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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.
Changes in synovial fluid biomarker concentrations following arthroscopic surgery in horses with osteochondritis dissecans of the distal intermediate ridge of the tibia.
American journal of veterinary research    June 26, 2015   Volume 76, Issue 7 599-607 doi: 10.2460/ajvr.76.7.599
Brink P, Smith RK, Tverdal A, Dolvik NI.To quantify concentrations of cartilage oligomeric matrix protein (COMP) and fibromodulin in synovial fluid from the tarsocrural joints (TCJs) of horses with osteochondritis dissecans (OCD) of the distal intermediate ridge of the tibia and determine whether concentrations would change following arthroscopic removal of osteochondral fragments. Methods: 115 client-owned horses with OCD of the TCJ and 29 control horses euthanized for unrelated reasons. Methods: COMP and fibromodulin concentrations were measured in synovial fluid from the TCJs of the affected horses before and after osteochondral ...
Effects of moderate amounts of barley in late pregnancy on growth, glucose metabolism and osteoarticular status of pre-weaning horses.
PloS one    April 13, 2015   Volume 10, Issue 4 e0122596 doi: 10.1371/journal.pone.0122596
Peugnet P, Robles M, Mendoza L, Wimel L, Dubois C, Dahirel M, Guillaume D, Camous S, Berthelot V, Toquet MP, Richard E, Sandersen C, Chaffaux S....In stud management, broodmares are commonly fed concentrates in late pregnancy. This practice, however, was shown to correlate with an increased incidence of osteochondrosis in foals, which may be related to insulin sensitivity. We hypothesized that supplementation of the mare with barley in the last trimester of pregnancy alters the pre-weaning foal growth, glucose metabolism and osteoarticular status. Here, pregnant multiparous saddlebred mares were fed forage only (group F, n=13) or both forage and cracked barley (group B, n=12) from the 7th month of pregnancy until term, as calculated to c...
Age-dependent expression of osteochondrosis-related genes in equine leukocytes.
Veterinary record open    March 24, 2015   Volume 2, Issue 1 e000058 doi: 10.1136/vetreco-2014-000058
Mendoza L, Piquemal D, Lejeune JP, Vander Heyden L, Noguier F, Bruno R, Sandersen C, Serteyn D.Osteochondrosis (OC) is a developmental disease in horses which has a significant impact on the horse's welfare and performance. The early disturbance in the process of endochondral ossification progresses to inflammatory and repair processes in older horses. Previously, differentially expressed genes in leukocytes of OC-affected horses have been identified. The aim of the present study is to detect age-related changes in these differentially expressed genes. Methods: The expression of OC-related genes was analysed by real-time PCR and subsequent statistical analysis (ΔΔCT) in the leukocytes...
Osteochondrosis Can Lead to Formation of Pseudocysts and True Cysts in the Subchondral Bone of Horses.
Veterinary pathology    November 26, 2014   Volume 52, Issue 5 862-872 doi: 10.1177/0300985814559399
Olstad K, Østevik L, Carlson CS, Ekman S.Osteochondrosis arises as a result of focal failure of the blood supply to growth cartilage. The current aim was to examine the pathogenesis of pseudocysts and true cysts in subchondral bone following failure of the blood supply to the articular-epiphyseal cartilage complex in horses. Cases were recruited based on identification of lesions (n = 17) that were considered likely to progress to or to represent pseudocysts or true cysts in epiphyseal bone in histological sections and included 10 horses ranging in age from 48 days to 5 years old. Cases comprised 3 warmbloods, 3 Standardbreds, 1 Quar...
Omics technologies provide new insights into the molecular physiopathology of equine osteochondrosis.
BMC genomics    October 31, 2014   Volume 15, Issue 1 947 doi: 10.1186/1471-2164-15-947
Desjardin C, Riviere J, Vaiman A, Morgenthaler C, Diribarne M, Zivy M, Robert C, Le Moyec L, Wimel L, Lepage O, Jacques C, Cribiu E, Schibler L.Osteochondrosis (OC(D)) is a juvenile osteo-articular disorder affecting several mammalian species. In horses, OC(D) is considered as a multifactorial disease and has been described as a focal disruption of endochondral ossification leading to the development of osteoarticular lesions. Nevertheless, OC(D) physiopathology is poorly understood. Affected horses may present joint swelling, stiffness and lameness. Thus, OC(D) is a major concern for the equine industry. Our study was designed as an integrative approach using omics technologies for the identification of constitutive defects in epiphy...
