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Topic:Radiology

Radiology for horses involves the use of imaging techniques to diagnose and monitor various conditions affecting equine health. These techniques include X-rays, ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI). Each modality provides different types of information, aiding in the evaluation of musculoskeletal disorders, respiratory issues, and abdominal problems, among others. Radiographic imaging is instrumental in identifying fractures, joint abnormalities, and dental issues. Ultrasound is often used for soft tissue evaluation and reproductive assessments. CT and MRI offer detailed cross-sectional images, enhancing the understanding of complex anatomical structures and pathologies. This page aggregates peer-reviewed research studies and scholarly articles that explore the applications, advancements, and findings in the field of equine radiology.
Validation of a dedicated positron emission tomography scanner for imaging of the distal limb of standing horses. Spriet M, Edwards L, Arndt S, Wilson SS, Galuppo LD, Stepanov P, Beylin D.A positron emission tomography (PET) scanner, with an openable ring of detectors, was specifically designed to image the distal limb of standing horses. The goals of this prospective, preclinical, experimental, methods comparison study were to validate the safety of the scanner, assess image quality, and optimize scanning protocols. Six research horses were imaged three times (twice standing, once anesthetized) and six horses in active race training were imaged once under standing sedation. Multiple scans of both front fetlocks were obtained with different scan durations and axial fields of vi...
A Descriptive Study of the Clinical Presentation, Management, and Outcome of Horses with Acute Soft Tissue Trauma of the Tarsus and the Association with Synovial Involvement.
Animals : an open access journal from MDPI    February 21, 2022   Volume 12, Issue 4 doi: 10.3390/ani12040524
Vajs T, Nekouei O, Biermann NM.The tarsus is one of the most common areas of traumatic injury with associated synovial involvement (SI) in horses. The aim of this retrospective study was to describe the clinical presentation, diagnostic procedures, management (emphasizing the type, duration, and route of antimicrobial administration), and outcome of cases with acute soft tissue trauma to the tarsal region. The presenting clinical features, the results of diagnostic modalities, and the initial response to therapy were assessed for their usefulness to predict SI. Medical records of 72 cases were included and SI was diagnosed ...
Anatomical and radiographic distribution of hepatic artery and biliary duct system applied to biochemical parameters indicative to hepatobiliary disease in Egyptian donkey (Equus asinus).
Anatomia, histologia, embryologia    February 20, 2022   Volume 51, Issue 3 355-365 doi: 10.1111/ahe.12794
Maher MA, Ahmad IM.The current study was performed on ten adult Egyptian donkeys of both sexes for anatomical and radiographic studies in addition to six other donkeys for enzymatic, biochemical and statistical analysis. The aim was to illustrate the normal hepatic arterial and biliary distribution using different anatomic techniques and radiographic imaging besides, establishing an accurate laboratory profile specific for donkeys that used as standard indicators for hepatobiliary dysfunction. The right branch of the hepatic artery in donkey forms a curved arch erupting five branches, unlike the left branch that...
Arthroscopic findings and long-term outcomes in 76 sport horses with meniscal injuries (2008-2018).
Veterinary surgery : VS    February 17, 2022   Volume 51, Issue 3 409-417 doi: 10.1111/vsu.13784
Davis JG, García-López JM.To report the findings and long-term outcome of 76 sport horses with meniscal injury. Methods: Retrospective case series. Methods: Seventy-six horses with 93 meniscal injuries in 85 stifles. Methods: Medical records of sport horses diagnosed with meniscal injury during arthroscopy were reviewed. Owner follow up was obtained via telephone interview ≥1.5 years postoperatively. Preoperative and intraoperative findings, and postoperative treatments, were analyzed for potential association with return to athletic performance. Results: The medial meniscus was involved in 82.8% of cases, with gra...
Caudal foot placement superior to toe elevation for navicular palmaroproximal-palmarodistal-oblique image quality.
Equine veterinary journal    February 15, 2022   Volume 55, Issue 1 122-128 doi: 10.1111/evj.13563
Peeters MWJ, Thursby JJ, Watson HE, Berner D.Palmaroproximal-palmarodistal oblique (PaPr-PaDiO) radiographs are regularly obtained for a full evaluation of the navicular bone (NB). Despite their routine use, different acquisition techniques are described. Objective: To determine optimal foot placement and beam angle for obtaining PaPr-PaDiO views. Methods: In vitro experiment. Methods: A convenience sample of 26 disarticulated forelimbs were placed in six different positions using a leg press to mimic the weight-bearing position. In each position, navicular PaPr-PaDiO images were obtained with eight different beam angles. The resulting 1...
