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Topic:Limb Deformities

Limb deformities in horses refer to abnormalities in the shape or alignment of the limbs, which can occur due to genetic factors, developmental issues, or trauma. These deformities can affect the horse's gait, performance, and overall health. Common types of limb deformities include angular limb deformities, such as valgus and varus, and flexural deformities, like contracted tendons. Diagnosis and management of limb deformities often involve clinical examination, imaging techniques, and sometimes corrective interventions. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, diagnosis, treatment, and implications of limb deformities in equine health.
Tight nosebands apply high pressures on the horses’ face and alter stride kinematics.
Journal of equine veterinary science    July 19, 2025   Volume 152 105654 doi: 10.1016/j.jevs.2025.105654
Hopkins E, Whitrod S, Marlin D, Blake R.Noseband tightness has received increasing attention within equitation science, however, there is little research into how this effects equine behaviour or performance. Objective: 1) determine the peak pressures under noseband in vivo at three different tightness; 2) assess limb and back kinematics at different noseband tightness. Methods: Noseband tightness (n = 8 horses) was set using an International Society for Equine Science (ISES) taper gauge with the three settings being; "two fingers (2F)", "one finger (1F)" and "zero fingers (0F)". Peak pressure under noseband was determined using pre...
Short- and long-term survival, complications, return to racing, and racing performance of 150 racehorses with medial condylar fractures of the third metacarpal/metatarsal bone treated by internal fixation (2000-2020).
Veterinary surgery : VS    July 4, 2025   Volume 54, Issue 6 1176-1184 doi: 10.1111/vsu.14308
Ruspi BD, Bramlage LR, Ruggles AJ, Slone SA.To report the rate of survival, rate of return to racing, and quality of racing performance following surgical fixation of medial condylar fractures. Methods: Retrospective study. Methods: A total of 150 Thoroughbred and Standardbred racehorses surgically treated for medial condylar fracture (100 lag screw fixation, 50 plate fixation). Methods: Medical records, radiographs, and racing databases (2000-2020) were reviewed to collect signalment, fracture characteristics, fixation methods, survival rate, and complication rate. Change in racing performance was assessed using Wilcoxon rank sum tests...
Task-specific morphological and kinematic differences in Lipizzan horses.
Frontiers in veterinary science    June 17, 2025   Volume 12 1569067 doi: 10.3389/fvets.2025.1569067
Zupan Šemrov M, Přibylová L, Gobbo E.Equine locomotion emerges from a dynamic interplay between morphology, biomechanics, and functional demands. This study examines the relationship between morphological measurements and gait kinematics in Lipizzan horses, a breed renowned for its diverse work tasks and standardized environmental conditions. These horses offer a unique opportunity to explore task-specific adaptations in biomechanics, with significant implications for breeding strategies and welfare practices. Unassigned: The study involved 71 healthy Lipizzan horses that were housed at the Lipica stud farm and performed various ...
Genetic relationship between Neck and Limb defects in Pura Raza Española Horses.
Journal of equine veterinary science    June 10, 2025   Volume 151 105630 doi: 10.1016/j.jevs.2025.105630
Ripollés-Lobo M, Perdomo-González DI, Dos Santos R, Sánchez-Guerrero MJ, Azor P, Valera M.Neck and limb conformational defects can impair functionality and performance in Pura Raza Española (PRE) horses. However, their potential genetic relationship has not been previously explored. Objective: To estimate the genetic correlations between two types of neck defects (Cresty neck -CN-, Ewe neck -EN-) and twelve conformational limb defects: Forelimb (Buck knee -BUK-, Calf knee -CK-, Bench knee -BEK-, Knock knee -KK-, Splay-footed forelimb -SFF-, Pigeon-toed forelimb -PTF-), rear limb (Closed hock -CH-, Open hock -OH-, Convergent hock -CVH-, Divergent hock -DVH-, Splay-footed rear limb ...
An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse.
Veterinary surgery : VS    June 2, 2025   doi: 10.1111/vsu.14287
Kadic LIM, Liu CC, Leise BS, McCauley CT, Riggs LM.The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing. Methods: An ex vivo biomechanical equine cadaver study. Methods: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease. Methods: Each pair of MCP joints were randomly implanted w...
