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Topic:Ultrasound

Ultrasound in horses is a diagnostic imaging technique that utilizes high-frequency sound waves to produce images of the horse's internal structures. It is commonly used in veterinary medicine to evaluate soft tissues, tendons, ligaments, and organs. This non-invasive method allows for real-time visualization of physiological and pathological conditions, aiding in the diagnosis and management of various equine health issues. Ultrasound is particularly valuable for assessing musculoskeletal injuries, reproductive health, and abdominal conditions in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the application, methodology, and advancements in ultrasound technology within equine veterinary practice.
Infection of an equine placenta with a novel mycobacterial species leading to abortion. Johnson AK, Roberts JF, Hagan A, Wilborn RR, Dujovne G, Sells SF, Donahue JM.A 25-year-old pregnant American Quarter Horse mare presented with a 1-week history of progressively worsening vaginal discharge. Transrectal ultrasound revealed increased thickness of the combined uterus and placenta with evidence of chorioallantoic edema but no placental separation. A thickened amnion was visible on transabdominal ultrasound. Abortion occurred 2 days after presentation despite medical treatment. At necropsy, the chorioallantois had variable but diffuse thickening with focally extensive browning of the chorionic surface in the right horn and adjacent body. There were fluid-fil...
Concurrent patellar fracture and lateral collateral ligament avulsion as a result of trauma in three horses.
Journal of the American Veterinary Medical Association    May 9, 2012   Volume 240, Issue 10 1218-1222 doi: 10.2460/javma.240.10.1218
McLellan J, Plevin S, Taylor E.3 horses were evaluated because of lameness and swelling of the stifle joint subsequent to trauma. Results: All horses had characteristic clinical signs of stifle joint pain and effusion. A medial patellar fracture and lateral collateral ligament avulsion fracture were visible ultrasonographically in each. Radiography, including standard as well as flexed lateromedial, cranioproximal-craniodistal oblique (skyline patellar), and laterally stressed caudocranial views, revealed similar findings. Results: Arthroscopic surgery to remove the patellar fracture was attempted in 1 horse with severe des...
The use of intrathecal analgesia and contrast radiography as preoperative diagnostic methods for digital flexor tendon sheath pathology.
Equine veterinary journal    May 6, 2012   Volume 45, Issue 1 36-40 doi: 10.1111/j.2042-3306.2012.00573.x
Fiske-Jackson AR, Barker WH, Eliashar E, Foy K, Smith RK.The sensitivity of ultrasonography for the diagnosis of manica flexoria (MF) tears within the digital flexor tendon sheath (DFTS) is lower than for diagnosis of marginal tears of the deep digital flexor tendon (DDFT). Additional diagnostic tools would assist in appropriate decision making for either conservative or surgical management. Objective: To evaluate the improvement in lameness of horses with MF or DDFT tears following intrathecal analgesia and to assess the sensitivity and specificity of contrast radiography for the diagnosis of these tears. Methods: The case records of horses present...
Mid-gestation pregnancy is not disrupted by a 5-day gastrointestinal mucosal cytoprotectant oral regimen of misoprostol.
Equine veterinary journal    April 9, 2012   Volume 45, Issue 1 91-93 doi: 10.1111/j.2042-3306.2012.00572.x
Jacobson CC, Sertich PL, Mc Donnell SM.To investigate effects of a 5-day oral misoprostol regimen recommended for use in horses as a gastrointestinal mucosal cytoprotectant during colic on mid-gestation pregnancies. Objective: To monitor cervical tone, ultrasonographic characteristics of the uterus, cervix and conceptus, as well as serum progesterone and oestrone sulphate concentrations, and observations of general health, behaviour and comfort of mid-gestation mares given a 5-day course of misoprostol or control treatment. Methods: Eleven light horse and pony mares with known breeding dates were administered 5 µg/kg bwt misoprost...
Comparison of ultrasound and optical coherence tomography techniques for evaluation of integrity of spontaneously repaired horse cartilage.