Computed tomographic assessment of fracture characteristics and subchondral bone injury in Thoroughbred racehorses with lateral condylar fractures and their relationship to outcome.
Veterinary surgery : VS    February 14, 2022   Volume 51, Issue 3 426-437 doi: 10.1111/vsu.13770
Cianci JM, Wulster KB, Richardson DW, Stefanovski D, Ortved KF.To investigate the effects of fracture characteristics and concurrent subchondral bone pathology identified with computed tomography (CT) on the racing performance of Thoroughbred racehorses with fractures of the MC3/MT3 lateral condyle. Methods: Retrospective cohort study. Methods: Thoroughbred racehorses (n = 50) with a fracture of the MC3/MT3 lateral condyle, which had preoperative CT and internal fixation performed. Methods: Medical records were reviewed for age, sex, limb, and surgical treatment. Computed tomography scans were evaluated to determine fracture characteristics including le...
An objective index for spinal cord compression on computed tomography in Thoroughbred horses.
Veterinary medicine and science    February 13, 2022   Volume 8, Issue 3 1072-1078 doi: 10.1002/vms3.767
Kondo T, Sato F, Tsuzuki N, Chen CJ, Yamada K.Computed tomographic myelography can be a useful tool for evaluating vertebral canal stenosis. However, an index of spinal cord compression is yet to be established. This observational descriptive study aimed to establish an index for spinal cord compression using computed tomography (CT). Twenty-three Thoroughbred horses (age, 155-717 days; weight, 205-523 kg) with suspected cervical vertebral malformation were subjected to computed tomographic myelography in dorsal recumbency using large-bore gantry CT to define the entire cervical vertebrae from C1 to C7. Subsequently, the height of the sp...
Radiographic changes of the proximal third metatarsal bone do not predict presence or severity of proximal suspensory desmopathy in a predominately Quarter Horse population.
Equine veterinary journal    February 11, 2022   Volume 55, Issue 1 24-32 doi: 10.1111/evj.13562
Hinkle FE, Selberg KT, Frisbie DD, Barrett MF.Comparison of radiography to magnetic resonance imaging (MRI) can help objectively assess the value and limitations of radiographs in orthopaedic disease processes. The tarsus and proximal suspensory origin of the metatarsus are commonly imaged regions for lameness. The knowledge gained by comparison between imaging modalities will aid in improving accuracy of radiographic interpretation. Objective: To compare the radiographic and MRI findings of the proximal third metatarsal bone (MTIII) and proximal suspensory ligament using MRI as the gold standard. Methods: Retrospective observational stud...
Measurement accuracy of foot conformation parameters on low-field magnetic resonance images in horses.
Journal of equine veterinary science    February 7, 2022   Volume 112 103894 doi: 10.1016/j.jevs.2022.103894
Bolt DM, Carrier ME, Sheridan KS, Manso-Diaz G, Berner D.Foot imbalance and malalignment of the digits are common in horses. Angle and distance measurements performed on bones, joints and hoof wall on radiographs provide essential guidance for precise corrective trimming and shoeing. This study aimed to investigate, if selected standing low-field magnetic resonance (MR) images can be used to accurately measure dorsopalmar and lateromedial foot conformation parameters in comparison to the radiographic gold standard. Images of 100 horses referred for standing low-field MR examination were selected. Foot conformation angles and distances were measured ...
Advances in the Diagnosis of Equine Respiratory Diseases: A Review of Novel Imaging and Functional Techniques.
Animals : an open access journal from MDPI    February 4, 2022   Volume 12, Issue 3 doi: 10.3390/ani12030381
Kozłowska N, Wierzbicka M, Jasiński T, Domino M.The horse, as a flight animal with a survival strategy involving rapid escape from predators, is a natural-born athlete with enormous functional plasticity of the respiratory system. Any respiratory dysfunction can cause a decline in ventilation and gas exchange. Therefore, respiratory diseases often lead to exercise intolerance and poor performance. This is one of the most frequent problems encountered by equine internists. Routine techniques used to evaluate respiratory tract diseases include clinical examination, endoscopic examination, radiographic and ultrasonographic imaging, cytological...
