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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.
Working with horses: an OWAS work task analysis.
Journal of agricultural safety and health    April 2, 2011   Volume 17, Issue 1 3-14 doi: 10.13031/2013.36230
Löfqvist L, Pinzke S.Most work in horse stables is performed manually in much the same way as a century ago. It is the least mechanized sector dealing with large animals. People working with horses are exposed to several types of risk for developing musculoskeletal problems, but the work tasks and workload have not been investigated in detail. The aim of this study was to estimate the postural load of the work tasks performed around horses to find those that were harmful and required measures to be taken to reduce physical strain. Altogether, 20 subjects (stable attendants and riding instructors) were video record...
Effect of differences in tendon properties on functionality of the passive stay apparatus in horses.
American journal of veterinary research    April 2, 2011   Volume 72, Issue 4 474-483 doi: 10.2460/ajvr.72.4.474
Gussekloo SW, Lankester J, Kersten W, Back W.To determine the effect of differences in structural and mechanical tendon properties on functionality of the passive stay apparatus in horses. Methods: 5 forelimbs each from nondwarf Friesians, dwarf Friesians, and ponies. Methods: Harvested forelimbs were loaded to test the passive stay apparatus. Tendons that stabilize the distal portion of the limb (superficial digital flexor tendon, deep digital flexor tendon, and tendo interosseus [suspensory ligament]) were isolated, and force-elongation data were obtained. Bone lengths, initial tendon lengths, and initial tendon cross-sectional areas w...
Ultrasonographic evaluation of the coxofemoral joint region in young foals.
Veterinary journal (London, England : 1997)    March 22, 2011   Volume 191, Issue 2 193-198 doi: 10.1016/j.tvjl.2011.02.012
Rottensteiner U, Palm F, Kofler J.The purpose of this study was to map the coxofemoral region in foals to obtain ultrasonographic reference values for the interpretation of potentially pathological findings in hip joints. Using a 7.5 MHz linear transducer, 38 examinations were carried out: 10 (20 joints) on cadavers and 28 (55 joints) on live healthy foals up to 8 weeks of age. The chosen plane of examination was caudolateral-craniomedial oblique on an imaginary line connecting the greater trochanter and the cranial edge of the tuber sacrale. The relatively thin muscular layer covering the coxofemoral joint allowed good image ...
Comparison of medial and lateral ultrasound-guided approaches for periarticular injection of the thoracolumbar intervertebral facet joints in horses.
Veterinary surgery : VS    March 21, 2011   Volume 40, Issue 4 494-499 doi: 10.1111/j.1532-950X.2011.00821.x
Cousty M, Firidolfi C, Geffroy O, David F.To compare ultrasound-guided lateral and medial approaches for periarticular injections of the thoracolumbar intervertebral facet joints (IFJ). Methods: Experimental cadaveric study. Methods: Adult equine cadavers (n=4). Methods: IFJ (T12-T13 to L5-L6) were identified by ultrasound (transducer perpendicular to the spine axis) and insertion of a 13 cm, 18 g spinal needle monitored until bone contact using medial (right side) and lateral (left side) approaches. Number of needle insertions at each site, needle repositioning, and insertion depth were recorded. On bone contact 2 mL latex was ...
Descriptive epidemiology of joint injuries in Thoroughbred racehorses in training.
Equine veterinary journal    March 15, 2011   Volume 44, Issue 1 13-19 doi: 10.1111/j.2042-3306.2010.00352.x
Reed SR, Jackson BF, Mc Ilwraith CW, Wright IM, Pilsworth R, Knapp S, Wood JL, Price JS, Verheyen KL.No large scale epidemiological studies have previously quantified the occurrence of carpal, metacarpo- and metatarsophalangeal (MCP/MTP) joint injuries in Thoroughbred racehorses. Objective: To develop an objective classification system for carpal and MCP/MTP joint injuries and estimate the incidence of these injuries in young Thoroughbreds in flat race training. Methods: In a prospective cohort study, data on daily exercise and veterinary-diagnosed carpal and MCP/MTP joint injuries were collected from Thoroughbreds monitored since starting training as yearlings, for up to 2 years. Cases were ...
