TENDON injuries can arise by either intrinsic (strain or displacement) or extrinsic (bruise, penetration or laceration) mechanisms, and appear to be widespread in the horse. The most frequently observed injury is the strain injury which predominantly affects the palmar soft tissue structures which support the metacarpophalangeal joint. This article discusses the rational treatment of tendonitis based on current knowledge of pathophysiological events in the injured tendon. Given that injured tendons heal by repair rather than regeneration, prevention must be the ultimate goal and, to this end, four strategies for the prevention of tendonitis are proposed.
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