Objective lameness assessment of 235 horses undergoing lameness examination in Brazil: A retrospective study.
Brazilian journal of veterinary medicine    May 22, 2025   Volume 47 e008224 doi: 10.29374/2527-2179.bjvm008224
Rodrigues APDC, Pozzobon R, De Bastiani G, De La Côrte FD, Azevedo MDS.Lameness, which arises from functional or structural changes in the limbs or axial skeleton, causes asymmetry in the movement of the equine head and/or pelvis. This study aimed to investigate the lameness patterns of horses that underwent lameness examination or monitoring during the years 2016 to 2020. This retrospective study used data from the lameness examination, evaluated using an objective assessment with body-mounted wireless inertial sensors. The lameness examination comprised clinical history, static inspection, palpation, gait evaluation (for which the animals were equipped with a w...
Pharmacological alternatives to oxytetracycline as potential treatment of flexural limb deformities in foals: a preliminary in vitro cell viability and proliferation study.
Scientific reports    May 6, 2025   Volume 15, Issue 1 15762 doi: 10.1038/s41598-025-00311-z
Cardinaux EM, Oltmanns H, Beineke A, Meißner J, Geburek F.Flexural limb deformities are a widespread condition in foals. Oxytetracycline is a common conservative treatment option with relaxing effects on the muscle-tendon-unit, potentially mediated through a matrix-metalloproteinase (MMP)-inhibitor mechanism. Its high therapeutic dose for this indication, potential negative side effects, and the guidelines for prudent use of antimicrobials make investigating alternatives desirable. In this study, the influence of substances with potentially similar mechanisms of action, however without antimicrobial properties, on viability and proliferation of juven...
Lamellar cell death and proliferation are associated with restricted ambulation and preferential weight bearing in a model relevant to supporting-limb laminitis.
American journal of veterinary research    February 19, 2025   Volume 86, Issue 4 doi: 10.2460/ajvr.24.09.0268
Engiles JB, Stefanovski D, van Eps A.To examine the effects of prolonged preferential weight bearing (PWB) and reduced ambulation (RA) on hoof lamellae using a nonpainful in vivo experimental model. Unassigned: 12 healthy Standardbred horses were housed in stocks continuously for 92 hours. A platform shoe was placed on 1 forelimb in the PWB group (n = 6) to increase the load on the supporting limb (SL) by approximately 10% bodyweight, whereas the RA group (n = 6) had normal weight bearing. Archived healthy horse (n = 8) samples were used as controls. Histomorphometry and histochemistry (terminal deoxynucleotidyl transferase dUTP ...
Needle tenoscopy of the digital flexor tendon sheath in a standing equine cadaver model using a novel approach and guided palmar/plantar annular ligament desmotomy.
Veterinary surgery : VS    February 6, 2025   doi: 10.1111/vsu.14213
Breen LJ, Stack JD, Gillen AM, Baldwin CM.(1) To evaluate the feasibility of needle tenoscopy of the digital flexor tendon sheath (DFTS) using basisesamoid (BS) and proximolateral (PL) approaches in a standing equine cadaver model. (2) To report visualization of intrathecal DFTS anatomy via both approaches. (3) To determine the efficacy of needle scope-guided palmar/plantar annular ligament (PAL) desmotomy. (4) To report any iatrogenic damage associated with the procedure. Methods: Ex vivo experimental. Methods: Ten equine cadaver limbs. Methods: Limbs were placed in a Kimzey leg-saver splint and needle tenoscopy was performed using t...
Inherited non-syndromic polydactyly in a Berber and Arabian-Berber horse family.
Equine veterinary journal    January 24, 2025   doi: 10.1111/evj.14472
Baville E, Carstanjen B, Thomas-Cancian A, Calgaro A, Bonnet N, Tiret L, Gache V, Abitbol M.Supernumerary digits, or polydactyly, have been described in various species including humans, wild and domestic animals. In horses, it represents the most common congenital limb malformation, which has only been described in isolated cases or nuclear families. Molecular aetiology has not been reported. Objective: To characterise the phenotype of a non-syndromic pre-axial polydactyly in a horse family and to decipher the inheritance pattern. Methods: Retrospective study. Methods: Forty-three members of the family including a previously reported polydactyl case were recruited. Available clinica...
