Vannini et al: Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies
Veterinary and Comparative Orthopaedics and Traumatology 3, 2026

Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies

🔍 Key Findings

  • TGMO was common despite absence of overt lameness, with 18/34 dogs showing abnormal clinical examination findings.
  • Ultrasonographic abnormalities were highly prevalent, with only 5/34 dogs classified as bilaterally normal and 29/34 showing mild or moderate lesions.
  • Only four dogs had normal clinical, radiographic, and ultrasonographic findings, supporting a high prevalence of subclinical pathology.
  • Pain on palpation over the fabella was considered the most clinically meaningful indicator of TGMO, whereas imaging abnormalities alone did not reliably indicate clinical disease.
  • Gait analysis was sensitive but nonspecific, with asymmetry detected in 17 dogs, including some with otherwise normal findings.
  • Radiographic mineralization or enthesiophytes were identified in 7/34 dogs (~20%), indicating chronic tendon pathology but not necessarily clinical symptoms.
  • Moderate ultrasonographic lesions were present in 10 dogs, often associated with irregular supracondylar bone contours and occasionally pain or gait abnormalities.
  • TGMO appears substantially underrecognized in agility Border Collies, supporting routine clinical and imaging assessment when hindlimb performance issues occur.

Simini Surgery Review Podcast

How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

Thanks for the feedback!
We'll keep fine-tuning the articles vault.
Oops — didn’t go through.
Mind trying that again?

Vannini et al: Prevalence of Tendinopathy of the Gastrocnemius Muscle Origin in a Cohort of Sound Border Collies
Veterinary and Comparative Orthopaedics and Traumatology 3, 2026

🔍 Key Findings

  • TGMO was common despite absence of overt lameness, with 18/34 dogs showing abnormal clinical examination findings.
  • Ultrasonographic abnormalities were highly prevalent, with only 5/34 dogs classified as bilaterally normal and 29/34 showing mild or moderate lesions.
  • Only four dogs had normal clinical, radiographic, and ultrasonographic findings, supporting a high prevalence of subclinical pathology.
  • Pain on palpation over the fabella was considered the most clinically meaningful indicator of TGMO, whereas imaging abnormalities alone did not reliably indicate clinical disease.
  • Gait analysis was sensitive but nonspecific, with asymmetry detected in 17 dogs, including some with otherwise normal findings.
  • Radiographic mineralization or enthesiophytes were identified in 7/34 dogs (~20%), indicating chronic tendon pathology but not necessarily clinical symptoms.
  • Moderate ultrasonographic lesions were present in 10 dogs, often associated with irregular supracondylar bone contours and occasionally pain or gait abnormalities.
  • TGMO appears substantially underrecognized in agility Border Collies, supporting routine clinical and imaging assessment when hindlimb performance issues occur.

Simini Surgery Review Podcast

Know What Matters in the Literature - and Why

We distill peer-reviewed surgical studies into clinically relevant summaries and
exam-style questions, so you can make informed decisions with confidence.

Free Access. No Spam. Just Smarter Surgical Learning

Multiple Choice Questions on this study

In Vannini 2026 et al., on gastrocnemius tendinopathy, what was the principal conclusion of the study?

A. TGMO is rare in agility dogs
B. Radiographs alone are sufficient for diagnosis
C. Ultrasonographic abnormalities always indicate clinical disease
D. TGMO is likely underrecognized in actively competing Border Collies
E. Only dogs with overt lameness should be screened for TGMO

Answer: TGMO is likely underrecognized in actively competing Border Collies

Explanation: The study found a surprisingly high prevalence of clinical and imaging abnormalities in apparently sound agility Border Collies, suggesting substantial underrecognition of TGMO.
In Vannini 2026 et al., on gastrocnemius tendinopathy, how did gait analysis perform as a screening tool for TGMO?

A. It was highly specific for TGMO
B. It identified only dogs with painful tendons
C. It was considered sensitive but nonspecific
D. It was superior to ultrasonography
E. It was unnecessary when radiographs were normal

Answer: It was considered sensitive but nonspecific

Explanation: Gait asymmetry occurred in some dogs without other evidence of TGMO, leading the authors to regard gait analysis as supportive but nonspecific.
In Vannini 2026 et al., on gastrocnemius tendinopathy, which ultrasonographic feature defined a moderate tendon lesion?

A. Normal echogenicity and aligned fibers
B. A single small hypoechoic lesion
C. Two to three hypoechoic lesions or larger mineralizations with abnormal fiber pattern
D. Complete disruption of tendon continuity
E. Isolated irregular bone contour without tendon abnormalities

Answer: Two to three hypoechoic lesions or larger mineralizations with abnormal fiber pattern

Explanation: The study classified moderate lesions as multiple hypoechoic abnormalities and/or larger mineralizations associated with abnormal tendon fiber architecture.
In Vannini 2026 et al., on gastrocnemius tendinopathy, which finding did the authors consider the most reliable clinical indicator of clinically significant TGMO?

A. Enthesiophyte formation on radiographs
B. Symmetry index greater than 5%
C. Pain on palpation over the fabella
D. Abnormal musculotendinous junction echogenicity
E. Reduced stifle range of motion

Answer: Pain on palpation over the fabella

Explanation: The authors specifically emphasized pain elicited by direct pressure over the fabella as a very reliable indication of TGMO.
In Vannini 2026 et al., on gastrocnemius tendinopathy, what was the most common ultrasonographic classification among the 34 sound agility Border Collies?

A. Normal findings
B. Severe lesions
C. Moderate lesions
D. Mild lesions
E. Mineralized lesions only

Answer: Mild lesions

Explanation: Nineteen of 34 dogs had mild ultrasonographic abnormalities, making this the most common classification.

Access the full library of surgical summaries and exam-style questions.

Educational content developed independently and supported by Simini.

The maker of Simini Protect Lavage.

Something off with this article?
Tell us what needs fixing—drop your note below.
Thanks for flagging this!
We’ll review your note as soon as possible.
Oops! Something went wrong while submitting the form.
Anything to add to this article?
Know a finding or detail we missed? Share it below.
Thanks for the suggestion!
We’ll review it as soon as possible.
Oops! Something went wrong while submitting the form.