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Topic:Mares

Mares and horses are integral components of equine studies, focusing on the reproductive and behavioral aspects of equine biology. Mares, or adult female horses, play a significant role in breeding programs and are often studied for their reproductive physiology, gestation, and maternal behaviors. Horses, as a broader category, encompass both sexes and all age groups, providing a comprehensive view of equine anatomy, physiology, and behavior. Research in this area often investigates the differences and similarities between mares and other horses in terms of hormonal cycles, reproductive health, and social interactions. This page compiles peer-reviewed studies and scholarly articles that explore the biological and behavioral characteristics of mares and horses, offering insights into their roles in equine science and management.
Equine gestational length and location: is there more that the research could be telling us?
Australian veterinary journal    December 16, 2017   Volume 95, Issue 12 454-461 doi: 10.1111/avj.12653
Clothier J, Hinch G, Brown W, Small A.Clear definitions of 'normal' equine gestation length (GL) are elusive, with GL being subject to a considerable number of internal and external variables that have confounded interpretation and estimation of GL for over 50 years. Consequently, the mean GL of 340 days first established by Rossdale in 1967 for Thoroughbred horses in northern Europe continues to be the benchmark value referenced by veterinarians, breeders and researchers worldwide. Application of a 95% confidence limit to reported GL range values indicates a possible connection between geographic location and GL. Improved kno...
Factors affecting the prognosis for uterine torsion: the effect of treatment based on measurements of serum progesterone and estradiol concentrations after surgery.
Journal of equine science    December 16, 2017   Volume 28, Issue 4 163-167 doi: 10.1294/jes.28.163
Satoh M, Higuchi T, Inoue S, Gotoh T, Murase H, Nambo Y.This is a retrospective study of uterine torsion (UT) in seven mares. In two cases, serum progesterone and estradiol concentrations were also investigated. The mare and foal/fetus survival rate was 57% (4/7). Four cases presented with clockwise torsion, and two cases presented with counterclockwise torsion. The direction was undetermined in one case. The degree of torsion varied. Correction of torsion was performed by ventral midline celiotomy in all cases. In the two cases with measured hormone levels, elevated levels of P were decreased through medication. All mares discharged from the hospi...
Post-partum concentrations of serum progesterone, oestradiol and prolactin in Arabian mares demonstrating normal maternal behaviour and Arabian mares demonstrating foal rejection behaviour.
Veterinary journal (London, England : 1997)    December 15, 2017   Volume 232 40-45 doi: 10.1016/j.tvjl.2017.12.007
Berlin D, Steinman A, Raz T.The aim of this prospective study was to investigate possible endocrine components to foal rejection behaviour in post-partum Arabian mares. Arabian mares were divided into two groups based on their maternal behaviour: (1) mares with normal post-parturient behaviour (8 mares); and (2) mares that demonstrated foal-rejecting behaviour post-partum (15 mares). Most mares were visited and sampled twice, in the first and third days post-partum. Serum samples were used for measurement of progesterone, oestradiol and prolactin concentrations. There were no statistically significant differences in oest...
Inhibin-A and inhibin-B in cyclic and pregnant mares, and mares with granulosa-theca cell tumors: Physiological and diagnostic implications.
Theriogenology    December 7, 2017   Volume 108 192-200 doi: 10.1016/j.theriogenology.2017.12.003
Conley AJ, Scholtz EL, Dujovne G, Cotterman RF, Legacki EL, Uliani RC, Alvarenga MA, Ball BA, Kalra B, Savjani GV, Kumar A.Studies in mares have examined serum inhibin concentrations using immuno-assays unable to distinguish dimeric inhibin-A from inhibin-B isoforms. Inhibin-A and inhibin-B immuno-assays were used to investigate concentrations in cyclic mares, young and old (6 vs 19 years old, respectively) mares following hemi-ovariectomy, mares during pregnancy and in mares with confirmed granulosa cell tumors (GCTs). Mares with inter-ovulatory intervals of 26 days had ovulatory peaks of inhibin-A averaging 80 pg/mL with a mid-cycle nadir of 5 pg/mL. Inhibin-A and inhibin-B concentrations were highly correlate...
Clinical application of hysteroscopic hydrotubation for unexplained infertility in the mare.
