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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Infracyanine Green-Based Photodynamic Therapy for Immune-Mediated Keratitis in Horses.
Veterinary ophthalmology    May 5, 2025   doi: 10.1111/vop.70027
Lam KP, Keys DA, McMullen RJ.To describe infracyanine green-based photodynamic therapy (InfraCG-PDT) and evaluate outcomes in horses with immune-mediated keratitis (IMMK). Methods: Medical records from 2014 to 2020 from the Equine Clinic Munich-Riem, Germany, and Auburn University Equine Ophthalmology Service identified horses diagnosed with IMMK following ophthalmic examination that had undergone InfraCG-PDT. Methods: Multiple intrastromal injections of EmunDo (InfraCG, A.R.C. Laser, Nuernberg, Germany) within an affected quadrant or the entire cornea were treated with diffuse diode laser energy (FOX A.R.C., Laser, Nuern...
Long-Term Response of Equids With Pituitary Pars Intermedia Dysfunction to Treatment With Pergolide.
Journal of veterinary internal medicine    May 3, 2025   Volume 39, Issue 3 e70109 doi: 10.1111/jvim.70109
Schott HC, Strachota JR, Marteniuk JV, Refsal KR.Limited data document long-term responses of equids with pituitary pars intermedia dysfunction (PPID) to pergolide treatment. Objective: Report clinical response, medical problems, outcome, and owner satisfaction with pergolide treatment of PPID-affected equids over 14 years. Methods: Thirty client-owned equids with PPID. Methods: After completion of an open field clinical efficacy study for Prascend® (pergolide tablets), 28 horses and two ponies were enrolled in an extended treatment study (13 receiving 2 μg/kg PO q24h and 17 receiving 4 μg/kg PO q24h). Clients were interviewed eve...
Magnetic resonance Imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: Insights, advances and future directions.
Equine veterinary journal    May 2, 2025   doi: 10.1111/evj.14508
Scharf A, Acutt E, Bills K, Werpy N.Deep digital flexor (DDF) tendinopathy is a significant cause of lameness and poor performance in equine athletes with substantial implications for their return to athletic performance. Magnetic resonance imaging (MRI) is increasingly integrated into the diagnostic workup of horses with foot pain and has revolutionised the diagnosis and management of these injuries. This review discusses the principles of MRI in the context of deep digital flexor tendon (DDFT) injury, comparing high-field and low-field systems and highlighting the clinical relevance of technical parameters, including field str...
Spatial Distribution of Equid Exposure to Rickettsia spp. in Goiás State, Midwestern Brazil.
Pathogens (Basel, Switzerland)    May 2, 2025   Volume 14, Issue 5 449 doi: 10.3390/pathogens14050449
Pádua GT, Tavares MA, de Lima NJ, Paula WVF, Dos Santos GC, Neves LC, Bittencourt RBM, Paludo RLDR, Cardoso ERN, da Silva BBF, Pádua BR....This study sought to investigate the presence of anti- spp. antibodies in georeferenced serum samples from equids across all regions of the state of Goiás, while also presenting variables that indicate risk factors for the circulation of rickettsiae, and evaluating the presence of rickettsial DNA in ticks collected from equids and the surrounding environment in the municipalities of Uruaçu and Porangatu, located in the northern region of the state. A total of 1156 equid serum samples provided by the Goiás Agricultural Defense Agency (Agrodefesa) were analyzed for antibodies against 4 antig...
Leptospirosis.
Nature reviews. Disease primers    May 2, 2025   Volume 11, Issue 1 32 doi: 10.1038/s41572-025-00614-5
Rajapakse S, Fernando N, Dreyfus A, Smith C, Rodrigo C.Leptospirosis is a zoonotic bacterial infection that is prevalent across all continents and is caused by pathogenic spirochaetes of the genus Leptospira. Although infection can be asymptomatic, symptomatic disease can vary in severity from mild to severe illness, the latter characterized by icterus and/or multi-organ dysfunction and potentially death. An estimated one million cases of leptospirosis occur globally each year, resulting in ~60,000 deaths. The pathogenesis of severe leptospirosis is poorly understood but is believed to involve an interplay between genetic predisposition, pathogen ...
