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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.
An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse.
Equine veterinary journal    June 9, 2010   Volume 42, Issue 4 322-326 doi: 10.1111/j.2042-3306.2009.00021.x
O'Meara B, Bladon B, Parkin TD, Fraser B, Lischer CJ.There is limited information regarding the number of races and the period for evaluation of outcome which is critical for assessment of SDF tendonitis treatments. Objective: To evaluate the re-injury rate and racing performance of Thoroughbred racehorses that sustain SDF tendonitis in relation to matched controls in terms of number of races post treatment and maximum racing performance ratings before and after injury. Methods: Clinical records and racing histories of 401 racehorses with a first occurrence of SDF tendonitis diagnosed by ultrasonography. Controls were of the same age, sex and we...
Gene expression of proteolytic systems and growth regulators of skeletal muscle in horses with myopathy associated with pituitary pars intermedia dysfunction.
American journal of veterinary research    June 2, 2010   Volume 71, Issue 6 664-670 doi: 10.2460/ajvr.71.6.664
Aleman M, Nieto JE.To investigate gene expression of the major proteolytic systems and growth regulators in skeletal muscle of horses with myopathy associated with pituitary pars intermedia dysfunction (PPID). Methods: 14 horses with PPID-associated myopathy and 7 healthy control horses. Methods: Horses with PPID and controls were age matched (15 to 28 years old). Muscle biopsy specimens were collected from both groups and processed for RNA and cDNA extraction. Validation of the most stable housekeeping genes for skeletal muscle was performed and used to compare gene expression of the following proteolytic syste...
Symmetry indices based on accelerometric data in trotting horses.
Journal of biomechanics    May 31, 2010   Volume 43, Issue 13 2608-2612 doi: 10.1016/j.jbiomech.2010.05.004
Halling Thomsen M, Tolver Jensen A, Sørensen H, Lindegaard C, Haubro Andersen P.Detection and quantification of lameness in horses consists primarily of a subjective assessment, whereby both intra- and inter-observer disagreements exist, especially with low grade lameness. Therefore, clinically applicable methods are needed for reliable, objective assessments. The aim of this study was to describe three symmetry indices derived from a simple accelerometric method and investigate these in sound trotting horses. The indices describe the overall symmetry of the gait, the symmetry of loads placed on the limbs and the symmetry in timing between left and right steps. These symm...
Hindlimb response to tactile stimulation of the pastern and coronet.
Equine veterinary journal    May 22, 2010   Volume 42, Issue 3 227-233 doi: 10.2746/042516409X478505
Clayton HM, White AD, Kaiser LJ, Nauwelaerts S, Lavagnino M, Stubbs NC.Lightweight tactile stimulators attached to the hind pasterns increase the height of the hind hoof flight arc but details of the induced changes in swing phase kinematics and kinetics have not been investigated. Objective: Stimulators on the hind pasterns are associated with increased hindlimb joint flexions and increased positive work performed by the hip and tarsal musculature. Methods: Nine nonlame horses trotted 4 times with and without 55 g tactile stimulators loosely attached around the hind pasterns. Height of the flight arc and peak flexion angles of the hindlimb joints were measured a...
Nutritional aspects of post exercise skeletal muscle glycogen synthesis in horses: a comparative review.
Equine veterinary journal    May 22, 2010   Volume 42, Issue 3 274-281 doi: 10.2746/042516409X479603
Waller AP, Lindinger MI.Carbohydrate (CHO) stored in the form of skeletal muscle glycogen is the main energy source for glycolytic and oxidative ATP production during vigorous exercise in mammals. In man, horse and dog both short-term high intensity and prolonged submaximal exercise deplete muscle glycogen. In horses, however, muscle glycogen synthesis is 2-3-fold slower than in man and rat, even when a diet high in soluble CHO is fed. There appear to be significant differences in CHO and glycogen metabolism between horses and other mammals, and it is becoming increasingly clear that many conclusions drawn from human...
Associations between physiotherapy findings and subsequent diagnosis of pelvic or hindlimb fracture in racing Thoroughbreds.
