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Topic:Metacarpal Bone

The metacarpal bone in horses is a key component of the equine forelimb, consisting primarily of the third metacarpal bone, commonly referred to as the cannon bone, and the smaller second and fourth metacarpal bones, known as splint bones. These bones provide structural support and play a vital role in weight-bearing and locomotion. The third metacarpal bone is the largest and most prominent, extending from the carpus (knee) to the fetlock joint. Its strength and integrity are essential for the horse's ability to perform various physical activities. The second and fourth metacarpal bones are positioned on either side of the third metacarpal and are remnants of evolutionary development. They can be involved in conditions such as splints, where inflammation occurs due to stress or trauma. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, and clinical aspects of metacarpal bones in horses, including their role in equine biomechanics and common pathologies.
Does periosteal scraping of the third metacarpal bone reduce the incidence of ‘bucked shins’ in young Thoroughbred racehorses?
Equine veterinary journal    December 23, 2013   Volume 46, Issue 5 560-566 doi: 10.1111/evj.12197
Plevin S, McLellan J.The occurrence of bucked shins in young Thoroughbred racehorses in North America is high. Although an altered training regime has demonstrated a significant decrease in this condition, trainers can be opposed to altering something as fundamental as their training routine. Periosteal scraping of the third metacarpal bone (McIII) is a putative prophylactic technique used to prevent bucked shins; therefore, a study to investigate the validity of the procedure is warranted. Objective: To investigate whether prophylactic McIII scraping: 1) reduces the incidence of bucked shins in juvenile Thoroughb...
Frontal plane fractures of the accessory carpal bone and implications for the carpal sheath of the digital flexor tendons.
Equine veterinary journal    December 22, 2013   Volume 46, Issue 5 579-584 doi: 10.1111/evj.12203
Minshall GJ, Wright IM.Accurate radiological and ultrasonographic descriptions of frontal plane fractures of the accessory carpal bone (ACB) are lacking, and implications of these fractures for the carpal sheath and its contents have not previously been reported. Objective: Aims were as follows: 1) to describe the location and radiological features of frontal plane fractures of the ACB; 2) to document communication of displaced fractures with the carpal sheath and consequent injury to the deep digital flexor tendon (DDFT); 3) to describe ultrasonographic identification of lesions; and 4) to report tenoscopic evaluat...
Identification and treatment of osteochondritis dissecans of the distal sagittal ridge of the third metacarpal bone.
Equine veterinary journal    December 4, 2013   Volume 46, Issue 5 585-588 doi: 10.1111/evj.12187
Wright IM, Minshall GJ.Osteochondritis dissecans (OCD) of the distal sagittal ridge of the third metacarpal bone (McIII) has not previously been described in the literature. Objective: To describe the clinical, radiological and arthroscopic features of OCD of the distal sagittal ridge of the McIII and to report outcome in a series of cases. Methods: Retrospective case series. Methods: Case records and images of horses with OCD of the distal sagittal ridge of the McIII admitted to a single referral centre between February 2006 and February 2013 were reviewed. Follow-up information was obtained by telephone questionna...
Letters to the editor: Load bearing in the equine metacarpal.
FASEB journal : official publication of the Federation of American Societies for Experimental Biology    October 2, 2013   Volume 27, Issue 10 3891-3892 doi: 10.1096/fj.13-1002ufm
Young DR.No abstract available
Comparison of microgyro-based measurements of equine metatarsal/metacarpal bone to a high speed video locomotion analysis system during treadmill locomotion.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e157-e160 doi: 10.1016/j.tvjl.2013.09.052
Roepstorff L, Wiestner T, Weishaupt MA, Egenvall E.The aim of this study was to compare an inertial motion system (IMS) to an optical based locomotion analysis system measuring limb sagittal segment angles in horses at the walk and trot. The metatarsal/metacarpal bones of two horses (20 trials) were fitted with optical system markers and an IMS. Between the systems, measuring range of motion (ROM) of the sagittal metatarsal/metacarpal bone angles, the IMS measured higher ROM than the optical system (bias 1.6°; precision at 1.96 standard deviation 1.9°). The same angle data were used to assess inter-limb symmetry by calculating phase shift be...
Vascular perfusion of the dorsal and palmar condyles of the equine third metacarpal bone.