Dynamic mobilisation exercises increase cross sectional area of musculus multifidus.
Equine veterinary journal    March 15, 2011   Volume 43, Issue 5 522-529 doi: 10.1111/j.2042-3306.2010.00322.x
Stubbs NC, Kaiser LJ, Hauptman J, Clayton HM.In human subjects with back pain, the deep spinal stabiliser m. multifidus is inhibited ipsilaterally leading to atrophy, asymmetry and intervertebral instability. Specific physiotherapeutic exercises are required to reactivate m. multifidus. This study assesses the effect of dynamic mobilisation exercises on size and symmetry of m. multifidus in the equine caudal thoracic and lumbar spine. Objective: Regular performance of dynamic mobilisation exercises over a period of 3 months increases cross sectional area (CSA) and left-right symmetry of m. multifidus muscles in the caudal thoracic and lu...
Arthroscopic treatment of meniscal cysts in the horse.
Equine veterinary journal    March 15, 2011   Volume 43, Issue 6 669-675 doi: 10.1111/j.2042-3306.2010.00348.x
Sparks HD, Nixon AJ, Boening KJ, Pool RR.To describe the clinical symptoms, treatment, and outcome of meniscal cysts in horses. These structures have not been previously described in the literature as a potential cause of lameness in the horse. Objective: Meniscal cysts are an uncommon condition of the femorotibial joint but can be a significant cause of lameness. Symptoms can be resolved by arthroscopic excision. Methods: Records of horses diagnosed with meniscal cysts and treated by cyst excision and meniscal debridement at 2 surgical practices were reviewed. Clinical outcome was determined by repeat veterinary examination and cont...
Regenerative medicine for the treatment of musculoskeletal overuse injuries in competition horses.
International orthopaedics    March 11, 2011   Volume 35, Issue 10 1569-1576 doi: 10.1007/s00264-011-1237-3
Torricelli P, Fini M, Filardo G, Tschon M, Pischedda M, Pacorini A, Kon E, Giardino R.Tissue repair in musculoskeletal injuries is often a slow and sometimes incomplete process. Regenerative medicine based on the use of growth factors (GFs) and cell therapy is aimed at improving the quality and speed of tendon and ligament healing. The aim of this study was to evaluate the potential for the administration of a combination of autologous platelet-rich plasma (PRP) and freshly isolated bone marrow mononucleated cells (BMMNCs) in 13 competition horses affected by overuse musculoskeletal injuries (suspensory ligament desmopathy and superficial flexor tendinopathy) and refractory to ...
Why children with special needs feel better with hippotherapy sessions: a conceptual review.
Journal of alternative and complementary medicine (New York, N.Y.)    March 8, 2011   Volume 17, Issue 3 191-197 doi: 10.1089/acm.2009.0229
Granados AC, Agís IF.Hippotherapy literally means "therapy with the help of a horse" and is derived from the Greek word hippos, meaning "horse." Hippocrates was the first to describe the benefits of hippotherapy for rehabilitation purposes. Although this therapy has many years of history, few scholars have defined the theoretical bases of hippotherapy and less about how psychologic, physical, social, and educational benefits can be achieved through hippotherapy in children with special needs. Objective: This article is designed from a chronological perspective to provide mental health professionals, educators, and...
Multiple immunofluorescence labelling enables simultaneous identification of all mature fibre types in a single equine skeletal muscle cryosection.
Equine veterinary journal    March 4, 2011   Volume 43, Issue 4 500-503 doi: 10.1111/j.2042-3306.2010.00329.x
Tulloch LK, Perkins JD, Piercy RJ.Skeletal muscle is composed of a heterogeneous mixture of several fibre types, each with specific physiological properties. In equine muscle, identification of these individual fibres (fibre typing) is important for both exercise physiology and pathological studies. Traditionally, fibre typing has been achieved by adenosine triphosphatase (ATPase) histochemistry or by immunoperoxidase labelling with antibodies directed at myosin heavy chain isoforms. ATPase histochemistry can be temperamental and lacks specificity, and both techniques require staining of serial cryosections to reveal the entir...