Equine veterinary journal    May 22, 2010   Volume 42, Issue 3 234-239 doi: 10.2746/042516409X478479
Hesse KL, Verheyen KL.Physiotherapists who work in racehorse training yards routinely treat horses' backs and hindquarters and may be able to recognise signs that indicate the presence of (impending) pelvic or hindlimb fracture before it becomes catastrophic. Objective: To establish whether physiotherapy assessment findings in Thoroughbred racehorses referred for routine physiotherapy could be predictive of subsequent (within 30 days) pelvic or hindlimb fracture diagnosis. Methods: Retrospective veterinary and physiotherapy data from a cohort of Newmarket (UK) Thoroughbred racehorses, were used. A case-control stud...
Magnetic resonance imaging of the equine temporomandibular joint anatomy.
Equine veterinary journal    May 22, 2010   Volume 42, Issue 3 200-207 doi: 10.1111/j.2042-3306.2010.00030.x
Rodríguez MJ, Agut A, Soler M, López-Albors O, Arredondo J, Querol M, Latorre R.In human medicine, magnetic resonance imaging (MRI) is considered the 'gold standard' imaging procedure to assess the temporomandibular joint (TMJ). However, there is no information regarding MRI evaluation of equine TMJ. Objective: To describe the normal sectional MRI anatomy of equine TMJ by using frozen and plastinated anatomical sections as reference; and determine the best imaging planes and sequences to visualise TMJ components. Methods: TMJs from 6 Spanish Purebred horse cadavers (4 immature and 2 mature) underwent MRI examination. Spin-echo T1-weighting (SE T1W), T2*W, fat-suppressed (...
Closure of a sinocutaneous wound with a musculoperiosteal pedicle in a horse.
The Veterinary record    May 18, 2010   Volume 166, Issue 20 627-628 doi: 10.1136/vr.b4843
Anderson SL, Kelmer G.No abstract available
Focal skeletal muscle uptake of 99mTechnetium-hydroxymethylene diphosphonate following peroneal nerve blocks in horses. Griffin JF, Young BD, Fosgate GT, Walker MA, Watkins JP.We have observed focal skeletal muscle uptake of 99mTechnetium-hydroxymethylene diphosphonate (Tc-HDP), which could mimic a tibial lesion, in horses following peroneal nerve blocks. To characterize this observation further, 45 bone phase scintigrams were performed in 12 horses undergoing peroneal nerve blocks. Scans were performed before, and 1, 3, 7, and 14 days postblock. The superficial and deep branches of the peroneal nerve were blocked by injecting 10 ml of 2% mepivacaine in one limb and 20 ml in the other. Images were evaluated for uptake at the block site and uptake likely to mimic a t...
Comparison of magnetic resonance imaging, computed tomography, and radiography for assessment of noncartilaginous changes in equine metacarpophalangeal osteoarthritis. Olive J, D'Anjou MA, Alexander K, Laverty S, Theoret C.We compared the ability of 1.5 T magnetic resonance imaging (MRI), computed tomography (CT), and computed radiography (CR) to evaluate noncartilaginous structures of the equine metacarpophalangeal joint (MCP), and the association of imaging changes with gross cartilage damage in the context of osteoarthritis. Four CR projections, helical single-slice CT, and MRI (Ti-weighted gradient recalled echo [GRE], T2*-weighted GRE with fast imaging employing steady-state acquisition [FIESTA], T2-weighted fast spin echo with fat saturation, and spoiled gradient recalled echo with fat saturation ISPGR-FS]...
In vitro biomechanical comparison of a modified 5.5 mm locking compression plate fixation with a 5.5 mm locking compression plate fixation of osteotomized equine third metacarpal bones.
Veterinary surgery : VS    May 13, 2010   Volume 39, Issue 7 833-838 doi: 10.1111/j.1532-950X.2010.00696.x
Sod GA, Riggs LM, Mitchell CF, Martin GS, Gill MS.To compare number of cycles to failure for palmarodorsal 4-point bending of a modified 5.5 mm broad locking compression plate (M5.5-LCP) fixation with a 5.5 mm broad LCP (5.5-LCP) fixation used to repair osteotomized equine third metacarpal (MC3) bones. Methods: In vitro biomechanical testing. Methods: Adult equine cadaveric MC3 bones (n=6 pairs). Methods: An 8-hole, M5.5-LCP, obtained by having a 1.0 mm thickness removed from the bone contact portion of the 5.5-LCP, was applied to the dorsal surface of 1 randomly selected MC3 from each pair, and an 8-hole, 5.5-LCP was applied dorsally to the ...
