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Topic:Musculoskeletal System

The musculoskeletal system in horses encompasses the bones, muscles, tendons, ligaments, and joints that facilitate movement and provide structural support. This system is essential for locomotion, athletic performance, and overall health in equine species. The equine skeleton consists of approximately 205 bones, which are connected by joints and supported by a network of muscles and connective tissues. Tendons connect muscles to bones, while ligaments link bones to other bones, contributing to joint stability. The musculoskeletal system is subject to various conditions, including injuries, degenerative diseases, and developmental disorders, which can impact a horse's mobility and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathology, and treatment of musculoskeletal conditions in horses.
Outcome of Standardbred racehorses following femoropatellar arthroscopy for osteochondrosis dissecans.
Veterinary surgery : VS    November 21, 2025   doi: 10.1111/vsu.70058
Rhodes AD, McCoy AM, Stewart MC, Gutierrez-Nibeyro SD.To evaluate postoperative racing performance of a population of Standardbred racehorses following arthroscopic removal of an osteochondrosis dissecans (OCD) lesion of the femoropatellar joint. Methods: Retrospective study. Methods: A total of 45 client-owned Standardbred racehorses. Methods: OCD lesions were measured and graded using the length of the subchondral bone defect from preoperative radiographs. Postoperative racing results were obtained from the United States Trotting Association, and follow-up owner surveys were conducted. A control group of contemporaneous paternal siblings free o...
Computed tomographic myelography of the cranial cervical vertebral column in unaffected Warmblood horses – comparison of transverse vertebral ratios in the flexed and neutral cranial cervical vertebral column.
Journal of equine veterinary science    November 20, 2025   Volume 156 105735 doi: 10.1016/j.jevs.2025.105735
Hellige M, Schröder C, Seehusen F, Rohn K, Geburek F.Computed tomographic myelography (CTM) is diagnostic for extradural spinal cord compression but knowledge about vertebral ratios from transverse images in flexion and normal position of unaffected horses is lacking. Objective: To compare the ratios of the cross-sectional areas (CSAs) of the spinal cord, the vertebral canal and of the contrast enhanced dural tube on transverse CTM images at C3-C4 in neutral and flexed positions in unaffected Warmbloods. Methods: CTM was performed in 13 neurologically unaffected Warmbloods in neutral and flexed cervical vertebral column positions. Ratios were ca...
Could “wild horses” drag you away? Quantifying muscular architecture in the forelimbs of extant, non-domestic equids (Perissodactyla: Equidae).
Anatomical record (Hoboken, N.J. : 2007)    November 20, 2025   doi: 10.1002/ar.70092
De Ridder T, Aerts P, MacLaren JA.Equid evolution is characterized by a high diversity of extinct species and morphologies, whereas extant equids share a superficially similar, monodactyl morphology. This inferred musculoskeletal similarity of modern equid limbs remains unexplored, and it is often assumed that domestic horse limbs are representative for wild equids (e.g., zebras, onagers, etc.). Our aim was to quantitatively describe the muscle architecture and arrangement of all forelimb muscles in extant wild Equus species to test this assumption, and investigate any differences between the species. We hypothesized that ther...
The impact of cumulative bone fatigue on musculoskeletal injury risk in racing Thoroughbreds.
Veterinary journal (London, England : 1997)    November 19, 2025   Volume 314 106502 doi: 10.1016/j.tvjl.2025.106502
Morrice-West AV, Wong ASM, Hitchens PL, Whitton RC.Musculoskeletal injuries (MSI) in racehorses are not typically spontaneous events, but develop gradually through cumulative cycles of loading over time. Stride characteristics can now be recorded with wearable technology, providing opportunity to quantify the skeletal impact of galloping over time. We estimated bone fatigue accumulation based on speed (m/s) and number of strides from n = 3168 race starts by n = 405 Thoroughbreds commencing racing in Tasmania, Australia between 2011 and 2016. The percentage bone fatigue accumulated was divided by various time periods (career, active car...
Agreement between veterinarians and three objective evaluation systems in naturally occurring equine lameness.
