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Topic:Pathogenesis

Pathogenesis in horses refers to the biological mechanisms that lead to the development and progression of diseases within equine species. This process involves a complex interaction between the horse's immune system, genetic predispositions, environmental factors, and infectious agents such as bacteria, viruses, or parasites. Understanding pathogenesis is essential for identifying how diseases manifest and progress in horses, which can inform diagnostic and therapeutic strategies. Research in this area often focuses on specific diseases, examining factors such as pathogen entry, immune response, tissue damage, and recovery processes. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, contributing factors, and implications of pathogenesis in equine health.
Transcriptional and proteolytic regulation of the insulin-like growth factor-I system of equine articular chondrocytes by recombinant equine interleukin-1beta.
Journal of cellular physiology    August 10, 2006   Volume 209, Issue 2 542-550 doi: 10.1002/jcp.20762
Porter RM, Akers RM, Howard RD, Forsten-Williams K.Interleukin-1 (IL-1) and insulin-like growth factor-I (IGF-I), which have opposing effects on matrix metabolism within articular cartilage, are thought to play prominent roles in the pathogenesis of osteoarthritis. To better understand the link between these anabolic (IGF-I) and catabolic (IL-1) stimuli, we examined exogenous IL-1 regulation of the IGF-I signaling system of articular chondrocytes (ACs). Equine ACs from non-arthritic stifle joints were expanded in monolayer culture, encapsulated for 10 days in alginate beads, and stimulated as high-density monolayers with recombinant equine IL-...
Arthrogenic lameness of the fetlock: synovial fluid markers of inflammation and cartilage turnover in relation to clinical joint pain.
Equine veterinary journal    July 27, 2006   Volume 38, Issue 4 305-311 doi: 10.2746/042516406777749236
de Grauw JC, van de Lest CH, van Weeren R, Brommer H, Brama PA.Joint pain is one of the most common causes of lameness in the horse but its pathogenesis is poorly understood. Objective: To investigate which synovial fluid markers may be related to the presence of clinically detectable joint pain in the horse. Methods: Concentrations of structural (CPII, C2C, GAG) and inflammatory markers (PGE2, LTB4, CysLTs, bradykinin and substance P) were measured in fetlock joint fluid from 22 horses in which lameness was localised to the fetlock region by perineural anaesthesia. Levels of these markers were then compared in horses that responded (n = 15) to those that...
[Depiction of the structure of the vitreous body in horses without ocular diseases and in horses with equine recurrent uveitis (ERU) using transmission electron microscopy].
DTW. Deutsche tierarztliche Wochenschrift    July 22, 2006   Volume 113, Issue 6 211-217 
Niedermaier G, Wollanke B, Hoffmann R, Matiasek K, Gerhards H.Neither the ultrastructure of the vitreous body from horses without ocular diseases, nor the pathomorphological changes in the vitreous body associated with equine recurrent uveitis (ERU) have been described. However, the vitreous body plays an important role in the pathogenesis of ERU. Ten vitreous body samples obtained from 5 horses without ocular disease, and 38 vitreous body samples from horses with ERU (collected during vitrectomy) were examined by transmission electron microscopy. The vitreous body samples of horses without ocular diseases were characterized by a loose network of unbranc...
Pathogenesis and treatment of endometritis in the mare: a review.
Theriogenology    July 7, 2006   Volume 66, Issue 3 560-566 doi: 10.1016/j.theriogenology.2006.04.006
Hurtgen JP.Inflammatory conditions of the uterus, collectively known as endometritis, can be classified as acute, chronic, active, or subclinical. This condition causes substantial reductions in mare fertility. To diagnose and treat mares with endometrial inflammation, it is imperative to identify predisposing factors and challenges to the reproductive tract of the mare in a chronological order; these factors change from those of the young maiden filly to the older, multiparous broodmare. This paper addresses predisposing factors, diagnostic procedures and therapy strategies for different mare groups.
In vitro inhibition of matrix metalloproteinase activity in tracheal epithelial lining fluid from horses with recurrent airway obstruction.