Journal of medical engineering & technology    March 24, 2012   Volume 36, Issue 3 185-192 doi: 10.3109/03091902.2012.663054
Virén T, Huang YP, Saarakkala S, Pulkkinen H, Tiitu V, Linjama A, Kiviranta I, Lammi MJ, Brünott A, Brommer H, Van Weeren R, Brama PA, Zheng YP....The aim of this study was to compare sensitivity of ultrasound and optical coherence tomography (OCT) techniques for the evaluation of the integrity of spontaneously repaired horse cartilage. Articular surfaces of horse intercarpal joints, featuring both intact tissue and spontaneously healed chondral or osteochondral defects, were imaged ex vivo with arthroscopic ultrasound and laboratory OCT devices. Quantitative ultrasound (integrated reflection coefficient (IRC), apparent integrated backscattering coefficient (AIB) and ultrasound roughness index (URI)) and optical parameters (optical refle...
Anatomy and anaesthesia of the equine external ear canal.
Anatomia, histologia, embryologia    March 21, 2012   Volume 41, Issue 6 395-401 doi: 10.1111/j.1439-0264.2012.01148.x
Sommerauer S, Muelling CK, Seeger J, Schusser GF.Anaesthesia of the external ear canal (external acoustic meatus) is usually performed by blocking both the great and internal auricular nerves by regional infiltration. However, exact landmarks for blocking the internal auricular nerve to accomplish effective anaesthesia have not been described yet. In this study, detailed anatomical dissection of the equine external ear canal and its nerve supply was carried out on fifteen cadaver heads. Tissue samples of the dissected nerves were taken from two cadaver heads processed and were evaluated microscopically. Prior to the dissection, the region of...
Premature luteal regression in a pregnant mare and subsequent pregnancy maintenance with the use of oral altrenogest.
Equine veterinary journal    March 13, 2012   Volume 45, Issue 1 97-100 doi: 10.1111/j.2042-3306.2012.00559.x
Canisso IF, Beltaire KA, Bedford-Guaus SJ.Premature luteal demise or luteal insufficiency is not well characterised as a cause of pregnancy loss in domestic species, including horses. In this report, a mare inseminated with cooled-transported semen at our facility returned for a routine pregnancy diagnosis at 15 days post ovulation. Ultrasonography per rectum revealed endometrial oedema and the absence of visual indication of a corpus luteum on either ovary. Nonetheless, an embryonic vesicle small for the gestational age was identified. Daily oral altrenogest treatment was implemented immediately. Serum progesterone concentration was ...
Relationship between the timing of prostaglandin-induced luteolysis and effects on the conceptus during early pregnancy in mares.
Reproduction, fertility, and development    March 10, 2012   Volume 24, Issue 3 411-424 doi: 10.1071/RD11132
Betteridge KJ, Waelchli RO, Christie HL, Raeside JI, Quinn BA, Hayes MA.To advance the understanding of early pregnancy and pregnancy failure in horses, this study determined how luteolysis induced by cloprostenol (an analogue of prostaglandin F2α) affects conceptus development. Mares were injected on Days 12, 14, 16 or 18 of pregnancy with either cloprostenol (treatment groups, total n=83 pregnancies) or saline (controls, n=81), and growth of the conceptuses was monitored and compared by daily ultrasonography until they were collected transcervically on Days 15-22, 1-4 days after the injections. The comparisons were extended in the recovered conceptuses by count...
Exostoses on the palmar or plantar aspect of the diaphysis of the third metacarpal or metatarsal bone in horses: 16 cases (2001-2010).
Journal of the American Veterinary Medical Association    March 3, 2012   Volume 240, Issue 6 740-747 doi: 10.2460/javma.240.6.740
Bertoni L, Forresu D, Coudry V, Audigie F, Denoix JM.To characterize the clinical features, diagnostic procedures, treatment, and outcome for horses with an exostosis on the palmar or plantar cortex of the third metacarpal bone (MC3) or third metatarsal bone (MT3). Methods: Retrospective case series. Methods: 16 horses. Methods: Records from 2001 through 2010 were evaluated to identify horses with radiographic and ultrasonographic evidence of an exostosis on an MC3 or MT3. Signalment, history, lameness examination results, diagnostic imaging results, surgical and histopathologic findings, treatment, and outcome were evaluated. Results: 9 horses ...
Comparison of ultrasound-guided vs. ‘blind’ techniques for intra-synovial injections of the shoulder area in horses: scapulohumeral joint, bicipital and infraspinatus bursae.