Equine veterinary journal    November 16, 2025   doi: 10.1111/evj.70116
McPeek JL, Menarim B, Sponseller B, McClendon M, Adam EN, Adams AA, Slone S, Page AE.Subjective lameness evaluations are critical components of equine musculoskeletal health assessments. Objective approaches can supplement diagnosis and may be preferred for specific cases and scientific purposes. Objective: Evaluate agreements between subjective evaluation of two veterinarians and standard clinical interpretations from outputs of an AI-based smartphone application (Sleip; AI-SPA), the inertial measurement unit (IMU) system Equinosis Q Lameness Locator (LL), and the IMU system Equisym (ES). Methods: In vivo experiment. Methods: Twenty-five research horses (10-30 years) were e...
Statistical approaches for estimating forelimb ground reaction forces in foals during walking and trotting.
Journal of biomechanics    November 16, 2025   Volume 194 113078 doi: 10.1016/j.jbiomech.2025.113078
Opolz MD, Sipes GC, Moshage SG, McCoy AM, Kersh ME.Equine models are useful in biomechanics research due to their similarity in musculoskeletal tissue to humans, their athletic nature, and rapid skeletal development which permits ontogenetic studies. However, a continuing challenge in musculoskeletal models for large animal biomechanics is measuring the ground reaction force (GRF) during locomotion and therefore few reports of biomechanical measures such as joint torques. Here we evaluate two statistical approaches for estimating forelimb ground reaction forces in foals (n = 3). Longitudinal motion capture, GRF, and subject mass data during ...
Ultrasonographic measurement of the collateral ligaments of the distal interphalangeal joint in the Argentine Polo Horse.
Brazilian journal of veterinary medicine    November 13, 2025   Volume 47 e003125 doi: 10.29374/2527-2179.bjvm003125
Góss GC, Mozzaquatro FD, Machado IRL, Gomes EM, Martins NR, Duarte CA.The collateral ligaments of the distal interphalangeal joint (CL-DIPJ) are important structures for athletic horses. Ligament injuries can cause lameness, but ultrasound imaging can detect such lesions, which usually present with changes in echogenicity and an increase in the cross-sectional area (CSA) of the ligament. Measurements of these structures vary among authors, which complicates the diagnosis. Thus, this study aimed to describe the ultrasound measurements (dorsopalmar diameter [DPD], lateromedial diameter [LMD], and CSA) of the CL-DIPJ in Argentine Polo horses. We measured the CL-DIP...
The effect of repeated shocks on the low back during horse riding.
Journal of biomechanics    November 13, 2025   Volume 194 113067 doi: 10.1016/j.jbiomech.2025.113067
Smit NA, Bos JE, van Dieën JH, Kingma I.Repeated shocks, such as those occurring during horse riding, may result in a risk of overloading the low back. This study investigated accelerations and angular changes in the low back during horse riding, using Inertial measurement units (IMUs) on the pelvis, and L4, L1, and T11 spine levels during 30 min of walking and 10 min of cantering in twelve female participants. The root mean squared (RMS) linear acceleration of each IMU and the transmission (signal transfer) between each pair of IMUs were calculated from the measured accelerations. Additionally, angular motions between IMU's were ...
Detection of degenerative joint disease of the distal interphalangeal joint in thoracic limbs characterized by joint space narrowing using standing low-field MRI in 25 equine patients.
Journal of the American Veterinary Medical Association    November 7, 2025   1-9 doi: 10.2460/javma.25.06.0368
van Veggel ECS, Cokelaere SM, Vanderperren K, Selberg KT, Rasmussen J, Bergman HJ, Vernooij JCM, Hoogelander B.To report low-field standing MRI findings and, when available, postmortem findings of 25 thoracic limbs with degenerative joint disease of the distal interphalangeal joint (DIPJ) characterized by narrowing of the joint space suggestive of cartilage loss. Unassigned: Medical records from September 2015 to July 2022 were reviewed for clinical history, signalment, MRI, and postmortem findings. The study retrospectively analyzed cases in which lameness was linked to DIPJ joint space narrowing using a partially nested comparative design. Width was measured at 4 DIPJ sites, as well as a ratio to the...
Feasibility of a medial tenoscopic portal in the equine carpal flexor tendon sheath in cadavers.