A New Anorganic Equine Bone Substitute for Oral Surgery: Structural Characterization and Regenerative Potential.
Materials (Basel, Switzerland)    January 28, 2022   Volume 15, Issue 3 1031 doi: 10.3390/ma15031031
Addis A, Canciani E, Campagnol M, Colombo M, Frigerio C, Recupero D, Dellavia C, Morroni M.Different xenogeneic inorganic bone substitutes are currently used as bone grafting materials in oral and maxillo-facial surgery. The aim of the present study was to determine the physicochemical properties and the in vivo performance of an anorganic equine bone (AEB) substitute. AEB is manufactured by applying a process involving heating at >300 °C with the aim of removing all the antigens and the organic components. AEB was structurally characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), X-ray fluorescence (XRF), and Fourier-transformed infrared (FT-IR) spectros...
First phalanx exostosis in traditional equestrian horses in Western Libya.
Open veterinary journal    January 25, 2022   Volume 12, Issue 1 69-74 doi: 10.5455/OVJ.2022.v12.i1.8
Abushhiwa MH, Elmeshreghi TN, Alrtib AM, Bennour EM, Oheida AH.Orthopedic diseases involving the forelimb fetlock joint of horses other than those used in professional racing have not been widely reported in the literature. One of these problems is the exostosis on the proximal forelimb phalanx (P1), which has not been reported previously in Western Libya. The study aimed to investigate the prevalence of P1 exostosis in traditional equestrian horses (known locally as Sarj horses) of different breeds in Libya that participated in a special social event and described its clinical findings radiographic appearance. The current study involved 60 horses admitte...
Osteochondral regeneration of the femoral medial condyle by using a scaffold-free 3D construct of synovial membrane-derived mesenchymal stem cells in horses.
BMC veterinary research    January 22, 2022   Volume 18, Issue 1 53 doi: 10.1186/s12917-021-03126-y
Murata D, Ishikawa S, Sunaga T, Saito Y, Sogawa T, Nakayama K, Hobo S, Hatazoe T.Medical interventions for subchondral bone cysts in horses have been extensively studied. This study investigated the regeneration of articular cartilage and subchondral bone with scaffold-free three-dimensional (3D) constructs of equine synovial membrane-derived mesenchymal stem cells (SM-MSCs) isolated from three ponies and expanded until over 1.0 × 10 cells at passage 2 (P2). Results: SM-MSCs were strongly positive for CD11a/CD18, CD44, and major histocompatibility complex (MHC) class I; moderately positive for CD90, CD105, and MHC class II; and negative for CD34 and CD45 on flow cytom...
Dynamic three-dimensional computed tomographic imaging facilitates evaluation of the equine cervical articular process joint in motion.
Equine veterinary journal    January 21, 2022   Volume 55, Issue 1 83-91 doi: 10.1111/evj.13560
Schulze N, Werpy N, Gernhardt J, Fritsch G, Hildebrandt T, Vanderperren K, Klopfleisch R, Ben Romdhane R, Lischer C, Ehrle A.Dynamic computed tomography (CT) imaging has been introduced in human orthopaedics and is continuing to gain popularity. With dynamic CT, video sequences of anatomical structures can be evaluated in motion. Objective: To investigate the feasibility of dynamic CT for diagnostic imaging of the equine cervical articular process joints (APJs) and to give a detailed description of the APJ movement pattern. Methods: Descriptive cadaver imaging. Methods: Cervical specimens of twelve Warmblood horses were included. A custom-made motorised testing device was used to position and manipulate the neck spe...
Genome-Wide Association Analyses of Osteochondrosis in Belgian Warmbloods Reveal Candidate Genes Associated With Chondrocyte Development.