Equine veterinary journal    February 15, 2012   Volume 44, Issue 6 674-678 doi: 10.1111/j.2042-3306.2011.00540.x
Schneeweiss W, Puggioni A, David F.Diagnosis and treatment of pathologies involving synovial structures in the shoulder region are technically difficult. Ultrasound-guided (UG) injection techniques have been shown to be highly accurate, safe and reliable for various structures in human and equine patients. Objective: To develop easy-to-use and reliable UG injection techniques for the infraspinatus bursa (IB), bicipital bursa (BB) and scapulohumeral joint (SHJ) and to compare them with conventional 'blind' methods. Methods: Eight pairs of equine shoulders were positioned on a computed-tomography (CT) table with left and right sh...
Characterization of the origin and body of the normal equine rear suspensory ligament using ultrasonography, magnetic resonance imaging, and histology. Schramme M, Josson A, Linder K.The suspensory ligament is difficult to image accurately, partly because it contains ligamentous fibers, as well as noncollagenous adipose and muscle tissue in the normal horse. Our hypothesis was that magnetic resonance (MR) imaging would be more accurate than ultrasonography in identifying the size of the suspensory ligament and the presence and size of noncollagenous tissues within the ligament. Eleven horses were used for ultrasonographic and MR imaging and histologic evaluation of the rear suspensory ligament. The origin and body of the normal suspensory ligament had a heterogenous appear...
Abnormal reproductive patterns in Przewalski’s mares are associated with a loss in gene diversity.
Biology of reproduction    February 9, 2012   Volume 86, Issue 2 28 doi: 10.1095/biolreprod.111.092676
Collins CW, Songsasen NS, Vick MM, Wolfe BA, Weiss RB, Keefer CL, Monfort SL.The ex situ population of the Przewalski's horse (Equus ferus przewalskii) is not self-sustaining (20% foaling rate), and the demography is skewed toward aging individuals with low gene diversity. We designed the present study to gain a better understanding of the reproductive biology of the Przewalski's mare and to determine whether age and gene diversity influenced reproductive function. Urine samples were collected 3-7 days/wk from 19 mares from May to September, and ultrasound examinations of follicular structures were performed 3 days/wk for 5 wk from May through July in nine individuals....
Quantitative response of volumetric variables measured by a new ultrasound dilution method in a juvenile model of hemorrhagic shock and resuscitation.
Resuscitation    January 25, 2012   Volume 83, Issue 8 1031-1037 doi: 10.1016/j.resuscitation.2012.01.014
Vigani A, Shih A, Queiroz P, Pariaut R, Gabrielli A, Thuramalla N, Bandt C.New volumetric variables of preload, such as total end-diastolic volume index (TEDVI) and active circulation volume index (ACVI) and central blood volume index (CBVI), may represent good indicators of preload and predictors of fluid responsiveness. During acute changes of intravascular volume these variables would allow a more accurate intervention. Objective: The aim of the present study was to investigate the changes in TEDVI, ACVI, CBVI in a juvenile model of hemorrhagic shock and resuscitation. Methods: Twelve anaesthetized ponies (3-8 months of age) were studied at normovolaemia (BASE), a...
Detection of small tendon lesions by sonoelastographic visualization of strain profile differences: initial experiences.
Skeletal radiology    January 5, 2012   Volume 41, Issue 9 1073-1079 doi: 10.1007/s00256-011-1349-2
Buck AR, Verstraete N, Li Y, Schweizer A, Snedeker JG, Buck FM.To assess the capability of a commercial sonoelastography system to detect small tendon lesions by quantitative analysis of elastogram profiles. Methods: Strips of equine digital flexor tendons were used to model small human tendons. Two tendons were examined. From each tendon, six unmodified tendon strips (controls) and six tendon strips with a central defect of the same tendons were compared. The tendon strips were placed under a physiological tensile strain of 5%. Sonoelastographic visualization of the strain profile was performed. Regions of interest (ROI) were defined left and right of th...
Costochondral junction osteomyelitis in 3 septic foals.
The Canadian veterinary journal = La revue veterinaire canadienne    January 3, 2012   Volume 52, Issue 7 772-777 
Cesarini C, Macieira S, Girard C, Drolet R, d'Anjou MA, Jean D.The costochondral junction constitutes a potential site of infection in septic foals and it could be favored by thoracic trauma. Standard radiographs and ultrasonography are useful tools for diagnosis of this condition and ultrasound-guided needle aspiration could permit the definitive confirmation of infection. La jonction costochondrale constitue un site potentiel d’infection chez le poulain septicémique et le développement de l’infection pourrait être favorisée par un traumatisme costal. Les radiographies standards et l’échographie sont des aides diagnostiques et l’aspiration ...