Veterinary surgery : VS    November 7, 2025   Volume 55, Issue 2 402-408 doi: 10.1111/vsu.70038
Woods T, Dixon J, Melvaine C, Fraser B.To determine the ideal location of a medial tenoscopic portal in the equine carpal flexor tendon sheath (CFTS) using contrast computed tomography (CT). Methods: Experimental cadaver study. Methods: A total of 20 entire forelimbs from adult Standardbred horses. Methods: Contrast media diluted in saline was injected into the CFTS from a lateral approach before manually flexing and extending the limb 20 times to disperse the contrast solution. The limbs were placed in lateral recumbency and a capped 21-gauge 1.5 inch needle was placed approximately 5 mm proximal and 32 mm caudal to the palpab...
Inhibition of interleukin-1 receptor-associated kinase (IRAK)-4 provides partial rescue of interleukin-1 beta induced functional and gene expression changes in equine tenocytes.
Molecular biology reports    November 6, 2025   Volume 53, Issue 1 54 doi: 10.1007/s11033-025-11219-2
Beaumont RE, Flood C, Guest DJ.Interleukin 1 beta (IL-1β) is upregulated following a tendon injury and in vitro studies have shown that it leads to numerous negative effects on tendon cell function and gene expression. IL-1β activates nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) and we hypothesised that inhibiting NF-κB activation would mediate the negative effects of IL-1β on equine tendon cells in 3-dimensional (3D) cultures. Results: Here, we tested three inhibitors of NF-κB signalling (Bortezomib, BAY11-7082 and Wedelolactone) along withTJ-M2010-5, an inhibitor of MyD88, which is a critic...
Temporal and intra-horse consistency of circulating myostatin concentrations in Thoroughbred racehorses.
Scientific reports    November 5, 2025   Volume 15, Issue 1 38708 doi: 10.1038/s41598-025-22472-7
Hanousek K, O'Hara V, Riddell DO, Piercy RJ.In Thoroughbred horses, a highly prevalent short interspersed nuclear element (SINE) mutation in the myostatin gene (MSTN) promoter influences circulating myostatin concentration and is associated with muscle morphology, fracture risk and optimal race distance. Our prior data reveal that within horses there is substantial variation in serum myostatin concentration, particularly in MSTN heterozygotes and wild type horses but it was unclear whether such variation relates to within-horse differences or to environmental or temporal effects. Here we report the intra-horse consistency of circulating...
Effect of Additional Aluminum Filtration on the Image Quality in Cone Beam Computed Tomographic Studies of Equine Distal Limbs Using Visual Grading Characteristics Analysis: A Pilot Study.
Veterinary sciences    November 2, 2025   Volume 12, Issue 11 1051 doi: 10.3390/vetsci12111051
Papini L, de Preux M, Pauwels F, Missotten J, Van der Vekens E.(1) Background: Cone beam computed tomography (CBCT) is increasingly used in equine practice to diagnose musculoskeletal injuries, including fractures in the distal limb. However, limited detail in the thick cortical bone of the metacarpus/metatarsus hinders accurate diagnosis. In human medicine, the addition of aluminum filters (AF) enhanced image quality while reducing radiation exposure. This study aimed to evaluate the effect of AF on image quality in CBCT scans of equine distal limbs. (2) Methods: Adult equine cadaver limbs were scanned with a mobile CBCT unit using varying tube currents ...
A Feasibility Study to Determine Whether Neuromuscular Adaptations to Equine Water Treadmill Exercise Can Be Detected Using Synchronous Surface Electromyography and Kinematic Data.
Animals : an open access journal from MDPI    November 1, 2025   Volume 15, Issue 21 3189 doi: 10.3390/ani15213189
St George L, Nankervis K, Walker V, Maddock C, Robinson A, Sinclair J, Hobbs SJ.Despite growing evidence on the adaptive movement patterns that horses adopt during water treadmill (WT) exercise, underlying adaptations in muscle activity remain uninvestigated. This feasibility study aimed to develop a method for the synchronous measurement of muscle activity and movement of horses during WT exercise. Combined surface electromyography (sEMG) (2000 Hz) from selected hindlimb (biceps femoris, gluteus medius, tensor fasciae latae) and epaxial (longissimus dorsi) muscles, and three-dimensional kinematic (200 Hz) data from the back and pelvis of one (n = 1) horse were collected ...
Radiographic measurements of Miniature Horse and Miniature Pony Feet.
