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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.
Upper airway disease: does it affect lower airway mechanics and pulmonary haemodynamics?
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 639 doi: 10.1111/j.2042-3306.1999.tb05302.x
Ducharme NG, Hiraga A.No abstract available
Cardiac responses to training in 2-year-old thoroughbreds: an echocardiographic study.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 195-198 doi: 10.1111/j.2042-3306.1999.tb05217.x
Young LE.Guided M-mode echocardiography was performed in seven 2-year-old Thoroughbreds before commencement of commercial flat-race training, and 18 weeks later, when all horses were either racing regularly (5 horses), or at racing fitness (2 horses). M-mode echocardiography was performed using a 2.5 MHz annular phased array ultrasound transducer and a Vingmed 800 Supervision echocardiograph. Images were obtained from the right hemithorax; a short axis view of the left ventricle (LV) at the level of the chordae tendinae was used to position the M-mode cursor. The following variables were measured: left...
Effect of exercise on bone density in distal regions of the equine third metacarpal bone in 2-year-old thoroughbreds.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 555-560 doi: 10.1111/j.2042-3306.1999.tb05283.x
Riggs CM, Boyde A.The present study addressed the question of whether training induces changes in bone density in the younger racehorse in regions relevant to the genesis of the common sagittal condylar fracture pattern and, if so, the nature of such alteration. Third metacarpal bones (McIII) were obtained from 12 experimental Thoroughbred, unbroken fillies, age 18.1-21.0 months at entry to the study. Six (Group E) undertook 19 weeks of progressive high intensity exercise on a high-speed treadmill at 3% incline. Six (Group C) walked 40 min each day. Clinical bone density was studied by Computed Tomography (CT) ...
Ventilation-perfusion relationships during exercise in standardbred trotters with red cell hypervolaemia.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 107-113 doi: 10.1111/j.2042-3306.1999.tb05199.x
Funkquist P, Wagner PD, Hedenstierna G, Persson SG, Nyman G.In order to evaluate the pulmonary gas exchange during exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 horses with RCHV were compared with 9 normovolaemic (NV) horses. VO2 and VCO2 were determined with an open bias flow system. Cardiovascular and haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Pulmonary gas exchange was assessed by conventional blood gas variables (arterial and mixed venous blood gas tensions), and the ventilation-perfusion distribution VA/Q was estimated by the multiple inert gas elimination technique. VA and AaDO...
Should equine athletes commence training during skeletal development?: changes in tendon matrix associated with development, ageing, function and exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 201-209 doi: 10.1111/j.2042-3306.1999.tb05218.x
Smith RK, Birch H, Patterson-Kane J, Firth EC, Williams L, Cherdchutham W, van Weeren WR, Goodship AE.In human athletes, conditioning, training and competition are commenced before skeletal maturity. Yet in equine athletics, racing of young (age 2 years) horses remains contentious. Tendon injury persists as major causes of wastage in equine athletes. Minimising injury and associated welfare issues could involve a radical approach to the timing and implementation of conditioning and training. Tendons were examined from Thoroughbreds, Dutch Warmblood foals, working horses and also a group of wild horses to evaluate effects of age, function and exercise. Gross mechanical properties did not differ...
Sweating and skin temperature responses of normal and anhidrotic horses to intravenous adrenaline.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 362-369 doi: 10.1111/j.2042-3306.1999.tb05249.x
Marlin DJ, Schroter RC, Scott CM, White S, Nyrop KA, Maykuth PL, Harris PA.Anhidrosis has been recognised for over half a century, but despite some excellent epidemiological studies, there has been little progress in understanding the aetiology of the condition. Using a modified ventilated capsule, we obtained dynamic, quantitative data on sweating responses in anhidrotic horses and normal sweating controls from the same environment. Ten horses with current seasonal anhidrosis and 10 matched normal sweating controls were selected. Each horse was given two 10 min infusions of 1 and 2 micrograms/kg/min adrenaline, separated by at least 6 h. Sweating responses and skin ...
Influence of frusemide on dynamic cardiac variables during exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 170-173 doi: 10.1111/j.2042-3306.1999.tb05211.x
Langsetmo I, Weigle GE, Erickson HH, Fedde MR.Exercising horses have extremely high right and left atrial pressures. Limitation in ventricular function (i.e. relaxation) may play a role in these high pressures. We studied relaxation characteristics of the right ventricular myocardium and the impact of frusemide (2.0 mg/kg bwt i.v.) on these characteristics in horses exercising at 8, 10, 12 and 14 m/s. Exercise tests were performed 4 h after administration of frusemide. Right ventricular (RV) pressure was analysed using Fast Fourier Transform techniques to remove non cardiac components of the pressure signal. Mean right atrial (RA) pressur...