Autologous conditioned plasma as therapy of tendon and ligament lesions in seven horses.
Journal of veterinary science    May 12, 2010   Volume 11, Issue 2 173-175 doi: 10.4142/jvs.2010.11.2.173
Georg R, Maria C, Gisela A, Bianca C.This case report describes the intralesional application of autologous conditioned plasma (ACP) in seven horses as treatment of severe tendinitis of the superficial digital flexor tendon, deep digital flexor tendon, or desmitis of the inferior check ligament. Follow-up data of the horses revealed a positive outcome in 10 to 13 months post injury. All horses treated with ACP were either performing in their previous work-load or were back in full training. Further studies with long-term follow-up will have to be performed to support these clinical intermediate-term observations.
A comparison of the moment arms of pelvic limb muscles in horses bred for acceleration (Quarter Horse) and endurance (Arab).
Journal of anatomy    May 10, 2010   Volume 217, Issue 1 26-37 doi: 10.1111/j.1469-7580.2010.01241.x
Crook TC, Cruickshank SE, McGowan CM, Stubbs N, Wilson AM, Hodson-Tole E, Payne RC.Selective breeding for performance has resulted in distinct breeds of horse, such as the Quarter Horse (bred for acceleration) and the Arab (bred for endurance). Rapid acceleration, seen during Quarter Horse racing, requires fast powerful muscular contraction and the generation of large joint torques, particularly by the hind limb muscles. This study compared hind limb moment arm lengths in the Quarter Horse and Arab. We hypothesized that Quarter Horse hind limb extensor muscles would have longer moment arms when compared to the Arab, conferring a greater potential for torque generation at the...
Navicular bursoscopy in the horse: a comparative study.
Veterinary surgery : VS    May 6, 2010   Volume 39, Issue 6 742-747 doi: 10.1111/j.1532-950X.2010.00698.x
Haupt JL, Caron JP.To compare the proportion of the proximal recess of the navicular bursa that could be examined through a single endoscopic portal and the severity of iatrogenic lesions between conventional and modified approaches. Methods: Descriptive study. Methods: Equine cadaver forelimbs (n=16). Methods: Arthroscopic access to the navicular bursa in 1 limb of each pair was by a conventional approach and in the other limb, by a modified approach using sharp dissection through the distal digital flexor sheath, immediately palmar to the T ligament. The time required to access the bursa and the estimated prop...
Evaluation of the effects of transendoscopic diode laser palatoplasty on clinical, histologic, magnetic resonance imaging, and biomechanical findings in horses.
American journal of veterinary research    May 4, 2010   Volume 71, Issue 5 575-582 doi: 10.2460/ajvr.71.5.575
Alkabes KC, Hawkins JF, Miller MA, Nauman E, Widmer W, Dunco D, Kras J, Couetil L, Lescun T, Gautam R.To determine the effects of diode laser palatoplasty on the soft palate in horses. Methods: 6 clinically normal horses and 6 euthanized horses from another study. Methods: 6 horses underwent diode laser palatoplasty (treated horses); 3 received low-dose laser treatment (1,209 to 1,224 J), and 3 received high-dose treatment (2,302 to 2,420 J). Six other horses received no treatment (control horses). The upper respiratory tracts of all treated horses were evaluated immediately following surgery (day 0) and on days 2, 7, 14, 21, 30, and 45. Horses were euthanized on day 45, and magnetic resonance...
Immunohistochemical analysis of MCT1 and CD147 in equine skeletal muscle fibres.