Journal of equine veterinary science    October 31, 2025   Volume 155 105710 doi: 10.1016/j.jevs.2025.105710
Olijnyk JM, Hosgood G, Richardson J, Beggs C, McConnell E.Reliable assessment of foot conformation is essential for podiatric management in Miniature Horses and Ponies, yet reference ranges and the reliability of radiographic measurements remain poorly defined. Objective: This study quantified radiographic measurements of foot conformation in sound, skeletally mature Miniature Horses and Ponies and evaluated their agreement, reliability, and precision. Methods: Standardised lateromedial and dorsopalmar/plantarodorsal radiographs were obtained from 30 Miniature Horses and Ponies. Two observers took 60 measurements from 10 sets of projections on three ...
Efficacy of acupuncture in racehorses: A review.
Open veterinary journal    October 31, 2025   Volume 15, Issue 10 4789-4796 doi: 10.5455/OVJ.2025.v15.i10.1
Purnama MTE, Fikri F, Çalışkan H, Wicaksono AP.Racehorses endure high physical demands, which often result in musculoskeletal pain, fatigue, and reduced performance. Although conventional therapies are effective, competition-related drug regulations restrict their use. Acupuncture, rooted in Traditional Chinese Veterinary Medicine, has gained interest as a non-pharmacological alternative for managing pain, enhancing recovery, and promoting overall welfare in equine athletes. This review aims to critically evaluate the current evidence on the efficacy of acupuncture in racehorses, focusing on musculoskeletal pain management, post-exercise r...
New Model of Disuse-Induced Bone Density Loss in Horses.
Animals : an open access journal from MDPI    October 29, 2025   Volume 15, Issue 21 3137 doi: 10.3390/ani15213137
Micheau L, Audigié F, Moiroud C, Jacquet S.Disuse-induced bone loss during stall confinement and immobilization is a major concern in horses because it impairs recovery and increases susceptibility to further injury. Experimental models are needed to evaluate therapeutic options, but most available equine models rely on cast immobilization, which is technically demanding and may be associated with complications. This study aimed to assess a simpler and less restrictive model to induce a quantifiable decrease in bone density in horses. Six French Standardbred horses underwent eight weeks of stall confinement, with a wooden wedge fitted ...
Arterial distribution to the tensor fasciae antebrachii muscle: a study in dogs, cattle, pigs, and horses.
The Journal of veterinary medical science    October 28, 2025   Volume 88, Issue 1 13-17 doi: 10.1292/jvms.25-0283
Ajiro S, Matsuya S, Hifumi T, Tsujio M.Arterial distribution to the tensor fasciae antebrachii (TFA) muscle is little described in the veterinary literature. In this study, we investigated TFA vascularity intra- and inter-specifically, using specimens obtained from dogs, cattle, pigs, and horses at necropsy. Canine TFA specimens showed vascularity from the collateral ulnar artery in all cases, and from the thoracodorsal artery in some cases, with no brachial or deep brachial arterial vascularity. Bovine TFA specimens showed vascularity from the thoracodorsal artery. All porcine TFA specimens showed deep brachial arterial vascularit...
Positron emission tomography using 18F-fluorodeoxyglucose reveals digital perfusion deficits associated with continuous weight-bearing in healthy standing horses.
American journal of veterinary research    October 24, 2025   Volume 87, Issue 1 ajvr.25.07.0268 doi: 10.2460/ajvr.25.07.0268
Skelton G, Wulster-Bills K, Ciamillo S, Anishchenko S, van Eps A.To characterize healthy foot perfusion patterns under static weight-bearing load using 18F-fluorodeoxyglucose (18F-FDG) PET. Unassigned: In 8 healthy adult light-breed horses (from May 2021 through September 2024), 18F-FDG was injected while horses stood continuously weight-bearing (CWB) for a 20-minute scan period. A repeat scan was then performed after 20 minutes of ambulation. On a separate occasion, scans were performed with ambulation allowed between injection and scanning (Amb_Control). 18F-fluorodeoxyglucose uptake was quantified via metabolic volume and standardized uptake values for c...
Serum levels of the myokines receptor activator of nuclear factor κ B ligand, matrix metalloproteinase 2, and irisin in young horses during ontogeny and in response to exercise.
