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Topic:Osteochondrosis

Osteochondrosis is a developmental orthopedic disorder affecting the cartilage and bone in horses, typically occurring in young, growing animals. It involves the disruption of normal endochondral ossification, leading to the formation of lesions in the joint cartilage and subchondral bone. These lesions can result in joint pain, lameness, and reduced performance. Osteochondrosis is commonly observed in the stifle, hock, and fetlock joints of horses. Various factors, including genetics, nutrition, growth rate, and mechanical stress, are associated with its development. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and management of osteochondrosis in equine populations.
A composite hydrogel-3D printed thermoplast osteochondral anchor as example for a zonal approach to cartilage repair: in vivo performance in a long-term equine model.
Biofabrication    July 1, 2020   Volume 12, Issue 3 035028 doi: 10.1088/1758-5090/ab94ce
Mancini IAD, Schmidt S, Brommer H, Pouran B, Schäfer S, Tessmar J, Mensinga A, van Rijen MHP, Groll J, Blunk T, Levato R, Malda J, van Weeren PR.Recent research has been focusing on the generation of living personalized osteochondral constructs for joint repair. Native articular cartilage has a zonal structure, which is not reflected in current constructs and which may be a cause of the frequent failure of these repair attempts. Therefore, we investigated the performance of a composite implant that further reflects the zonal distribution of cellular component both in vitro and in vivo in a long-term equine model. Constructs constituted of a 3D-printed poly(ϵ-caprolactone) (PCL) bone anchor from which reinforcing fibers protruded into ...
Genetics of Equine Orthopedic Disease.
The Veterinary clinics of North America. Equine practice    June 11, 2020   Volume 36, Issue 2 289-301 doi: 10.1016/j.cveq.2020.03.008
Metzger J, Distl O.Orthopedic diseases are a common cause for limited exercise capacity in the horse. They often underlie genetic risk factors, which can affect bone, articular cartilage, tendons, ligaments, and adnexal structures among others. The genetic effects can directly interfere with tissue development and skeletal growth or can trigger degenerative or inflammatory processes. Many of these diseases of the locomotor system like osteochondrosis are complex and can be affected by multifactorial influences. For this reason, it is important for those performing diagnostic procedures to have a comprehensive kn...
Prevalence of Juvenile Osteochondral Conditions in Yearling Thoroughbred Racehorses in Southern Brazil.
Journal of equine veterinary science    March 27, 2020   Volume 90 102997 doi: 10.1016/j.jevs.2020.102997
Maia MPM, Weber SH, Bastos LFC, Michelotto PV.This study aimed to investigate the prevalence of juvenile osteochondral conditions (JOCCs) in yearling Thoroughbred (TB) racehorses in Southern Brazil, as well as to examine the same animals studied as weanlings by Bastos et al. (2017) and compare the radiographic findings for the two ages. Radiographs of 76 male and female TB yearlings from Paraná State, Southern Brazil, were investigated. The proximal interphalangeal, metacarpophalangeal/metatarsophalangeal (MC/MT), tarsal, and femorotibial (FT) joints were evaluated using 24 radiographic projections. The evaluation consisted of a severit...
Cervical articular process joint osteochondrosis in Warmblood foals.
Equine veterinary journal    February 21, 2020   Volume 52, Issue 5 664-669 doi: 10.1111/evj.13245
Bergmann W, de Mik-van Mourik M, Veraa S, van den Broek J, Wijnberg ID, Back W, Gröne A.In Warmblood horses, degenerative joint disease is involved in cervical malformation and malarticulation (CVM). The degree of contribution of articular process joint (APJ) osteochondrosis (OC) is not clear. Objective: (a) To explore the presence of predilection sites for APJ OC in cervical and cranial thoracic vertebral columns of Warmblood foals and (b) to examine the correlation of such a site with the predilection site of CVM. Methods: Case series. Methods: Seven hundred APJ facets of C2 to T2 of 29 foals (11 months gestation to 12 months [median age 7 days; range 365 days; 95% confiden...
Surgical osteochondral defect repair in the horse-a matter of form or function?