Equine veterinary journal    December 5, 2017   Volume 50, Issue 4 470-473 doi: 10.1111/evj.12781
Inoue Y, Sekiguchi M.Therapeutic techniques for oviductal obstruction in the mare are limited. Nonsurgical and retrograde flushing may be an attractive alternative to current treatment methods for oviductal blockage. Objective: To evaluate hysteroscopic selective hydrotubation as a treatment option for presumptive equine oviductal blockage. Methods: Retrospective case series. Methods: A quantity of 10 mL of saline was flushed through the oviducts in 28 standing sedated mares, which had reproductive histories of unexplained subfertility, by inserting a catheter into the uterotubal junction under endoscopic guidance...
Vessel sealer and divider instrument temperature during laparoscopic ovariectomy in horses.
Veterinary surgery : VS    December 3, 2017   Volume 47, Issue S1 O26-O31 doi: 10.1111/vsu.12755
Easley JT, McGilvray KC, Hendrickson DA, Bruemmer J, Hackett ES.To determine the temperature of a vessel sealer and divider device during unilateral paralumbar laparoscopic ovariectomy in standing, sedated mares. Methods: Prospective study. Methods: Fifteen healthy research mares. Methods: Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and sedated. A right or left paralumbar ovariectomy was performed with a laparoscopic portal and 2 instrument portals. Ovaries were excised with traumatic forceps and a blunt tip vessel sealer and divider. Temperatures of the vessel sealer ...
Endometrial expression of estrogen and progesterone receptors in non-cyclic mares treated only with long-acting progesterone.
Theriogenology    December 2, 2017   Volume 108 185-191 doi: 10.1016/j.theriogenology.2017.11.037
Maciel LFS, Silva ESM, Oliveira-Filho JP, Fritsch SC, Rossi RS, Lourenção JAC, Meira C.Administration of progesterone (P4) after estradiol is usually performed to prepare non-cyclic mares as embryo recipients. However, there are successful pregnancy reports after embryo transfer in non-cyclic mares treated only with progestins. The objective of this study was to evaluate endometrial gene expression and immunostaining for estrogen receptor alpha (ERα), beta (ERβ) and progesterone receptor (PR) in seasonal anestrous mares treated with long acting P4 (LA P4). Endometrial tissue from eight seasonal anestrous mares was collected immediately before administration of 1.5 g of LA P4 ...
Descriptive study of current therapeutic practices, clinical reproductive findings and incidence of pregnancy loss in intensively managed thoroughbred mares.
Animal reproduction science    November 10, 2017   Volume 188 74-84 doi: 10.1016/j.anireprosci.2017.11.011
Rose BV, Firth M, Morris B, Roach JM, Wathes DC, Verheyen KLP, de Mestre AM.Therapeutic practices in equine reproductive medicine have dramatically evolved over the last 20 years but current usage is not described. The aims of this study were to provide a description of medication use and clinical findings of reproductive examinations alongside measures of reproductive efficiency in thoroughbreds. A prospective cohort study was conducted in the 2013 and 2014 breeding seasons. Mare and stallion details, information on veterinary interventions and findings of reproductive ultrasound scans were collected using questionnaires and entered into a custom-designed Microsoft A...
Streptococcus equi subsp. zooepidemicus Invades and Survives in Epithelial Cells.
Frontiers in cellular and infection microbiology    November 6, 2017   Volume 7 465 doi: 10.3389/fcimb.2017.00465
Skive B, Rohde M, Molinari G, Braunstein TH, Bojesen AM. subsp. () is an opportunistic pathogen of several species including humans. is found on mucus membranes of healthy horses, but can cause acute and chronic endometritis. Recently was found able to reside in the endometrium for prolonged periods of time. Thus, we hypothesized that an intracellular phase may be part of the pathogenesis and investigated if was able to invade and survive inside epithelial cells. HEp-2 and HeLa cell lines were co-cultured with two strains (1-4a and S31A1) both originating from the uterus of mares suffering from endometritis. Cells were fixed at different time...
Hemodynamics of the corpus luteum in mares during experimentally impaired luteogenesis and partial luteolysis.