Standing repair of long frontal plane fractures of the proximal phalanx in UK Thoroughbred racehorses: A retrospective analysis of 13 fractures.
Equine veterinary journal    April 30, 2025   doi: 10.1111/evj.14521
Findley JA, Bladon BM, O'Neill HD.Sagittal plane fractures of the proximal phalanx (P1) are commonly observed in the UK Thoroughbred racehorse, with the technique and outcome following standing lag screw fixation widely reported. Long frontal plane P1 fractures propagating from the central third of the proximal articular surface occur less frequently, with information concerning repair methods and outcomes currently lacking. Objective: To describe a surgical technique for standing lag screw fixation of long frontal P1 fractures and report on post-operative performance in a UK Thoroughbred population. Methods: Single centre ret...
Transfusion of rhodococcal hyperimmune plasma to newborn foals does not markedly alter serum electrolyte or protein concentrations.
Journal of the American Veterinary Medical Association    April 30, 2025   Volume 263, Issue 7 859-865 doi: 10.2460/javma.25.02.0115
Volding DM, Flores-Ahlschwede P, Cramer MJ, Landrock KK, Sayre KC, Welsh TH, Bordin AI, Piccione J, Cohen ND.To determine the effects of transfusion of Rhodococcus equi hyperimmune plasma (REHIP) on serum electrolyte and protein concentrations in neonatal foals. Unassigned: A prospective observational study of 355 privately owned Thoroughbred foals from 13 farms in New York and cross-sectional study of REHIP samples. Blood was collected immediately before and after transfusion of either 1 or 2 L of REHIP to foals, and serum samples were separated and frozen until tested for concentrations of sodium (Na), potassium (K), chloride (Cl), total protein (TP), albumin, and globulins. Samples (n = 90) of REH...
First report on equine papillomavirus type 1 in Arabian horses in Saudi Arabia: Clinical, histopathological, and molecular characterization.
Open veterinary journal    April 30, 2025   Volume 15, Issue 4 1798-1802 doi: 10.5455/OVJ.2025.v15.i4.32
Al-Hammadi MA.Equine papillomavirus type 1 (EcPV-1) causes cutaneous papillomatosis in horses, which is characterized by benign, proliferative epithelial lesions. Despite its global presence, the prevalence and characterization of EcPV-1 in Arabian horses in Saudi Arabia have not been previously reported. Unassigned: This study is the first to identify and comprehensively analyze EcPV-1 in four Arabian horses presenting with multiple raised, verrucous lesions around the muzzle and lips. Unassigned: This study involved clinical examination, skin biopsy collection, histopathological examination, and molecular...
Internal carotid artery dolichoarteriopathies in the horse: An endoscopic and anatomic study.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft    April 30, 2025   Volume 260 152669 doi: 10.1016/j.aanat.2025.152669
Tagliavia C, Pietra M, Salamanca G, De Silva M, Canova M, Cacchione S, Castagnetti C, Bombardi C, Grandis A.Endoscopy of the guttural pouches in neonatal foals occasionally reveals atypical aspects in the course of the extracranial internal carotid arteries (ICAs) that are hardly seen in adult horses. While in veterinary medicine the data available on the presence of these anomalies in domestic mammals are limited and incomplete, in human medicine the morphological aspects of the ICAs have been the subject of extensive studies. Anomalies in the course and geometry of ICAs are commonly defined as dolichoarteriopathies, and should be classified as tortuous, kinked or coiled. To document whether the an...
Oral Extraction and Nasal Retrieval of a Fragmented Maxillary Fourth Premolar Tooth in a Horse Using Endoscopic Guidance: A Case Report.
Journal of veterinary dentistry    April 29, 2025   Volume 42, Issue 5 397-406 doi: 10.1177/08987564251334882
Clarysse M, Korsos S, Vlaminck L.This case report presents the removal of the left maxillary fourth premolar tooth (208) which had a chronic complicated crown root fracture in a 9-year-old Warmblood mare. Following a 14-month history of malodorous nasal discharge, clinical and radiographic examination allowed the diagnosis of a comminuted crown root fracture of 208 and oronasal fistula. Some root fragments inaccessible for oral extraction were subsequently removed using a transnasal approach through the existing oronasal fistulous tract using bronchoesophageal forceps under endoscopic guidance. The oronasal fistula was surgic...