Equine veterinary journal    February 19, 2020   Volume 52, Issue 4 489-499 doi: 10.1111/evj.13231
Fugazzola MC, van Weeren PR.Focal cartilaginous and osteochondral lesions can have traumatic or chondropathic degenerative origin. The fibrocartilaginous repair tissue that forms naturally, eventually undergoes fibrillation and degeneration leading to further disruption of joint homeostasis. Both types of lesion will therefore eventually lead to activity-related pain, swelling and decreased mobility and will frequently progress to osteoarthritis. Most attempts at realising cartilage regeneration have so far resulted in cartilage repair (and not regeneration). The aim of this article was to review experimental research on...
Description of a rare osteochondrosis lesion of the medial aspect of the distal intermediate ridge of the tibia in seven Thoroughbred horses (2008-2018). Kadic LIM, Rodgerson DH, Newsom LE, Spirito MA.Osteochondritis dissecans (OCD) of the distal intermediate ridge of the tibia (DIRT) is commonly identified on either the lateral to medial (LM) or dorso45°medial-plantarolateral oblique (D45M-PLO) projection of the tarsus. This manuscript describes a retrospective case series out of Hagyard Equine Medical Institute, for which medical records and radiographic projections of the tarsus were reviewed, consistent with Keeneland's repository requirements. This original investigation identified seven yearling Thoroughbred horses between 2008 and 2018 with radiographic signs of atypical osteochondr...
Proteome Alterations in Equine Osteochondrotic Chondrocytes.
International journal of molecular sciences    December 7, 2019   Volume 20, Issue 24 6179 doi: 10.3390/ijms20246179
Chiaradia E, Pepe M, Orvietani PL, Renzone G, Magini A, Sforna M, Emiliani C, Di Meo A, Scaloni A.Osteochondrosis is a failure of the endochondral ossification that affects developing joints in humans and several animal species. It is a localized idiopathic joint disorder characterized by focal chondronecrosis and growing cartilage retention, which can lead to the formation of fissures, subchondral bone cysts, or intra-articular fragments. Osteochondrosis is a complex multifactorial disease associated with extracellular matrix alterations and failure in chondrocyte differentiation, mainly due to genetic, biochemical, and nutritional factors, as well as traumas. This study describes the mai...
Metabolomic analysis of synovial fluid from Thoroughbred racehorses diagnosed with palmar osteochondral disease using magnetic resonance imaging.
Equine veterinary journal    November 28, 2019   Volume 52, Issue 3 384-390 doi: 10.1111/evj.13199
Graham RJTY, Anderson JR, Phelan MM, Cillan-Garcia E, Bladon BM, Taylor SE.Palmar osteochondral disease (POD) is a common cause of lameness in competition horses. Magnetic resonance imaging (MRI) is the most sensitive diagnostic modality currently available, however it may not be financially or logistically practical for routine screening of POD. There is increasing interest in the use of metabolomics for diagnosis prior to progression to irreversible damage. Objective: To determine metabolite levels in synovial fluid (SF) of horses with a clinical diagnosis of POD based on diagnostic analgesia and MRI, with the hypothesis that metabolomic profiles differ between dis...
Radiological Evaluation of Juvenile osteochondral Conditions in Brazilian Warmblood Horse.
Journal of equine veterinary science    November 12, 2019   Volume 85 102844 doi: 10.1016/j.jevs.2019.102844
Gonçalves LM, Pozzobon R, Dos Anjos BL, Pellegrini DCP, Azevedo MS, Dau SL, Oliveira GP, Klaus R.The term juvenile osteochondral condition (JOCC) has been used to identify developmental changes in the growth plates. The condition is characterized by a set of changes with similar pathogenesis that affect the immature skeleton and joints of growing foals. The aim of the current study is to investigate the prevalence and degree of severity of osteochondral changes in Brazilian warmblood (BW) foals in two farms in the south of Brazil. Radiological evaluation was applied to the metacarpophalangeal (MCP), carpal (C), metatarsophalangeal (MTP), tarsal (T), and femorotibiopatellar (FTP) joints of...
Osteochondral fragments of the pastern joint at the origin of the collateral ligament of the distal sesamoid bone: performance after arthroscopic removal (2000-2015).