The difference in kinematics of horses walking, trotting and cantering on a flat and banked 10 m circle.
Equine veterinary journal    March 4, 2011   Volume 43, Issue 6 686-694 doi: 10.1111/j.2042-3306.2010.00334.x
Hobbs SJ, Licka T, Polman R.Locomotion adaptation mechanisms have been observed in horses, but little information is available in relation to banked and nonbanked curve locomotion, which might be important to optimise training environments. Objective: To determine if adaptation mechanisms in horses existed when moving on a banked compared to a flat curve and whether adaptation was similar in different gaits. Methods: Eight infrared cameras were positioned on the outside of a 10 m lungeing circle and calibrated. Retroreflective markers were used to define left and right metacarpus (McIII) and proximal phalanges (P1), meta...
Desmotomy of the accessory ligament of the deep digital flexor tendon in the forelimb of 24 horses 2 years and older.
Veterinary surgery : VS    March 1, 2011   Volume 40, Issue 3 272-276 doi: 10.1111/j.1532-950X.2011.00815.x
Yiannikouris S, Schneider RK, Sampson SN, Roberts G.To report outcome after desmotomy of the accessory ligament of the deep digital flexor tendon (ALDDFT) in adult horses (≥2 years) for treatment of desmitis of the ALDDFT or flexural deformity of the distal interphalangeal joint (FDDIJ). Methods: Case series. Methods: Horses with desmitis of the ALDDFT (n=9) and FDDIJ (n=15). Methods: Records (April 1996-July 2008) of 24 adult horses (mean age, 6.7 years) that had ALDDFT desmotomy were reviewed. Follow-up data was obtained 12-120 months after desmotomy. Results: Outcome was available for 22 horses; 18 (82%; 6 of 8 horses with desmitis of the ...
Outcome after lacerations of the superficial and deep digital flexor tendons, suspensory ligament and/or distal sesamoidean ligaments in 106 horses.
Veterinary surgery : VS    March 1, 2011   Volume 40, Issue 3 277-283 doi: 10.1111/j.1532-950X.2011.00814.x
Jordana M, Wilderjans H, Boswell J, Dewulf J, Smith RK, Martens A.To report outcome after the surgical treatment of lacerations of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), suspensory ligament (SL), and/or distal sesamoidean ligaments (DSL) in horses. Methods: Case series. Methods: Horses (n=106) with lacerations of the SDFT, DDFT, SL, and/or DSL. Methods: Medical records (1988-2002) were reviewed for signalment, limb and tendon/ligament involvement (location and extent of injury, tendon sheath involvement), method of repair, and outcome. Results: The median age of horses was 7 years and the follow-up time ranged from 1...
An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: two parallel transarticular headless tapered variable pitch screws versus two parallel transarticular AO cortical bone screws inserted in lag fashion.
Veterinary surgery : VS    March 1, 2011   Volume 40, Issue 3 261-265 doi: 10.1111/j.1532-950X.2011.00817.x
Gudehus T, Sod GA, Riggs LM, Mitchell CF, Martin GS.To compare the mean number of cycles to failure under axial compression of equine proximal interphalangeal (PIP) joint arthrodesis constructs created by 2 parallel transarticular Acutrak Plus screws (AP-TS) or 2 parallel transarticular 5.5 mm cortical screws inserted in lag fashion (AO-TLS). Methods: Paired in vitro biomechanical testing of 2 methods of stabilizing cadaveric adult equine forelimb PIP joints. Methods: Cadaveric adult equine forelimbs (n=5 pairs). Methods: For each forelimb pair, 1 PIP joint was stabilized with AP-TS and 1 with AP-TLS. The 5 construct pairs were tested for cycli...
Inertial properties of equine limb segments.
Journal of anatomy    February 28, 2011   Volume 218, Issue 5 500-509 doi: 10.1111/j.1469-7580.2011.01353.x
Nauwelaerts S, Allen WA, Lane JM, Clayton HM.Quantifying the dynamics of limb movements requires knowledge of the mass distribution between and within limb segments. We measured segment masses, positions of segmental center of mass and moments of inertia of the fore and hind limb segments for 38 horses of different breeds and sizes. After disarticulation by dissections, segments were weighed and the position of the center of mass was determined by suspension. Moment of inertia was measured using a trifilar pendulum. We found that mass distribution does not change with size for animals under 600 kg and report ratios of segmental masses to...
