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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Effect of age and prostheses location on rima glottidis area in equine cadaveric larynges.
Veterinary surgery : VS    February 22, 2013   Volume 42, Issue 3 286-290 doi: 10.1111/j.1532-950X.2013.01101.x
Bischofberger AS, Hadidane I, Wereszka MM, Perkins NR, Jeffcott LB, Dart AJ.To determine the effect of horse age and laryngeal prosthesis location on rima glottidis area in cadaveric larynges. Methods: Experimental study. Methods: Cadaveric equine larynges (n = 40). Methods: Specimens were grouped by age: group 1, ≤5 years (n = 18); group 2, >5 to ≤10 years (n = 12); group 3, >10 years (n = 10). A cranial prosthesis was placed through the dorsal cricoid spine at 70% of the distance of the total cricoid length measured from the caudal rim. A dorsal prosthesis was placed through the caudal rim of the cricoid on the dorsal midline. A lateral prosthesis was plac...
Normal electrocardiographic QT interval in race-fit Standardbred horses at rest and its rate dependence during exercise.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    February 22, 2013   Volume 15, Issue 1 23-31 doi: 10.1016/j.jvc.2012.08.002
Pedersen PJ, Kanters JK, Buhl R, Klaerke DA.Cardiac repolarization, measured as QT and Tpeak to Tend (TpTe) intervals on the ECG, is important, as irregularities caused by diseases, ventricular hypertrophy, drugs and genetic defects can trigger arrhythmias which predispose human patients to syncope and sudden cardiac death. In horses, repolarization is not well described and therefore QT analysis cannot yet be used diagnostically. Therefore, we sought to describe reference values for the normal QT and TpTe intervals in Standardbreds and to determine the best method for heart rate (HR) correction. Methods: 30 Standardbreds. Methods: QT a...
Antibodies to OspC, OspF and C6 antigens as indicators for infection with Borrelia burgdorferi in horses.
Equine veterinary journal    February 22, 2013   Volume 45, Issue 5 533-537 doi: 10.1111/evj.12033
Wagner B, Goodman LB, Rollins A, Freer HS.Lyme disease is caused by Borrelia burgdorferi, which is transmitted by infected ticks (Ixodes spp.). Reports on Lyme disease in horses have increased in recent years. Nevertheless, the diagnosis of Lyme disease in horses is still challenging owing to its vague clinical presentation and the limitations of diagnostic tests. Objective: This study used a new serological Lyme multiplex assay to examine antibody responses to 3 antigens of B. burgdorferi, outer surface protein (Osp) C, OspF and C6, and to verify their use as markers for early and late infection stages in horses. Methods: Multiplex...
A large scale molecular study of Giardia duodenalis in horses from Colombia.
Veterinary parasitology    February 21, 2013   Volume 196, Issue 1-2 31-36 doi: 10.1016/j.vetpar.2013.02.006
Santín M, Cortés Vecino JA, Fayer R.The prevalence of Giardia duodenalis assemblages in horses is poorly known. The present study examined feces from 195 horses, 1 month-17 years of age, in 4 locations in Colombia. Prevalence of infection was determined by PCR and all positives were sequenced to determine the genotypes. Thirty four (17.4%) horses were found positive. This is the first report of G. duodenalis in horses from Colombia. Prevalence in female and male horses was 18.9% and 15.1%, respectively. Prevalence in horses 1 year of age was 21.1% and 15.1%, respectively. Molecular characterization using the beta giardin (bg), g...
In equine grass sickness, serum amyloid A and fibrinogen are elevated, and can aid differential diagnosis from non-inflammatory causes of colic.
The Veterinary record    February 21, 2013   Volume 172, Issue 15 395 doi: 10.1136/vr.101224
Copas VE, Durham AE, Stratford CH, McGorum BC, Waggett B, Pirie RS.Equine grass sickness (EGS) is a debilitating and often fatal neurodegenerative disease. A presumptive diagnosis of EGS may be made on the basis of clinical signs and subjective ancillary tests, but a definitive antemortem diagnosis can only be made following histopathological examination of intestinal biopsies. It has previously been reported that horses with EGS may show clinical and clinicopathological signs of systemic inflammation. The objective of this study was to (a) quantify acute inflammatory markers in blood samples collected from acute, subacute and chronic EGS cases, and (b) compa...