Veterinary surgery : VS    August 27, 2019   Volume 48, Issue 7 1181-1187 doi: 10.1111/vsu.13307
Moyer CT, Bramlage LR, Werre SR, Ruggles A, Embertson R, Hopper S.To describe the presence of fragments in the dorsal proximal interphalangeal (PIP) joint and to report flat racing performance after surgical treatment. Methods: Retrospective study. Methods: Thirty-nine affected thoroughbred flat racehorses and 169 age- and sex-matched maternal siblings. Methods: Medical records from 2000 to 2015 were reviewed for thoroughbred horses that underwent arthroscopic removal of osteochondral fragments in the dorsal aspect of the PIP joint. The horses' 2-year-old year, 3-year-old year, and career athletic performances were compared with their matched siblings. Resul...
A 10-year study of arthroscopic surgery in racing Thoroughbreds and Quarter Horses with osteochondral fragmentation of the carpus.
Equine veterinary journal    July 25, 2019   Volume 52, Issue 2 225-231 doi: 10.1111/evj.13145
Graham RJTY, Rosanowski SM, McILWRAITH CW.Osteochondral fragmentation of the carpus is a common cause of lameness in racehorses. Prognosis following arthroscopic removal of the fragments was reported in 1987, but little is known of recent success rates. Objective: To identify associations between the severity and location of osteochondral fragments in the carpus, and to describe the racing performance of horses pre- and post-surgery in Thoroughbreds and Quarter Horses. To identify factors associated with a horse racing post-surgery. Methods: Retrospective study of clinical records (2006-2016). Methods: Surgical and racing records for ...
Growth patterns, metabolic indicators and osteoarticular status in the Lusitano horse: A longitudinal study.
PloS one    July 17, 2019   Volume 14, Issue 7 e0219900 doi: 10.1371/journal.pone.0219900
Fradinho MJ, Mateus L, Bernardes N, Bessa RJB, Caldeira RM, Ferreira-Dias G.Development of a healthy musculoskeletal system is of high concern for horse breeders and users. A longitudinal field study was performed in order to: (i) evaluate growth patterns and long-term changes on bone quality, bone metabolism, growth factors and metabolic variables in the Lusitano horse; and (ii) retrospectively assess whether these changes were related with radiographic findings regarding osteochondrosis-like lesions (OC) at the onset of training. Thirty-four Lusitano foals born and raised at four stud-farms, were periodically weighed (BW), and measured (withers height-WH) from birth...
Effects of blood-derived products and sodium hyaluronate on equine synovial fluid cells and on synovial fluid from osteochondrotic joints of horses after arthroscopy and administration of treatment.
American journal of veterinary research    June 28, 2019   Volume 80, Issue 7 646-656 doi: 10.2460/ajvr.80.7.646
Machado TSL, Massoco CO, Silva LCLC, Fülber J, Moreira JJ, Baccarin RYA.To compare effects of platelet-rich plasma (PRP), interleukin-1 receptor antagonist protein (IRAP), autologous processed plasma (APP), and sodium hyaluronate treatments on synovial fluid cells in vitro and on synovial fluid obtained from osteochondrotic joints of horses. Methods: Synovial fluid cells from 8 healthy equine tibiotarsal joints (in vitro experiment) and synovial fluid samples from 40 tibiotarsal joints of 25 horses with osteochondrosis dissecans (in vivo experiment). Methods: Effects of various treatments on concentrations of prostaglandin (PG) E2, interleukin (IL)-1β, tumor necr...
Standing Needle Arthroscopy of the Metacarpophalangeal and Metatarsophalangeal Joint for Removal of Dorsal Osteochondral Fragmentation in 21 Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 24, 2019   Volume 32, Issue 5 420-426 doi: 10.1055/s-0039-1688984
Bonilla AG. The aim of this study was to report the technique, experience and outcome of standing arthroscopic removal of dorsal osteochondral fragmentation of the metacarpophalangeal and metatarsophalangeal joint using a 1.2-mm needle arthroscope. Methods:  This was a prospective clinical study. Methods:  All horses referred for standing arthroscopic removal of dorsoproximal first phalanx fragments or fragments embedded in the distal aspect of the synovial plica were included. Relevant information from the cases was recorded. Follow-up was obtained by a telephone questionnaire. Results:  Twenty-...
The synovial fluid proteome differentiates between septic and nonseptic articular pathologies.