Treatment of osteochondrosis dissecans in the stifle and tarsus of juvenile thoroughbred horses.
Veterinary surgery : VS    September 22, 2014   Volume 44, Issue 3 297-303 doi: 10.1111/j.1532-950X.2014.12277.x
Clarke KL, Reardon R, Russell T.To determine if arthroscopic surgery performed on weanlings/yearlings with trochlear ridge OCD of the femur (stifle OCD), or intermediate ridge of the tibia (tarsal OCD) detected on routine presale radiographs affects future racing performance. Methods: Retrospective case control study. Methods: Thoroughbred weanlings and yearlings. Methods: Stifle (N = 37; 22 male, 15 female) and tarsal (N = 35; 22 male, 13 female) OCD cases were identified. Outcome measures relating to racing performance (number of race starts, wins, places, and prize money earned, from races in their 2- and 3-year-old racin...
Next-generation sequencing identifies equine cartilage and subchondral bone miRNAs and suggests their involvement in osteochondrosis physiopathology.
BMC genomics    September 17, 2014   Volume 15, Issue 1 798 doi: 10.1186/1471-2164-15-798
Desjardin C, Vaiman A, Mata X, Legendre R, Laubier J, Kennedy SP, Laloe D, Barrey E, Jacques C, Cribiu EP, Schibler L.MicroRNAs (miRNAs) are an abundant class of small single-stranded non-coding RNA molecules ranging from 18 to 24 nucleotides. They negatively regulate gene expression at the post-transcriptional level and play key roles in many biological processes, including skeletal development and cartilage maturation. In addition, miRNAs involvement in osteoarticular diseases has been proved and some of them were identified as suitable biomarkers for pathological conditions. Equine osteochondrosis (OC) is one of the most prevalent juvenile osteoarticular disorders in horses and represents a major concern f...
Short- and long-term racing performance of Standardbred pacers and trotters after early surgical intervention for tarsal osteochondrosis.
Equine veterinary journal    July 17, 2014   Volume 47, Issue 4 438-444 doi: 10.1111/evj.12297
McCoy AM, Ralston SL, McCue ME.Osteochondrosis (OC) is commonly diagnosed in young Standardbred racehorses but its effect on performance when surgically treated at a young age is still incompletely understood. This is especially true for Standardbred pacers, which are underrepresented in the existing literature. Objective: To characterise the short- (2-year-old) and long-term (through 5-year-old) racing performance in Standardbred pacers and trotters after early surgical intervention (<17 months of age) for tarsal OC. Methods: Retrospective clinical study. Methods: The study population consisted of related, age-matched Stan...
Comparison of the blood supply to the articular-epiphyseal growth complex in horse vs. pony foals.
Equine veterinary journal    May 29, 2014   Volume 47, Issue 3 326-332 doi: 10.1111/evj.12278
Hendrickson EH, Olstad K, Nødtvedt A, Pauwels E, van Hoorebeke L, Dolvik NI.To increase understanding of why the prevalence of clinical/radiographic osteochondrosis (OC) dissecans is high in horses and low in ponies. Objective: To investigate whether the clinical difference in OC occurrence between horses and ponies could partly be explained by a difference in: 1) number of patent vessels in the epiphyseal growth cartilage; 2) duration of the presence of patent cartilage canals; or 3) growth cartilage thickness at predilection sites for OC. The hypothesis was that pony foals would have fewer cartilage canals, shorter duration of blood supply and thinner growth cartila...
Involvement of mitochondrial dysfunction and ER-stress in the physiopathology of equine osteochondritis dissecans (OCD).