Theriogenology    November 4, 2017   Volume 107 78-84 doi: 10.1016/j.theriogenology.2017.10.045
Ferreira JC, Filho LFN, Boakari YL, Canesin HS, Thompson DL, Lima FS, Meira C.The aim of the current project was to characterize the luteal vascularity and the plasma concentrations of progesterone (P4), prolactin (PRL) and 13,14-dihydro-15-keto-PGF (PGFM) in mares with luteal disturbances during early and mid-diestrus. In Experiment 1, twenty-one mares were treated with 2 mL of 0.9% NaCl, or 1 mg Dinoprost, or 10 mg Dinoprost on day two after ovulation (Control-D2, 1/10PGF-D2 and PGF-D2 groups, respectively; n = 7 mares/group). In Experiment 2, similar treatments were performed eight days post-ovulation using a different cohort of 21 mares (Control-D8, 1/10PGF-D8 ...
Half a century of equine reproduction research and application: A veterinary tour de force.
Equine veterinary journal    November 3, 2017   Volume 50, Issue 1 10-21 doi: 10.1111/evj.12762
Allen WR, Wilsher S.Over the past 50 years, per season pregnancy rate in Thoroughbred mares have risen from 70 to >90% and foaling rates from 55 to >80%. Some of the significant pharmacological treatments and diagnostic methods which have driven this marked improvement in breeding efficiency are reviewed. They include the application of artificial lighting to hasten the onset of ovulatory oestrous cyclicity in early Spring, rapid steroid hormone assays to aid in determining the stage and normality of the mare's cycle, prostaglandin analogues, synthetic progestagens and Gonadotrophin-releasing Hormone (GnRH...
Unusual presentation of cyathostomiasis in an adult Thoroughbred mare.
The Canadian veterinary journal = La revue veterinaire canadienne    November 2, 2017   Volume 58, Issue 11 1221-1223 
Zakrajsek E.A recently purchased 16-year-old Thoroughbred mare with a history of recurrent colic and low body weight, also had lameness in 3 limbs, pain at the sacro-iliac joint, and increased corneal opacity of the right eye. Response to supportive therapy was poor and euthanasia was elected. A postmortem examination and histopathology confirmed cyathostomiasis within the large colon and cecum and chronic anterior uveitis of the right eye. Une jument Thoroughbred, âgée de 16 ans et récemment achetée, avec une anamnèse de coliques récurrentes et de faible poids corporel souffrait aussi de boiterie ...
Sex-steroid receptors, prostaglandin E2 receptors, and cyclooxygenase in the equine cervix during estrus, diestrus and pregnancy: Gene expression and cellular localization.
Animal reproduction science    October 31, 2017   Volume 187 141-151 doi: 10.1016/j.anireprosci.2017.10.018
Fernandes CB, Loux SC, Scoggin KE, Squires EL, Troedsson MH, Esteller-Vico A, Ball BA.The cervix is a dynamic structure that undergoes dramatic changes during the estrous cycle, pregnancy and parturition. It is well established that hormonal changes, including estrogens, progestogens and prostaglandins, regulate the expression of key proteins involved in cervical function. The arachidonic acid cascade is important in the remodeling and relaxation of the cervix in the days preceding parturition. Despite the complexity of this mechanism, regulation of cervical function has received little study in the mare. Therefore, the objective of this study was to compare the expression of e...
Steroidogenic enzyme activities in the pre- and post-parturient equine placenta.
Reproduction (Cambridge, England)    October 24, 2017   Volume 155, Issue 1 51-59 doi: 10.1530/REP-17-0472
Legacki EL, Corbin CJ, Ball BA, Scoggin KE, Stanley SD, Conley AJ.Steroidogenic enzymes in placentas shape steroid hormone profiles in the maternal circulation of each mammalian species. These include 3β-hydroxysteroid dehydrogenase/Δ5-4 isomerase (3βHSD) and 17α-hydroxylase/17,20-lyase cytochrome P450 (P450c17) crucial for progesterone and androgen synthesis, respectively, as well as aromatase cytochrome P450 (P450arom) that converts Δ4-androgens to estrogens. 5α-reductase is another important enzyme in equine placentas because 5α-dihydroprogesterone (DHP) sustains pregnancy in the absence of progesterone in the second half of equine pregnancy. DHP a...
First evidence for the presence of aquaporins in stallion sperm.