Osteochondrosis lesions of the lateral trochlear ridge of the distal femur in four ponies.
The Veterinary record    February 25, 2011   Volume 168, Issue 10 265 doi: 10.1136/vr.c6677
Voute LC, Henson FM, Platt D, Jeffcott LB.Lesions of the lateral trochlear ridge (LTR) of the distal femur were investigated in four pony or pony cross horses. The animals were all geldings and were six to 15 months of age. Lesions were bilateral in three ponies and unilateral in one. Femoropatellar joint effusion and lameness were present in two ponies; clinical signs were absent in the others. The proximal LTR was affected in all four animals. The radiographic appearance of the lesions was a subchondral defect containing mineralised bodies. Arthroscopic and postmortem examination findings included an osteochondral flap, a fissured o...
The appearance of the equine metacarpophalangeal region on high-field vs. standing low-field magnetic resonance imaging. Smith MA, Dyson SJ, Murray RC.The appearance of the equine metacarpophalangeal (MCP) joint on high-field (1.5 T) vs. low-field standing (0.27 T) magnetic resonance (MR) images was evaluated. Objectives were (1) to describe the MR appearance of anatomic structures of clinical interest on images of the equine MCP joint obtained from 20 equine cadaver limbs from horses without lameness using high-field and low-field systems, (2) to categorize the clarity of appearance of anatomic structures on low-field MR images in comparison to high-field images as a gold standard. We found that larger anatomic structures were visible with ...
Ultrasonographic findings in horses with foot pain but without radiographically detectable osseous abnormalities. Rabba S, Bolen G, Verwilghen D, Salciccia A, Busoni V.Foot pain is an important cause of lameness in horses. When horses with foot pain have no detectable radiographic abnormalities, soft-tissue assessment remains a diagnostic challenge without magnetic resonance (MR) imaging. Ultrasonography can provide an alternative to MR imaging when that modality is not available but the extent of changes that might be seen has not been characterized. We reviewed the ultrasonographic findings in 39 horses with lameness responding positively to anesthesia of the palmar digital nerves and without radiographically detectable osseous abnormalities. Thirty of the...
What is your diagnosis? Complete comminuted sagittal fracture of the medial aspect of the humeral head and lesser tubercle.
Journal of the American Veterinary Medical Association    February 16, 2011   Volume 238, Issue 4 431-432 doi: 10.2460/javma.238.4.431
Levi O, Vaughan B, Puchalski SM, Macdonald MH.No abstract available
Analysis of osteon morphotype scoring schemes for interpreting load history: evaluation in the chimpanzee femur.
Journal of anatomy    February 16, 2011   Volume 218, Issue 5 480-499 doi: 10.1111/j.1469-7580.2011.01348.x
Skedros JG, Kiser CJ, Keenan KE, Thomas SC.Osteon morphotype scores (MTSs) allow for quantification of mechanically important collagen/lamellar variations between secondary osteons when viewed in circularly polarized ight (CPL). We recently modified the 6-point MTS method of Martin et al. (Martin RB, Gibson VA, Stover SM, Gibeling JC, Griffin LV (1996a) Osteonal structure in the equine third metacarpus. Bone 19, 165-71) and reported superiority of this modified method in correlating with 'tension' and 'compression' cortices of both chimpanzee proximal femoral diaphyses and diaphyses of other non-anthropoid bones that are loaded in habi...
Effects of the insulin-sensitizing drug pioglitazone and lipopolysaccharide administration on insulin sensitivity in horses.