Equine veterinary journal    September 25, 2013   Volume 46, Issue 3 370-374 doi: 10.1111/evj.12136
Alber MT, Brown MP, Merritt KA, Trumble TN.Palmar osteochondral disease (POD) is an overload arthrosis that commonly affects fetlock joints of racing Thoroughbreds (TB) but the aetiopathogenesis of the disease has not been well defined. Objective: The aim of this study was to compare India ink perfusion in the dorsal and palmar condyles of the third metacarpal bone (McIII) in both passively flexed and maximally extended fetlock joints from paired equine cadaver limbs. Methods: Descriptive cadaver study comparing perfusion of condyles of McIII in paired cadaver limbs in flexion (control group) and maximal extension (intervention group)....
Compressive fatigue life of subchondral bone of the metacarpal condyle in thoroughbred racehorses.
Bone    September 21, 2013   Volume 57, Issue 2 392-398 doi: 10.1016/j.bone.2013.09.006
Martig S, Lee PV, Anderson GA, Whitton RC.In racehorses, fatigue related subchondral bone injury leads to overt fracture or articular surface collapse and subsequent articular cartilage degeneration. We hypothesised that the fatigue behaviour of equine subchondral bone in compression follows a power law function similar to that observed in cortical and trabecular bone. We determined the fatigue life of equine metacarpal subchondral bone in-vitro and investigated the factors influencing initial bone stiffness. Subchondral bone specimens were loaded cyclically in compression [54MPa (n=6), 66MPa (n=6), 78MPa (n=5), and 90MPa (n=6)] until...
Elastographic characteristics of the metacarpal tendons in horses without clinical evidence of tendon injury. Lustgarten M, Redding WR, Labens R, Morgan M, Davis W, Seiler GS.Tendon and ligament injuries are common causes of impaired performance in equine athletes. Gray-scale ultrasonography is the current standard method for diagnosing and monitoring these injuries, however this modality only provides morphologic information. Elastography is an ultrasound technique that allows detection and measurement of tissue strain, and may provide valuable mechanical information about equine tendon and ligament injuries. The purpose of this study was to determine the feasibility, reproducibility, and repeatability of elastography; and to describe elastographic characteristics...
The mechanical consequences of load bearing in the equine third metacarpal across speed and gait: the nonuniform distributions of normal strain, shear strain, and strain energy density.
FASEB journal : official publication of the Federation of American Societies for Experimental Biology    January 25, 2013   Volume 27, Issue 5 1887-1894 doi: 10.1096/fj.12-216804
Rubin CT, Seeherman H, Qin YX, Gross TS.Distributions of normal strain, shear strain, and strain energy density (SED) were determined across the midshaft of the third metacarpal (MCIII, or cannon bone) of 3 adult thoroughbred horses as a function of speed and gait. A complete characterization of the mechanical demands of the bone made through the stride and from mild through the extremes of locomotion was possible by using three 3-element rosette strain gauges bonded at the diaphyseal midshaft of the MCIII and evaluating the strain output with beam theory and finite element analysis. Mean ± sd values of normal strain, shear strain,...
Effects of infrared camera angle and distance on measurement and reproducibility of thermographically determined temperatures of the distolateral aspects of the forelimbs in horses.
Journal of the American Veterinary Medical Association    January 19, 2013   Volume 242, Issue 3 388-395 doi: 10.2460/javma.242.3.388
Westermann S, Buchner HH, Schramel JP, Tichy A, Stanek C.To assess effects of camera angle and distance on measurement and reproducibility of thermographically determined temperatures of the distolateral aspect of the forelimbs in horses. Methods: Evaluation study. Methods: 10 adult horses. Methods: Thermographic images of both forelimbs were obtained at 3 times during the day (replicates 1, 2, and 3); maximum surface temperature over 1 region (distolateral aspect of the third metacarpal bone and metacarpophalangeal joint) was measured. Standard images were obtained every 5 minutes for 1 hour with the camera positioned at an angle of 90° and a dist...