Surrogate analyte approach for the determination of endogenous cortisol, cortisone, DHEA, DHEAS in horse hair and sheep wool by LC-HRMS/MS.
Scientific reports    April 29, 2025   Volume 15, Issue 1 14987 doi: 10.1038/s41598-025-99470-2
Two new quantitative methods for the determination of four stress-related hormones (cortisol, cortisone, dehydroepiandrosterone and dehydroepiandrosterone sulfate) in horse hair and sheep wool by liquid chromatography coupled with hybrid high resolution mass spectrometry were developed and validated. Hormones were extracted overnight from ground samples with methanol after a washing step with the same solvent to remove external contamination. The extract was evaporated and dry residue was solubilized in an acid mixture of methanol and water. The methods were validated according to ICH guidelin...
The Industrial Residue of Andiroba (Carapa sp.): A Promising Source of Natural Acaricides Against Dermacentor nitens (Acari: Ixodidae).
Veterinary sciences    April 29, 2025   Volume 12, Issue 5 421 doi: 10.3390/vetsci12050421
Bianchi D, Santos RRD, Peleja PL, de Sousa ABB, da Silva Evangelista M, de Almeida Júnior JS, Barata LES, Moraes WP, Minervino AHH. (tropical horse tick) is a tick species commonly found parasitizing horses and other equids in the Amazon region, causing economic losses. Currently, tick control is based on chemical acaricides, usually in a power formulation for topical use. However, its indiscriminate use results in the emergence of resistant tick lineages. Several plant compounds have been tested for their acaricide activity. In the Amazon, several plants are used for oil extraction, resulting in the production of solid residue (waste) that may contain chemical molecules with biological activities. Thus, we aimed to test ...
Erratum for “Pain Assessment of Horses With Trigeminal-Mediated Headshaking (TMHS) at Rest Between Episodes”.
Journal of veterinary internal medicine    April 29, 2025   Volume 39, Issue 3 e70104 doi: 10.1111/jvim.70104
No abstract available
Racing performance in 75 Thoroughbreds after arthroscopic removal of Osteochondritis dissecans from the lateral femoral trochlear ridge before first race start in Korea (2015-2017).
Veterinary journal (London, England : 1997)    April 28, 2025   Volume 312 106367 doi: 10.1016/j.tvjl.2025.106367
Sohn Y, An SJ, Forbes E, Kim BS, Jeon HS, Ryu SH, Lee I.The lateral trochlear ridge of the stifle joint is highly susceptible to developing Osteochondrosis (OC)/Osteochondritis dissecans (OCD) lesions. This retrospective study evaluated the medical and racing outcomes of 75 Thoroughbreds who underwent arthroscopic OCD removal at the Jeju Stud Farm Equine Hospital from 2015 to 2017. The analysis included medical records, radiographic assessments, and race performance data, comparing 75 horses that underwent surgery with 257 control horses selected as siblings from the same dam. The surgical group had comparable racehorse registration rates (89.3 %...
Could Mesquite (Prosopis juliflora) Help Control Gastrointestinal Parasites in Horses?
Animals : an open access journal from MDPI    April 28, 2025   Volume 15, Issue 9 1245 doi: 10.3390/ani15091245
Rodriguez Velazquez D, Forte L, Varela Guerrero JA, Díaz Alvarado T, Elghandour MMMY, Maggiolino A, De Palo P, Salem AZM.Exploring new natural-origin antiparasitic alternatives is essential in addressing the resistance issues that have emerged due to the widespread use of chemical or synthetic antiparasitic compounds. This area remains relatively underexplored despite the increasing recognition of plants like (mesquite) for their antiparasitic properties and nutritional value as a high-protein animal feed. This review aims to investigate the antiparasitic potential of against gastrointestinal parasites in horses. The review incorporates sources from 2005 to 2024. It was found that various phytochemical compoun...