Journal of equine veterinary science    January 21, 2022   Volume 111 103870 doi: 10.1016/j.jevs.2022.103870
Drabbe A, Janssens S, Blott S, Ducro BJ, Fontanel M, Francois L, Schurink A, Stinckens A, Lindgren G, Van Mol B, Pille F, Buys N, Velie BD.Osteochondrosis (OC) is an important skeletal disease causing profound welfare concerns in horses. Although numerous studies have explored the genetics underlying OC in various breeds, the Belgian Warmblood (BW) remains unstudied despite having a concerning prevalence of 32.0%. As a result, this study aimed to conduct genome-wide association (GWA) analyses to identify candidate variants associated with OC in BWs. To achieve this, blood samples and radiographs were collected from 407 Belgian Warmbloods registered to one of two BW studbooks (Belgisch Warmbloedpaard and Zangersheide), and genotyp...
Effects of pulsed inhaled nitric oxide delivery on the distribution of pulmonary perfusion in spontaneously breathing and mechanically ventilated anesthetized ponies.
American journal of veterinary research    January 21, 2022   Volume 83, Issue 2 171-179 doi: 10.2460/ajvr.21.03.0036
Auckburally A, Wiklund MK, Lord PF, Hedenstierna G, Nyman G.To measure changes in pulmonary perfusion during pulsed inhaled nitric oxide (PiNO) delivery in anesthetized, spontaneously breathing and mechanically ventilated ponies positioned in dorsal recumbency. Methods: 6 adult ponies. Methods: Ponies were anesthetized, positioned in dorsal recumbency in a CT gantry, and allowed to breathe spontaneously. Pulmonary artery, right atrial, and facial artery catheters were placed. Analysis time points were baseline, after 30 minutes of PiNO, and 30 minutes after discontinuation of PiNO. At each time point, iodinated contrast medium was injected, and CT angi...
Osteochondrosis and other lesions in all intervertebral, articular process and rib joints from occiput to sacrum in pigs with poor back conformation, and relationship to juvenile kyphosis.
BMC veterinary research    January 18, 2022   Volume 18, Issue 1 44 doi: 10.1186/s12917-021-03091-6
Olstad K, Aasmundstad T, Kongsro J, Grindflek E.Computed tomography (CT) is used to evaluate body composition and limb osteochondrosis in selection of breeding boars. Pigs also develop heritably predisposed abnormal curvature of the spine including juvenile kyphosis. It has been suggested that osteochondrosis-like changes cause vertebral wedging and kyphosis, both of which are identifiable by CT. The aim of the current study was to examine the spine from occiput to sacrum to map changes and evaluate relationships, especially whether osteochondrosis caused juvenile kyphosis, in which case CT could be used in selection against it. Whole-body ...
Ameloblastic carcinoma in horses: case report and literature review. Schreeg ME, Radkin M, Haugland J, Murphy BG, Rushton S, Linder KE.Ameloblastic carcinoma is a malignant odontogenic neoplasm that has been reported only rarely in veterinary species. A 16-y-old Arabian crossbred mare was presented for evaluation of a hard mass on the body of the mandible, with evidence of osteolysis on radiographs. Incisional biopsies revealed an invasive neoplasm comprised of spindloid epithelial cells with a high mitotic count and partial dual cytokeratin-vimentin immunoreactivity. The horse was euthanized because of rapid tumor progression 3 mo after presentation. Postmortem evaluation revealed partial obliteration of the mandible by a ...
Long-Term Follow-Up of Restorations of Equine Cheek Teeth Infundibula (2006-2017).
Frontiers in veterinary science    January 14, 2022   Volume 8 793631 doi: 10.3389/fvets.2021.793631
Pearce CJ, Brooks N.Caries of the infundibula of equine cheek teeth can lead to significant dental disease including increased attritional wear, pulpar and apical disease, secondary sinusitis, and dental fracture. Restorations of cavities of equine cheek teeth infundibula have been performed since 1889. Recent advances in dental materials, instrumentation, and techniques have facilitated the use of dental restoration techniques by equine veterinary practitioners. No studies to date have demonstrated the safety or efficacy of restorations of equine cheek teeth infundibula. Objective: To assess the long-term result...