Validation of delayed gadolinium-enhanced magnetic resonance imaging of cartilage and T2 mapping for quantifying distal metacarpus/metatarsus cartilage thickness in Thoroughbred racehorses. Carstens A, Kirberger RM, Dahlberg LE, Prozesky L, Fletcher L, Lammentausta E.The purpose of this study was to determine whether delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) and T2 mapping are accurate techniques for measuring cartilage thickness in the metacarpus3/metatarsus3 (Mc3/Mt3) of Thoroughbred racehorses. Twenty-four Mc3/Mt3 cadaver specimens were acquired from six healthy racehorses. Cartilage thickness was measured from postintra-articular Gd-DTPA(2-) images acquired using short tau inversion recovery (STIR), and proton density weighted (PDw) sequences, and compared with cartilage thickness measured from corresponding histolog...
How do metacarpophalangeal joint extension, collateromotion and axial rotation influence dorsal surface strains of the equine proximal phalanx at different loads in vitro?
Journal of biomechanics    December 12, 2012   Volume 46, Issue 4 738-744 doi: 10.1016/j.jbiomech.2012.11.028
Singer E, Garcia T, Stover S.The biomechanical circumstances that promote sagittal fracture of the equine proximal phalanx (P1) are poorly understood. In order to improve our understanding of equine metacarpophalangeal joint (MCPJ) biomechanics and potential aetiologies of sagittal P1 fractures, the study objectives were to quantify P1 bone strains, collateromotion and axial rotation during MCPJ extension under controlled loading circumstances. Unilateral limbs from six cadavers were instrumented with bone reference markers for measurement of P1 movement relative to third metacarpal bone positions during axial limb loadin...
Mechanical and morphological properties of trabecular bone samples obtained from third metacarpal bones of cadavers of horses with a bone fragility syndrome and horses unaffected by that syndrome.
American journal of veterinary research    October 31, 2012   Volume 73, Issue 11 1742-1751 doi: 10.2460/ajvr.73.11.1742
Symons JE, Entwistle RC, Arens AM, Garcia TC, Christiansen BA, Fyhrie DP, Stover SM.To determine morphological and mechanical properties of trabecular bone of horses with a bone fragility syndrome (BFS; including silicate-associated osteoporosis). Methods: Cylindrical trabecular bone samples from the distal aspects of cadaveric third metacarpal bones of 39 horses (19 horses with a BFS [BFS bone samples] and 20 horses without a BFS [control bone samples]). Methods: Bone samples were imaged via micro-CT for determination of bone volume fraction; apparent and mean mineralized bone densities; and trabecular number, thickness, and separation. Bone samples were compressed to failur...
The histological appearance of the proximal aspect of the dorsal condylar sagittal ridge of the third metacarpal and metatarsal bone in young warmblood horses: normal appearance and correlation with detected radiographic variations.
Anatomia, histologia, embryologia    October 8, 2012   Volume 42, Issue 3 232-238 doi: 10.1111/ahe.12006
Hauspie S, Forsyth R, Vanderperren K, Declercq J, Martens A, Saunders JH.The objective of this study is to describe the normal histological appearance of the dorsoproximal aspect of the sagittal ridge of the third metacarpal/metatarsal bone in young Warmblood horses, and to compare it to the different radiographic variations (irregular, indentation, lucency, notch) described at this level. A total of 25 metacarpo/metatarsophalangeal joints of 12 Warmblood horses were used. Five samples of each radiographically described group were selected for histological processing. Each category was compared with the normal control group. Each group showed a bone cortex, covered...
Osteoprogenitor cell therapy in an equine fracture model.
Veterinary surgery : VS    July 13, 2012   Volume 41, Issue 7 773-783 doi: 10.1111/j.1532-950X.2012.01024.x
McD○ LA, Pack L, Lores M, Wright GM, Esparza-Gonzalez B, Masaoud E.To compare the efficacy of osteoprogenitors in fibrin glue to fibrin glue alone in bone healing of surgically induced ostectomies of the fourth metacarpal bones in an equine model. Methods: Experimental. Methods: Adult horses (n = 10). Methods: Segmental ostectomies of the 4th metacarpal bone (MC4) were performed bilaterally in 10 horses. There was 1 treatment and 1 control limb in each horse. Bone defects were randomly injected with either fibrin glue and osteoprogenitor cells or fibrin glue alone. Radiography was performed every week until the study endpoint at 12 weeks. After euthanasia, bo...
Effect of sequential removal of parts of the second metacarpal bone on the biomechanical stability of the equine carpus.