Quantitative versus qualitative approaches: a comparison of two research methods applied to identification of key health issues for working horses in Lesotho.
Preventive veterinary medicine    February 20, 2013   Volume 108, Issue 4 313-320 doi: 10.1016/j.prevetmed.2012.11.008
Upjohn MM, Attwood GA, Lerotholi T, Pfeiffer DU, Verheyen KL.The relative merits and potential complementarity of participatory methods and classical epidemiological techniques in veterinary-related research is a current topic of discussion. Few reported studies have applied both methodologies within the same research framework to enable direct comparison. The aim of this study was to compare issues identified by a classical epidemiological study of horses and their owners with those identified by owner communities using participatory approaches. In 2009, a cross-sectional survey was undertaken as part of an impact assessment study of farrier and saddle...
Salmonella Oranienburg isolated from horses, wild turkeys and an edible home garden fertilized with raw horse manure.
Zoonoses and public health    February 20, 2013   Volume 61, Issue 1 64-71 doi: 10.1111/zph.12043
Jay-Russell MT, Madigan JE, Bengson Y, Madigan S, Hake AF, Foley JE, Byrne BA.In July 2010, a horse from a rural farm (Farm A) in coastal Northern California was diagnosed with Salmonella Oranienburg infection following referral to a veterinary hospital for colic surgery. Environmental sampling to identify potential sources and persistence of Salmonella on the farm was conducted from August 2010 to March 2011. Salmonella was cultured using standard enrichment and selective plating. Pure colonies were confirmed by biochemical analysis, serotyped and compared by pulsed-field gel electrophoresis (PFGE) analysis. A total of 204 clinical and environmental samples at Farm A w...
Clinical and molecular features of methicillin-resistant, coagulase-negative staphylococci of pets and horses.
The Journal of antimicrobial chemotherapy    February 20, 2013   Volume 68, Issue 6 1256-1266 doi: 10.1093/jac/dkt020
Kern A, Perreten V.To determine the antibiotic resistance and fingerprint profiles of methicillin-resistant coagulase-negative staphylococci (MRCoNS) from animal infections among different practices and examine the history of antibiotic treatment. Methods: Isolates were identified by mass spectrometry and tested for antimicrobial resistance by broth dilution, microarrays and sequence analysis of the topoisomerases. Diversity was assessed by PFGE, icaA PCR and staphylococcal cassette chromosome mec (SCCmec), arginine catabolic mobile element (ACME) and multilocus sequence typing. Clinical records were examined re...
Ultrasound features of arytenoid chondritis in Thoroughbred horses.
Equine veterinary journal    February 19, 2013   Volume 45, Issue 5 598-603 doi: 10.1111/evj.12037
Garrett KS, Embertson RM, Woodie JB, Cheetham J.Laryngeal ultrasonography can provide valuable information when considering a diagnosis of arytenoid chondritis, but specific ultrasonographic parameters have not been defined. Objective: To compare ultrasonographic findings of the arytenoid cartilages in horses with endoscopically diagnosed arytenoid chondritis with ultrasonographic findings of the arytenoid cartilages in normal horses. Methods: Ultrasound images of the larynx were obtained at the level of the arytenoid cartilages in horses with endoscopically diagnosed arytenoid chondritis and horses with normal arytenoid cartilage structure...
Pathological and clinical features associated with palmar/plantar osteochondral disease of the metacarpo/metatarsophalangeal joint in Thoroughbred racehorses.
Equine veterinary journal    February 19, 2013   Volume 45, Issue 5 587-592 doi: 10.1111/evj.12036
Pinchbeck GL, Clegg PD, Boyde A, Riggs CM.Palmar/plantar osteochondral disease (POD) of the metacarpo/metatarsophalangeal (Mc/MtPh) joints is common in Thoroughbred racehorses, but there is little information on predilection sites, associated pathologies and clinical signs. Objective: To describe the distribution of POD at post mortem examination and to examine the association of POD with other pathologies and clinical histories. Methods: The Mc/MtPh joints of 102 Thoroughbred racehorses were examined post mortem. Gross pathology of associated osteochondral elements, suspensory ligament and flexor tendons was recorded. Clinical data w...