Pooled Sampling Technique to Improve the Monitoring of Medication Use in the Racehorse Industry.
Drug testing and analysis    April 28, 2025   doi: 10.1002/dta.3872
Chambers A.All anti-doping programmes face financial constraints and monitoring trends in medication use or abuse in a population of racehorses can be difficult and expensive. Obtaining biological samples is the primary method of anti-doping control in individual horses or stables of horses but can be invasive and expensive. Another important practice of anti-doping control has been the confiscation of used and filled syringes by regulators for individual forensic analysis. Pooled samples testing involves the testing of multiple individual samples together as one composite sample. This pooled sample appr...
Effects of Different Stages of Training on the Intestinal Microbes of Yili Horses Analyzed Using Metagenomics.
Genes    April 27, 2025   Volume 16, Issue 5 504 doi: 10.3390/genes16050504
Sun YF, Han ZX, Yao XK, Meng J, Ren WL, Wang CK, Yuan XX, Zeng YQ, Wang YF, Sun ZW, Wang JW.: The aim of this study was to investigate the effects of different stages of training on the intestinal microbial abundance of Yili horses. : Ten Yili horses, all aged 2 years old and weighing 305 ± 20 kg, were selected and divided into a training group and an untrained group. The training group performed riding training 6 days a week, and the untrained group moved freely in the activity circle every day. Fecal samples were collected on days 30 and 60, and the intestinal microorganisms were detected and analyzed using metagenomics. : Compared with the 30-day untrained group, the relative abu...
Molograph 4.0: A demonstration of a non-invasive, automated system for evaluating aspects of the masticatory process in the horse.
Veterinary and animal science    April 26, 2025   Volume 28 100452 doi: 10.1016/j.vas.2025.100452
Sterkenburgh TR, Ordieres-Meré J, Villalba-Diez J.We outlined a monitoring system as a demonstration of the Internet of Medical Things (IoMT) in horses that provided the ability to record aspects of the equine chewing process. Here we take up the idea of a Molograph, which was already proposed in the mechanical form in 1941 by Leue and transferred into today's world. As a substantial practical advantage, the system now involved a non-invasive measurement that was taken in the horse's familiar environment. All patients were fed roughage. In terms of the examination scenario, we focused on the determination of the direction of chewing. The syst...
The effect of an alpha2-adrenoceptor antagonist on equine carbohydrate metabolism after intravenous glucose load.
Domestic animal endocrinology    April 26, 2025   Volume 92 106946 doi: 10.1016/j.domaniend.2025.106946
Hallman IAM, Raekallio MR, Karikoski NP.Vatinoxan is a peripherally acting alpha2-adrenoceptor antagonist used in veterinary medicine to attenuate the side effects of alpha2-adrenoceptor agonists. Vatinoxan also increases insulin response and reduces blood glucose (BG) after intravenous glucose in other species. The aim of this study was to investigate the effects of vatinoxan on BG and insulin concentration in horses after intravenous glucose. The design was an assessor-blind cross-over study. Nine horses were assigned to intravenous vatinoxan (0.2 mg/kg; VAT) or saline (SAL). Horses were administered an intravenous glucose bolus (...
Marker based and markerless motion capture for equestrian rider kinematic analysis: A comparative study.
Journal of biomechanics    April 26, 2025   Volume 186 112728 doi: 10.1016/j.jbiomech.2025.112728
Cameron-Whytock H, Divall H, Lewis M, Apps C.The study hypothesised that a markerless motion capture system can provide kinematic data comparable to a traditional marker-based system for riders mounted on a horse. The objective was to assess the markerless system's accuracy by directly comparing joint and segment angle measurements taken during walking and trotting with those obtained from a marker-based system. Ten healthy adult participants performed five dynamic trials during walking and trotting. A twelve-camera marker-based system and eight-camera 2D video-based system were synchronised. Three-dimensional hip, knee, shoulder and elb...
Official and private animal welfare inspectors’ perception of their own on-site inspections.