Journal of veterinary internal medicine    February 11, 2011   Volume 25, Issue 2 356-364 doi: 10.1111/j.1939-1676.2011.0681.x
Suagee JK, Corl BA, Wearn JG, Crisman MV, Hulver MW, Geor RJ, McCutcheon LJ.Obesity and insulin resistance increase the risk of laminitis in horses. Pioglitazone (PG) is an insulin-sensitizing drug used in humans that is absorbed after oral administration to horses. Objective: PG treatment will increase insulin sensitivity and transcript abundance of glucose and lipid transporters in adipose and skeletal muscle tissues. Methods: Sixteen lean, healthy horses. Methods: Eight horses were administered PG (1 mg/kg bodyweight PO) for 12 days before induction of insulin resistance through IV administration of lipopolysaccharide (LPS). Treated and untreated controls (CN; n = ...
Intrathecal deep digital flexor tenectomy for treatment of septic tendonitis/tenosynovitis in four horses.
Veterinary surgery : VS    February 11, 2011   Volume 40, Issue 3 284-290 doi: 10.1111/j.1532-950X.2011.00795.x
Marsh CA, Watkins JP, Schneider RK.To describe partial removal of the intrathecal component of the deep digital flexor tendon (DDFT) in horses with chronic septic DDF tendonitis and tenosynovitis unresponsive to conventional therapy, and to report long-term outcome. Methods: Case series. Methods: Horses (n=4). Methods: Four horses with chronic septic DDF tendonitis and tenosynovitis were treated by surgical tenectomy of the intrathecal component of the DDFT, followed by stabilization in casts and subsequent corrective shoeing. All horses were previously managed unsuccessfully with combinations of conventional therapy consisting...
Insulin resistance selectively alters cell-surface glucose transporters but not their total protein expression in equine skeletal muscle.
Journal of veterinary internal medicine    February 11, 2011   Volume 25, Issue 2 315-321 doi: 10.1111/j.1939-1676.2010.0674.x
Waller AP, Burns TA, Mudge MC, Belknap JK, Lacombe VA.Insulin resistance (IR) has been widely recognized in humans, and more recently in horses, but its underlying mechanisms are still not well understood. The translocation of glucose transporter 4 (GLUT4) to the cell surface is the limiting step for glucose uptake in insulin-sensitive tissues. Although the downstream signaling pathways regulating GLUT translocation are not well defined, AS160 recently has emerged as a potential key component. In addition, the role of GLUT12, one of the most recently identified insulin-sensitive GLUTs, during IR is unknown. Objective: We hypothesized that cell-su...
Effect of feeding a high-protein diet following an 18-hour period of feed withholding on mammalian target of rapamycin-dependent signaling in skeletal muscle of mature horses.
American journal of veterinary research    February 2, 2011   Volume 72, Issue 2 248-255 doi: 10.2460/ajvr.72.2.248
Urschel KL, Escobar J, McCutcheon LJ, Geor RJ.To determine the effect of refeeding following an 18-hour period of feed withholding on the phosphorylation of translation initiation factors in the skeletal muscle of mature horses. Methods: 8 adult horses. Methods: Following an 18-hour period of feed withholding, horses either continued to have feed withheld (postabsorptive state) or were fed 2 g/kg of a high-protein feed (33% crude protein) at time 0 and 30 minutes (postprandial state). Blood samples were taken throughout the experimental period. At 90 minutes, a biopsy specimen was taken from the middle gluteal muscle to measure the phosph...
Magnetic resonance anatomy of the carpus of the horse described from images acquired from low-field and high-field magnets. Nagy A, Dyson S.Cadaver carpi of 30 mature horses with no history of carpal or proximal metacarpal pain were examined using low-field (0.27 T) and high-field (1.5 T) magnetic resonance imaging (MRI). Normal MRI anatomy in transverse, sagittal, and dorsal plane images was determined by comparison with anatomical specimens and standard texts. Subchondral bone and cortical bone thickness measurements were obtained from standardised sites. There was variable subchondral bone thickness in the radius and carpal bones; subchondral bone thickness was consistently larger at dorsal compared with palmar sites in the...
Differences in Muscle Fiber Recruitment Patterns between Continuous and Interval Exercises.