Reproduction in domestic animals = Zuchthygiene    October 21, 2017   Volume 52 Suppl 4 61-64 doi: 10.1111/rda.13059
Bonilla-Correal S, Noto F, Garcia-Bonavila E, Rodríguez-Gil JE, Yeste M, Miro J.Aquaporins (AQPs) are transmembrane proteins found in all cells and are responsible for the transport of water and small solutes. While these proteins have been found in the spermatozoa of humans, rodents, pigs and cattle, where not only do they play a role for the regulation of sperm volume but are also related with the sperm resilience to withstand freeze-thawing procedures, their presence in stallion sperm is yet to be reported. Therefore, the objectives of this work were as follows: (i) to determine whether AQP3, AQP7 and AQP11 are present in stallion sperm and (ii) to investigate whether ...
An interview with Katrin Hinrichs.
Biology of reproduction    October 19, 2017   Volume 97, Issue 5 657-659 doi: 10.1093/biolre/iox126
Hansen PJ.No abstract available
Effects of inbreeding and other systematic effects on fertility of Black Forest Draught horses in Germany.
Acta veterinaria Scandinavica    October 18, 2017   Volume 59, Issue 1 70 doi: 10.1186/s13028-017-0338-4
Müller-Unterberg M, Wallmann S, Distl O.The Black Forest Draught horse (BFDH) is an endangered German coldblood breed with its origin in the area of the Black Forest in South Germany. In this retrospective study, the influence of the inbreeding coefficient on foaling rates was investigated using records from ten breeding seasons. Due to the small population size of BFDH, the level of inbreeding is increasing and may have an effect on foaling rates.The data of the present study included all coverings reported for 1024 BFDH mares in the years 2001-2009. These mares were covered by 32 BFDH stallions from the State Stud Marbach. Data fr...
Reliability of histopathological examination and immunohistochemistry of a single biopsy for evaluation of endometrial health in Icelandic mares.
Folia histochemica et cytobiologica    October 10, 2017   Volume 55, Issue 3 168-175 doi: 10.5603/FHC.a2017.0017
Sikora M, Nowak M, Racheniuk H, Wojtysiak K, Kozdrowski R.Endometritis and endometrosis have been and still are the major reasons for infertility in mares. The diagnosis of endometritis can be based on cytology and microbiology, but endometrial biopsy is still the only way to diagnose endometrosis in the mare. Our study attempted to determine if a single biopsy using his-topathology and immunohistochemistry is sufficient to ascertain reasons for infertility in Icelandic mares. The objectives of this study were to examine the relationship between deviations in endometrial biopsies in terms of prostaglandin-endoperoxide synthase-2 (PTGS-2) and fibronec...
A comparison of progesterone assays for determination of peripheral pregnane concentrations in the late pregnant mare.
Theriogenology    October 7, 2017   Volume 106 127-133 doi: 10.1016/j.theriogenology.2017.10.002
Wynn MAA, Esteller-Vico A, Legacki EL, Conley AJ, Loux SC, Stanley SD, Curry TE, Squires EL, Troedsson MH, Ball BA.During the latter half of gestation in mares, there is a complex milieu of pregnanes in peripheral blood. Progesterone concentrations are often assessed by immunoassay during late gestation as a measure of pregnancy well-being; however, interpretation of results is complicated by the numerous cross-reacting pregnanes present in high concentrations during late gestation. Further, many mares are supplemented with an exogenous progestin, altrenogest, which may also cross-react with existing assays and further confound interpretation. The objectives of this study were: 1) to compare differences in...
Serum anti-Müllerian hormone dynamics in mares following immunocontraception with anti-zona pellucida or -GnRH vaccines.
Theriogenology    October 5, 2017   Volume 106 214-220 doi: 10.1016/j.theriogenology.2017.10.004
Joonè CJ, Schulman ML, Fosgate GT, Claes ANJ, Gupta SK, Botha AE, Human A, Bertschinger HJ.Circulating anti-Müllerian hormone concentration (AMH) is positively correlated to the number of small growing follicles in the mare and may reflect ovarian function. Dynamics of AMH during immunocontraception have not previously been investigated. This study aimed to compare serum AMH in mares following treatment with native porcine zona pellucida (pZP), recombinant pZP3 and pZP4 (reZP) or gonadotrophin releasing hormone (GnRH) vaccines, and saline-treated controls. Stored sera collected during two previous studies examining ovarian activity in mares during zona pellucida (ZP) or GnRH immuno...
