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Examples of associated lameness might include the following:

 Greater trochanteric bursitis (also known as “whorlbone”) is commonly associated with distal tarsitis (or lower hock pain). The greater trochanteric bursa is a small synovial sac that lubricates the middle gluteal muscle tendon as it courses over the greater trochanter of the femur just outside of the hip joint. Inflammation within the greater trochanteric bursa often occurs as a result of chronic excessive pelvic limb adduction (i.e. pulling the limb underneath the center of the body) during movement (VL 7a). This motion results in increased strain of the middle gluteal muscle and its associated tendon. Excessive limb adduction is, in turn, a gait characteristic classically associated with distal tarsitis. Therefore, greater trochanteric bursitis is a common consequence of chronic hock pain.

VL 7a

 Lameness within the carpus (or “knee”) will often induce inflammation of the brachiocephalics muscle, which forms an attachment between the horse’s neck and upper limb (humerus). In an attempt to avoid or reduce carpal flexion, some animals will overuse the brachiocephalicus muscle in order to achieve ample forelimb protraction during movement (VL 7b). This action, in turn, can result in associated inflammation (termed myositis) and pain.