American journal of veterinary research    July 5, 2006   Volume 67, Issue 7 1252-1257 doi: 10.2460/ajvr.67.7.1252
Raulo SM, Sorsa T, Maisi P.To evaluate inhibitory effects of synthetic matrix metalloproteinase (MMP) inhibitors in vitro on gelatinolytic and collagenolytic activities in tracheal epithelial lining fluid (TELF) of horses with recurrent airway obstruction (RAO). Methods: 10 horses with RAO and 5 healthy control horses. Methods: Substrate-based functional assays, collagen I and gelatin degradation, were used to measure endogenous collagenolytic and gelatinolytic activities in TELF. In vitro inhibition of MMP activity in TELF with 2 chemically modified tetracyclines (CMTs; CMT-3 and CMT-8) and 2 bisphosphonates (BPs; zole...
Cartilage-derived biomarkers and lipid mediators of inflammation in horses with osteochondritis dissecans of the distal intermediate ridge of the tibia.
American journal of veterinary research    July 5, 2006   Volume 67, Issue 7 1156-1162 doi: 10.2460/ajvr.67.7.1156
de Grauw JC, Brama PA, Wiemer P, Brommer H, van de Lest CH, van Weeren PR.To assess whether reported alterations in metabolism of cartilage matrix in young (0 to 24 months old) horses with osteochondritis dissecans (OCD) may also be found in older (24 to 48 months old) horses with clinical signs of OCD and to investigate the role of eicosanoids in initiating these clinical signs. Methods: Synovial fluid was collected from 38 tarsocrural joints of 24 warmblood horses with (22 joints of 16 horses) or without (16 joints of 8 horses) clinical signs and a radiographic diagnosis of OCD of the distal intermediate ridge of the tibia. Methods: Turnover of type II collagen wa...
Getting a grip on strangles: recent progress towards improved diagnostics and vaccines.
Veterinary journal (London, England : 1997)    July 3, 2006   Volume 173, Issue 3 492-501 doi: 10.1016/j.tvjl.2006.05.011
Waller AS, Jolley KA.'Strangles', caused by infection with the bacterium Streptococcus equi, remains one of the most commonly diagnosed and important infectious diseases of horses world-wide. This review discusses the diagnosis and pathogenesis of strangles with particular attention to the significance of persistent infections in disease transmission and the rapid progress now being made towards the development of effective preventative vaccines. It is now possible combine recent sequence data from the N-terminal region of the SeM protein and reassign the SeM alleles using the on-line database http://pubmlst.org/s...
Pathogenesis, laboratory diagnosis, and clinical implications of erythrocyte enzyme deficiencies in dogs, cats, and horses.
Veterinary clinical pathology    June 20, 2006   Volume 35, Issue 2 144-156 doi: 10.1111/j.1939-165x.2006.tb00108.x
Harvey JW.Deficiencies of enzymes involved in erythrocyte metabolism can have significant effects on erythrocyte function and survival. Animals with pyruvate kinase (PK) or phosphofructokinase (PFK) deficiencies have shortened erythrocyte life spans and regenerative anemia. PK-deficient dogs (but not PK-deficient cats) develop progressive myelofibrosis and osteosclerosis of bone marrow and hemochromatosis and cirrhosis of the liver. PFK-deficient dogs have sporadic episodes of hyperventilation-induced intravascular hemolysis and hemoglobinuria. Cytochrome b5 reductase (Cb5R) deficiency in dogs and cats ...
Insulin resistance in equids: possible role in laminitis.
The Journal of nutrition    June 15, 2006   Volume 136, Issue 7 Suppl 2094S-2098S doi: 10.1093/jn/136.7.2094S
Treiber KH, Kronfeld DS, Geor RJ.Insulin is a major regulatory hormone in glucose and fat metabolism, vascular function, inflammation, tissue remodeling, and the somatotropic axis of growth. Insulin resistance alters insulin signaling by decreasing insulin action in certain resistant pathways while increasing insulin signaling in other unaffected pathways via compensatory hyperinsulinemia. In humans, altered insulin signaling is implicated in reduced glucose availability to insulin-sensitive cells, vasoconstriction and endothelial damage, and inflammatory response. Although no direct evidence exists for insulin's role in thes...
Gastrointestinal derived factors are potential triggers for the development of acute equine laminitis.