Veterinary surgery : VS    June 25, 2012   Volume 41, Issue 7 862-868 doi: 10.1111/j.1532-950X.2012.01011.x
Seabaugh KA, Hubert JD, Kawcak CE, McGilvray KC, Santoni BG, Rao S, Baxter GM.To quantify changes in biomechanical stability and stiffness within the equine carpus after removal of 50%, 80%, and 100% of the second metacarpal bone (MC2). Methods: In vitro biomechanical study. Methods: Cadaveric equine forelimbs (n = 16) were evaluated. Intact constructs were loaded in axial compression from 0 to 5000 N and compression + torsion (5000 N ± 20°) for 5 cycles. This was repeated after removal of 50%, 80%, and 100% of MC2. The primary biomechanical outcome variables were the compressive stiffness and compressive + torsional stiffness of the carpus. Relative kinematic motion ...
In vitro biomechanical evaluation and comparison of a new prototype locking plate and a limited-contact self compression plate for equine fracture repair.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    June 13, 2012   Volume 25, Issue 4 273-280 doi: 10.3415/VCOT-11-01-0011
Quinteros DD, García-López JM, Abuja GA, Tarkanian M, Maranda LS, Bubeck K, Kowaleski MP.To determine if the mechanical properties (strength and stiffness) of a new prototype 4.5 mm broad locking plate (NP-LP) are comparable with those of a traditional 4.5 mm broad limited-contact self compression plate (LC-SCP), and to compare the bending and torsional properties of the NP-LP and LC-SCP when used in osteotomized equine third metacarpal bones (MC3). Methods: The plates alone were tested in four-point bending single cycle to failure. The MC3-plate constructs were created with mid-diaphyseal osteotomies with a 1 cm gap. Constructs were tested in four-point bending single cycle to fa...
Radiographic changes in Thoroughbred yearlings in South Africa.
Journal of the South African Veterinary Association    May 24, 2012   Volume 82, Issue 4 194-204 doi: 10.4102/jsava.v82i4.74
Furniss C, Carstens A, van den Berg SS.This study involves the evaluation of pre-purchase radiographic studies of South African Thoroughbred yearlings. Radiographic changes were recorded and compared with similar international studies. The study differs from other studies in that a lower prevalence of pedal osteitis (1.26%), dorsal osteochondral fragmentation of the metatarsophalangeal joint (1.60%), distal metacarpal sagittal ridge changes (15.7%), ulnar carpal bone lucencies (8.33%), carpal osteophytes (1.19%), distal intertarsal and tarsometatarsal joint radiographic changes (9.92%), tarsal osteochondrosis lesions (4.40%) and st...
Morphometrical study of bony elements of the forelimb fetlock joints in horses.
Anatomia, histologia, embryologia    May 10, 2012   Volume 42, Issue 1 9-20 doi: 10.1111/j.1439-0264.2012.01158.x
Alrtib AM, Philip CJ, Abdunnabi AH, Davies HM.There are many reports describing fractures in the bony elements of the equine fetlock joint and a few of these discuss possible relationships of these fractures to the mechanical loading of these bones. The likelihood of fracture must be related to the size and shape of bones involved, but information concerning the normal range in size and shape of these bones in horses is lacking. This study aimed to identify morphometrical variations of these bones within different groups of horses. Right and left metacarpal, proximal phalangeal and proximal sesamoid bones were collected from 10 Thoroughbr...
Comparison of hydroxyapatite-coated and uncoated pins for transfixation casting in horses.
American journal of veterinary research    April 27, 2012   Volume 73, Issue 5 724-734 doi: 10.2460/ajvr.73.5.724
Lescun TB, Baird DK, Oliver LJ, Adams SB, Hawkins JF, Moore GE.To determine the extent to which a hydroxyapatite coating promotes pin stability in the third metacarpal bone during transfixation casting in horses. Methods: 14 adult horses. Methods: 7 horses each were assigned to either an uncoated or hydroxyapatite-coated pin group. Three transcortical pins were placed in the third metacarpal bone of each horse and incorporated into a cast for 8 weeks. Insertion and extraction torque were measured, and torque reduction was calculated. Radiography was performed at 0, 4, and 8 weeks. Lameness evaluation was performed at 2, 4, 6, and 8 weeks. Bacteriologic cu...