Case report: squamous cell carcinoma of the urinary bladder in a horse.
Compendium (Yardley, PA)    January 1, 2012   Volume 34, Issue 10 E1-E5 
Zantingh AJ, Gaughan EM, Bain FT.A 14-year-old Hanoverian gelding was evaluated after a 10-week history of occasional straining during urination and dark red urine production after exercise. Physical examination findings were within normal limits. After 2 weeks of clinical signs, ultrasonography had found no abnormalities in the kidneys or bladder. A freely voided urine sample revealed an elevated protein concentration (500 mg/dL; reference range: <100 mg/dL) and few red blood cells. Vitamin C supplementation was suggested to acidify the urine, as was provision of a salt block to encourage water intake.
Three-dimensional ultrasound imaging of the equine fetus.
Theriogenology    December 20, 2011   Volume 77, Issue 7 1480-1486 doi: 10.1016/j.theriogenology.2011.10.020
Kotoyori Y, Yokoo N, Ito K, Murase H, Sato F, Korosue K, Nambo Y.The objective was to assess the optimal procedure for real-time, three-dimensional (3D) ultrasound (US) imaging for assessing the equine fetus during the first half of gestation and the possibility of using 3D US imaging of the equine fetus in clinical applications. Seventeen pregnant mares were examined by 3D US between Days 35 and 180 of gestation. Abdominal and endo-vaginal real-time 3D transducers used in human medicine were used for transrectal and transvaginal examinations, respectively. Images were recorded by both 3D stationary and real-time movies. In a comparison of four methods, tra...
Reference ranges and reliability of transabdominal ultrasonographic renal dimensions in thoroughbred horses. Draper AC, Bowen IM, Hallowell GD.The aims of this study were to establish a normal reference range (mean ± 2 SD) and assess reliability of renal dimensions obtained using transabdominal ultrasonography in Thoroughbred horses (n = 7). A minimum of three ultrasonographic cineloops were obtained from each intercostal space and the left paralumbar fossa by two observers daily for three consecutive days. Renal length, width, and thickness and cortex, medulla, and pelvic dimensions were obtained. Measurements were undertaken by both observers, who were unaware of prior measurements, to assess reproducibility and measured on three ...
Performance characteristics of a conformal ultra-wideband multilayer applicator (CUMLA) for hyperthermia in veterinary patients: a pilot evaluation of its use in the adjuvant treatment of non-resectable tumours.
Veterinary and comparative oncology    December 13, 2011   Volume 11, Issue 1 14-29 doi: 10.1111/j.1476-5829.2011.00297.x
Smrkovski OA, Koo Y, Kazemi R, Lembcke LM, Fathy A, Liu Q, Phillips JC.Performance and clinical characteristics of a novel hyperthermia antenna operating at 434 MHz were evaluated for the adjuvant treatment of locally advanced superficial tumours in cats, dogs and horses. Electromagnetic simulations were performed to determine electric field characteristics and compared to simulations for a flat microwave antenna with similar dimensions. Simulation results show a reduced skin surface and backfield irradiation and improved directional irradiation (at broadside) compared to a flat antenna. Radiated power and penetration is notably increased with a penetration depth...
Efficacy of human chorionic gonadotropin to induce ovulation in the mare, when associated with a single dose of dexamethasone administered at breeding time.
Equine veterinary journal. Supplement    December 7, 2011   Issue 40 32-34 doi: 10.1111/j.2042-3306.2011.00488.x
Bucca S, Carli A.Human chorionic gonadotropin (hCG) and dexamethasone have a role in the reproductive management protocols of mares susceptible to persistent mating-induced endometritis (PMIE). However, it is possible that there is interference between these 2 drugs. Objective: The objective of this retrospective study was to determine the efficacy of hCG to induce ovulation in mares treated with dexamethasone at breeding time. Methods: Medical records from 152 mares and 223 cycles were analysed. In 113 cycles, mares susceptible to PMIE were treated with 1500 iu hCG and a single dose of 50 mg dexamethasone, 11...
