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Topic:Warmblood Horses

Warmblood horses are a group of middle-weight horse breeds known for their versatility and performance in equestrian sports such as dressage, show jumping, and eventing. They are characterized by a combination of athleticism, temperament, and conformation, which make them suitable for competitive disciplines. Breeds within this group include the Hanoverian, Dutch Warmblood, and Holsteiner, among others. The breeding and selection processes for Warmbloods focus on traits such as movement, trainability, and soundness. This page compiles peer-reviewed research studies and scholarly articles that investigate the genetics, breeding practices, performance traits, and health considerations specific to Warmblood horses.
A genome-wide association study for equine recurrent airway obstruction in European Warmblood horses reveals a suggestive new quantitative trait locus on chromosome 13.
Animal genetics    July 24, 2017   Volume 48, Issue 6 691-693 doi: 10.1111/age.12583
Schnider D, Rieder S, Leeb T, Gerber V, Neuditschko M.Recurrent airway obstruction (RAO), also known as heaves, is an asthma-like respiratory disease. Its development is strongly influenced by environmental risk factors such as sensitization and exposure to moldy hay, straw bedding and stabling indoors. A hereditary component has been documented in previous studies; however, so far no causative genetic variant that influences the risk of developing RAO has been identified. In this study, we revised an existing dataset and selected 384 horses for genotyping on the Affymetrix high-density equine SNP array. We performed an allelic case-control genom...
An exploratory study of competition scores and salivary cortisol concentrations in Warmblood horses.
Domestic animal endocrinology    June 28, 2017   Volume 61 108-116 doi: 10.1016/j.domaniend.2017.06.007
Munk R, Jensen RB, Palme R, Munksgaard L, Christensen JW.The main objective of this explorative study was to describe the relationship between competition scores and salivary cortisol concentrations in young horses during dressage and showjumping competitions. The study also investigated whether the diurnal rhythm of salivary cortisol concentrations was affected by competition over consecutive days compared with the home environment. Saliva samples were collected from 126 dressage horses and showjumpers in their home environment and at 3 different events. The relationship between scores given by judges at the competition and cortisol concentrations ...
Clinical and histopathological features of myofibrillar myopathy in Warmblood horses.
Equine veterinary journal    June 26, 2017   Volume 49, Issue 6 739-745 doi: 10.1111/evj.12702
Valberg SJ, Nicholson AM, Lewis SS, Reardon RA, Finno CJ.To report a novel exertional myopathy, myofibrillar myopathy (MFM) in Warmblood (WB) horses. Objective: To 1) describe the distinctive clinical and myopathic features of MFM in Warmblood horses and 2) investigate the potential inheritance of MFM in a Warmblood family. Methods: Retrospective selection of MFM cases and prospective evaluation of a Warmblood family. Methods: Retrospectively, muscle biopsies were selected from Warmblood horses diagnosed with MFM and clinical histories obtained (n = 10). Prospectively, muscle biopsies were obtained from controls (n = 8) and a three generation WB...
Feed intake patterns of sport ponies and warmblood horses following iso-energetic intake of pelleted fibre-rich mixed feed, muesli feed and semicrushed oat grains.
Journal of animal physiology and animal nutrition    June 20, 2017   Volume 101 Suppl 1 37-42 doi: 10.1111/jpn.12732
Bochnia M, Boesel M, Bahrenthien L, Wensch-Dorendorf M, Zeyner A.The aim of the study was to compare diverse feed intake patterns in sport ponies and warmblood-type horses after feeding iso-energetic amounts of three different concentrates: a pelleted fibre-rich mixed feed (PF), a muesli feed (MF) and semicrushed oat grains (OG). Four sport ponies and six warmblood-type horses received the concentrates and meadow hay according to maintenance (0.52 MJ metabolizable energy (ME) kg body weight (BW) /day). Both breeds were allocated at random to three groups and received once daily for 8 days either OG (1 g starch/kg BW/meal) or iso-energetic quantities of ...
Complementary and alternative medicine for the management of orthopaedic problems in Swiss Warmblood horses.