Experimental and molecular pathology    March 20, 2014   Volume 96, Issue 3 328-338 doi: 10.1016/j.yexmp.2014.03.004
Desjardin C, Chat S, Gilles M, Legendre R, Riviere J, Mata X, Balliau T, Esquerré D, Cribiu EP, Betch JM, Schibler L.Osteochondrosis (OC) is a developmental bone disorder affecting several mammalian species including the horse. Equine OC is described as a focal disruption of endochondral ossification, leading to osteochondral lesions (osteochondritis dissecans, OCD) that may release free bodies within the joint. OCD lesions trigger joint swelling, stiffness and lameness and affects about 30% of the equine population. OCD is considered as multifactorial but its physiopathology is still poorly understood and genes involved in genetic predisposition are still unknown. Our study compared two healthy and two OC-a...
Alterations in sclerostin protein in lesions of equine osteochondrosis.
Veterinary record open    February 4, 2014   Volume 1, Issue 1 e000005 doi: 10.1136/vropen-2013-000005
Power J, Hernandez P, Wardale J, Henson FM.Osteochondrosis (OC) is a common and clinically important joint disease that occurs in many species, including humans, pigs, chickens and horses. It has been described as a focal failure of endochondral ossification (EO), but no cellular/molecular mechanisms are fully described that explain the cause of this condition. Recently a Wnt signalling inhibitor, sclerostin, has been described in osteoarthritic cartilage, where it has been proposed to protect damaged cartilage from degradation. Cartilage degradation is a key event in EO, thus, abnormalities of sclerostin in growth cartilage could, pot...
Identification and treatment of osteochondritis dissecans of the distal sagittal ridge of the third metacarpal bone.
Equine veterinary journal    December 4, 2013   Volume 46, Issue 5 585-588 doi: 10.1111/evj.12187
Wright IM, Minshall GJ.Osteochondritis dissecans (OCD) of the distal sagittal ridge of the third metacarpal bone (McIII) has not previously been described in the literature. Objective: To describe the clinical, radiological and arthroscopic features of OCD of the distal sagittal ridge of the McIII and to report outcome in a series of cases. Methods: Retrospective case series. Methods: Case records and images of horses with OCD of the distal sagittal ridge of the McIII admitted to a single referral centre between February 2006 and February 2013 were reviewed. Follow-up information was obtained by telephone questionna...
Heritabilities and genetic correlations between fetlock, hock and stifle osteochondrosis and fetlock osteochondral fragments in Hanoverian Warmblood horses.
Journal of animal breeding and genetics = Zeitschrift fur Tierzuchtung und Zuchtungsbiologie    November 18, 2013   Volume 131, Issue 1 71-81 doi: 10.1111/jbg.12062
Hilla D, Distl O.The main objective of this study is to estimate genetic parameters for osteochondrosis (OC) and osteochondrosis dissecans (OCD) in fetlock, hock and stifle joints as well as for palmar or plantar osteochondral fragments (POFs) and dorsodistal osteochondral fragments (DOFs) in fetlock joints. For this purpose, the results of a standardized radiographic examination of 7396 Hanoverian Warmblood horses were used. Heritabilities and genetic correlations were estimated using residual maximum likelihood (REML) under a linear animal model. Heritability estimates for OC at the different joints were at ...
Bioengineered osteochondral precursor for treatment of osteochondritis dissecans in a Thoroughbred filly.
Australian veterinary journal    October 1, 2013   Volume 91, Issue 10 411-415 doi: 10.1111/avj.12104
Tsuzuki N, Seo JP, Haneda S, Yamada K, Furuoka H, Tabata Y, Sasaki N.A 13-month-old Thoroughbred filly was diagnosed with osteochondritis dissecans (OCD) of the medial tibial malleolus. A sponge impregnated with platelet-rich plasma, bone morphogenetic protein-2, mesenchymal stem cells and gelatin β-tricalcium phosphate was applied to the OCD site following arthroscopy and debridement. Postoperative radiography (every week for 16 weeks), computed tomography (CT) (16 weeks postoperatively), arthroscopy (16 weeks postoperatively) and biopsy of the regenerated tissue (16 weeks postoperatively) were performed to evaluate the outcome. Radiographically, the defect b...
Effects of bilayer gelatin/β-tricalcium phosphate sponges loaded with mesenchymal stem cells, chondrocytes, bone morphogenetic protein-2, and platelet rich plasma on osteochondral defects of the talus in horses.