Journal of equine science    January 29, 2011   Volume 21, Issue 4 59-65 doi: 10.1294/jes.21.59
Yamano S, Kawai M, Minami Y, Hiraga A, Miyata H.We evaluated differences in muscle fiber recruitment patterns between continuous and interval training to develop an optimal training program for Thoroughbred horses. Five well trained female thoroughbred horses (3-4 years old) were used. The horses performed two different exercises on a 10% inclined treadmill: 90%VO2 max for 4 min (continuous) and 90% VO2 max for 2 min × 2 times with 10-min interval (interval). Muscle samples were obtained from the middle gluteal muscle before and immediately after the exercises. Four muscle fiber types (type I, IIA, IIA/X, and IIX) were immunohistochemicall...
Fetal derived embryonic-like stem cells improve healing in a large animal flexor tendonitis model.
Stem cell research & therapy    January 27, 2011   Volume 2, Issue 1 4 doi: 10.1186/scrt45
Watts AE, Yeager AE, Kopyov OV, Nixon AJ.Tendon injury is a common problem in athletes, with poor tissue regeneration and a high rate of re-injury. Stem cell therapy is an attractive treatment modality as it may induce tissue regeneration rather than tissue repair. Currently, there are no reports on the use of pluripotent cells in a large animal tendon model in vivo. We report the use of intra-lesional injection of male, fetal derived embryonic-like stem cells (fdESC) that express Oct-4, Nanog, SSEA4, Tra 1-60, Tra 1-81 and telomerase. Methods: Tendon injury was induced using a collagenase gel-physical defect model in the mid-metacar...
Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of 3-hole 4.5 mm locking compression plate and 3-hole 4.5 mm narrow dynamic compression plate, with two transarticular 5.5 mm cortex screws.
Veterinary surgery : VS    January 18, 2011   Volume 40, Issue 2 253-259 doi: 10.1111/j.1532-950X.2010.00792.x
Zoppa AL, Santoni B, Puttlitz CM, Cochran K, Hendrickson DA.To compare the biomechanical characteristics of 2 arthrodesis techniques for the equine proximal interphalangeal joint (PIP) using either a 3-hole 4.5 mm locking compression plate (LCP) or 3-hole 4.5 mm narrow dynamic compression plate (DCP), both with 2 transarticular 5.5 mm cortex screws. Methods: Experimental. Methods: Cadaveric adult equine forelimbs (*n=6 pairs). Methods: For each forelimb pair, 1 limb was randomly assigned to 1 of 2 treatment groups and the contralateral limb by default to the other treatment group. Construct stiffness, gap formation across the PIP joint, and rotation ab...
Glomus tumours in the skin and subcutis of three horses.
Veterinary dermatology    January 11, 2011   Volume 22, Issue 2 225-231 doi: 10.1111/j.1365-3164.2010.00949.x
Burns RE, Pesavento PA, McElliott VR, Ortega J, Affolter VK.Three horses presented with variably painful, nonulcerated masses of the head or neck that were diagnosed as glomus tumours. Grossly, they were fleshy, pink to tan masses ranging from 0.4 to 9 cm in diameter, involving either the deep dermis and subcutis or the subcutis and underlying skeletal muscle. Microscopically, neoplastic epithelioid cells were arranged in sheets, cords and packets within lobules. The neoplastic cells frequently abutted and formed nodular bulges into large endothelium-lined vascular spaces, especially around the tumour periphery. Large nerve branches were associated wit...
Association between navicular bone fragmentation and shape in Belgian Warmblood horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    January 11, 2011   Volume 24, Issue 2 132-136 doi: 10.3415/VCOT-10-03-0037
Claerhoudt S, Pille F, Vanderperren K, Hauspie S, Duchateau L, Van der Vekens E, Saunders JH.To investigate whether in navicular bones (NB) from warmbloods, distal border fragmentation is associated with the shape of the proximal articular border or other radiological findings. Methods: Radiographs of the front feet of 325 normal, subadult horses presented for admission as breeding stallions were reviewed. Results: The proximal articular border of the total of 650 NB was classified as straight (n = 278), convex (n = 184), undulating (n = 147) or concave (n = 41). Distal border fragments were present in 57 NB (8.8%). They were significantly more prevalent in NB with a concave (9/41; 22...
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