Laparoscopic evaluation of oviductal patency in the standing mare.
Theriogenology    February 18, 2013   Volume 79, Issue 6 905-910 doi: 10.1016/j.theriogenology.2012.12.004
Arnold CE, Love CC.Intraluminal masses in the oviduct might cause infertility and/or subfertility in mares by preventing transport of ova, sperm, or both, to the site of fertilization or the embryo into the uterus. Currently, there is no clinical test for oviductal patency in mares. The objective was to determine if the passage of microspheres from the oviduct to the uterus was associated with the presence or absence of intraluminal masses. In this trial, a standing laparoscopic technique was used to cannulate the oviducts and instill 15-μm fluorescent beads in 16 light-breed mares. At 48 hours after surgery, u...
Autologous bone marrow mesenchymal stromal cells for regeneration of injured equine ligaments and tendons: a clinical report.
Research in veterinary science    February 16, 2013   Volume 95, Issue 1 272-277 doi: 10.1016/j.rvsc.2013.01.017
Renzi S, Riccò S, Dotti S, Sesso L, Grolli S, Cornali M, Carlin S, Patruno M, Cinotti S, Ferrari M.The use of Mesenchymal Stromal Cells (MSCs) in orthopedic practice has recently and rapidly acquired an important role. Therapies based on the use of MSCs for the treatment of acute injuries as well as chronic inflammatory disorders are gradually becoming clinical routine. These cells have demonstrated intriguing therapeutic potentialities (i.e.: inflammation control, tissue regeneration and pathological scar prevention), that have been taken into consideration for use in both human and veterinary medicine. In particular, horses represent high performance athletes considered models for human p...
Prevalence and genetic diversity of equine piroplasms in Tov province, Mongolia.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    February 14, 2013   Volume 16 178-185 doi: 10.1016/j.meegid.2013.02.005
Munkhjargal T, Sivakumar T, Battsetseg B, Nyamjargal T, Aboulaila M, Purevtseren B, Bayarsaikhan D, Byambaa B, Terkawi MA, Yokoyama N, Igarashi I.Equine piroplasmosis represents a serious problem in horse industry. Although, researchers suggested the possible use of sub-unit vaccines to control equine piroplasmosis, the genetic diversity of vaccine candidate antigens was not properly investigated. In the present study, we screened 250 horses reared in three different districts of Tov province, Mongolia, for Babesia caballi and Theileria equi using ELISA and nested PCR (nPCR) assays. Among these animals, piroplasms were detected in 128 (51.2%) horses by nPCR assays (B. caballi, 42.4%; T. equi, 6.4%; and mixed infections, 2.4%), while 204...
An unexpected finding after a fall from a horse.
BMJ (Clinical research ed.)    February 12, 2013   Volume 346 f724 doi: 10.1136/bmj.f724
Raby S, Greaves D, Padayatty J, Huntly B.No abstract available
Influence of detomidine and xylazine on spleen dimensions and on splenic response to epinephrine infusion in healthy adult horses.
Veterinary anaesthesia and analgesia    February 12, 2013   Volume 40, Issue 4 375-381 doi: 10.1111/vaa.12009
Deniau V, Depecker M, Bizon-Mercier C, Couroucé-Malblanc A.To compare the changes in splenic length and thickness and in packed cell volume (PCV) following detomidine or xylazine administration and subsequent epinephrine infusion. Objective: Spleen relaxation occurs following xylazine or detomidine administration and interferes with subsequent splenic contractile response to epinephrine. Methods: Randomized non-blinded crossover experimental study. Methods: 6 healthy adult mares. Methods: The mares received an intravenous (IV) epinephrine infusion (1 μg kg(-1 ) minute(-1) over 5 minutes) one hour after IV administration of detomidine (0.01 mg kg(-1) ...