Research in veterinary science    September 5, 2013   Volume 95, Issue 3 1210-1216 doi: 10.1016/j.rvsc.2013.08.016
Seo JP, Tanabe T, Tsuzuki N, Haneda S, Yamada K, Furuoka H, Tabata Y, Sasaki N.Osteochondrosis (OC) is a common and clinically important joint disorder in horses. However, repair of the OC region is difficult because of the avascular nature of cartilage. This study aimed to evaluate the efficacy of bilayer gelatin/β-tricalcium phosphate (GT) sponges loaded with mesenchymal stem cells (MSCs), chondrocytes, bone morphogenetic protein-2 (BMP-2), and platelet rich plasma (PRP) for the repair of osteochondral defects of the talus in horses. Full-thickness osteochondral defects were created on both the lateral trochlear ridges of the talus (n = 6). In the test group, a basic ...
Foetal and postnatal equine articular cartilage development: magnetic resonance imaging and polarised light microscopy.
European cells & materials    August 9, 2013   Volume 26 33-48 doi: 10.22203/ecm.v026a03
Cluzel C, Blond L, Fontaine P, Olive J, Laverty S.Adult articular cartilage (AC) has a well described multizonal collagen structure. Knowledge of foetal AC organisation and development may provide a prototype for cartilage repair strategies, and improve understanding of structural changes in developmental diseases such as osteochondrosis (OC). The objective of this study was to describe normal development of the spatial architecture of the collagen network of equine AC using 1.5 T magnetic resonance imaging (MRI) and polarised light microscopy (PLM), at sites employed for cartilage repair studies or susceptible to OC. T2-weighted fast-spin e...
IHH gene polymorphism among three horse breeds and its application for association test in horses with osteochondrosis.
Hereditas    July 8, 2013   Volume 150, Issue 2-3 38-43 doi: 10.1111/j.1601-5223.2013.02282.x
Zabek T, Golonka P, Fornal A, Semik E.Genetic polymorphism of IHH gene were investigated in Angloarabian, Polish Coldblood and Polish Halfbred horses with the inclusion of a group of Polish Halfbreds affected by osteochondrosis. IHH is a good candidate gene for association study of developmental disorders mainly affecting skeleton development. DNA sequence spanning IHH gene annotated in the horse genome and its putative promoter were investigated using SANGER sequencing. Analysis of genetic variability at polymorphic sites in the IHH gene body and the promoter region confirmed genetic differences between warmblood and coldblood ho...
Local Morphological Response of the Distal Femoral Articular-Epiphyseal Cartilage Complex of Young Foals to Surgical Stab Incision and Potential Relevance to Cartilage Injury and Repair in Children.
Cartilage    July 1, 2013   Volume 4, Issue 3 239-248 doi: 10.1177/1947603513480024
Olstad K, Hendrickson EH, Ekman S, Carlson CS, Dolvik NI.Describe the local morphological response of the articular-epiphyseal cartilage complex to surgical stab incision in the distal femur of foals, with emphasis on the relationship between growth cartilage injury, enchondral ossification, and repair. Methods: Nine foals were induced into general anesthesia at the age of 13 to 15 days. Four full-thickness stab incision defects were created in the cartilage on the lateral aspect of the lateral trochlear ridge of the left distal femur. Follow-up examination was carried out from 1 to 49 days postoperatively, including examination of intact bones, saw...
Prevalence of osteochondral fragments, osteochondrosis dissecans and palmar/plantar osteochondral fragments in Hanoverian Warmblood horses.
Berliner und Munchener tierarztliche Wochenschrift    June 14, 2013   Volume 126, Issue 5-6 236-244 
Hilla D, Distl O.In this study, the prevalences of osteochondral fragments in the distal (DUI) and proximal interphalangeal joints (PIJ) as well as in the fetlock, hock and stifle joints, of palmar/plantar osteochondral fragments in the fetlock joints (POFs) and of osteochondrosis dissecans (OCD) in fetlock, hock and stifle joints were estimated in a large sample of Hanoverian Warmblood horses. For this purpose, radiographic findings of 9478 Hanoverian Warmblood horses collected from 2005 to 2011 were analyzed. Overall 31.9% of the horses showed one or more osteochondral fragments in at least one joint. The fe...
Equine developmental orthopaedic diseases–a genome-wide association study of first phalanx plantar osteochondral fragments in Standardbred trotters.