Veterinary medicine and science    May 29, 2017   Volume 3, Issue 3 125-133 doi: 10.1002/vms3.64
Lange CD, Axiak Flammer S, Gerber V, Kindt D, Koch C.It appears that complementary and alternative medicine (CAM) is used increasingly often in horses for the assessment and treatment of suspected orthopaedic problems, especially back problems. The aim of this study was to determine the frequency of CAM use for the management of orthopaedic problems in a defined population of Swiss Warmblood horses. A total of 239 owners and caretakers of horses from a pre-defined database were called by a veterinarian to participate in the survey. A standardized questionnaire was designed to determine, for each orthopaedic case, where the localization of the pr...
Seroprevalences of anti-Sarcocystis neurona and anti-Neospora hughesi antibodies among healthy equids in the United States.
Journal of the American Veterinary Medical Association    May 17, 2017   Volume 250, Issue 11 1291-1301 doi: 10.2460/javma.250.11.1291
James KE, Smith WA, Conrad PA, Packham AE, Guerrero L, Ng M, Pusterla N.OBJECTIVE To describe the general seroprevalence of anti-Sarcocystis neurona and anti-Neospora hughesi antibodies among healthy equids by use of indirect fluorescent antibody tests and determine potential risk factors for seropositivity. DESIGN Cross-sectional study. SAMPLE Whole blood samples collected from 5,250 equids (1 sample/animal) across 18 states in the United States during October 2013. PROCEDURES Information regarding potential risk factors (geographic region, breed, primary use, sex, and age) was collected along with the blood samples. For each equid, an indirect fluorescent antibo...
Insulin signaling in various equine tissues under basal conditions and acute stimulation by intravenously injected insulin.
Domestic animal endocrinology    May 12, 2017   Volume 61 17-26 doi: 10.1016/j.domaniend.2017.04.003
Warnken T, Brehm R, Feige K, Huber K.The aim of the study was to analyze key proteins of the equine insulin signaling cascade and their extent of phosphorylation in biopsies from muscle tissue (MT), liver tissue (LT), and nuchal AT, subcutaneous AT, and retroperitoneal adipose tissues. This was investigated under unstimulated (B1) and intravenously insulin stimulated (B2) conditions, which were achieved by injection of insulin (0.1 IU/kg bodyweight) and glucose (150 mg/kg bodyweight). Twelve warmblood horses aged 15 ± 6.8 yr (yr), weighing 559 ± 79 kg, and with a mean body condition score of 4.7 ± 1.5 were included in the s...
Head and pelvic movement asymmetries at trot in riding horses in training and perceived as free from lameness by the owner.
PloS one    April 25, 2017   Volume 12, Issue 4 e0176253 doi: 10.1371/journal.pone.0176253
Rhodin M, Egenvall A, Haubro Andersen P, Pfau T.Recent studies evaluating horses in training and considered free from lameness by their owners have identified a large proportion of horses with motion asymmetries. However the prevalence, type and magnitude of asymmetries when trotting in a straight line or on the lunge have not been investigated. The aim of this study was to objectively investigate the presence of motion asymmetries in riding horses in training by identifying the side and quantifying the degree and type (impact, pushoff) of forelimb and hind limb asymmetries found during straight line trot and on the lunge. In a cross-sectio...
Quantification of equine immunoglobulin A in serum and secretions by a fluorescent bead-based assay.
Veterinary immunology and immunopathology    April 10, 2017   Volume 188 12-20 doi: 10.1016/j.vetimm.2017.04.001
Schnabel CL, Babasyan S, Freer H, Wagner B.Only few quantitative reports exist about the concentrations and induction of immunoglobulin A (IgA) in mucosal secretions of horses. Despite this, it is widely assumed that IgA is the predominant immunoglobulin on mucosal surfaces in the horse. Here, two new monoclonal antibodies (mAbs) against equine IgA, clones 84-1 and 161-1, were developed and characterized in detail. Both IgA mAbs specifically bound monomeric and dimeric equine IgA in different applications, such as Western blots and fluorescent bead-based assays. Cross-reactivity with other equine immunoglobulin isotypes was not observe...
Suspected aspirin resistance in individual healthy adult warmblood horses.
Journal of veterinary pharmacology and therapeutics    April 7, 2017   Volume 40, Issue 6 e16-e22 doi: 10.1111/jvp.12408
Roscher KA, Failing K, Schenk I, Moritz A.The reasons for this prospective experimental study were to determine a dosing scheme with loading and maintenance dose of aspirin inducing inhibition of platelet function measured by whole blood impedance aggregometry. Ten horses received aspirin orally in the morning with one loading dose of 4.7-5 mg/kg and maintenance doses of 1-1.3 mg/kg daily the following 4 days. Aggregometries (COLtest, ASPItest, ADPtest) and serum salicylic acid were measured. ASPItest showed significant difference in inhibition at 24 and 48 hr (p < .05) and 96 hr (p < .01). Significant change for ADPtes...