Influence of sulpiride treatment on the level of prolactin and immunoglobulins in the peripheral blood of mares during the postpartum period.
Acta veterinaria Hungarica    September 29, 2017   Volume 65, Issue 3 417-428 doi: 10.1556/004.2017.039
Migdał A, Migdał Ł, Zagrajczuk A, Kochan J, Nowak A, Okólski A.The aim of this study was to determine the effect of increased levels of prolactin (PRL) on the concentration of immunoglobulins in the blood, colostrum and milk of mares. The study was conducted on 12 mares of the Polish Pony breed (6 in the control and 6 in the experimental group). To induce hyperprolactinaemia in mares of the experimental group, 750 mg sulpiride was administered orally once a day. The initial PRL concentration was 52.22 ± 11.21 ng/ml in the control group and 49.39 ± 10.12 ng/ml in the experimental group. In the subsequent days, the concentration of PRL dynamically changed...
Alpha lipoic acid (ALA) effects on developmental competence of equine preantral follicles in short-term culture.
Theriogenology    September 27, 2017   Volume 105 169-173 doi: 10.1016/j.theriogenology.2017.09.023
Gomes RG, Silva CB, González SM, Oliveira RL, Max MC, Lisboa LA, Barreiros TRR, Santos MM, Sarapião FD, Gastal EL, Seneda MM.The effect of different concentrations of alpha lipoic acid (ALA) on the development and morphology of preantral follicles, as well as the proliferative activity of granulosa cells, was assessed after short-term culture. Ovaries (n = 5) of five seasonal anestrous mares were harvested in a local abattoir. At the laboratory, nine ovarian fragments (5 × 5 × 1 mm) from each animal were used. One fragment was immediately fixed in Bouin and subjected to histological and immunohistochemistry (proliferating cell nuclear antigen, PCNA) analyses (noncultured group; D0 = day 0). The other eigh...
Do olfactory behaviour and marking responses of Konik polski stallions to faeces from conspecifics of either sex differ?
Behavioural processes    September 27, 2017   Volume 155 38-42 doi: 10.1016/j.beproc.2017.09.015
Jezierski T, Jaworski Z, Sobczyńska M, Ensminger J, Górecka-Bruzda A.The aim of the study was to assess whether adult stallions differentiate their olfactory and marking behaviour towards the excreta of their potential male rivals and mares. Four Konik polski stallions were individually exposed simultaneously to their own and each others' faeces as well as faeces of mares in oestrus vs. dioestrus. Five series of 30min observation sessions were conducted in a round pen each on two consecutive days from March to July, totaling in 5h observation per stallion. Stallions sniffed and displayed flehmen reaction towards mares' faeces significantly longer (P<0.01) th...
Phosphoinositide 3-kinase/protein kinase B (PI3K/AKT) and Janus kinase/signal transducer and activator of transcription (JAK/STAT) follicular signalling is conserved in the mare ovary.
Reproduction, fertility, and development    September 26, 2017   Volume 30, Issue 4 624-633 doi: 10.1071/RD17024
Hall SE, Upton RMO, McLaughlin EA, Sutherland JM.The mare ovary is unique in its anatomical structure; however, the signalling pathways responsible for physiological processes, such as follicular activation, remain uncharacterised. This provided us with the impetus to explore whether signalling molecules from important folliculogenesis pathways, phosphoinositide 3-kinase/protein kinase B (PI3K/AKT) and Janus kinase/signal transducer and activator of transcription (JAK/STAT), are conserved in the mare ovary. Messenger RNA expression of six genes important in follicle development was measured using quantitative polymerase chain reaction and pr...
Morphological evaluation of Day 8 embryos developed during induced aluteal cycles in the mare.
Theriogenology    September 25, 2017   Volume 105 178-183 doi: 10.1016/j.theriogenology.2017.09.029
Leisinger CA, Medina V, Markle ML, Paccamonti DL, Pinto CRF.A novel in vivo model utilizing serial administrations of PGF2α to induce aluteal cycles in the mare was used to evaluate the effects of progesterone-deprivation on the morphology of in vivo preimplantation embryos. We hypothesized that equine embryos produced during induced aluteal cycles (AL) would be developmentally affected, characterized by earlier embryo stage at collection, smaller embryo diameter, and lower quality grade, compared with those collected on the same day post-ovulation from control cycles during diestrus (high progesterone; > 4 ng/mL). Seven cyclic mares with a medi...