Kinematics of the equine back: flexion-extension movements in sound trotting horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 210-213 doi: 10.1111/j.2042-3306.1999.tb05219.x
Audigié F, Pourcelot P, Degueurce C, Denoix JM, Geiger D.This study was undertaken to evaluate the flexion-extension movements of the back in a group of sound trotting horses. Using a 3-D kinematic analysis system, 13 clinically sound horses fitted with 5 skin markers placed on the dorsal midline of their trunk were recorded while trotting on a track in the conditions of the routine lameness examination. These markers were used to calculate 3 back angles (thoracic, thoracolumbar and lumbosacral angle). These back angles were then filtered using Fourier series. To evaluate the repeatability of flexion-extension movements, the intra- and inter-individ...
Effect of ambient temperature and humidity on pulmonary artery temperature of exercising horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 404-411 doi: 10.1111/j.2042-3306.1999.tb05256.x
Kohn CW, Hinchcliff KW, McKeever KH.Six healthy Thoroughbred mares were trained to run on a high-speed treadmill and were conditioned for approximately 5 weeks. Each horse performed 6 identical standardised exercise tests (SET) 5 to 7 days apart. Each SET was performed under different ambient laboratory conditions: low temperature/low humidity (LL) 20.2 degrees +/- 0.6 degree C, 53.6 +/- 4.1%; low temperature/high humidity (LH) 19.7 +/- 0.6 degrees C, 86.7 +/- 4.2%; medium temperature/low humidity (ML) 24.6 +/- 0.2 degrees C, 58.7 +/- 3.7%; medium temperature/high humidity (MH) 24.7 +/- 0.3 degrees C, 87.5 +/- 1.4%; high tempera...
Sequential changes in bronchoalveolar cytology after autologous blood inoculation.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 126-130 doi: 10.1111/j.2042-3306.1999.tb05202.x
McKane SA, Slocombe RF.Six horses, free of recent exercise-induced pulmonary haemorrhage (EIPH), each had 8 bronchial segments inoculated with 40 ml of autologous blood lavaged on Days 3, 5, 7, 10, 14 and 21 after inoculation. The bronchoalveolar lavage (BAL) fluid samples were analysed, and total leucocyte counts and differential cell percentages determined. Statistical analysis of the differences between the 8 post inoculation and 1 pre-inoculation (control) lavage sites demonstrated an early neutrophilic response, rising from < 5% of alveolar leucocytes to 10% by 24-48 h post inoculation. As this response wane...
Pulmonary capillary pressure in horses undergoing alteration of pleural pressure by imposition of various upper airway resistive loads.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 27-33 doi: 10.1111/j.2042-3306.1999.tb05183.x
Ducharme NG, Hackett RP, Gleed RD, Ainsworth DM, Erb HN, Mitchell LM, Soderholm LV.We hypothesized that changes in pleural pressure induced by resistive breathing would affect transmural pulmonary artery, pulmonary capillary, and pulmonary wedge pressures. Seven horses were assigned to exercise with each of 4 upper respiratory resistive loads in random order at intervals of at least 2 days: 1) control--no added resistive loads; 2) inspiratory resistive load (Iobst)--left laryngeal hemiplegia; 3) expiratory resistive load (Eobst)--one-way valve in the right nostril; and 4) combined inspiratory and expiratory resistive loads (CIEobst)--left nostril occlusion. On each occasion,...
Weak acid-concentration Atot and dissociation constant Ka of plasma proteins in racehorses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 438-442 
Stampfli HR, Misiaszek S, Lumsden JH, Carlson GP, Heigenhauser GJ.The plasma proteins are a significant contributor to the total weak acid concentration as a net anionic charge. Due to potential species difference, species-specific values must be confirmed for the weak acid anionic concentrations of proteins (Atot) and the effective dissociation constant for plasma weak acids (Ka). We studied the net anion load Atot of equine plasma protein in 10 clinically healthy mature Standardbred horses. A multi-step titration procedure, using a tonometer covering a titration range of PCO2 from 25 to 145 mmHg at 37 degrees C, was applied on the plasma of these 10 horses...