Journal of proteomics    April 25, 2019   Volume 202 103370 doi: 10.1016/j.jprot.2019.04.020
Anderson JR, Smagul A, Simpson D, Clegg PD, Rubio-Martinez LM, Peffers MJ.Articular conditions are common in horses and can result in loss of function, chronic pain and/or inability to work. Common conditions include osteoarthritis, osteochondrosis and synovial sepsis, which can be life-threatening, but despite the high clinical prevalence of these conditions, rapid and specific diagnosis, monitoring and prognostication remains a challenge for practicing veterinarians. Synovial fluid from a range of arthropathies was enriched for low abundance proteins using combinatorial peptide ligand ProteoMiner™ beads and analysed via liquid chromatography-tandem mass spectrom...
Osteochondritis Dissecans (OCD)-Derived Chondrocytes Display Increased Senescence, Oxidative Stress, Chaperone-Mediated Autophagy and, in Co-Culture with Adipose-Derived Stem Cells (ASCs), Enhanced Expression of MMP-13.
Journal of clinical medicine    March 8, 2019   Volume 8, Issue 3 328 doi: 10.3390/jcm8030328
Kornicka K, Al Naem M, Röcken M, Zmiertka M, Marycz K.Osteochondritis dissecans (OCD) in equids, especially in sport horses, has become a growing issue as it contributes to the occurrence of lameness. Thus the aim of this study was to investigate the cytophysiological properties of OCD chondrocytes including expression of chondrogenic genes, apoptosis, mitochondria dynamics and autophagy. Horse chondrocytes were isolated from healthy (HE) and OCD cartilages. Properties of cells were evaluated using multiple assays e.g., polymerase chain reaction (PCR), immunofluorescence, Western blot. OCD chondrocytes were characterized by increased apoptosis an...
Osteochondritis dissecans (OCD) in Horses – Molecular Background of its Pathogenesis and Perspectives for Progenitor Stem Cell Therapy.
Stem cell reviews and reports    February 24, 2019   Volume 15, Issue 3 374-390 doi: 10.1007/s12015-019-09875-6
Bourebaba L, Röcken M, Marycz K.Osteochondrosis (osteochondrosis dissecans; OCD) is a disease syndrome of growing cartilage related to different clinical entities such as epiphysitis, subchondral cysts and angular carpal deformities, which occurs in growing animals of all species, including horses. Nowadays, these disorders are affecting increasing numbers of young horses worldwide. As a complex multifactorial disease, OCD is initiated when failure in cartilage canals because of existing ischemia, chondrocyte biogenesis impairment as well as biochemical and genetic disruptions occur. Recently, particular attention have been ...
Efficacy, chondrotoxicity and plasma concentrations of tramadol following intra-articular administration in horses undergoing arthroscopy: preliminary findings.
The veterinary quarterly    February 19, 2019   Volume 38, Issue 1 129-137 doi: 10.1080/01652176.2018.1546963
Di Salvo A, Chiaradia E, Della Rocca G, Giorgi M, Mancini F, Marenzoni ML, Conti MB, Nannarone S.Intra-articular administration of analgesics is performed to ensure good perioperative pain management avoiding undesirable systemic effects. To evaluate the effect of intra-articular injection of tramadol on postoperative pain after arthroscopy in horses and to determine whether tramadol had a local effect. Before the in vivo study, an in vitro test was performed aiming to evaluate the viability of equine chondrocytes after exposure to various concentrations of tramadol. The concentration identified as most appropriate was used to treat the horses' joints. Twelve horses affected by osteochond...
Fragmentation of the dorsal distal aspect of the talus on weanling survey and pre-sale radiographs of juvenile Thoroughbreds: prevalence and 2- and 3-year-olds racing performance.
Australian veterinary journal    February 17, 2019   Volume 97, Issue 3 68-74 doi: 10.1111/avj.12787
Steel CM, Devery S, Hance SR, Adkins AR, Hitchens PL.Fragmentation of the dorsal aspect of the distal talus (FDDT), at the dorsolateral articular margin of the proximal intertarsal joint (PITJ) on pre-sale radiographs of yearling Thoroughbreds has not been previously described and data to support decisions made by veterinarians to predict future racing potential of horses with these lesions are lacking. Methods: In this retrospective case-control study we aimed to determine the prevalence of FDDT in juvenile Thoroughbreds and to report their race records. From a database of survey and repository radiographic examinations of 5709 horses, 36 with ...
Comparison of the racing performance of Thoroughbreds with versus without osteochondral fragmentation of the accessory carpal bone identified on yearling sales repository radiographs.