Distal limb immersion in ice and water is the most effective means of cooling the equine hoof lamellae under clinically relevant conditions.
American journal of veterinary research    January 21, 2025   Volume 86, Issue 3 doi: 10.2460/ajvr.24.10.0291
Ciamillo S, Stefanovski D, Kulp J, van Eps A.To determine the relationship between hoof surface (HS), hoof wall (HW), and lamellar tissue (LAM) temperature during distal limb cooling and evaluate 4 cooling methods in ambulatory horses over extended periods using HW to estimate LAM temperature. Methods: 8 healthy, university-owned horses were enrolled. Temperature was measured over 4 hours at LAM, HS, and HW for 4 cooling methods: ice sleeve (SLEEVE), ice pack system (ICEPACK), low-volume ice water immersion (LV-IMMERSION), and high-volume ice water immersion (HV-IMMERSION). The relationship between HW, HS, and LAM was mathematically mode...
Evaluating Forelimb and Hindlimb Joint Conformation of Morna Racehorses (Equus caballus).
Veterinary sciences    January 5, 2025   Volume 12, Issue 1 doi: 10.3390/vetsci12010020
Ahmad I, Ijaz S, Usman MM, Safdar A, Khan IU, Zeeshan M, Bukhari SSUH.Measuring limb joint angles is crucial for understanding horse conformation, performance, injury diagnosis, and prevention. While Thoroughbred horses have been extensively studied, local Pakistani breeds (e.g., Morna racehorse) have not received scientific attention. This study aimed to quantify normal angles of limb joints in the Morna breed. Limb joint angles of standing horses (n = 50) were quantified using a measuring tape, height stick, protractor scale, and goniometer. The mean and standard deviation (Mean ± SD) values for the forelimb joint angles were 123.02 ± 3.46° for elbow, 171.5...
Radiographic Morphometric Measurements of the Donkey’s Distal Hind Limb.
Animals : an open access journal from MDPI    December 25, 2024   Volume 15, Issue 1 doi: 10.3390/ani15010022
Schaus K, Wacker J, Jandowsky A, Büttner K, Röcken M, Bartmann CP.Morphometric measurements of the toe serve as a reference for the objective assessment of the presence of a pathological condition and as a guide for the correct trimming of the hooves. Therefore, the anatomical differences between horses and donkeys oblige an autonomous database with reference values for the donkey. The aim of this study was therefore to provide readings of the distal hind limb on radiographs of donkeys. Radiographs of the distal hind limb in two projections of 41 generally sound donkeys without lameness in walk were taken after previous hoof trimming and preparation accordin...
Changes in blood physiological and biochemical parameters and intestinal flora in newborn horses and mares with angular limb deformities.
Frontiers in veterinary science    November 26, 2024   Volume 11 1503117 doi: 10.3389/fvets.2024.1503117
Ma Y, Liu Y, Li H, Yang K, Yao G.Angular limb deformities (ALDs) are a common skeletal development disorder in newborn foals. This condition affects the growth and development of foals and severely impacts their future athletic performance and economic value, causing significant financial losses to the horse industry. Placentitis, metritis, and severe metabolic diseases during mare pregnancy are significant causes of ALDs in newborn foals. It has been established that intestinal flora disorders can easily lead to inflammatory and metabolic diseases in the host. However, the incidence of ALDs in foals in Zhaosu County, Xinjian...
Evaluation of digital radiographic measurements for the diagnosis of acute laminitis.
Equine veterinary journal    November 20, 2024   Volume 57, Issue 4 931-942 doi: 10.1111/evj.14436
Skelton G, Acutt E, Stefanovski D, van Eps A.Traditional radiographic measurements of distal phalanx (Pd) displacement based on the outer hoof wall are not useful for diagnosis of acute laminitis. Objective: We hypothesised that the distance between the inner hoof wall and Pd ('lamellar lucent zone'; LLZ) measured on lateromedial digital radiographs would be increased in horses with acute and subacute laminitis compared with healthy horses. Methods: Retrospective cohort study and in vivo experimental study. Methods: Forelimb radiographs from 32 healthy and 18 laminitic mixed-breed horses were analysed retrospectively. Laminitis was defin...