The Journal of nutrition    June 15, 2006   Volume 136, Issue 7 Suppl 2103S-2107S doi: 10.1093/jn/136.7.2103S
Elliott J, Bailey SR.Equine laminitis is the painful and debilitating condition resulting from cellular damage and inflammation of the tissues comprising the bonds supporting the pedal bone within the hoof capsule. One of the reasons why this condition is so complicated and enigmatic is its association with gastrointestinal disturbances, particularly a diet of lush grass at certain times of the year. Determining the link between disturbances to the hindgut flora and pathophysiology in the foot is one of the keys to preventing this condition. Therefore, one of the biggest challenges in equine laminitis research is ...
A type II-collagen derived peptide and its nitrated form as new markers of inflammation and cartilage degradation in equine osteochondral lesions.
Research in veterinary science    June 14, 2006   Volume 82, Issue 1 68-75 doi: 10.1016/j.rvsc.2006.03.008
Gangl M, Serteyn D, Lejeune JP, Schneider N, Grulke S, Peters F, Vila T, Deby-Dupont G, Deberg M, Henrotin Y.Markers of cartilage breakdown enable studying the degradation of cartilage matrix in equine joint pathologies. This study was designed to determine the levels of Coll2-1, a peptide of the triple helix of type II collagen, and Coll2-1NO(2), its nitrated form in the plasma of healthy horses (controls; n=37) and horses suffering from osteochondrosis (n=34). Clinical and arthroscopic scores were attributed reflecting the severity of lesions and were related to the plasma levels of Coll2-1 and Coll2-1NO(2). The median of Coll2-1 was significantly higher in the control group, whereas the mean of Co...
Oxytocin-induced PGF2alpha release in mares with and without post-breeding delayed uterine clearance.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    June 2, 2006   Volume 53, Issue 5 259-262 doi: 10.1111/j.1439-0442.2006.00820.x
Veronesi MC, Carluccio A, Kindahl H, Faustini M, Battocchio M, Cairoli F.The aim of the present study was to evaluate within 24 h post-ovulation oxytocin-induced PGF(2alpha) release in mares with and without post-breeding delayed uterine clearance (DUC). Twenty-one of 34 mares with a variable amount of intrauterine fluids accumulation were considered to be affected by delayed uterine clearance (DUC group), while the other 13 mares did not show any uterine fluid accumulation, and were considered as controls (WDUC group). Both DUC and WDUC mares were administered with 20 IU oxytocin i.m. 90 min after the ultrasound examination performed 24 h after breeding. Immediate...
Heaves, an asthma-like equine disease, involves airway smooth muscle remodeling.
The Journal of allergy and clinical immunology    May 30, 2006   Volume 118, Issue 2 382-388 doi: 10.1016/j.jaci.2006.03.044
Herszberg B, Ramos-Barbón D, Tamaoka M, Martin JG, Lavoie JP.Increased airway smooth muscle mass is a prominent feature of asthmatic airway remodeling. Airway smooth muscle hyperplasia occurs in rodent models of experimental asthma, but the relevance of such finding to spontaneously occurring disease in large mammals is unknown. Objective: We examined horses with heaves, a naturally occurring equine asthma related to sensitization and exposure to moldy hay. We hypothesized that airway remodeling occurs in heaves and shares disease mechanisms with asthma. Methods: We quantified the airway smooth muscle mass and the numbers of proliferating and apoptotic ...
Pathogenesis of equine herpesvirus-associated neurological disease: a revised explanation.
Equine veterinary journal    May 19, 2006   Volume 38, Issue 3 283-287 doi: 10.2746/042516406776866462
Borchers K, Thein R, Sterner-Kock A.In recent years, outbreaks of equine herpesvirus-associated neurological disease (EAND) have been reported with increasing frequency and severity (Thein et al. 1993; McCartan et al. 1995; Friday et al. 2000; van Maanen et al. 2001; Stierstorfer et al. 2002; Cardwell et al. 2003; Studdert et al. 2003). Despite 40 years of worldwide research, EAND cannot be adequately prevented or fully explained. Improvement in diagnosis and detailed genetic characterisation of equine herpesvirus (EHV) strains prompted us to re-evaluate EHV-associated neurological diseases from epizootiological, pathol...
Long-term follow-up on a large number of horses that underwent transarterial coil embolisation (TCE) for guttural pouch mycosis (GPM).
Equine veterinary journal    May 19, 2006   Volume 38, Issue 3 271 
Freeman DE.No abstract available
Quantification by real-time PCR of the magnitude and duration of leucocyte-associated viraemia in horses infected with neuropathogenic vs. non-neuropathogenic strains of EHV-1.