Pharmacokinetics and pulmonary distribution of gamithromycin after intravenous administration in foals.
Journal of veterinary pharmacology and therapeutics    March 19, 2017   Volume 40, Issue 4 406-410 doi: 10.1111/jvp.12402
Berlin S, Randow T, Scheuch E, Grube M, Venner M, Siegmund W.The long-acting azalide antibiotic gamithromycin is marketed for intramuscular treatment of bovine and swine infections. Off-label use in foals leads to severe local lesions likely caused by hyperosmolality of the injected solution. We provide evidence from a pharmacokinetic study in 10 warm-blooded healthy foals for intravenous bolus injection of gamithromycin diluted in distilled water to be a safe and well tolerated alternative. By intravenous dosing, markedly higher plasma exposure and better penetration into bronchoalveolar lavage cells but lower distribution into epithelial lining fluid ...
Injuries of the Sagittal Groove of the Proximal Phalanx in Warmblood Horses Detected with Low-Field Magnetic Resonance Imaging: 19 Cases (2007-2016) Gold SJ, Werpy NM, Gutierrez-Nibeyro SD.Sagittal groove injuries of the proximal phalanx are an important cause of lameness in performance horses. The purpose of this retrospective case series study was to describe standing low-field magnetic resonance imaging (MRI) characteristics of these injuries in a group of Warmblood horses. Horses with an MRI diagnosis of sagittal groove injuries involving the proximal phalanx and that had follow-up MRI and clinical outcome information were included. Findings from clinical examinations, diagnostic tests, and other imaging modalities were recorded. All MRI studies were retrieved for re-evaluat...
Androgen Insensitivity Syndrome in a Family of Warmblood Horses Caused by a 25-bp Deletion of the DNA-Binding Domain of the Androgen Receptor Gene. Welsford GE, Munk R, Villagómez DA, Hyttel P, King WA, Revay T.Testicular feminization, an earlier term coined for describing a syndrome resulting from failure of masculinization of target organs by androgen secretions during embryo development, has been well documented not only in humans but also in the domestic horse. The pathology, actually referred to as androgen insensitivity syndrome (AIS), has been proposed to follow an X-linked recessive pattern of inheritance in some horse breeds already investigated. Affected individuals are characterized by a female phenotype but with a stallion genotype of 64,XY SRY+ constitution. We identified a Warmblood hor...
Genetic parameters of insect bite hypersensitivity in the Old Grey Kladruber horse.
Journal of animal science    February 9, 2017   Volume 95, Issue 1 53-58 doi: 10.2527/jas.2016.0745
Citek J, Vostry L, Vostra-Vydrova H, Brzakova M, Prantlova V.The objective of this study was to assess the genetic parameters of insect bite hypersensitivity (IBH) in the Old Grey Kladruber horse, an original Czech warmblood horse breed. Insect bite hypersensitivity is a recurrent allergic skin disease affecting horses worldwide. Its etiology is multifactorial. The defect is genetically controlled, and the starting impulse is a bite by midges of the spp. and less frequently spp. Knowledge about the associated genes is limited. Horses were kept by the National Stud in Kladruby (1,146 measurements) and by 10 private breeders (63 measurements). The horses ...
Ground reaction forces of elite dressage horses in collected trot and passage.
Veterinary journal (London, England : 1997)    January 30, 2017   Volume 221 30-33 doi: 10.1016/j.tvjl.2017.01.016
Clayton HM, Schamhardt HC, Hobbs SJ.In this study, sagittal plane ground reaction forces (GRFs) in ridden elite dressage horses performing 'collected trot' and in 'passage' over ground were determined. In-ground force plates captured GRF data from four Dutch Warmblood and four Lusitano horses ridden by their trainers. At least three stance phases were analysed for forelimbs and hind limbs per horse. The variables extracted were vertical and longitudinal (braking, propulsive) force maxima, their times of occurrence and the respective impulses for forelimbs and hind limbs. Lusitanos had lower vertical impulses than Dutch Warmblood...