Investigation into the morphology of the third metacarpal bone in the horse.
New Zealand veterinary journal    April 18, 2012   Volume 60, Issue 4 223-227 doi: 10.1080/00480169.2011.651056
Dymock DC, Pauwels FE.To describe key morphological attributes of the third metacarpal bone (Mc3) of horses and to determine whether or not the symmetry of the Mc3 varied significantly between limbs of the same horse. Methods: Ten pairs of metacarpi were collected from slaughter facilities. The age and breed of the horses were recorded. Fixed points and axes that could be easily reproduced between bones were identified on high-quality photographic images of each bone. Using image analysis, three angles were measured. Angle gamma measured the rotation around the long axis of the diaphysis of Mc3, angle delta the ang...
Diffusion of contrast medium after four different techniques for analgesia of the proximal metacarpal region: an in vivo and in vitro study.
Equine veterinary journal    April 4, 2012   Volume 44, Issue 6 668-673 doi: 10.1111/j.2042-3306.2012.00564.x
Nagy A, Bodó G, Dyson SJ.There is limited information on potential diffusion of local anaesthetic solution after various diagnostic analgesic techniques of the proximal metacarpal region. Objective: To document potential distribution of local anaesthetic solution following 4 techniques used for diagnostic analgesia of the proximal metacarpal region. Methods: Radiodense contrast medium was injected around the lateral palmar or medial and lateral palmar metacarpal nerves in 8 mature horses, using 4 different techniques. Radiographs were obtained 0, 10 and 20 min after injection and were analysed subjectively. A mixture ...
Frequency distributions of 174 fractures of the distal condyles of the third metacarpal and metatarsal bones in 167 Thoroughbred racehorses (1999-2009).
Equine veterinary journal    March 12, 2012   Volume 44, Issue 6 707-713 doi: 10.1111/j.2042-3306.2012.00558.x
Jacklin BD, Wright IM.Although fractures of the metacarpal and metatarsal condyles are the most common long-bone fractures of Thoroughbred horses in training, limited data on variations in morphology and incidence have been published. Additionally, grouped analyses of previous studies from the UK and USA would permit comparison between study groups and the creation of a substantial pool of international data. Methods: Retrospective analysis of case records of horses with fractures of the distal condyles of third metacarpal/metatarsal bones seen over the last 10 years at Newmarket Equine Hospital. The current series...
Exostoses on the palmar or plantar aspect of the diaphysis of the third metacarpal or metatarsal bone in horses: 16 cases (2001-2010).
Journal of the American Veterinary Medical Association    March 3, 2012   Volume 240, Issue 6 740-747 doi: 10.2460/javma.240.6.740
Bertoni L, Forresu D, Coudry V, Audigie F, Denoix JM.To characterize the clinical features, diagnostic procedures, treatment, and outcome for horses with an exostosis on the palmar or plantar cortex of the third metacarpal bone (MC3) or third metatarsal bone (MT3). Methods: Retrospective case series. Methods: 16 horses. Methods: Records from 2001 through 2010 were evaluated to identify horses with radiographic and ultrasonographic evidence of an exostosis on an MC3 or MT3. Signalment, history, lameness examination results, diagnostic imaging results, surgical and histopathologic findings, treatment, and outcome were evaluated. Results: 9 horses ...
Effects of a novel hydrogel on equine bone healing: a pilot study.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    February 27, 2012   Volume 25, Issue 3 184-191 doi: 10.3415/VCOT-11-01-0006
Cohen JM, Southwood LL, Engiles J, Leitch M, Nunamaker DM.To examine the efficacy and biocompatibility of a thiolated gelatin-thiolated carboxymethyl hyaluronan (CMHA-SGX) sponge as an osteoconductive device in an equine second and fourth metacarpal bone defect model. Methods: Seven millimetre segmental ostectomies were created bilaterally in the second and fourth metacarpal bones of four horses. The left and right metacarpal defects were randomly assigned to (1) be filled with a CMHA-SGX sponge (treated) or (2) were left unfilled (control). The duration of the study was nine weeks. Bone healing was evaluated using serial radiology, as well as histol...