Journal of the American Veterinary Medical Association    February 5, 2019   Volume 254, Issue 4 501-507 doi: 10.2460/javma.254.4.501
Davern AJ, Peloso JG, Hawkins JF, Moore GE, Morehead JP.OBJECTIVE To evaluate 2- and 3-year-old and career race performance of Thoroughbred racehorse prospects with and without osteochondral fragmentation of the accessory carpal bone (ACB) identified on yearling presale radiographs. DESIGN Retrospective, matched cohort study. ANIMALS 47 nonlame Thoroughbreds with (exposed cohort) and 94 nonlame Thoroughbreds without (unexposed cohort) osteochondral fragmentation of ACB facture identified on yearling sales repository radiographs. PROCEDURES Repository radiographic interpretation reports for September yearling sales of a large Kentucky auction house ...
A pilot study of regenerative therapy by implanting synovium-derived mesenchymal stromal cells in equine osteochondral defect models.
Journal of equine science    December 18, 2018   Volume 29, Issue 4 117-122 doi: 10.1294/jes.29.117
Yamasaki A, Omura T, Murata D, Kobayashi M, Sunaga T, Kusano K, Ueno Y, Kuramoto T, Hobo S, Misumi K.Synovium-derived mesenchymal stromal cells (SM-MSCs) from seven Thoroughbreds with naturally occurring intra-articular fracture proliferated to over ten million cells by the second passage. Using three experimental Thoroughbreds, columnar osteochondral defects were made arthroscopically at the bilateral distal radius. Five million allogenic SM-MSCs were implanted into the right defect, and another five million were injected into the right radio-carpal joint (implantation site). No SM-MSCs were implanted into the left defect or the same joint (control site). At 3 and 6 weeks after surgery, ten ...
Prevalence of osteochondral lesions in the fetlock and hock joints of Standardbred horses that survived bacterial infection before 6 months of age.
BMC veterinary research    December 10, 2018   Volume 14, Issue 1 390 doi: 10.1186/s12917-018-1726-3
Hendrickson EHS, Lykkjen S, Dolvik NI, Olstad K.Young Standardbred horses frequently develop fragments in joints. Some fragments represent osteochondrosis; others are considered developmental, but it is uncertain whether they result from preceding osteochondrosis. Osteochondrosis occurs as a consequence of failure of the cartilage canal blood supply and ischaemic chondronecrosis. In heritably predisposed foals, failure was associated with incorporation of vessels into bone. However, bacterial vascular failure was also recently documented in foals suffering spontaneous infections, proving that bacteria can cause osteochondral lesions in foal...
SNP-based heritability and genetic architecture of tarsal osteochondrosis in North American Standardbred horses.
Animal genetics    October 24, 2018   Volume 50, Issue 1 78-81 doi: 10.1111/age.12738
McCoy AM, Norton EM, Kemper AM, Beeson SK, Mickelson JR, McCue ME.Osteochondrosis is a common developmental orthopedic disease characterized by a failure of endochondral ossification. Standardbred horses are recognized as being predisposed to tarsal osteochondrosis. Prior heritability estimates for tarsal osteochondrosis in European Standardbreds and related trotting breeds have been based on pedigree data and range from 17-29%. Here, we report on genetic architecture and heritability based on high-density genotyping data in a cohort of North American Standardbreds (n = 479) stringently phenotyped for tarsal osteochondrosis. Whole-genome array genotyping d...
Polymorphisms in selected genes and analysis of their relationship with osteochondrosis in Polish sport horse breeds.
Animal genetics    August 28, 2018   Volume 49, Issue 6 623-627 doi: 10.1111/age.12715
Wypchło M, Korwin-Kossakowska A, Bereznowski A, Hecold M, Lewczuk D.The aim of this research was to evaluate the polymorphisms of selected genes and to find their potential effect on the occurrence of osteochondrosis in Polish Warmbloods (sport horse breeds). The study was conducted on a group of 198 horses subjected to official performance tests. Investigated joints-fetlock, hock and stifle-were X-rayed twice, once before and again at the end of the tests (first and second examination), and on this basis the degree of disease was evaluated. Based on the results of previous research, 13 candidate genes potentially associated with the occurrence of osteochondro...
Synovial Fluid Metabolites Differentiate between Septic and Nonseptic Joint Pathologies.