American journal of veterinary research    October 24, 2025   Volume 87, Issue 2 ajvr.25.04.0112 doi: 10.2460/ajvr.25.04.0112
Hammack SM, Moshage SG, Kersh ME, McCoy AM.To quantify circulating levels of myokines with a known role in bone remodeling (receptor activator of nuclear factor κ B ligand [RANK-L], matrix metalloproteinase 2 [MMP-2], and irisin) in foals in response to exercise and over the first year of life. Unassigned: 12 foals were enrolled in the study; 6 underwent an 8-week exercise program, and 6 were nonexercised controls. Blood samples were collected between 2 and 11 months of age. Receptor activator of nuclear factor κ B ligand, MMP-2, and irisin were quantified using equine-specific ELISAs. Unassigned: RANK-L, MMP-2, and irisin did not ch...
Stress-related bone injuries of the carpal joints in show jumping horses rarely limit long-term performance: a retrospective study of 15 cases.
Journal of the American Veterinary Medical Association    October 24, 2025   Volume 264, Issue 2 218-226 doi: 10.2460/javma.25.07.0443
Micheau L, Jacquet-Guibon S, Tallaj A, Bertoni L, Denoix JM, Coudry V.To describe the type and distribution of carpal joint lesions causing lameness in show jumping horses and describe their 1-year performance outcomes. Unassigned: 15 show jumping horses (median age, 9 years; IQR, 8 to 11 years) of 3 different breeds, mostly Selle Français, evaluated at a referral center between 2013 and 2023. The inclusion criterion was forelimb lameness localized to the carpus, confirmed by perineural or IA analgesia and/or increased radiopharmaceutical uptake on scintigraphy. Horses with limb conformation abnormalities, a history of trauma, or extra-articular soft tissue les...
Surgical stabilization of flail sternum and bilateral chest wall injury in an octogenarian after horse trampling injury.
Trauma surgery & acute care open    October 23, 2025   Volume 10, Issue 4 e001999 doi: 10.1136/tsaco-2025-001999
Tai JW, Ko B, Adams ME, Nobuhara CK, Knight AW, Forrester JD.No abstract available
Retrospective Analysis of Suspensory Ligament Branch Injuries in 70 Dressage Horses.
Animals : an open access journal from MDPI    October 23, 2025   Volume 15, Issue 21 3079 doi: 10.3390/ani15213079
Boado A, Pollard D, Dyson S.There are no studies that have investigated factors influencing the outcome of dressage horses with suspensory ligament (SL) branch injuries. The aim was to determine if age, breed, work level, injury severity, anatomical localisation of injury, number of injured branches, periligamentous fibrosis, persistence of power Doppler signal or coexistent osteoarthritis of a metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joint influenced the prognosis of 70 dressage horses. Outcome was defined as good (return to pre-injury level of work or higher), poor (return to a lower level of work) or ret...
Identification of Antibodies to Chondrocyte and Synoviocyte Antigens in Equine Osteoarthritis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    October 21, 2025   Volume 43, Issue 12 2152-2164 doi: 10.1002/jor.70085
Linde P, Kurihara J, Chow L, Williams ZJ, Hendrickson D, Bass L, Dow S, Pezzanite LM.Innate immune responses within the joint are now known to play a key role in osteoarthritis (OA) pathogenesis. However, comparatively little is known regarding the role of adaptive immune responses in OA, and whether they may be important for initiating and sustaining progressive low-level joint inflammation. Therefore, we evaluated spontaneous osteoarthritis in horses to investigate whether antibodies recognizing live joint cells (chondrocytes, synoviocytes) were present in blood or synovial fluid, and to identify possible cellular target antigens. We found that horses with advanced OA had an...
Computed tomography features of the fetlock joint in elite racing Thoroughbred horses.
Equine veterinary journal    October 18, 2025   doi: 10.1111/evj.70106
Beck C, Hitchens PL, Muir P, Whitton RC.Computed tomography (CT) is increasingly used for metacarpo/tarsophalangeal or fetlock joint (MC/TPJ) evaluation in Thoroughbred racehorses. CT features and lesion prevalence in competing Thoroughbreds are unknown. Objective: To identify standing CT features within the MC/TPJ of elite Thoroughbred staying racehorses. Methods: Retrospective cohort study. Methods: Computed tomography scans of the MC/TPJ were performed as part of pre-race screening for fracture risk and graded for CT features. Descriptive statistics and univariable logistic regression models were generated to investigate associat...