An improved vitrification protocol for equine immature oocytes, resulting in a first live foal.
Equine veterinary journal    September 21, 2017   Volume 50, Issue 3 391-397 doi: 10.1111/evj.12747
Ortiz-Escribano N, Bogado Pascottini O, Woelders H, Vandenberghe L, De Schauwer C, Govaere J, Van den Abbeel E, Vullers T, Ververs C, Roels K....The success rate for vitrification of immature equine oocytes is low. Although vitrified-warmed oocytes are able to mature, further embryonic development appears to be compromised. Objective: The aim of this study was to compare two vitrification protocols, and to examine the effect of the number of layers of cumulus cells surrounding the oocyte during vitrification of immature equine oocytes. Methods: Experimental in vitro and in vivo trials. Methods: Immature equine oocytes were vitrified after a short exposure to high concentrations of cryoprotective agents (CPAs), or a long exposure to l...
Measurement of urinary concentrations of the mycotoxins zearalenone and sterigmatocystin as biomarkers of exposure in mares.
Reproduction in domestic animals = Zuchthygiene    September 18, 2017   Volume 53, Issue 1 68-73 doi: 10.1111/rda.13054
Takagi M, Uno S, Kokushi E, Sato F, Wijayagunawardane M, Fink-Gremmels J.Mycotoxins may affect animal health, including reproduction. Little is known about the clinical relevance of exposure of horses to contaminated feed. This study aimed at (i) monitoring the levels of the mycotoxins zearalenone (ZEN), with its metabolites α- and β-zearalenol (α- and β-ZOL), and sterigmatocystin (STC) in urine samples from thoroughbred mares in Japan and (ii) relating these findings to the potential effects on reproductive efficacy of breeding mares. Sixty-three urine samples of breeding mares from 59 breeding farms were used. Urine samples and reproductive records were colle...
Aerobic uterine isolates and antimicrobial susceptibility in mares with post-partum metritis.
Equine veterinary journal    September 13, 2017   Volume 50, Issue 2 202-207 doi: 10.1111/evj.12738
Ferrer MS, Palomares R.The potential for life-threatening complications of metritis requires prompt initiation of antimicrobial treatment, often before microbiological test results are reported. However, published studies to guide first-line antibiotic selection are scarce. Objective: To report the most frequent bacterial species, antimicrobial susceptibility and prevalence of multidrug resistance (MDR) in cases of equine metritis. Methods: Retrospective analysis of uterine bacterial culture and antimicrobial susceptibility test (AST) results from mares with metritis. Methods: Data from uterine culture and AST from ...
Pre-ovulatory follicle affects corpus luteum diameter, blood flow, and progesterone production in mares.
Animal reproduction science    September 8, 2017   Volume 187 1-12 doi: 10.1016/j.anireprosci.2017.09.003
Ishak GM, Bashir ST, Gastal MO, Gastal EL.Color Doppler ultrasonography was used to study the temporal relationships between pre-ovulatory follicle (POF) and corpus luteum (CL) diameter and blood flow, with systemic progesterone (P4) concentration during two transitional ovulatory seasons in mares. Variables of POF and CL/P4 were evaluated for 6days before and 17days after ovulation, respectively. Evaluations were performed during two consecutive estrous cycles in spring and fall seasons, and during the last estrous cycle of the season. There were significant correlations among POF and CL variables, and P4 concentration that ranged fr...
Reproductive careers of Thoroughbred broodmares before and after surgical correction of ≥360 degree large colon volvulus.
Equine veterinary journal    September 7, 2017   Volume 50, Issue 2 208-212 doi: 10.1111/evj.12736
Leahy ER, Holcombe SJ, Hackett ES, Scoggin CF, Embertson RM.Limited data exist describing broodmare longevity and reproductive efficiency after surgical correction of ≥360 degree large colon volvulus (° LCV). Objective: Compare career duration and foals delivered for broodmares before and after ≥360° LCV surgery. Methods: Retrospective case series. Methods: Broodmares registered with The Jockey Club that had surgical correction of ≥360° LCV and survived to hospital discharge at Rood and Riddle Equine Hospital from 1 January 2000 to 31 December 2015 were included. Information was collected from the hospital's medical data base and The Jockey Cl...
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