Comparison of an improved competitive enzyme-linked immunosorbent assay with the World Organization for Animal Health-prescribed serum neutralization assay for detection of antibody to Equine arteritis virus. Chung C, Wilson C, Timoney P, Adams E, Adams DS, Chung JS, Evermann JF, Shuck K, Lee SS, McGuire TC.Equine arteritis virus (EAV) causes contagious equine viral arteritis, characterized by fever, anorexia, conjunctivitis, nasal discharge, dependent edema, abortion, infrequent death in foals, and establishment of the carrier state in stallions. The World Organization for Animal Health (OIE) defines a horse as seropositive if the serum neutralization (SN) antibody titer is ≥1:4 to EAV. However, determining the SN titer is time-consuming and requires specific laboratory facilities, equipment, and technical expertise to perform. Furthermore, interpretation of the SN titer of some sera can be di...
Multi-species comparative analysis of the equine ACE gene identifies a highly conserved potential transcription factor binding site in intron 16.
PloS one    February 8, 2013   Volume 8, Issue 2 e55434 doi: 10.1371/journal.pone.0055434
Hamilton NA, Tammen I, Raadsma HW.Angiotensin converting enzyme (ACE) is essential for control of blood pressure. The human ACE gene contains an intronic Alu indel (I/D) polymorphism that has been associated with variation in serum enzyme levels, although the functional mechanism has not been identified. The polymorphism has also been associated with cardiovascular disease, type II diabetes, renal disease and elite athleticism. We have characterized the ACE gene in horses of breeds selected for differing physical abilities. The equine gene has a similar structure to that of all known mammalian ACE genes. Nine common single nuc...
The application of exhaled breath analysis in racing Thoroughbreds and the influence of high intensity exercise and ambient temperature on the concentration of carbon monoxide and pH in exhaled breath.
Veterinary journal (London, England : 1997)    February 5, 2013   Volume 197, Issue 2 318-323 doi: 10.1016/j.tvjl.2012.12.022
Cathcart MP, Love S, Sutton DG, Reardon RJ, Hughes KJ.Analyses of exhaled breath (EB) and exhaled breath condensate (EBC) are non-invasive modalities for assessing the lower airways but these methods have not been applied to Thoroughbred racehorses in training. The aims of this study were to determine whether EB and EBC could be obtained from Thoroughbred racehorses in the field and to investigate the effects of exercise per se and during different ambient temperatures and humidity on exhaled concentrations of nitric oxide (eNO), carbon monoxide (eCO) and EBC pH. EB and EBC samples were obtained from 28 Thoroughbred racehorses pre- and post-exerc...
Mechanical ventilation and respiratory mechanics during equine anesthesia.
The Veterinary clinics of North America. Equine practice    February 5, 2013   Volume 29, Issue 1 51-67 doi: 10.1016/j.cveq.2012.12.002
Moens Y.The mechanical ventilation of horses during anesthesia remains a crucial option for optimal anesthetic management, if the possible negative cardiovascular side effects are managed, because this species is prone to hypercapnia and hypoxemia. The combined use of capnography and pitot-based spirometry provide complementary information on ventilation and respiratory mechanics, respectively. This facilitates management of mechanical ventilation in conditions of changing respiratory system compliance (ie, laparoscopy) and when investigating new ventilatory strategies including alveolar recruitment m...
Detection of equid herpesviruses 2 and 5 in a herd of 266 Lipizzaners in association with ocular findings.
Veterinary microbiology    February 4, 2013   Volume 164, Issue 1-2 139-144 doi: 10.1016/j.vetmic.2013.01.035
Rushton JO, Kolodziejek J, Tichy A, Nell B, Nowotny N.A herd of Lipizzaners (n=266) in three locations [Federal stud Piber (Styria), Heldenberg (Lower Austria) and the Spanish Riding School Vienna (Vienna)] were examined for ocular diseases and tested for herpesviruses (HVs) in PBMCs, nasal- and conjunctival swabs. In 167 (62.8%) horses equid herpesvirus-2 (EHV-2) nucleic acid was identified in at least one of the investigated samples, and 136 (51.1%) horses were positive for equid herpesvirus-5 (EHV-5) nucleic acid in at least one of the samples. One hundred and five (39.5%) of the horses mentioned above were identified with EHV-2/EHV-5 double i...
Preovulatory progestagen treatment in mares fails to delay ovulation.