CT is a feasible imaging technique for detecting lesions in horses with elbow lameness: A study of 139 elbows in 99 horses. Zimmerman M, Schramme M, Barthélemy A, Mariën T, Thomas-Cancian A, Ségard-Weisse E.Computed tomography (CT)is increasingly available in veterinary referral practices; however, published studies describing CT lesions of the equine elbow are currently lacking. In this single-center, retrospective, observational study, horses undergoing elbow CT at Equitom between July 2015 and October 2018 were reviewed. Subchondral bone sclerosis; resorption of the radius, ulna, and humerus; osteophyte; and enthesophyte lesions were graded. One hundred thirty-nine elbows of 99 horses (16 with elbow pain and 123 control elbows) were included (median age, 9 years). Osseous cyst-like lesions (nÂ...
Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse.
Veterinary medicine and science    January 6, 2022   Volume 8, Issue 2 546-552 doi: 10.1002/vms3.718
Schoen LM, Al Naem M, Röcken M, Geburek F.Lacerations of the axillary region occur frequently in horses. Typical complications caused by entrapment of air in the wound during locomotion are subcutaneous emphysema, with consecutive pneumomediastinum and pneumothorax. In this case report, the clinical, radiographic and laboratory diagnosis and management of these complications after an axillary laceration that finally resulted in pneumoperitoneum are described. A 1-year-old Hannoveranian was presented with a pre-existing axillary laceration of unknown duration and subcutaneous emphysema in the surrounding tissue. Due to extensive tissue...
Arthroscopic guided repair of a slab fracture of the fourth carpal bone in an 8-month-old thoroughbred horse.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 143-146 doi: 10.1294/jes.32.143
Miyakoshi D, Watanabe A, Ikeda H, Mizuguchi Y.An 8-month-old thoroughbred colt presented with sudden onset right forelimb lameness. A radiographic series of the right carpus was performed, and it revealed a slab fracture of the fourth carpal bone and fracture of the proximal part of the third metacarpal bone. Arthroscopically guided repair of the slab fracture of the fourth carpal bone with a 3.5 mm cortex screw and lag screw fixation of the fracture of the proximal part of the third metacarpal bone were performed. The horse started to race at 32 months old and started in 65 races over three years without any trouble associated with the r...
The influence of the metacarpophalangeal joint angle on the transversal area and mean echogenicity of the superficial digital flexor tendon and suspensory ligament in gaited horses.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 135-141 doi: 10.1294/jes.32.135
Schade J, de Souza AF, Vincensi LC, Fonteque JH.The objective of this study was to assess the influence of the metacarpophalangeal (MCP) joint angle on the transversal area (TA) and mean echogenicity (ME) of the superficial digital flexor tendon (SDFT) and suspensory ligament (SL) in gaited horses. Ultrasound images were obtained from 50 healthy adult horses of the Mangalarga Marchador (MM; n=25) and Campeiro (n=25) breeds. Static and dynamic angles of the MCP joint were measured from photographs and video recordings. Higher ME values were evinced for the SL only in the group with the smaller dynamic angles of the MCP joint in the MM horses...
Osteochondral necrosis of the femoral condyles in Thoroughbred foals: eight cases (2008-2018).
Journal of the American Veterinary Medical Association    December 27, 2021   Volume 260, Issue 3 341-349 doi: 10.2460/javma.21.03.0166
Pye J, Spriet M, Dow P, Katzman S, Murphy BG.To describe clinical, imaging, gross, and histopathological abnormalities associated with osteochondral necrosis of the femoral condyles in foals and identify features suggestive of a common pathogenesis. 8 Thoroughbred foals euthanized with a presumptive diagnosis of necrosis of the femoral condyles. Postmortem CT was performed on all distal femoral epiphyseal samples. The articular epiphyseal cartilage complex (AECC) of affected distal femurs was examined grossly and histologically, focusing on lesions of interest identified on CT images. 7 foals were between 9 and 23 days old at the time of...
Comparison of Bone Mineral Content of the Equine Third Metacarpal to Total Radiographic Bone Aluminum Equivalents From Unprocessed Digital Radiographs.
Journal of equine veterinary science    December 16, 2021   Volume 110 103837 doi: 10.1016/j.jevs.2021.103837
Emmert BJ, Robison CI, Pritchard A, Nielsen BD.Digital radiographs are common for estimating bone mineral content (BMC) in horses with radiographic bone aluminum equivalents (RBAE). Processing algorithms are used to produce clearer images of digital radiographs in clinical settings, but this distorts RBAE. This study compared RBAE from digital radiographs to BMC from bone ash, and physical and digital morphology measurements. Digital radiographs were taken of six third metacarpals (MCIII) from equine cadavers with an aluminum step wedge penetrometer. A 2-cm transverse section of bone was digitally analyzed and excised from each MCIII. For ...