Echocardiographic Assessment of Left Ventricular Function in Healthy Horses and in Horses with Heart Disease Using Pulsed-Wave Tissue Doppler Imaging.
Journal of veterinary internal medicine    January 21, 2017   Volume 31, Issue 2 556-567 doi: 10.1111/jvim.14641
Koenig TR, Mitchell KJ, Schwarzwald CC.Assessment of left ventricular (LV) function by tissue Doppler imaging (TDI) is not well established in horses with heart disease. Objective: To describe the use of pulsed-wave (PW) TDI for the assessment of LV function, establish reference intervals, investigate effects of mitral regurgitation (MR), aortic regurgitation (AR), and primary myocardial disease (MD), and provide proof of concept for the use of PW TDI in Warmblood horses with heart disease. Methods: Thirty healthy horses, 38 horses with MR, 25 with AR, 8 with MD. Methods: Echocardiograms were retrospectively analyzed. Reference int...
Evaluation of the optimal plate position for the fixation of supraglenoid tubercle fractures in warmbloods.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    January 17, 2017   Volume 30, Issue 2 99-106 doi: 10.3415/VCOT-16-08-0121
Frei S, Geyer H, Hoey S, Fuerst AE, Bischofberger AS.To determine scapular cortex thickness, distal scapular bone density and describe the exact suprascapular nerve course to evaluate the best plate position for the fixation of supraglenoid tubercle fractures in horses. Methods: Twelve equine cadaveric shoulders were examined with computed tomography. Computed tomography morphometry and density measurements (Hounsfield units [HU]) of the scapula were recorded. Statistical comparisons were made between the cranial and caudal aspects of the scapula. Dissection of each shoulder was performed and the suprascapular nerve course was described morphome...
Assessment of distribution of ventilation and regional lung compliance by electrical impedance tomography in anaesthetized horses undergoing alveolar recruitment manoeuvres.
Veterinary anaesthesia and analgesia    January 12, 2017   Volume 44, Issue 2 264-272 doi: 10.1016/j.vaa.2016.03.001
Ambrisko TD, Schramel J, Hopster K, Kästner S, Moens Y.To examine changes in the distribution of ventilation and regional lung compliances in anaesthetized horses during the alveolar recruitment manoeuvre (ARM). Methods: Experimental study in which a series of treatments were administered in a fixed order on one occasion. Methods: Five adult Warmblood horses. Methods: Animals were anaesthetized (xylazine, midazolam-ketamine, isoflurane), placed in dorsal recumbency and ventilated with 100% oxygen using peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) of 20 cmHO and 0 cmHO, respectively. Thoracic electrical impedance tomo...
Effects of Different Oral Doses of Sodium Chloride on the Basal Acid-Base and Mineral Status of Exercising Horses Fed Low Amounts of Hay.
PloS one    January 3, 2017   Volume 12, Issue 1 e0168325 doi: 10.1371/journal.pone.0168325
Zeyner A, Romanowski K, Vernunft A, Harris P, Müller AM, Wolf C, Kienzle E.The provision of NaCl, according to current recommendations, to horses in moderate work has been shown to induce immediate postprandial acidosis. The present study aimed to clarify whether this NaCl induced acidosis i) persists beyond the immediate postprandial period, and ii) is still present after a 2 week adaptation period. Six adult warmblood mares in moderate work received daily 1.00 kg hay per 100 kg body weight (bwt) only together with 0.64 kg unprocessed cereal grains/100 kg bwt.d as fed basis. Using a 3x3 Latin Square, either 0 (NaCl-0), 50 (NaCl-50) or 100 (NaCl-100) g NaCl/d were fe...
High-resolution melting analysis for detection of a single-nucleotide polymorphism and the genotype of the myostatin gene in warmblood horses.
American journal of veterinary research    December 29, 2016   Volume 78, Issue 1 63-68 doi: 10.2460/ajvr.78.1.63
Serpa PB, Garbade P, Natalini CC, Pires AR, Tisotti TM.OBJECTIVE To develop a high-resolution melting (HRM) assay to detect the g.66493737C>T polymorphism in the myostatin gene (MSTN) and determine the frequency of 3 previously defined g.66493737 genotypes (T/T, T/C, and C/C) in warmblood horses. SAMPLES Blood samples from 23 horses. PROCEDURES From each blood sample, DNA was extracted and analyzed by standard PCR methods and an HRM assay to determine the MSTN genotype. Three protocols (standard protocol, protocol in which a high-salt solution was added to the reaction mixture before the first melting cycle, and protocol in which an unlabeled p...