Animal genetics    June 7, 2013   Volume 44, Issue 6 766-769 doi: 10.1111/age.12064
Lykkjen S, Dolvik NI, McCue ME, Rendahl AK, Mickelson JR, Røed KH.Palmar/plantar osteochondral fragments (POF) in fetlock joints commonly affect and influence the athletic performance of horses. In this study, we used the Equine SNP50 BeadChip® to perform a genome-wide association study of metatarsophalangeal POF in 176 Norwegian Standardbred trotter yearlings. Putative quantitative trait loci (QTL) for medial and/or lateral POF, and medial POF only were identified on ECA1, 2, 7, 9 and 31, whereas for lateral POF, only on ECA7, 11, 27 and X. The moderate number of QTL evidences a complex inheritance and suggests various genes controlling POF development in ...
Surgical versus conservative management of osteochondrosis.
Veterinary journal (London, England : 1997)    June 7, 2013   Volume 197, Issue 1 19-28 doi: 10.1016/j.tvjl.2013.03.037
McIlwraith CW.The paper reviews current knowledge on conservative versus surgical options for the treatment of osteochondrosis entities in the horse. Clinical and radiographic signs of each significant osteochondrosis entity in the horse are presented, followed by the value of conservative treatment versus arthroscopic surgery options as well as the results for each option with the various entities. The entities presented in detail include, osteochondritis dissecans (OCD) of the femoropatellar, tarsocrural, metacarpophalangeal and metatarsophalangeal, and glenohumural articulations. The various treatment op...
Computed tomography and magnetic resonance imaging in the study of joint development in the equine pelvic limb.
Veterinary journal (London, England : 1997)    May 18, 2013   Volume 197, Issue 1 103-111 doi: 10.1016/j.tvjl.2013.03.049
Fontaine P, Blond L, Alexander K, Beauchamp G, Richard H, Laverty S.Osteochondrosis dissecans (OCD) is a focal failure of endochondral ossification of the epiphysis characterized by the presence of cartilage flaps and osteochondral fragments. The objective of this study was to image epiphyseal development in the equine pelvic limb to determine whether there was a variation in site maturation that could be a predisposing factor for OCD. Pelvic limbs (fetuses and foals) were studied post-mortem. The epiphyses of the distal femur, tibia and talus were scanned with computed tomography (CT) and 1.5T magnetic resonance imaging (MRI) to investigate the degree and pat...
A review of terminology for equine juvenile osteochondral conditions (JOCC) based on anatomical and functional considerations.
Veterinary journal (London, England : 1997)    May 15, 2013   Volume 197, Issue 1 29-35 doi: 10.1016/j.tvjl.2013.03.038
Denoix JM, Jeffcott LB, McIlwraith CW, van Weeren PR.This manuscript describes a new classification of the various joint-related lesions that can be seen in the young, growing horse based on their anatomical and functional aetiopathogenesis. Juvenile osteochondral conditions (JOCC) is a term that brings together specific disorders according to their location in the joint and their biomechanical origin. When a biomechanical insult affects the process of endochondral ossification different types of osteochondrosis (OC) lesions may occur, including osteochondral fragmentation of the articular surface or of the periarticular margins, or the formatio...
Juvenile osteochondral conditions in the horse: a special issue. Introduction.
Veterinary journal (London, England : 1997)    May 8, 2013   Volume 197, Issue 1 1-2 doi: 10.1016/j.tvjl.2013.03.034
Jeffcott L.No abstract available
Association of growth, feeding practices and exercise conditions with the severity of the osteoarticular status of limbs in French foals.
Veterinary journal (London, England : 1997)    May 8, 2013   Volume 197, Issue 1 65-71 doi: 10.1016/j.tvjl.2013.03.043
Lepeule J, Bareille N, Robert C, Valette JP, Jacquet S, Blanchard G, Denoix JM, Seegers H.The aim of this study was to identify the risk factors for the severity of Juvenile OsteoChondral Conditions (JOCC) in limbs of French foals. Twenty-one farms in Normandy, France, were sampled and enrolled in a cohort study including 378 foals from three breeds, followed from the 8th month of pregnancy of the mares until the foals were approximately 6months old. Data on growth, feeding practices and exercise conditions were regularly collected. The carpus, the front and hind digits, the hock and the stifle of the foals were radiographed at the end of follow-up. JOCC severity in each foal was d...