Research in veterinary science    May 4, 2010   Volume 89, Issue 3 432-437 doi: 10.1016/j.rvsc.2010.03.026
Mykkänen AK, Hyyppä S, Pösö AR, Ronéus N, Essén-Gustavsson B.Monocarboxylate transporter 1 (MCT1) and its ancillary protein CD147 facilitate efflux of lactate from the muscle. Expression of MCT1 and CD147 were studied with immunohistochemistry in type I, IIA, IIAB and IIB fibres of equine gluteal muscle. Staining intensity of MCT1 in the cytoplasm as well as in the membranes of fibre types decreased in the order I=IIA>IIAB>IIB and correlated with the oxidative capacity. Capillaries were pronounced in the MCT1 staining. CD147 antibody stained plasma membranes of all fibre types evenly, whereas the staining in the cytoplasm followed that of MCT1. In...
Mechanical loading of the distal end of the third metacarpal bone in horses during walking and trotting.
American journal of veterinary research    May 4, 2010   Volume 71, Issue 5 508-514 doi: 10.2460/ajvr.71.5.508
Merritt JS, Pandy MG, Brown NA, Burvill CR, Kawcak CE, McIlwraith CW, Davies HM.To assess the net mechanical load on the distal end of the third metacarpal bone in horses during walking and trotting. Methods: 3 Quarter Horses and 1 Thoroughbred. Methods: Surface strains measured on the left third metacarpal bone of the Thorough-bred were used with a subject-specific model to calculate loading (axial compression, bending, and torsion) of the structure during walking and trotting. Forelimb kinematics and ground reaction forces measured in the 3 Quarter Horses were used with a musculoskeletal model of the distal portion of the forelimb to determine loading of the distal end ...
Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomised controlled trial.
BMC musculoskeletal disorders    April 16, 2010   Volume 11 71 doi: 10.1186/1471-2474-11-71
Herrero P, Asensio A, García E, Marco A, Oliván B, Ibarz A, Gómez-Trullén EM, Casas R.Although hippotherapy treatment has been demonstrated to have therapeutic effects on children with cerebral palsy, the samples used in research studies have been very small. In the case of hippotherapy simulators, there are no studies that either recommend or advise against their use in the treatment of children with cerebral palsy. The aim of this randomised clinical study is to analyse the therapeutic effects or the contraindications of the use of a commercial hippotherapy simulator on several important factors relating to children with cerebral palsy such as their motor development, balance...
Study of laryngopharyngeal pathology in Thoroughbred horses in southern California.
Equine veterinary journal    April 14, 2010   Volume 41, Issue 9 903-907 doi: 10.2746/042516409x448968
Diab S, Pascoe J, Shahriar M, Read D, Kinde H, Moore J, Odani J, Uzal F.There is increasing anecdotal evidence among horse owners, trainers and equine clinicians of a high prevalence of subepiglottic ulcers, suggested to have a negative effect on racing performance. Objective: To provide a prevalence study and pathological characterisation of laryngopharyngeal lesions with emphasis in the subepiglottic area and, in particular, subepiglottic ulcers. Methods: The study was carried out on 91 Thoroughbred racehorses received for post mortem examination from 4 major Southern California racetracks. The most common reason for submission was catastrophic musculoskeletal i...
Radiographic anatomy of the articular process joints of the caudal cervical vertebrae in the horse on lateral and oblique projections.
Equine veterinary journal    April 14, 2010   Volume 41, Issue 9 895-902 doi: 10.2746/042516409x434107
Withers JM, Voûte LC, Hammond G, Lischer CJ.Plain radiography is the standard imaging technique for investigation of diseases associated with the articular process joints (APJ) of the caudal neck; however, the radiographic anatomy of these structures on both lateral and oblique radiographic projections has not previously been described in detail. Objective: To determine the optimal technique for obtaining oblique radiographs of the APJ of the caudal cervical vertebrae (C4-5, C5-6 and C6-7) and to provide a detailed description of their normal radiographic appearance, on both lateral and oblique radiographic projections. Methods: Radiopa...
Novel markers for tying-up in horses by proteomics analysis of equine muscle biopsies.