Equine veterinary journal    May 19, 2006   Volume 38, Issue 3 252-257 doi: 10.2746/042516406776866453
Allen GP, Breathnach CC.Neurological disease in horses caused by infection with certain 'paralytic' strains of equine herpesvirus-1 (EHV-1) is a potentially devastating condition the pathogenesis of which is poorly understood. Preliminary observations in both experimentally induced and naturally occurring cases of the central nervous system disease have revealed a more robust cell-associated viraemia in horses infected with paralytic isolates of EHV-1, relative to horses infected with abortigenic isolates. To investigate further this pathogenesis-relevant question, the present study was performed using a greater numb...
The role of oxidative stress in an equine model of human asthma.
Redox report : communications in free radical research    May 12, 2006   Volume 11, Issue 2 46-52 doi: 10.1179/135100006X101057
Deaton CM.Equine recurrent airway obstruction (RAO) is a naturally occurring respiratory disease in horses with many similarities to human asthma and, as a result, has been used as an animal model of this disease. Oxidative stress has been demonstrated to occur in a range of respiratory diseases in human beings including asthma. Quantitatively, horses have a greater non-enzymatic antioxidant capacity in the pulmonary epithelial lining fluid compared to human beings due to high ascorbic acid concentrations, which reflects their ability to synthesise ascorbic acid. Consequently, a greater oxidative load i...
Degenerative suspensory ligament desmitis as a systemic disorder characterized by proteoglycan accumulation.
BMC veterinary research    April 12, 2006   Volume 2 12 doi: 10.1186/1746-6148-2-12
Halper J, Kim B, Khan A, Yoon JH, Mueller PO.Degenerative suspensory ligament desmitis (DSLD) is a debilitating disorder thought to be limited to suspensory ligaments of Peruvian Pasos, Peruvian Paso crosses, Arabians, American Saddlebreds, American Quarter Horses, Thoroughbreds, and some European breeds. It frequently leads to persistent, incurable lameness and need to euthanize affected horses. The pathogenesis remains unclear, though the disease appears to run in families. Treatment and prevention are empirical and supportive, and not effective in halting the progression of the disease. Presently, the presumptive diagnosis of DSLD is ...
Time-dependent alterations in gene expression of interleukin-8 in the bronchial epithelium of horses with recurrent airway obstruction.
American journal of veterinary research    April 4, 2006   Volume 67, Issue 4 669-677 doi: 10.2460/ajvr.67.4.669
Ainsworth DM, Wagner B, Franchini M, Grünig G, Erb HN, Tan JY.To evaluate time-dependent alterations in gene expression of chemokines in bronchial epithelium of recurrent airway obstruction (RAO)-affected horses and whether alterations resulted from increases in gene expression of interleukin (IL)-17 in cells isolated from bronchoalveolar lavage fluid (BALF). Methods: 8 RAO-susceptible horses and 9 control horses. Methods: In 2 experiments, both groups of horses were evaluated after being maintained on pasture and after being stabled and fed dusty hay for 1, 14, 35, and 49 days (experiment 1) or 14 and 28 days (experiment 2). In experiment 1, gene expres...
Production of monoclonal antibodies specific for native equine IgE and their application to monitor total serum IgE responses in Icelandic and non-Icelandic horses with insect bite dermal hypersensitivity.
Veterinary immunology and immunopathology    March 29, 2006   Volume 112, Issue 3-4 156-170 doi: 10.1016/j.vetimm.2006.02.003
Wilson AD, Harwood L, Torsteinsdottir S, Marti E.Immunoglobulin E forms a minor component of serum antibody in mammals. In tissues IgE is bound by FcvarepsilonRI receptors on the surface of mast cells and mediates their release of inflammatory substances in response to antigen. IgE and mast cells have a central role in immunity to parasites and the pathogenesis of allergic diseases in horses and other mammals. This paper describes the production of several novel monoclonal antibodies that detect native equine IgE in immunohistology, ELISA and Western blotting. An antigen capture ELISA to quantify equine IgE in serum has been developed using ...
Severe pulmonary disease due to multisystemic eosinophilic epitheliotropic disease in a horse.