The mare: a 1000-pound guinea pig for study of the ovulatory follicular wave in women.
Theriogenology    November 23, 2011   Volume 77, Issue 5 818-828 doi: 10.1016/j.theriogenology.2011.09.025
Ginther OJ.The mare is a good comparative model for study of ovarian follicles in women, owing to striking similarities in follicular waves and the mechanism for selection of a dominant follicle. Commonality in follicle dynamics between mares and women include: (1) a ratio of 2.2:1 (mare:woman) in diameter of the largest follicle at wave emergence when the wave-stimulating FSH surge reaches maximum, in diameter increase of the two largest follicles between emergence and the beginning of deviation between the future dominant and subordinate follicles, in diameter of each of the two largest follicles at th...
Thermally-mediated ultrasound-induced contraction of equine muscular arteries in vitro and an investigation of the associated cellular mechanisms.
Ultrasound in medicine & biology    November 21, 2011   Volume 38, Issue 1 152-161 doi: 10.1016/j.ultrasmedbio.2011.10.017
Martin EM, Duck FA, Winlove CP.We have previously shown that MHz frequency ultrasound causes contraction of the carotid artery in vitro. We now extend this investigation to equine mesenteric arteries and investigate the cellular mechanisms. In vitro exposure of the large lateral cecal mesenteric artery to 4-min periods of 3.2 MHz continuous wave ultrasound at acoustic powers up to 145 mW induced reversible repeatable contraction. The magnitude of the response was linearly dependent on acoustic power and, at 145 mW, the mean increase in wall stress was 0.020 ± 0.017 mN/mm(2) (n = 34). These results are consistent with our p...
First application of axial speed of sound to follow up injured equine tendons.
Ultrasound in medicine & biology    November 21, 2011   Volume 38, Issue 1 162-167 doi: 10.1016/j.ultrasmedbio.2011.10.008
Vergari C, Pourcelot P, Ravary-Plumioën B, Dupays AG, Denoix JM, Mitton D, Laugier P, Crevier-Denoix N.Ultrasonography is an established technique to follow up injured tendons, although the lesions' echogenicity tends to become normal before the tendon is ready to sustain the stresses imposed by exercise. Normalized axial speed of sound (SOS) has been found to correlate with an injured tendon's stiffness; therefore, the purpose of this study was to establish whether SOS would be a useful tool in tendon injury follow-up. Axial SOS was measured in 11 equine superficial digital flexor tendons during a 15-week follow-up period and compared with an ultrasonographic grading system. SOS significantly ...
Axial speed of sound is related to tendon’s nonlinear elasticity.
Journal of biomechanics    November 10, 2011   Volume 45, Issue 2 263-268 doi: 10.1016/j.jbiomech.2011.10.032
Vergari C, Ravary-Plumioën B, Evrard D, Laugier P, Mitton D, Pourcelot P, Crevier-Denoix N.Axial speed of sound (SOS) measurements have been successfully applied to noninvasively evaluate tendon load, while preliminary studies showed that this technique also has a potential clinical interest in the follow up of tendon injuries. The ultrasound propagation theory predicts that the SOS is determined by the effective stiffness, mass density and Poisson's ratio of the propagating medium. Tendon stiffness characterizes the tissue's mechanical quality, but it is often measured in quasi-static condition and for entire tendon segments, so it might not be the same as the effective stiffness w...
Ultrasonographic appearance of bony abnormalities at the dorsal aspect of the fetlock joint in geriatric cadaver horses.
Veterinary journal (London, England : 1997)    November 9, 2011   Volume 193, Issue 1 129-134 doi: 10.1016/j.tvjl.2011.09.018
Vanderperren K, Gielen I, Van Caelenberg A, Van der Vekens E, Raes EV, Hauspie S, van Bree H, Saunders JH.This article describes the ultrasonographic (US) appearance of bony abnormalities on the dorsal aspect of the third metacarpal/metatarsal bone of the equine fetlock in cadavers with radiographic signs of osteoarthrosis. After US, computed tomography was undertaken to better characterise the lesions. Twelve fetlock joints were collected and all had more than one bone abnormality on US. Normal subchondral bone appeared on US as a well-defined and regular hyperechoic line with distal acoustic shadowing. Bone abnormalities detected on US included (1) gaps in the proximal subchondral bone filled wi...