Veterinary journal (London, England : 1997)    February 4, 2013   Volume 197, Issue 2 324-328 doi: 10.1016/j.tvjl.2012.12.028
Canisso IF, Gallacher K, Gilbert MA, Korn A, Schweizer CM, Bedford-Guaus SJ, Gilbert RO.The major objective of this study was to determine whether short-term preovulatory progestagen treatment of mares could effectively delay ovulation. Secondary objectives were to determine the effect such supplementation had on signs of estrus, follicular growth, postovulatory luteal function and pregnancy rate. Thirteen cyclic mares of different breeds were used in this study during the natural breeding season. Once mares were confirmed in estrus with a follicle of 35 mm in diameter, they were assigned in random order to receive no treatment (control), placement of a progesterone-impregnated c...
[Concentrations of anti-Muellerian-hormone in follicular fluid from antral follicles and their relation to functional characteristics of follicle development in mares].
Berliner und Munchener tierarztliche Wochenschrift    February 2, 2013   Volume 126, Issue 1-2 77-82 
Vernunft A, Löhrke B, Tuchscherer A, Weitzel JM, Viergutz T.Anti-Muellerian hormone (AMH) is synthesized only by granulosa cells in female mammals as an inhibiting factor for early follicular recruitment. Especially in preantral and small antral follicles, expression of AMH is very intensive. However, we hypothesize that AMH affects also the development of large follicles by an estrogenesis modification. This current investigation provides for the first time information about concentrations of AMH in equine follicular fluid and demonstrates their relationship to functional characteristics of follicle development. Therefore, fluids of follicles in diffe...
Evaluation of pregnancy and foaling rates after reduction of twin pregnancy via transvaginal ultrasound-guided aspiration in mares.
Journal of the American Veterinary Medical Association    February 1, 2013   Volume 242, Issue 4 527-532 doi: 10.2460/javma.242.4.527
Klewitz J, Krekeler N, Ortgies F, Heberling A, Linke C, Sieme H.To assess pregnancy and live foaling rates after reduction of twin pregnancy via transvaginal ultrasound-guided aspiration (TUA) in mares and evaluate effects of gestational period, localization of conceptuses, fluid aspiration volume, and combination of TUA with embryonic or fetal puncture on these outcomes. Methods: Clinical trial. Methods: 44 mares pregnant with twins (25 to 62 days of gestation). Methods: TUA was performed in all mares and combined with embryonic or fetal puncture in 13. Follow-up ultrasonographic examinations were performed by referring veterinarians. Effects of gestation...
Arthroscopically accessible anatomy of the tarsal collateral ligaments in the horse.
Veterinary surgery : VS    February 1, 2013   Volume 42, Issue 3 267-274 doi: 10.1111/j.1532-950X.2013.01100.x
Kümmerle JM, Kummer MR.To describe the arthroscopically accessible anatomy of the tarsal collateral ligaments in the horse. Methods: Descriptive study. Methods: Cadaveric equine hind limbs (n = 24) obtained from horses without tarsal disease. Methods: Two pairs of tarsal joints were used to obtain silicone models of the tarsocrural joint and dissect the tarsal collateral ligaments (CLs). Ten pairs of tarsocrural joints had arthroscopic exploration and the accessible parts of the tarsal CLs were marked with an arthroscopic hook knife. Subsequently, the limbs were dissected and the marked positions were allocated to t...
Optimal tension, position, and number of prostheses required for maximum rima glottidis area after laryngoplasty.
Veterinary surgery : VS    February 1, 2013   Volume 42, Issue 3 280-285 doi: 10.1111/j.1532-950X.2013.01103.x
Bischofberger AS, Wereszka MM, Hadidane I, Perkins NR, Jeffcott LB, Dart AJ.To evaluate the effect of 3 laryngeal prostheses alone or in combination on rima glottidis area in horses. Methods: Experimental randomized design. Methods: Cadaveric equine larynges (n = 22). Methods: Three prostheses were preplaced in each of 14 larynges. Rima glottidis area was measured after loading each suture in 5 Newton (N) increments from 0 N to 35 N. In 8 larynges, the 3 prostheses were tied alone or in combination at a fixed load of 15 N and rima glottidis area measured. Results: Rima glottidis cross-sectional area increased as the load on each prosthesis increased with maximum area ...