Evolution of radiological findings detected in the limbs of 321 young horses between the ages of 6 and 18 months.
Veterinary journal (London, England : 1997)    May 6, 2013   Volume 197, Issue 1 58-64 doi: 10.1016/j.tvjl.2013.03.042
Jacquet S, Robert C, Valette JP, Denoix JM.The objective of this study was to evaluate the spontaneous evolution of radiological findings (RF) indicative of juvenile osteochondral conditions (JOCC) in a field study. A radiographic survey was performed at the age of 6 and 18months in 321 young horses from three breeds (French Trotter Standardbred, Selle-Français Warmblood and Thoroughbred). Each RF identified at 6months was re-evaluated at 18months, and classified as (1) disappeared, (2) improved, (3) stable, (4) deteriorated or (5) new when it was not identified at 6months. Only 32.3% of all RF identified at the age of 6months were st...
Study design for the investigation of likely aetiological factors of juvenile osteochondral conditions (JOCC) in foals and yearlings.
Veterinary journal (London, England : 1997)    April 30, 2013   Volume 197, Issue 1 36-43 doi: 10.1016/j.tvjl.2013.03.039
Robert C, Valette JP, Jacquet S, Lepeule J, Denoix JM.The possible aetiology of osteochondrosis and, to a lesser extent, other developmental orthopaedic diseases or juvenile osteochondral conditions (JOCC), has been intensively investigated. However, most studies have focused on single factors of this multi-factorial disorder, or have been conducted under experimental conditions. This paper aims to present and discuss the scientific background of the BOSAC (Breeding, Osteochondral Status and Athletic Career) research program, a multi-factorial investigation on JOCC risk factors in field conditions. The epidemiology of JOCC in horses born in Norma...
Problems and pointers in osteochondrosis: Twenty years on.
Veterinary journal (London, England : 1997)    April 30, 2013   Volume 197, Issue 1 96-102 doi: 10.1016/j.tvjl.2013.03.048
van Weeren PR, Jeffcott LB.Twenty years ago a supplement of Equine Veterinary Journal was devoted to equine osteochondrosis (OC) and recognised the importance of this developmental disease to the equine industry. In the accompanying editorial several controversial issues were identified and a number of areas for further research were highlighted. Today, equine OC is still a major clinical problem, but the on-going research has resulted in much improved knowledge and understanding of this highly complicated disease. There is still conflicting evidence on the prevalence of OC due to the dynamic character of the condition,...
Effects of management practices as risk factors for juvenile osteochondral conditions in 259 French yearlings.
Veterinary journal (London, England : 1997)    April 30, 2013   Volume 197, Issue 1 72-76 doi: 10.1016/j.tvjl.2013.03.044
Praud A, Dufour B, Robert C, Valette JP, Denoix JM, Crevier-Denoix N.Several studies have demonstrated a statistical association between management practices and juvenile osteochondral conditions (JOCC) in foals from birth to 6months of age, but this association has not been investigated in yearlings. The purpose of the current study was to determine the adjusted effects of management practices on the onset and evolution of JOCC in French yearlings. The study sample consisted of 259 yearlings born on 20 stud farms in Normandy. The breeding conditions of these horses were monitored from 6 to 17months. They were radiographed at 6 and 17months to determine their r...
The Normandy field study on juvenile osteochondral conditions: conclusions regarding the influence of genetics, environmental conditions and management, and the effect on performance.
Veterinary journal (London, England : 1997)    April 29, 2013   Volume 197, Issue 1 90-95 doi: 10.1016/j.tvjl.2013.03.047
van Weeren PR, Denoix JM.Juvenile osteochondral conditions (JOCC) have a major impact on the equine industry and include many musculoskeletal disorders of the young horse, of which osteochondrosis (OC) is the most prominent. The Breeding, Osteochondral Status and Athletic Career (BOSAC) project is the first large, comprehensive, longitudinal field study on the subject conducted in three breeds of performance horses (Thoroughbreds, Standardbred Trotters and Warmbloods) that were monitored in their natural environment where they were reared under common field conditions. The BOSAC study used a radiographic protocol desi...