Multivariable Logistic Regression Models of X-Ray Thoracic Spinous Process Osseous Changes Findings and Body Measurement Factors Associated With Defined Over-riding of the Dorsal Spinous in Riding Horses.
Journal of equine veterinary science    December 16, 2021   Volume 109 103839 doi: 10.1016/j.jevs.2021.103839
Takeyama T, Sasaki N.Thoracic spinous process osseous changes in horses occur due to riding-induced back compression. This study aimed to evaluate the relationship between the findings of thoracic spinous process osseous changes on radiographic imaging and conformation based on the difference in over-riding of the dorsal spinous processes in racing horses. This study included 55 sports horses. The hardness of the back muscles (the multifidus, longissimi, and latissimi collectively) was measured, and the horses were divided into two groups: low muscle hardness (n = 16) and high muscle hardness (n = 39). We conf...
Imaging and Gross Pathological Appearance of Changes in the Parasagittal Grooves of Thoroughbred Racehorses.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3366 doi: 10.3390/ani11123366
Johnston GCA, Ahern BJ, Palmieri C, Young AC.(1) Background: Parasagittal groove (PSG) changes are often present on advanced imaging of racing Thoroughbred fetlocks and have been suggested to indicate increased fracture risk. Currently, there is limited evidence differentiating the imaging appearance of prodromal changes in horses at risk of fracture from horses with normal adaptive modelling in response to galloping. This study aims to investigate imaging and gross PSG findings in racing Thoroughbreds and the comparative utility of different imaging modalities to detect PSG changes. (2) Methods: Cadaver limbs were collected from twenty ...
Osteoclast density is not increased in bone adjacent to radiolucencies (cysts) in juvenile equine medial femoral condyles.
Equine veterinary journal    November 18, 2021   Volume 54, Issue 5 989-998 doi: 10.1111/evj.13530
Fortin-Trahan R, Lemirre T, Santschi EM, Janes JG, Richard H, Fogarty U, Beauchamp G, Girard CA, Laverty S.There is a knowledge gap about how equine MFC subchondral radiolucencies (SR) arise and evolve. Osteoclasts are believed to have a role but have not been studied in situ. Objective: To measure and compare osteoclast density and the percentage of chondroclasts in healthy and MFC SR specimens from juvenile Thoroughbreds. Methods: Cadaveric study. Methods: Medial femoral condyles (MFC) from a tissue bank of equine stifles were studied. Inclusion criteria were MFCs (≤8 months old) with a computed tomography SR lesion and histological focal failure of endochondral ossification (L group). Contral...
Mechanical Principles of the Equine Foot.
The Veterinary clinics of North America. Equine practice    November 17, 2021   Volume 37, Issue 3 581-618 doi: 10.1016/j.cveq.2021.09.001
Bras R, Morrison S.A healthy foot requires a well-balanced foot capable of shock absorption, traction, and normal proprioception. Radiographs and venograms are helpful in assessing health of the external and internal structures of the foot and in early diagnosis. Other techniques to assess foot mechanics include force plate and inertial sensors. When foot pathology ensues, early recognition and emergency mechanical treatment can improve prognosis and overall outcome. Sheared heels, under-run heels, and clubfeet are common problems that need to be corrected early. Successful management and results require he vete...
Laterally applied single bone plate option for fixation of complete diaphyseal fracture of a third metatarsal bone in a circus work pony.
Open veterinary journal    November 14, 2021   Volume 11, Issue 4 645-650 doi: 10.5455/OVJ.2021.v11.i4.14
Dias IR, Maia LM, Quaresma M, Cotovio M, Silva FC.Complete fractures of the third metacarpal/metatarsal bones (Mc/t3) are not common, but can occur in various situations and all types of horses, contributing for approximately one third of all long bone fractures in the horse, mostly related to external trauma or to high energy injuries. To stabilize Mc/t3 fractures in the horse, conservative management with walking casts and/or open reduction and internal fixation techniques are referred in the scientific literature, these last one generally by double platting application to bone surface in 90 degrees. In the present case will be described a ...
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