Comparison of inversion recovery gradient echo with inversion recovery fast spin echo techniques for magnetic resonance imaging detection of navicular bone marrow lesions in horses.
American journal of veterinary research    February 1, 2013   Volume 74, Issue 2 232-238 doi: 10.2460/ajvr.74.2.232
Olive J, Vila T, Serraud N.To compare navicular bone marrow lesion (BML) conspicuity in the feet of horses as determined via 2 fat-suppressed MRI techniques, including standard short tau inversion recovery (STIR) and inversion recovery gradient echo (IRGE). Methods: Feet (n = 150) of horses with lameness referable to the distal portion of the digit. Methods: STIR and IRGE sequences were obtained prospectively in all feet with a standing low-field equine MRI system. Presence of a BML was ascertained by identification of a characteristic combination of marrow alterations in T1-weighted, T2*-weighted, T2-weighted, and STIR...
Equine hoof wall tubule density and morphology.
The Journal of veterinary medical science    February 1, 2013   Volume 75, Issue 6 773-778 doi: 10.1292/jvms.12-0399
Lancaster LS, Bowker RM, Mauer WA.Density and morphologic features of hoof wall tubules in horses' hooves are described. The sample population consisted of hooves (n=12) from both live and deceased adult horses. Full wall thicknesses of the hoof wall were prepared histologically from sites at the toe, medial quarter and lateral quarter. In defined areas, tubules were counted, and density was calculated across the three histologically defined areas of the stratum externum, stratum medium and stratum internum along with the descriptive morphologic features of the tubules. Morphologically, distinct zones were demarcated by varyin...
Respiratory diseases and their effects on respiratory function and exercise capacity.
Equine veterinary journal    February 1, 2013   Volume 45, Issue 3 376-387 doi: 10.1111/evj.12028
Van Erck-Westergren E, Franklin SH, Bayly WM.Given that aerobic metabolism is the predominant energy pathway for most sports, the respiratory system can be a rate-limiting factor in the exercise capacity of fit and healthy horses. Consequently, respiratory diseases, even in mild forms, are potentially deleterious to any athletic performance. The functional impairment associated with a respiratory condition depends on the degree of severity of the disease and the equestrian discipline involved. Respiratory abnormalities generally result in an increase in respiratory impedance and work of breathing and a reduced level of ventilation that c...
Immunohistochemical expression of melanocytic antigen PNL2, Melan A, S100, and PGP 9.5 in equine melanocytic neoplasms.
Veterinary pathology    January 31, 2013   Volume 51, Issue 1 161-166 doi: 10.1177/0300985812471545
Ramos-Vara JA, Frank CB, DuSold D, Miller MA.The immunoreactivity of PNL2, Melan A, and protein gene product (PGP) 9.5 was compared with that of S100 protein in 50 formalin-fixed, paraffin-embedded equine melanocytic neoplasms. PNL2, PGP 9.5, and S100 protein were detected in all 50 neoplasms; none expressed Melan A. PNL2 was not expressed in 62 nonmelanocytic tumors (equine sarcoids, schwannomas, carcinomas, sarcomas, endocrine tumors, sex-cord stromal tumors, germ cell tumors, and leukocytic tumors) or in normal tissues other than epidermis. In summary, antibody PNL2 is a sensitive marker of equine melanocytic neoplasms and is more spe...
Bone health of apprentice jockeys using peripheral quantitative computed tomography.
International journal of sports medicine    January 31, 2013   Volume 34, Issue 8 688-694 doi: 10.1055/s-0032-1333213
Greene DA, Naughton GA, Jander CB, Cullen SJ.Our aim was to use Peripheral Quantitative Computed Tomography (pQCT) to assess the bone health of male and female apprentice jockeys and age- and sex-matched peers. 2 groups of 25 young adults (n=50) (age range 15-38 years) were comprised of male and female apprentice jockeys, and male and female controls. We used pQCT to measure the distal tibia and distal radius. After covarying for weight and limb length, apprentice jockeys displayed less tibial cortical area and lower strength strain index at 14% distal shaft, 38% mid shaft and 66% proximal sites measured distally than controls (p=0.001)....