Evaluation of direct in vivo gene transfer in an equine metacarpal IV ostectomy model using an adenoviral vector encoding the bone morphogenetic protein-2 and protein-7 gene.
Veterinary surgery : VS    February 6, 2012   Volume 41, Issue 3 345-354 doi: 10.1111/j.1532-950X.2011.00947.x
Southwood LL, Kawcak CE, Hidaka C, McIlwraith CW, Werpy N, Macleay J, Frisbie DD.To evaluate gene transfer in an equine metacarpal IV (MCIV) ostectomy model using adenoviral vectors encoding the human bone morphogenetic protein-2 and protein-7 gene (Ad-BMP-2/-7). Methods: Healthy adult horses (n = 15). Methods: A plate stabilized, critical size 1.5 cm ostectomy was created in left and right MCIV. The ostectomy site was injected with either Ad-green fluorescent protein (Ad-GFP) or Ad-hBMP-2/-7 at completion of surgery; the same treatment was assigned to both the left and right forelimb of each horse (n = 5 horses/group). Bone healing was evaluated radiographically every 2 w...
Effect of a solution of hyaluronic acid-chondroitin sulfate-N-acetyl glucosamine on the repair response of cartilage to single-impact load damage.
American journal of veterinary research    January 28, 2012   Volume 73, Issue 2 306-312 doi: 10.2460/ajvr.73.2.306
Henson FM, Getgood AM, Caborn DM, McIlwraith CW, Rushton N.To investigate effects of 1% hyaluronic acid-chondroitin sulfate-N-acetyl glucosamine (HCNAG) on the damage repair response in equine articular cartilage. Methods: Articular cartilage from 9 clinically normal adult horses. Methods: Full-thickness cartilage disks were harvested from the third metacarpal bone. Cartilage was single-impact loaded (SIL) with 0.175 J at 0.7 m/s and cultured in DMEM plus 1 % (vol/vol) HCNAG or fibroblastic growth factor (FGF)-2 (50 ng/mL). Histologic and immunohistochemical techniques were used to identify tissue architecture and apoptotic cells and to immunolocalize...
In vivo osteoinductivity of gelatin β-tri-calcium phosphate sponge and bone morphogenetic protein-2 on an equine third metacarpal bone defect.
Research in veterinary science    January 24, 2012   Volume 93, Issue 2 1021-1025 doi: 10.1016/j.rvsc.2011.12.002
Tsuzuki N, Otsuka K, Seo J, Yamada K, Haneda S, Furuoka H, Tabata Y, Sasaki N.This study evaluated the therapeutic effects of a gelatin-β-TCP sponge (sponge) incorporating BMP-2 (BMP-2/sponge) on bone regeneration in equines. Six bone defects were created in third metacarpals of five thoroughbred horses, and a total of six treatments were applied in a randomized manner. The treatments were BMP-2/sponge, BMP-2/gelatin hydrogel sheet (sheet), free BMP-2, bFGF/sheet, plain sponge, and plain sheet. The defects were monitored for 16 weeks by radiography and then examined by histological analysis. Radiographic evaluation scores of bone regeneration revealed significantly gre...
Magnetic resonance imaging-detected adaptation and pathology in the distal condyles of the third metacarpus, associated with lateral condylar fracture in Thoroughbred racehorses.
Equine veterinary journal    January 19, 2012   Volume 44, Issue 6 699-706 doi: 10.1111/j.2042-3306.2011.00535.x
Tranquille CA, Parkin TD, Murray RC.Lateral condylar (LC) fractures of the third metacarpus (McIII) are a common reason for euthanasia in racehorses, and may be the result of repetitive overloading or cumulative pathological change. Magnetic resonance imaging (MRI) allows monitoring of bone and cartilage to detect pathological and adaptive changes that may be precursors of fracture. Objective: To describe bone and cartilage MRI features in the distal condyles of McIII of Thoroughbred racehorses, with and without condylar fracture. Objective: 1) A greater degree of bone and cartilage adaptation or pathology will be seen in fractu...
What is your diagnosis? A subchondral bone cyst-like lesion of the third metacarpal condyle and osteoarthritis.
Journal of the American Veterinary Medical Association    January 6, 2012   Volume 240, Issue 2 147-148 doi: 10.2460/javma.240.2.147
Olive J.No abstract available
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