Plasma atrial natriuretic peptide during and after repeated exercise under heat exposure.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 184-189 doi: 10.1111/j.2042-3306.1999.tb05215.x
Kokkonen UM, Hyyppä S, Pösö AR.Plasma atrial natriuretic peptide (ANP) responses were studied in horses during and after a competition exercise test (CET) designed to simulate the endurance test of a 3-day event and including test Phases A-D. CET was repeated 5 times at 2 week intervals at mean temperature +28 degrees C and relative humidity (RH) 58%. Heart rate (HR) was monitored during CET. After CET, the horses were rehydrated with isotonic glucose-electrolyte solution or water. ANP, NH2-terminal pro-atrial natriuretic peptide (NT-ANP), aldosterone, arginine vasopressin (AVP) and plasma proteins (PP) were measured during...
Gas exchange during exercise in standardbred trotters with mild bronchiolitis.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 96-101 doi: 10.1111/j.2042-3306.1999.tb05197.x
Nyman G, Björk M, Funkquist P.To investigate the gas exchange response during exercise in horses with mild bronchiolitis (MB), we studied 7 Standardbred trotters. In order to determine pulmonary gas exchange and red cell volume in relation to bodyweight (CV/BW), submaximal graded exercise tests were performed. VO2 was monitored from an open bias flow system without valves. Heart rate, respiratory rate and mean pulmonary and systemic artery pressures were measured. Cardiac output and alveolar ventilation were calculated. Arterial and mixed venous blood were drawn for blood gas analysis and pH measurements. Pulmonary gas exc...
Osteoinductive response in the dorsal aspect of the carpus of young thoroughbreds in training occurs within months.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 552-554 doi: 10.1111/j.2042-3306.1999.tb05282.x
Firth EC, Goodship AE, Delahunt J, Smith T.Bone mineral density (BMD) was measured by dual x-ray absorptiometry (DXA) in the carpus of 6 Thoroughbreds age 24 months that were exercised on the treadmill for 4.5 months, and of 6 matched control horses. A sagittal slab of known thickness was sawn from one or more of radius, radial carpal (Cr), third carpal (C3), and third metacarpal (Mc3) bones. After the 4.5 month treadmill exercise, there was a significantly greater volumetric BMD in the dorsal aspect of C3 (P = 0.006). Treadmill-exercised horses also had higher BMD in the dorsodistal aspect of the radius (P = 0.03), the dorsal half of ...
Nerve block and intra-articular anaesthesia of the forelimb in the sound horse.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 266-269 doi: 10.1111/j.2042-3306.1999.tb05232.x
Drevemo S, Johnston C, Roepstorff L, Gustås P.Nerve blocks and intra-articular anaesthesia are used extensively as routine methods in lameness evaluation. The method is based on the assumption that the technique itself does not change the movement pattern. The aim of this study was to carry out a quantitative kinematic study to confirm or reject the hypothesis that high palmar digital nerve block (HPDN) and intra-articular fetlock joint anaesthesia (IAF) influence significantly the movement pattern of the horse. Seven Standardbred horses trotting at 4.5 m/s were recorded at 240 Hz on a treadmill before and after anaesthesia by use of a Pr...
Plasma ammonia and lactate responses using incremental and constant speed exercise tests.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 546-551 doi: 10.1111/j.2042-3306.1999.tb05281.x
Harris RC, Harris DB, Dunnett M, Harris PA, Fallowfield J, Naylor JR.Plasma NH3, formed during intense exercise, results principally from the deamination of AMP in muscle. Its formation during exercise may be influenced both by the pool of fibres recruited and by changes in the intracellular environment affecting ADP homeostasis. This study compared incremental and constant speed exercise as possible protocols for the investigation of plasma NH3 accumulation with intense exercise. Six trained Thoroughbred horses, one of which had recently been operated on for recurrent laryngeal neuropathy, undertook a step-wise treadmill test with 1 min incremental steps of 6,...
Racing performance in red blood cell hypervolaemic standardbred trotters.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 617-620 doi: 10.1111/j.2042-3306.1999.tb05296.x
Persson SG, Osterberg I.The association between red blood cell hypervolaemia (RCHV) and racing performance was examined in 116 Standardbred trotters referred to the clinic during a 5 year period with histories of impaired racing performance. Red cell hypervolaemia was the only significant abnormality detected in a thorough clinical examination, cell volumes ranging 116-178% of the predicted normal values. They were also compared with the performance traits of the contemporary Swedish Standardbred trotter population (n = 58,058). The performance traits were based on earnings per year and start, best annual racing time...