Vascular hamartoma in horse limbs: presentation, diagnosis, and treatment of two case studies.
Veterinary research communications    November 15, 2024   Volume 49, Issue 1 8 doi: 10.1007/s11259-024-10601-y
Apolonio EVP, Gobbo LL, Woiblet NG, Dinau FC, Pyles MS, Ferrari LC, de Moura Alonso J, Alves ALG.Vascular hamartoma is an abnormal development of endothelial tissue that rarely affects horses. Histopathological examination remains the gold standard for definitive diagnosis, yet the presence of abnormal vascular structures must be carefully differentiated from other vascular anomalies and neoplasms. This report describes two cases of vascular proliferation affecting the skin on the lateral side over the left tarsus and the dorsolateral region over the fetlock joint of two fillies. The clinical history, presentation, and radiographic and sonographic findings in both patients suggested a neo...
Reproducibility and agreement of radiographic assessment of carpal deformities in foals.
Frontiers in veterinary science    November 7, 2024   Volume 11 1479790 doi: 10.3389/fvets.2024.1479790
Charles A, Peeters X, Verbrugghe C, Vandersmissen M, Evrard L, Busoni V.The Pivot Point (PP) method is commonly used in the radiographic assessment of carpal deformities in young foals, as the range of deviation may influence treatment choice. The aims of this study were to assess the intra- and interobserver reproducibility of the PP method and subjective radiographic evaluation without line drawing to establish the anatomical site responsible for carpal deviation in foals and to evaluate the agreement between these two techniques. Unassigned: Anonymized radiographs of foals presented for investigation of carpal deformity or prematurity were retrospectively and i...
Intrathecal enalapril reduces adhesion formation in experimentally induced digital flexor tendon sheath injuries in horses.
Veterinary surgery : VS    November 5, 2024   doi: 10.1111/vsu.14186
Willette JA, Tsoi M, Frobish D, VanderBroek AR.The objectives of the study were to describe a standing percutaneous adhesion induction model in the digital flexor tendon sheath (DFTS) of horses and to evaluate the effect of intrathecal administration of the angiotensin-converting enzyme (ACE) inhibitor enalapril on tendon healing and adhesion formation. Methods: Randomized, blinded, controlled experimental study. Methods: Eight healthy horses. Methods: A collagenase-induced adhesion model was implemented in the deep digital flexor tendon (DDFT) of both forelimbs under standing ultrasonographic guidance. Daily intrathecal injections of 5 ...
Hoof slip duration at impact in galloping Thoroughbred ex-racehorses trialling eight shoe-surface combinations.
PloS one    October 11, 2024   Volume 19, Issue 10 e0311899 doi: 10.1371/journal.pone.0311899
Horan K, Coburn J, Kourdache K, Day P, Carnall H, Brinkley L, Harborne D, Hammond L, Millard S, Weller R, Pfau T.Horseshoes used during racing are a major determinant of safety as they play a critical role in providing traction with the ground surface. Although excessive hoof slip is detrimental and can predispose to instabilities, falls and injuries, some slip is essential to dissipate energy and lower stresses on the limb tissues during initial loading. This study aimed to quantify hoof slip duration in retired Thoroughbred racehorses galloping over turf and artificial (Martin Collins Activ-Track) tracks at the British Racing School in the following four shoeing conditions: 1) aluminium; 2) steel; 3) G...
Horseshoe effects on equine gait-A systematic scoping review.
Veterinary surgery : VS    September 15, 2024   Volume 54, Issue 1 31-51 doi: 10.1111/vsu.14162
Aoun R, Takawira C, Lopez MJ.To provide an overview of available research about effects of horseshoes on equine kinetics and kinematics. Methods: The terms, "horse/equine," "hoof," "shoes/horseshoes," "kinetics," and "kinematics" were searched in PubMed, Web of Science, Center for Agriculture and Bioscience International, and United States Department of Agriculture National Agricultural Library for manuscripts from first availability to 2024. Independent reviewers used preferred reporting items for systematic reviews and meta-analyses guidelines to map and extract evidence-based data from sources. Metrics included partici...