Use of preoperative computed tomography (CT) to plan repair of comminuted fractures of the middle phalanx in six Warmblood horses: Configuration, treatment and long-term outcome.
Veterinary surgery : VS    October 15, 2025   Volume 54, Issue 8 1698-1710 doi: 10.1111/vsu.70039
Marcatili M, Kalinovskiy A, Christoph L.To describe the additional information provided by computed tomography (CT) in planning and assisting repair of comminuted fractures of the middle phalanx (MP) in Warmblood horses. Methods: Case series. Methods: Six adult Warmblood horses. Methods: The case records of horses undergoing CT examination prior to internal fixation of comminuted MP fractures were reviewed. All horses underwent radiographic and preoperative CT examination. A standardized fast protocol (SFP) to assess CT images was used. Surgical repair consisted of fracture repair and proximal interphalangeal joint arthrodesis using...
Surgical repair of bilateral lateral patellar luxation in a foal using block-recession trochleoplasty and polypropylene mesh reinforcement: Case report and review of literature.
Journal of equine veterinary science    October 14, 2025   Volume 155 105707 doi: 10.1016/j.jevs.2025.105707
Memarian P, Basso G, Rigo M, Falomo ME, Isola M.Patellar luxation is a rare orthopedic condition in horses, with congenital lateral patellar luxation being the most frequently reported form. A few sporadic reports have described surgical options for addressing equine patellar luxation. This report details the clinical presentation of a 2-month-old Italian Trotter foal diagnosed with bilateral lateral patellar luxation. Staged surgical correction of both stifles was performed, including block recession trochleoplasty combined with the application of polypropylene mesh for reinforcing medial imbrication sutures. Intra- and post-operative eval...
Orthopaedic Injuries in 272 Dressage Horses: A Retrospective Study.
Animals : an open access journal from MDPI    October 14, 2025   Volume 15, Issue 20 2972 doi: 10.3390/ani15202972
Boado A, Pollard D, Lopez-Sanroman FJ, Dyson S.There is limited information regarding orthopaedic injuries in dressage horses. This study assessed the prevalence of injuries in a mixed referral and first opinion population of 272 horses training and competing in dressage, 238 of which were followed up one to five years after injury. Warmblood (55.8%) and Iberian (38.6%) breeds predominated. The median age was 8 years (interquartile range [IQR] 5,11; range 1,21). Horses were examined due to lameness (85.3%) or poor performance (14.7%). The median lameness grade was 2/5 (IQR 2,4; range 0,4). Forelimb lameness was more prevalent than hindlimb...
Dynamic Mobilization Exercises Improve Activity and Stride Parameters Measured with Accelerometry in Sedentary Horses.
Animals : an open access journal from MDPI    October 10, 2025   Volume 15, Issue 20 2943 doi: 10.3390/ani15202943
Saitua A, Pérez-Umbría J, García-Álamo K, Muñoz A.Dynamic mobilization exercises (DME) are an effective strategy to prevent musculoskeletal injuries and promote back health in sport horses. Previous studies focused mainly on multifidus muscle cross-sectional area, with limited data on locomotion and adaptation timing. This study evaluated locomotor changes using accelerometry, over 8 weeks of DME application in 14 sedentary horses: a DME group ( = 8) performing 10 different DME (3 neck flexions, 1 neck extension and 3 lateral bending exercises to each side), 5 repetitions of each DME per session, 3 sessions/week, and a control group ( = 6), t...
Mechanical characterization of the equine linea alba and finite element modeling of suture patterns effects on its closure.
Journal of the mechanical behavior of biomedical materials    October 10, 2025   Volume 173 107228 doi: 10.1016/j.jmbbm.2025.107228
Bollens J, Gheysen L, Verkade M, Stael J, Martens A, Segers P.Postoperative incisional complications are common in horses following abdominal surgery, which typically involves an incision through the abdominal wall along the linea alba. The linea alba is a fibrous band running in the craniocaudal direction along the ventral abdomen. This incision is closed with sutures, where the choice of suture pattern and surgical technique has shown to influence the rate of complications. Therefore, this study investigated how different suture patterns and variations influence the stresses in the tissue by combining experimental and computational biomechanics. The me...