Comparative biochemistry and physiology. Part D, Genomics & proteomics    April 8, 2010   Volume 5, Issue 2 178-183 doi: 10.1016/j.cbd.2010.03.009
Bouwman FG, van Ginneken MM, van der Kolk JH, van Breda E, Mariman EC.The aim of the study was to identify new biomarkers for acute tying-up in horses. Skeletal muscle biopsies were taken from 3 horses suffering from acute tying-up and 3 healthy horses. We performed 2D gel electrophoresis and mass spectrometry for identification of proteins that are differentially expressed in tying-up. 2D gel electrophoresis of skeletal muscle sequential extracts yielded more than 350 protein spots on each gel, of which 14 were differentially expressed more than two-fold (p<0.05). In-gel digestion followed by peptide mass fingerprinting enabled identification of three significa...
Effects of early exercise on metacarpophalangeal joints in horses.
American journal of veterinary research    April 7, 2010   Volume 71, Issue 4 405-411 doi: 10.2460/ajvr.71.4.405
Kawcak CE, McIlwraith CW, Firth EC.To determine the effects of exercise at an early age on tissues in the metacarpophalangeal joints of horses. Methods: Twelve 18-month-old horses. Methods: All horses were pasture reared, but 6 horses had additional exercise starting at 3 weeks of age until 18 months of age. At that time, computed tomography, articular cartilage metabolism evaluation, and histologic assessments of synovial membrane, articular cartilage, and subchondral bone were performed. Results: Exercised horses had fewer gross lesions, less articular cartilage matrix staining in the dorsal aspect of the condyle, greater bon...
Changes in trunk and head stability in children with cerebral palsy after hippotherapy: a pilot study.
Physical & occupational therapy in pediatrics    April 7, 2010   Volume 30, Issue 2 150-163 doi: 10.3109/01942630903517223
Shurtleff TL, Engsberg JR.Hippotherapy (HPOT) is a therapy that uses horse movement. This pilot investigation objectively evaluated the efficacy of HPOT in improving head/trunk stability in children with cerebral palsy (CP). The participants were six children with spastic diplegia and six children without disability. Head and trunk stability was challenged by using a motorized barrel and measured by a video motion capture system before and after a 12-week intervention of 45 min of HPOT a week. The variables measured were anterior-posterior (AP) translation of the head, and spine at five points and average AP head angle...
[Rupture of the extensor carpi radialis tendon in two horses].
Schweizer Archiv fur Tierheilkunde    April 3, 2010   Volume 152, Issue 4 183-187 doi: 10.1024/0036-7281/a000041
Fürst A, Kaegi B, Haas Ch.Symptoms, diagnosis, therapy and clinical outcome of 2 horses which acquired a complete rupture of the extensor carpi radialis tendon by accident are described. The resulting gait abnormalities are very typical, so that the problem can be diagnosed already by clinical examination. With the help of ultrasound the diagnosis could be confirmed and the degree of damage quantified. The open wounds in the carpal region were surgically treated in a standing position and the limbs of both horses were kept under a splint bandage for 6 to 8 weeks. Prognosis in these cases was good, as both horses return...
Debridement of cartilage lesions before autologous chondrocyte implantation by open or transarthroscopic techniques: a comparative study using post-mortem materials.
The Journal of bone and joint surgery. British volume    April 2, 2010   Volume 92, Issue 4 602-608 doi: 10.1302/0301-620X.92B3.22558
Drobnic M, Radosavljevic D, Cör A, Brittberg M, Strazar K.We compared the quality of debridement of chondral lesions performed by four arthroscopic (SH, shaver; CU, curette; SHCU, shaver and curette; BP, bipolar electrodes) and one open technique (OPEN, scalpel and curette) which are used prior to autologous chondrocyte implantation (ACI). The ex vivo simulation of all five techniques was carried out on six juvenile equine stifle joints. The OPEN, SH and SHCU techniques were tested on knees harvested from six adult human cadavers. The most vertical walls with the least adjacent damage to cartilage were obtained with the OPEN technique. The CU and SHC...
Aspartic acid racemization and collagen degradation markers reveal an accumulation of damage in tendon collagen that is enhanced with aging.