Injury to the palmar supporting structures of the fetlock alters limb stiffness and fetlock angle.
Equine veterinary journal    September 1, 2024   doi: 10.1111/evj.14409
Hanousek K, Fiske-Jackson A, O'Leary L, Smith RKW.In vivo measurement of limb stiffness and conformation provides a non-invasive proxy assessment of superficial digital flexor tendon (SDFT) and suspensory ligament (SL) function. Here, we compared it in fore and hindlimbs and after injury. Objective: To compare the limb stiffness and conformation in forelimbs and hindlimbs, changes with age, and following injury to the SDFT and SL. Methods: Retrospective cohort study. Methods: Limb stiffness was calculated using floor scales and an electrogoniometer taped to the dorsal fetlock. The fetlock angle and weight were simultaneously recorded five tim...
Comparison of a hand-held high-end resolution infrared thermography (FLIR P640) and a smartphone infrared thermographic device (FLIR One) for the assessment of skin surface temperature after anaesthetising the median nerve in Healthy horses.
PloS one    August 30, 2024   Volume 19, Issue 8 e0309603 doi: 10.1371/journal.pone.0309603
Ferlini Agne G, Adamson K, McGlinchey L, Kravchuk O, Santos L, Schumacher J.Accuracy of a median nerve block is normally assessed by testing skin sensitivity on the medial and dorsal aspects of fetlock and pastern. The present study evaluated subjective and objective analysis of skin surface temperature obtained with two different infrared (IR) thermography cameras (a high-end [FLIR P640] and a smartphone IR thermography device [FLIR One®]) before and after anaesthesia of the median nerve. Thermographic images were obtained at 0, 30, 60 and 90 minutes after performing a median nerve block with 2% mepivacaine hydrochloride. The subjective analysis of thermographic ima...
2D Kinematic Analysis of the Esbarrada and Volta Sobre Patas Manoeuvres of Criollo Breed Horses Competing in Freio de Ouro.
Animals : an open access journal from MDPI    August 20, 2024   Volume 14, Issue 16 doi: 10.3390/ani14162410
Bonilla Lemos Pizzi GL, Holz K, Kowalski ÉA, Fonseca Ribeiro P, Blake R, Ferreira Martins C.The esbarrada and volta sobre patas manoeuvres are critical in Criollo horse equestrian activities, yet their kinematics remain largely unexplored. This observational study aimed to kinematically describe the manoeuvres in Criollo breed horses and explore the relationship between static goniometry and dynamics. A 2D kinematic analysis was conducted on 31 Criollo horses performing the manoeuvres using high-speed cameras. Joint angles were measured using static goniometry and analysed in relation to dynamic performance. The esbarrada covered a distance of 4.28 ± 0.99 m in 1.15 ± 0.11 s at a ve...
Concurrent radiological and ultrasonographical findings in the forelimb proximal sesamoid bones and adjacent suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses.
Equine veterinary journal    July 22, 2024   doi: 10.1111/evj.14120
Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP.Changes in the proximal sesamoid bones (sesamoids) and the insertional region of the adjacent suspensory ligament branch (branch) are of particular importance in young Thoroughbreds sold at public auction. Little is known about the prevalence of concurrent ultrasonographical branch change, relative to the various grades of radiological sesamoid appearance. Objective: To examine the existence of concurrent radiological and ultrasonographical findings in individual sesamoid-branch units in sales horses; to determine whether there are any radiological findings that are consistently accompanied by...
Athletic prognosis following arthroscopic removal of osteochondral fragments of the proximal dorsal sagittal ridge of the fetlock in Thoroughbreds intended for flat racing.
Veterinary surgery : VS    June 24, 2024   doi: 10.1111/vsu.14129
Luick ML, Khouzam NA, Pérez-Nogués M.To establish racing prognosis in Thoroughbred yearlings with proximal sagittal ridge osteochondral lesions and compare them to dorsoproximal and palmar/plantar first phalanx osteochondral lesions. Methods: A total of 47 horses had proximal sagittal ridge lesions, 34 had palmar/plantar first phalanx lesions, and 115 had dorsoproximal first phalanx lesions. Methods: Retrospective case series. Methods: Medical records of Thoroughbred yearling racing prospects treated arthroscopically for fetlock osteochondral lesions were reviewed. Data were collected from a public database, including the ability...