Journal of proteome research    July 20, 2018   Volume 17, Issue 8 2735-2743 doi: 10.1021/acs.jproteome.8b00190
Anderson JR, Phelan MM, Clegg PD, Peffers MJ, Rubio-Martinez LM.Osteoarthritis (OA), osteochondrosis (OC), and synovial sepsis in horses cause loss of function and pain. Reliable biomarkers are required to achieve accurate and rapid diagnosis, with synovial fluid (SF) holding a unique source of biochemical information. Nuclear magnetic resonance (NMR) spectroscopy allows global metabolite analysis of a small volume of SF, with minimal sample preprocessing using a noninvasive and nondestructive method. Equine SF metabolic profiles from both nonseptic joints (OA and OC) and septic joints were analyzed using 1D H NMR spectroscopy. Univariate and multivariate ...
Fifty years of osteochondrosis.
Equine veterinary journal    June 29, 2018   Volume 50, Issue 5 554-555 doi: 10.1111/evj.12821
van Weeren R.No abstract available
Expression of pro-apoptotic markers is increased along the osteochondral junction in naturally occurring osteochondrosis.
Bone reports    June 21, 2018   Volume 9 19-26 doi: 10.1016/j.bonr.2018.06.003
Semevolos SA, Duesterdieck-Zellmer KF, Larson M, Kinsley MA.Osteochondrosis (OC) is a naturally occurring disease of the articular-epiphyseal cartilage and subchondral bone layers, leading to pain and decreased mobility. The objective of this study was to characterize gene and protein expression of apoptotic markers in chondrocytes surrounding cartilage canals and along the osteochondral junction of osteochondrosis (OC)-affected and normal cartilage, using naturally occurring disease in horses. Paraffin-embedded osteochondral samples (6 OC, 8 normal controls) and cDNA from chondrocytes captured with laser capture microdissection (4 OC, 6 normal control...
Septic Arthritis/Osteomyelitis May Lead to Osteochondrosis-Like Lesions in Foals.
Veterinary pathology    May 28, 2018   Volume 55, Issue 5 693-702 doi: 10.1177/0300985818777786
Wormstrand B, Østevik L, Ekman S, Olstad K.Failure of the cartilage canal blood supply leads to ischemic chondronecrosis which causes osteochondrosis, and osteochondral lesions. Osteochondrosis is a disease with a heritable component and usually occurs under aseptic conditions. Because bacteria can bind to growth cartilage and disrupt the blood supply in pigs and chickens, we considered whether this might play a role in development of equine osteochondrosis. The aim of this study was to examine whether bacteria are present in canals in the growth cartilage of foals with septic arthritis/osteomyelitis, and whether this is associated wit...
The development of hoof balance and landing preference in the post-natal period.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 6 809-817 doi: 10.1111/evj.12961
Gorissen BMC, Serra Bragança FM, Wolschrijn CF, Back W, van Weeren PR.Foals can follow the herd within hours of birth, but it has been shown that kinetic gait parameters and static balance still have to mature. However, development of dynamic balance has not been investigated. Objective: To objectively quantify landing and pressure pattern dynamics under the hoof during the first half year of life. Methods: Prospective, cohort study performed at a single stud farm. Methods: Pressure plate measurements at walk and trot from ten Dutch warmblood foals during the first 24 weeks of life were used to quantify toe-heel and medial-lateral hoof balance asymmetry indexes ...
Critical-sized cartilage defects in the equine carpus.
Connective tissue research    April 12, 2018   Volume 60, Issue 2 95-106 doi: 10.1080/03008207.2018.1455670
Salonius E, Rieppo L, Nissi MJ, Pulkkinen HJ, Brommer H, Brünott A, Silvast TS, Van Weeren PR, Muhonen V, Brama PAJ, Kiviranta I.The horse joint, due to its similarity with the human joint, is the ultimate model for translational articular cartilage repair studies. This study was designed to determine the critical size of cartilage defects in the equine carpus and serve as a benchmark for the evaluation of new cartilage treatment options. Circular full-thickness cartilage defects with a diameter of 2, 4, and 8 mm were created in the left middle carpal joint and similar osteochondral (3.5 mm in depth) defects in the right middle carpal joint of 5 horses. Spontaneously formed repair tissue was examined macroscopically, ...