Relationship between running speed, isoenzymes of serum creatine kinase and lactate dehydrogenase and left ventricular function in stallions.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 163-165 doi: 10.1111/j.2042-3306.1999.tb05209.x
Rueca F, Conti MB, Porciello F, Spaterna A, Antognoni MT, Mangili V, Fruganti G, Avellini G.The purpose of this study was to assess the possible relationship between maximal running speed, serum isoenzyme patterns of creatine kinase (CK) and lactate dehydrogenase (LDH) and echocardiographic indices of left ventricular function. A group of 15 healthy, 3-year-old Maremmano stallions were given a 100 day training programme. At the end of this the animals carried out a maximum speed test and were divided into 2 groups (A and B) according to whether or not they had attained a speed of 15 m/s. Venous blood samples were taken from each horse before exercise (T0), 2 min (T1) and 24 h (T2) af...
Influence of girth strap tensions on athletic performance of racehorses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 52-56 doi: 10.1111/j.2042-3306.1999.tb05188.x
Bowers JR, Slocombe RF.Eight horses were exercised at speeds to produce 80% of maximal heart rates, on 4 occasions using a randomised block design, and girthed at tensions of approximately 5, 10, 15 or 20 kg using a standard canvas girth attached to a racing saddle. Tension was recorded continuously using an in-line load cell connected to a physiograph. Horses ran until fatigued on a treadmill inclined at 10% slope. Tensions were measured at peak inhalation (T/inh) and exhalation (T/exh), recorded at rest (rest) and during exercise (ex). Data were analysed by ANOVA and, in addition, least squares linear regression w...
Maximal exercise transiently disrupts hormonal secretory patterns in standardbred geldings.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 581-585 doi: 10.1111/j.2042-3306.1999.tb05288.x
Golland LC, Evans DL, Stone GM, Tyler-McGowan CM, Hodgson DR, Rose RJ.Basal concentrations of cortisol (CORT), beta-endorphin (beta EP), growth hormone (GH) and testosterone (T) and their disruption during 32 h of recovery after treadmill exercise were investigated in 4 geldings. Blood samples were collected from resting horses every 20 min between 0600-1000 and 1500-1900 h, and hourly between 1000-1500 h on 3 consecutive days. Treadmill exercise tests comprising 2 min intervals at 30, 50, and 70% VO2max then to fatigue at 100% VO2max were conducted between 1020-1130 h on Day 2. Blood was collected before, during and 15, 30, 60 and 90 min after exercise. Mean (C...
Exertional rhabdomyolysis in quarter horses and thoroughbreds: one syndrome, multiple aetiologies.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 533-538 doi: 10.1111/j.2042-3306.1999.tb05279.x
Valberg SJ, Mickelson JR, Gallant EM, MacLeay JM, Lentz L, de la Corte F.The purpose of this study was to determine if chronic exertional rhabdomyolysis (ER) in Quarter Horses and Thoroughbreds represents one or several distinct myopathies. Eighteen Quarter Horses and 18 Thoroughbreds with ER were selected from cases presented to the Veterinary Hospital on the basis of a history of ER, assessment of muscle histopathology, and serum CK activity before and 4 h post exercise. In addition, 2 of 3 of the following parameters were evaluated: muscle glycogen concentrations, thyroid hormones (T3, T4), fractional excretion (FE) of sodium, potassium and chloride. The CK resp...
Effect of a post exercise fat-supplemented diet on muscle glycogen repletion.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 493-498 doi: 10.1111/j.2042-3306.1999.tb05272.x
Hyyppä S, Saastamoinen M, Reeta Pösö A.Low muscle glycogen at the beginning of exercise may adversely affect performance, increase protein degradation and contribute to the onset of fatigue. As horses are sometimes required to compete on consecutive days both in racing and endurance types of competition, optimal muscle glycogen repletion may improve performance on the day following a race day. The purpose of this experiment was to study the effects of fat supplementation on repletion of muscle glycogen. Twelve Finnhorses performed an exercise test on a treadmill, and 2 and 4 h later they received hay and concentrate (Trial A). Two ...
The effects of training on ventilation and blood gases in exercising thoroughbreds.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 57-61 doi: 10.1111/j.2042-3306.1999.tb05189.x
Roberts CA, Marlin DJ, Lekeux P.The effects of training on ventilation and blood gases during exercise were investigated in 6 clinically normal, detrained Thoroughbred horses. They underwent a 16 week training programme similar to the type frequently used for Thoroughbred racehorses in Great Britain. Standardized treadmill exercise tests (2 min canter at 8 and 10 m/s C8 and C10[ and 2 min gallop at 12 m/s [G12], on a level surface) were performed prior to and after 16 weeks of training. Respiratory flow rates were measured using ultrasound flow transducers. Blood samples were drawn from a transverse facial artery and the rig...
