive findings for each initial BMIS-assessed category were compared with hypothetical expected proportions through χ2 goodness-of-fit analysis. The most common initial BMIS-assessed lameness category was CFHL (693/1,224 [56.6%]), but this was the least common definitive finding (94/ 862 [10.9%]). The observed frequency of no lameness after full lameness evaluation was greater than expected only when initial BMIS measurements indicated no lameness. The observed frequency of forelimb-only lameness was greater than expected when initially measured as forelimb-only lameness and for CFHL categories consistent with the diagonal movement principle of compensatory lameness. Observed frequency of hind limb-only lameness was greater than expected when initially measured as hind limb-only lameness and for CFHL categories consistent with the sagittal movement principle of compensatory lameness. Equids initially assessed as having no lameness had the highest (103/112 [92%]) and those assessed as CFHL pattern 7 (forelimb with contralateral hind limb impact-only lameness) had the lowest (36/66 [55%]) rates of definitive findings. In equids, results of initial straight-line trotting evaluations with a BMIS system did not necessarily match definitive findings but may be useful in planning the remaining lameness evaluation.