Rhodococcus equi pneumonia in the foal–part 2: diagnostics, treatment and disease management.
Veterinary journal (London, England : 1997)    October 28, 2011   Volume 192, Issue 1 27-33 doi: 10.1016/j.tvjl.2011.08.009
Muscatello G.Various challenges face clinicians and farm managers in diagnosing, treating and preventing Rhodococcus equi pneumonia. The use of ultrasound imaging has aided in the early diagnosis of the disease, reducing treatment duration and improving therapeutic outcomes. Antimicrobial resistance in R. equi is an emerging issue that necessitates prudent antimicrobial therapy of diseased foals. Alternative methods of disease transmission, such as contagious foal-to-foal aerosol transmission, may need to be addressed to complement dust reduction environmental strategies and to minimise the overall risk of...
Axial speed of sound for the monitoring of injured equine tendons: a preliminary study.
Journal of biomechanics    October 22, 2011   Volume 45, Issue 1 53-58 doi: 10.1016/j.jbiomech.2011.10.016
Vergari C, Pourcelot P, Ravary-Plumioën B, Dupays AG, Jacquet S, Audigié F, Denoix JM, Laugier P, Mitton D, Crevier-Denoix N.Equine superficial digital flexor tendons (SDFT) are often injured, and they represent an excellent model for human sport tendinopathies. While lesions can be precisely diagnosed by clinical evaluation and ultrasonography, a prognosis is often difficult to establish; the knowledge of the injured tendon's mechanical properties would help in anticipating the outcome. The objectives of the present study were to compare the axial speed of sound (SOS) measured in vivo in normal and injured tendons and to investigate their relationship with the tendons' mechanical parameters, in order to assess the ...
Understanding abdominal ultrasonography in horses: which way is up?
Compendium (Yardley, PA)    October 14, 2011   Volume 33, Issue 9 E2 
Henry Barton M.The recent introduction of more affordable and portable ultrasound equipment makes it possible to perform transabdominal ultrasonography on equine patients in the field. Clipping the hair is not always necessary: intraabdominal structures can be quickly evaluated by soaking hair with isopropyl alcohol and using a 3.0- to 3.5-MHz curvilinear transducer. The ultrasonographer must be acquainted with the location and architecture of normal intraabdominal structures and simultaneously mindful of the depth of the viewing field, the tissue interface densities, the orientation of the transducer relati...
Manual reduction of multiple embryos in the mare: the effect on subsequent pregnancy outcome.
Veterinary journal (London, England : 1997)    October 13, 2011   Volume 192, Issue 3 322-325 doi: 10.1016/j.tvjl.2011.06.036
Davies Morel MC, Newcombe JR, Lauber M.To determine whether manually reduced multiple pregnancies (MPs) are at a greater risk of pregnancy loss than single pregnancy (SP) in mares, and to examine if a difference exists in the timing of pregnancy loss between manually reduced MPs and SPs, 1916 Thoroughbred mares were ultrasonically monitored every 2 days during oestrus to confirm ovulation, and up to Day 40 post-ovulation to confirm pregnancy. Ultimate pregnancy outcome was ascertained from the General Thoroughbred Stud book and classified as live foal (LF), early abortion (EA; Days 40-150), slipped foal (SF; Days 150-term), and bar...
Intralesional injection of insulin-like growth factor-I for treatment of superficial digital flexor tendonitis in Thoroughbred racehorses: 40 cases (2000-2004).
Journal of the American Veterinary Medical Association    October 4, 2011   Volume 239, Issue 7 992-997 doi: 10.2460/javma.239.7.992
Witte TH, Yeager AE, Nixon AJ.OBJECTIVE-To evaluate outcome after intralesional injection of insulin-like growth factor-I (IGF-I) for treatment of superficial digital flexor (SDF) tendonitis in Thoroughbred racehorses. DESIGN-Retrospective case series. ANIMALS-40 Thoroughbred racehorses. PROCEDURES-Medical records of racehorses with SDF tendonitis treated within 13 weeks after injury by intralesional injection of IGF-I (25 or 50 μg every other day for 4 or 5 treatments) were reviewed. Outcome was determined via analysis of race records, owner follow-up, and examination. RESULTS-Mean age of the horses was 3.1 years (range,...
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