The Journal of biological chemistry    March 22, 2010   Volume 285, Issue 21 15674-15681 doi: 10.1074/jbc.M109.077503
Thorpe CT, Streeter I, Pinchbeck GL, Goodship AE, Clegg PD, Birch HL.Little is known about the rate at which protein turnover occurs in living tendon and whether the rate differs between tendons with different physiological roles. In this study, we have quantified the racemization of aspartic acid to calculate the age of the collagenous and non-collagenous components of the high strain injury-prone superficial digital flexor tendon (SDFT) and low strain rarely injured common digital extensor tendon (CDET) in a group of horses with a wide age range. In addition, the turnover of collagen was assessed indirectly by measuring the levels of collagen degradation mark...
Multiple osteochondral autografts for treatment of a medial trochlear ridge subchondral cystic lesion in the equine tarsus.
Veterinary surgery : VS    March 10, 2010   Volume 39, Issue 1 95-100 doi: 10.1111/j.1532-950X.2009.00576.x
Janicek JC, Cook JL, Wilson DA, Ketzner KM.To adapt the multiple osteochondral autograft technique for treatment of a subchondral cystic lesion (SCL) of the proximal medial trochlear ridge (MTR) of the equine talus and assess long term outcome. Methods: Case report. Methods: Quarter horse stallion with SCL of the proximal MTR of the talus. Methods: Osteochondral autograft techniques used in dogs and humans were adapted and optimized in equine cadavers. A horse with a SCL of the MTR of the talus was treated by osteochondral autografting. Three osteochondral autografts were harvested from the distal lateral trochlear ridge of the talus i...
Arthrodesis of the proximal interphalangeal joint in the horse: a cyclic biomechanical comparison of two and three parallel cortical screws inserted in lag fashion.
Veterinary surgery : VS    March 10, 2010   Volume 39, Issue 1 91-94 doi: 10.1111/j.1532-950X.2009.00614.x
Carmalt JL, Delaney L, Wilson DG.To compare the biomechanical cyclic fatigue properties of 2 and 3 parallel transarticular 5.5 mm cortical screws used in arthrodesis of the proximal interphalangeal (PIP) joint. Methods: Randomized block design, for horse, fixation method (2 versus three 5.5 mm cortical screws), side (right, left) and end (front, hind) in cadaveric equine limbs. Methods: Cadaveric adult equine fore- and hindlimbs (n=5 pairs each). Methods: Two parallel 5.5 mm cortical screws were inserted in lag fashion, transarticularly through the PIP joint in 1 limb of a pair, and in the contralateral limb, three 5.5 mm cor...
An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: an axial positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag fashion versus three parallel transarticular cortical screws inserted in lag fashion.
Veterinary surgery : VS    March 10, 2010   Volume 39, Issue 1 83-90 doi: 10.1111/j.1532-950X.2009.00615.x
Sod GA, Riggs LM, Mitchell CF, Hubert JD, Martin GS.To compare in vitro monotonic biomechanical properties of an axial 3-hole, 4.5 mm narrow dynamic compression plate (DCP) using 5.5 mm cortical screws in conjunction with 2 abaxial transarticular 5.5 mm cortical screws inserted in lag fashion (DCP-TLS) with 3 parallel transarticular 5.5 mm cortical screws inserted in lag fashion (3-TLS) for the equine proximal interphalangeal (PIP) joint arthrodesis. Methods: Paired in vitro biomechanical testing of 2 methods of stabilizing cadaveric adult equine forelimb PIP joints. Methods: Cadaveric adult equine forelimbs (n=15 pairs). Methods: For each fore...
Comparison of the morphology of the limbs of juvenile and adult horses (Equus caballus) and their implications on the locomotor biomechanics.
Journal of experimental zoology. Part A, Ecological genetics and physiology    March 10, 2010   Volume 313, Issue 5 292-300 doi: 10.1002/jez.598
Grossi B, Canals M.We analyzed the morphology and the walk-trot and trot-gallop transition velocities of nine juvenile horses and compared them with their mothers. We also compared the relative stride length and the duty factor of the juveniles with respect to adults at three equivalent trotting speeds (Froude numbers 0.5, 0.75, and 1.0), to determine dynamic similarity. Juveniles had a negative allometry in their leg bones, mainly because of little size changes of the distal portions. The negative allometry of extremities allows juveniles to increase stride length without increasing step frequency, which can be...
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