The difference in radiographic findings in the distal limbs of working Lipizzan horses, used for dressage or driving.
Frontiers in veterinary science    May 29, 2024   Volume 11 1393325 doi: 10.3389/fvets.2024.1393325
Zalig V, Vengust M, Blagus R, Berner D, Sandow C, Hanna A, Miklavcic M.Lameness originating from the distal limb is common in sport horses and can vary depending on the dynamics of movement and the surface, with differences in shoeing exacerbating this variability. Driving horses work primarily on hard surfaces (pavement), whereas dressage horses work primarily on soft surfaces (riding arenas with sand). Driving horses are traditionally shod with small fixed studs made of hard metal, which are attached to the horseshoe at 4 points, while dressage horses are shod with a simple horseshoe. We investigated the hypothesis that there is a difference in the pathological...
Equine Talocalcaneal subluxation.
Journal of equine veterinary science    May 19, 2024   Volume 138 105101 doi: 10.1016/j.jevs.2024.105101
Bertelsen L.A Quarter horse filly was evaluated for a two-week old wound of the right hind cannon bone after the mare stepped on her. A sequestrum was noted radiographically and was surgically debrided. After continued follow-up a left hind varus deformity was noted and was corrected with a lateral transphyseal screw in the distal left tibia. After the varus deformity was improved, a lateromedial radiograph was taken of the distal left tibia and tarsus and talocalcaneal subluxation was seen. The same view was taken of the right tarsus and the same deformity was noted. After finding no case reports on the ...
Radiographic analysis in Thoroughbreds reveals morphological changes in healthy maturing stifle joints and possible association between subchondral lesions and femoral condyle width.
American journal of veterinary research    May 13, 2024   1-11 doi: 10.2460/ajvr.23.12.0291
Wadbled L, Finck C, Santschi EM, Morehead JP, Fogarty U, Lemirre T, Beauchamp G, Richard H, Laverty S.Assess femorotibial features in foals with and without medial femoral condyle (MFC) subchondral radiolucencies (SR+ and SR-). Methods: 3 independent, sequential radiographic studies were performed. Study 1 retrospectively measured femorotibial morphological parameters in repository radiographs (SR- and SR+). Study 2 qualitatively compared drawings of intercondylar notch shape in postmortem radiographs (SR-). Study 3 prospectively measured femorotibial parameters in 1-month-old foals (SR-). In studies 1 and 3, 13 morphologic parameters were measured. Limb directional asymmetry was assessed in 2...
Gestation length is associated with early-life limb deformities in Thoroughbred foals.
Journal of equine veterinary science    August 2, 2023   doi: 10.1016/j.jevs.2023.104896
Mouncey R, Arango-Sabogal JC, de Mestre AM, Verheyen KL.Flexural and angular limb deformities (LD) are an important cause of early-life morbidity and mortality/euthanasia in Thoroughbred foals. The majority are congenital in origin but, to date, their precise aetiology is poorly understood. We hypothesised that maternal- and pregnancy-level factors, particularly those with potential to influence in-utero growth and development, could play an important role. The aim of this study was therefore to investigate associations between such factors and early-life LD in Thoroughbred foals. A birth cohort was established on seven farms across the United King...
An Investigation into the Effects of Changing Dorso-Plantar Hoof Balance on Equine Hind Limb Posture.
Animals : an open access journal from MDPI    November 24, 2022   Volume 12, Issue 23 3275 doi: 10.3390/ani12233275
Sharp Y, Tabor G.Links between poor hind hoof balance, pathologies in the hind limb and associated altered posture have been suggested but not quantified. The hoof is proposed as a neuro-sensory organ responsible for informing equine stance with implications for musculoskeletal health in the hind limb and trunk of the horse. This study aims to quantify equine limb posture and its relationship with hoof balance. Twelve horses presenting with negative plantar angles were photographed and limb posture documented before and after the creation of positive plantar angles and improved three-dimensional proportions ar...
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