Frontiers in veterinary science    April 25, 2025   Volume 12 1575471 doi: 10.3389/fvets.2025.1575471
Lundmark Hedman F, Ewerlöf IR, Frössling J, Berg C.The presence of a trustworthy and effective animal welfare control system is important both for animal welfare and for public and consumer trust. The inspectors' main task, regardless of whether they are official inspectors or private auditors, is to check for and enforce compliance with any relevant regulations. The aim of this study was to investigate how official animal welfare inspectors and private animal welfare auditors in Sweden perceive their inspection work and to explore any differences in the perception of being an inspector between these two groups. An electronic questionnaire was...
Acute changes in serum iron concentrations in anesthetized healthy horses.
Veterinary anaesthesia and analgesia    April 25, 2025   Volume 52, Issue 4 417-420 doi: 10.1016/j.vaa.2025.04.006
Midon M, Clark-Price SC, Lin HC, Lascola KM, Boone L.To determine if serum iron concentrations decrease acutely during and after general anesthesia in healthy horses. Methods: Prospective experimental study. Methods: A convenience sample of 24 healthy adult horses (eight females, 16 geldings), weighing 545 ± 33 kg (mean ± standard deviation). Methods: Horses were anesthetized for 120 minutes with isoflurane, after premedication with intravenous (IV) xylazine (0.8 mg kg-1) and induction with IV midazolam (0.1 mg kg-1) and ketamine (2.2 mg kg-1). Blood samples for serum iron analysis were obtained just before premedication (baseline), after 60 m...
Prediction of Gestational Age in Warmblood, Standardbred and Thoroughbred Horses Based on the Table Established in Light Breed Horses Using Foetal Ultrasonographic Measurements of Four Biometric Parameters.
Reproduction in domestic animals = Zuchthygiene    April 25, 2025   Volume 60, Issue 4 e70059 doi: 10.1111/rda.70059
Renaudin CD, Picandet V, Kass PH.Using the equation of Hartwig et al. and the table established for light breed horses, day of gestation was predicted in 108 Warmblood (WB) and 59 racehorses (Thoroughbred [TB] and Standardbred [STB]) pregnant mares. In WB, gestational ages were predicted within 2 weeks from 100 to 200 days of gestation using biparietal diameter (BPD), aortic diameter (AortD) or femur length (FL); within 2 weeks from 100 to 250 days using BPD or AortD; within 2 weeks from 100 to 300 days using BPD alone; and within 3 weeks from 100 to 350 days using eye approximated volume (EyV) alone. In the ...
Seroprevalence of West Nile, Usutu and tick-borne encephalitis viruses in equids from south-western France in 2023.
Veterinary research    April 24, 2025   Volume 56, Issue 1 91 doi: 10.1186/s13567-025-01508-w
Chevalier N, Migné CV, Mariteragi-Helle T, Dumarest M, De Mas M, Chevrier M, Queré E, Marcillaud-Pitel C, Lupo C, Bigeard C, Touzet T, Leblond A....The circulation of West Nile virus (WNV), Usutu virus (USUV), and tick-borne encephalitis virus (TBEV) was investigated in south-western France during the first six months of 2023, following the emergence of WNV in equids in Gironde, a département in south-western France, in 2022. Blood samples were collected from 494 horses located in the Gironde département and divided into three zones: the Confluence zone, the Intermediate zone and the Arcachon Basin. Samples were tested for WNV-, USUV- and TBEV-specific antibodies. An overall seroprevalence of 14% (95% CI [11-18%]) for orthoflavivirus an...
Integration of machine learning and viscoelastic testing to improve survival prediction in horses experiencing acute abdominal pain at a veterinary teaching hospital.
Equine veterinary journal    April 24, 2025   doi: 10.1111/evj.14517
Macleod BM, Wilkins PA, McCoy AM, Bishop RC.Viscoelastic coagulation testing (VCT) identifies subclinical disruption of coagulation homeostasis and may improve prognostication, particularly for patients with severe systemic inflammation or shock. Machine learning (ML) algorithms may capture complex relationships between clinical variables better than linear regression (GLM). Objective: To evaluate the utility of ML models incorporating VCT and clinical data to predict survival outcomes in horses with acute abdominal pain. Methods: Retrospective observational cohort study. Methods: VCT (VCM Vet™) was performed on 57 horses with acute a...
Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses.
Journal of veterinary internal medicine    April 24, 2025   Volume 39, Issue 3 e70087 doi: 10.1111/jvim.70087
Vernemmen I, Demeyere M, Van Steenkiste G, Buschmann E, Decloedt A, van Loon G.Ultrasonographic guidance of catheter-based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Objective: Use an echocardiography simulator for horses to determine specific ICE views for catheter-based interventions and validate these in live horses. Methods: Six adult healthy experimental horses. Methods: Observational study. An echocardiographic ph...
Survey on outcomes of emergency standing caesarean section in equids.
Frontiers in veterinary science    April 24, 2025   Volume 12 1548978 doi: 10.3389/fvets.2025.1548978
de la Rebière de Pouyade G, Binard M, Deleuze S, Ponthier J.Standing caesarian section (C-section) in mares is poorly documented in the literature. It is reportedly straightforward to perform for veterinarians experienced in bovine practice and is more accessible and less expensive than recumbent techniques. The study aimed to create a survey to report the outcomes of in field C-section through a flank laparotomy with the mare standing under sedation. Unassigned: A survey was developed for field veterinarians practicing standing C-sections. Data were collected regarding the veterinarian's experience and practice type, details about the mare and the rea...
Chronic idiopathic myopathy in Icelandic horses: A case series.
Equine veterinary journal    April 24, 2025   Volume 57, Issue 5 1341-1346 doi: 10.1111/evj.14519
Hansen S, Hopster-Iversen C, Berg L, Fjeldborg J, Massey C, Piercy RJ, Carstensen H.Exertional myopathies are recognised as a cause of poor performance in equines. In Icelandic horses presenting reduced performance and/or multi-limb lameness, no specific myopathy has been identified. Objective: To characterise the clinical presentation and histopathological findings in muscle biopsy samples from Icelandic horses demonstrating poor performance. Methods: Case series. Methods: Phenotypic characteristics, clinical examination and diagnoses of 17 Icelandic horses were studied. All horses had a resting serum creatine kinase (CK) and aspartate transaminase activities measured, and C...
Population pharmacokinetics and clinical evaluation of intravenous acetaminophen and its metabolites in Andalusian horses.
Veterinary journal (London, England : 1997)    April 24, 2025   Volume 312 106357 doi: 10.1016/j.tvjl.2025.106357
Granados MM, Medina-Bautista F, Navarrete-Calvo R, Argüelles D, Domínguez-Pérez JM, Priego-Capote F, Muñoz-Rascón P, Serrano-Rodríguez JM.To date, no intravenous pharmacokinetics (PK) studies have assessed acetaminophen or its major metabolites (acetaminophen-glucuronide and acetaminophen-sulphate) in horses. The influence of sex on acetaminophen metabolism in horses is unclear, and Monte Carlo simulations have not been applied to explore potential clinical applications. This study aimed to determine the intravenous PK and safety of acetaminophen in Andalusian horses at 10 and 20 mg/kg, evaluate sex as a covariate, and simulate clinical regimens. Twenty mares and twenty stallions received intravenous acetaminophen, and plasma ...
The effect of 0.5 mL mepivacaine administered as an abaxial sesamoid nerve block on lameness of horses with digital pain did not differ significantly from that of 2.5 mL of mepivacaine.
American journal of veterinary research    April 23, 2025   Volume 86, Issue 7 doi: 10.2460/ajvr.25.02.0042
Cole RC, DeGraves FJ, Brown J, Schumacher J.To compare the effect of 2.5 mL 2% mepivacaine to the effect of 0.5 mL 2% mepivacaine administered over each palmar digital nerve, as an abaxial sesamoid nerve block (ASNB), to 6 horses lame because of naturally occurring digital pain. Unassigned: In a crossover study design with 3 horses in each group, the trotting gait of the horses was analyzed with an inertial sensor-based, motion-analysis system (Q with Lameness Locator; Equinosis LLC) immediately before and after treatment with either 0.5 or 2.5 mL mepivacaine administered over each nerve near the base of the proximal sesamoid bone of th...