Veterinary pathology    March 16, 2006   Volume 43, Issue 2 189-193 doi: 10.1354/vp.43-2-189
Singh K, Holbrook TC, Gilliam LL, Cruz RJ, Duffy J, Confer AW.Multisystemic eosinophilic epitheliotropic disease was diagnosed histologically in a 17-year-old Quarter Horse intact mare that was presented with a chronic history of respiratory distress. At necropsy, the lungs were poorly collapsed and the pulmonary parenchyma contained innumerable, discrete, spherical nodules in a miliary pattern. A few similar nodules were scattered in the liver and the renal lymph nodes. Histologically, these nodules consisted of fibrosing eosinophilic granulomas. Based on histologic findings and the absence of an etiologic agent, a diagnosis of multisystemic eosinophili...
Noninfected tenosynovitis of the digital flexor tendon sheath: a retrospective analysis of 76 cases.
Equine veterinary journal    March 16, 2006   Volume 38, Issue 2 134-141 doi: 10.2746/042516406776563350
Smith MR, Wright IM.Until recently, the pathogenesis of noninfected tenosynovitis of the digital flexor tendon sheath (DFTS) has been considered obscure. With the advent of tenoscopy some inciting causes have been described, but to date few cases with a precise diagnosis have been reported. Objective: Tenoscopic surgery enables accurate diagnosis and facilitates treatment of noninfected tenosynovitis of the DFTS. Methods: The case records of all horses with noninfected tenosynovitis of the DFTS admitted to a referral clinic over a 7-year period were evaluated retrospectively. Follow-up information was obtained by...
Validation of an in vitro single-impact load model of the initiation of osteoarthritis-like changes in articular cartilage.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    March 4, 2006   Volume 24, Issue 4 725-732 doi: 10.1002/jor.20111
Huser CA, Davies ME.The objective of this study was the development and characterization of an in vitro model of the initiation of traumatic osteoarthritis (OA). Articular cartilage was obtained from seven healthy horses and from four horses diagnosed with OA. Cartilage disks were subjected to a single-impact load (500 g from 25, 50, or 100 mm) using a simple drop-tower device and cultured in vitro for up to 20 days. Cartilage sections were examined histologically to observe surface damage and proteoglycan loss. Percentage cell death was determined using TUNEL, release of glycosaminoglycans (GAG) to the medium wa...
The S2 accessory gene of equine infectious anemia virus is essential for expression of disease in ponies.
Virology    February 28, 2006   Volume 349, Issue 1 22-30 doi: 10.1016/j.virol.2005.12.041
Fagerness AJ, Flaherty MT, Perry ST, Jia B, Payne SL, Fuller FJ.Equine infectious anemia virus (EIAV) is a macrophage-tropic lentivirus that persistently infects horses and causes a disease that is characterized by periodic episodes of fever, thrombocytopenia, and viremia. EIAV encodes only four regulatory/accessory genes, (tat, rev, ttm, and S2) and is the least genetically complex of all known lentiviruses. We sought to determine the role of the EIAV S2 accessory gene of EIAV by introducing mutations that would prevent S2 expression on the p19/wenv17 infectious molecular clone. Virus derived from the p19/wenv17 molecular clone is highly virulent and rout...
The role of alveolar macrophages in the pathogenesis of recurrent airway obstruction in horses.
Journal of veterinary internal medicine    February 25, 2006   Volume 20, Issue 1 167-174 doi: 10.1892/0891-6640(2006)20[167:troami]2.0.co;2
Laan TT, Bull S, Pirie R, Fink-Gremmels J.When challenged with allergens and pro-inflammatory agents, such as Aspergillus fumigatus (AF), hay dust solution (HDS) and lipopolysaccharide (LPS), the innate immune response will not only activate the immune system but also increase the amount of pro-inflammatory cytokines in the bronchoalveolar space. The aim of this study was to assess the response of equine alveolar macrophages to different aerosolized challenges and to investigate the differences in this response between horses susceptible or nonsusceptible to recurrent airway obstruction (RAO). Seven susceptible and 5 nonsusceptible ho...
Persistent mucus accumulation: a consequence of delayed bronchial mucous cell apoptosis in RAO-affected horses?