In vitro transmission and attenuation of impact vibrations in the distal forelimb.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 245-248 doi: 10.1111/j.2042-3306.1999.tb05227.x
Willemen MA, Jacobs MW, Schamhardt HC.An in vitro model was developed and validated in vivo to quantify the attenuation of impact vibrations, transmitted through the lower equine forelimb and to assess the effects of horseshoeing on this attenuation. The transsected forelimbs of 13 horses were equipped with custom-made hollow bone screws in the 4 distal bones, on each of which a tri-axial accelerometer could be mounted. The limbs were then preloaded while the impact was simulated by dropping a weight on the steel plate on which the hoof was resting. At the hoof wall, the distal, middle and proximal phalanx and at the metacarpal bo...
Influence of training on autonomic nervous function in horses: evaluation by power spectral analysis of heart rate variability.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 178-180 doi: 10.1111/j.2042-3306.1999.tb05213.x
Kuwahara M, Hiraga A, Kai M, Tsubone H, Sugano S.We studied the influence of training on autonomic nervous function in the horse. For this purpose, Holter electrocardiogram (ECG) was recorded before and after training from 24 Thoroughbred horses (2-year-olds) and autonomic nervous function was evaluated by the power spectral analysis of heart rate (HR) variability. We obtained HR, low-frequency (LF) power, high-frequency (HF) power, and LF/HF ratio from recording. We set LF at 0.01-0.07 Hz and HF at 0.07-0.6 Hz. The HF power is thought to reflect primarily parasympathetic nervous function. Both the sympathetic and parasympathetic nervous sys...
Cardiac output measurements using sonomicrometer crystals on the left ventricle at rest and exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 148-152 doi: 10.1111/j.2042-3306.1999.tb05206.x
Pascoe JR, Hiraga A, Hobo S, Birks EK, Yarbrough TB, Takahashi T, Hada T, Aida H, Steffey EP, Jones JH.Eight horses were fitted surgically with 8 ultrasonic sonomicrometer crystals each attached to their left ventricular pericardia and a left atrial catheter. Three horses returned to treadmill performance with a maximum rate of oxygen consumption similar to their presurgical values. These horses were evaluated to determine how well sonomicrometer estimates of cardiac output agreed with those obtained by a steady-state method, the Fick principle. Variance between the 2 was similar to the coefficient of variation (approximately 12.5%) of the Fick estimates. We conclude that left ventricular sonom...
Comparison of exercise variables measured during intensity of simulated training to variables at maximal effort in standardbreds.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 166-169 doi: 10.1111/j.2042-3306.1999.tb05210.x
Pringle J, MacMillan K, Briand H, Stämpfli H.The heart rate changes during routine training in a group of 8 actively racing Standardbreds were used to simulate the training work on a treadmill (ST) and indices of exercise compared to maximal effort (MAX) on the treadmill. The following parameters were recorded during treadmill work: heart rate, velocity, O2 consumption, respiratory and stride frequency, and stride length. Blood lactate concentrations were measured before and after each work test. Heart rate during simulated training was mean +/- s.d. 87.8 +/- 5.5% heart rate in MAX, one of the 8 horses working 0.05), being higher during...
Chronological changes in superoxide-scavenging ability and lipid peroxide concentration of equine serum due to stress from exercise and transport.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 430-433 doi: 10.1111/j.2042-3306.1999.tb05260.x
Ishida N, Hobo S, Takahashi T, Nanbo Y, Sato F, Hasegawa T, Mukoyama H.It has been suggested that a variety of stresses on animals may accelerate their production of superoxide. Racehorses are considered to be exposed to substantial oxide stress due to transport and exercise for training and racing. To determine the effect of exercise and transport on racehorses in terms of superoxide and antioxidative ability, changes in the superoxide-scavenging ability of equine serum were observed using electron spin resonance (ESR). Changes in the concentration of lipid peroxide, which is produced in equine serum by superoxide, were also examined. The analysis revealed that ...
Radiographic measures of bone shape in young thoroughbreds during training for racing.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 262-265 doi: 10.1111/j.2042-3306.1999.tb05231.x
Davies HM, Gale SM, Baker ID.The aim of this study was to determine if changes in the shape of the third metacarpal bone (MC3) during the first preparation for racing in young Thoroughbred racehorses could be measured radiographically. Lateral radiographs of each MC3 were taken when the horses commenced training, every 2 weeks for 10 weeks, and again at 6 months after the start of training. The width of the dorsal cortex (DC), palmar cortex (PC), and medulla (M) were measured at a position 2.5 cm distal to the nutrient foramen before the subject of each radiograph was identified. The following ratios were calculated: z = ...