American journal of physiology. Lung cellular and molecular physiology    February 24, 2006   Volume 291, Issue 4 L602-L609 doi: 10.1152/ajplung.00500.2005
Bartner LR, Robinson NE, Kiupel M, Tesfaigzi Y.This study examined the contribution of delayed apoptosis of bronchial mucous cells to mucus accumulation in equine recurrent airway obstruction (RAO). In pilot studies, Bcl-2, an apoptosis inhibitor, was detected in airway mucous cells of RAO-affected horses in remission and during acute disease, when most mucus was secreted. To study whether delayed apoptosis results in an increase in the number of mucous cells during disease recovery, six RAO-affected and six control horses were fed hay for 5 days to induce inflammation and then pellets for 7 days to partially resolve RAO before euthanasia....
Two monoclonal antibodies with defined epitopes of P44 major surface proteins neutralize Anaplasma phagocytophilum by distinct mechanisms.
Infection and immunity    February 24, 2006   Volume 74, Issue 3 1873-1882 doi: 10.1128/IAI.74.3.1873-1882.2006
Wang X, Kikuchi T, Rikihisa Y.Anaplasma phagocytophilum is an obligatory intracellular bacterium that causes human granulocytic anaplasmosis. The polymorphic 44-kDa major outer membrane proteins of A. phagocytophilum are dominant antigens recognized by patients and infected animals. However, the ability of anti-P44 antibody to neutralize the infection has been unclear due to a mixture of P44 proteins with diverse hypervariable region amino acid sequences expressed by a given bacterial population and lack of epitope-defined antibodies. Monoclonal antibodies (MAbs) 5C11 and 3E65 are directed to different domains of P44 prote...
Immunohistochemical determination of the expression of endothelin receptors in bronchial smooth muscle and epithelium of healthy horses and horses affected by summer pasture-associated obstructive pulmonary disease.
American journal of veterinary research    February 4, 2006   Volume 67, Issue 2 348-357 doi: 10.2460/ajvr.67.2.348
Polikepahad S, Paulsen DB, Moore RM, Costa LR, Venugopal CS.To immunohistochemically determine the expression of endothelin (ET) receptors in bronchial smooth muscle and epithelium of healthy horses and horses affected by summer pasture-associated obstructive pulmonary disease (SPAOPD). Methods: Tissue specimens obtained from 8 healthy and 8 SPAOPD-affected horses. Methods: Horses were examined and assigned to healthy and SPAOPD groups. Horses were then euthanatized, and tissue specimens containing bronchi of approximately 4 to 8 mm in diameter were immediately collected from all lung lobes, fixed in zinc-formalin solution for 12 hours, and embedded in...
Serotonin-containing cells in the gastrointestinal tract of newborn foals and adult horses.
Anatomia, histologia, embryologia    January 26, 2006   Volume 35, Issue 1 23-27 doi: 10.1111/j.1439-0264.2005.00633.x
Fink C, Tatar M, Failing K, Hospes R, Kressin M, Klisch K.Serotonin (5-hydroxytryptamine, 5-HT), a regulatory amine of mucosal enterochromaffin cells plays an important role in the control of gastrointestinal smooth muscle contraction and epithelial secretion. Serotonin has also been associated with gastric ulcers, diarrhoea and abdominal pain. In spite of the high incidence of these gastrointestinal disorders in newborn foals and adult horses, no data are available regarding 5-HT immunoreactive cells (i.c.) in the gastrointestinal tract (GIT) of foals, and for adult horses, data are incomplete and contradictory. In this study, the distribution and r...
Histopathology in horses with chronic palmar foot pain and age-matched controls. Part 1: Navicular bone and related structures.
Equine veterinary journal    January 18, 2006   Volume 38, Issue 1 15-22 doi: 10.2746/042516406775374298
Blunden A, Dyson S, Murray R, Schramme M.Causes of palmar foot pain and the aetiopathogenesis of navicular disease remain poorly understood, despite the high incidence of foot-related lameness. Objective: Abnormalities of the collateral sesamoidean ligaments (CSLs), distal sesamoidean impar ligament (DSIL), deep digital flexor tendon (DDFT), navicular bone, navicular bursa, distal interphalangeal (DIP) joint or collateral ligaments (CLs) of the DIP joint may contribute to palmar foot pain. Methods: Feet were selected from horses with a history of unilateral or bilateral forelimb lameness of at least 2 months' duration that was improv...
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