The development of locomotor kinetics in the foal and the effect of osteochondrosis.
Equine veterinary journal    December 22, 2016   Volume 49, Issue 4 467-474 doi: 10.1111/evj.12649
Gorissen BMC, Wolschrijn CF, Serra Bragança FM, Geerts AAJ, Leenders WOJL, Back W, van Weeren PR.Foals stand and walk immediately after birth, but insight into the subsequent longitudinal development of their gait kinetics in the early juvenile phase and the possible influence of osteochondrosis thereon is lacking. Objective: To quantify gait kinetics in foals during the first half year of life, taking into account their osteochondrosis status. Methods: Prospective, cohort study performed at a single stud farm. Methods: Pressure plate measurements at walk and trot from 11 Dutch Warmblood foals during the first 24 weeks of life were used to determine body mass normalised peak vertical forc...
Validation of distal limb mounted inertial measurement unit sensors for stride detection in Warmblood horses at walk and trot.
Equine veterinary journal    December 13, 2016   Volume 49, Issue 4 545-551 doi: 10.1111/evj.12651
Bragança FM, Bosch S, Voskamp JP, Marin-Perianu M, Van der Zwaag BJ, Vernooij JCM, van Weeren PR, Back W.Inertial measurement unit (IMU) sensor-based techniques are becoming more popular in horses as a tool for objective locomotor assessment. Objective: To describe, evaluate and validate a method of stride detection and quantification at walk and trot using distal limb mounted IMU sensors. Methods: Prospective validation study comparing IMU sensors and motion capture with force plate data. Methods: A total of seven Warmblood horses equipped with metacarpal/metatarsal IMU sensors and reflective markers for motion capture were hand walked and trotted over a force plate. Using four custom built algo...
Transrectal Ultrasonography of Equine Lumbosacral Nerves: Pilot Study in 28 Healthy Warmblood Horses. Espinosa P, Benoit P, Salazar I, de la Fuente J, Heiles P.A noninvasive method for visualizing lumbosacral nerves would be helpful for horses with suspected lumbosacral plexopathy or injury. The aim of this prospective descriptive pilot study was to characterize the ultrasonographic appearance of the lumbosacral nerves in a sample of healthy horses, and expand on the technique for image acquisition. Horses were recruited for inclusion if they were determined to be healthy and sound based on clinical and lameness evaluation. Transrectal ultrasound images of the lumbosacral nerves (L6, S1, and S2) were obtained for both sides. Landmarks for localizatio...
Modified technique for common carotid artery transposition in standing horses.
Veterinary surgery : VS    November 28, 2016   Volume 46, Issue 1 52-58 doi: 10.1111/vsu.12585
Tapio H, Argüelles D, Gracia-Calvo LA, Raekallio M.To describe a modified technique for permanent translocation of the common carotid artery (CCA) to a subcutaneous position in standing horses. Methods: Experimental study. Methods: Healthy adult Standardbred and Warmblood horses (n = 8). Methods: Surgery was performed with the horses standing under sedation and with local anesthesia. A combination of previously described techniques was used modifying the approach and closure of the incision. The right CCA was approached through a linear skin incision dorsal and parallel to the jugular vein and through the brachiocephalicus and omohyoideus ...
Thoracic aortic rupture in horses.
Equine veterinary journal    November 24, 2016   Volume 49, Issue 3 269-274 doi: 10.1111/evj.12641
Ploeg M, Saey V, van Loon G, Delesalle C.The aorta can rupture at the aortic root or aortic arch. In most breeds, the aortic root is the likely site and rupture leads to aortocardiac fistula with communication between the aorta and the right atrium, right ventricle and/or the interventricular septum. There is a high prevalence of aortic rupture in young Friesian horses and rupture occurs at the aortic arch with pseudoaneurysm and potentially aortopulmonary fistulation. Echocardiographic and post-mortem techniques must be adapted to identify aortic arch rupture that is not generally identified with standard approaches. Given the narro...
Novel equine tissue miRNAs and breed-related miRNA expressed in serum.
BMC genomics    October 26, 2016   Volume 17, Issue 1 831 doi: 10.1186/s12864-016-3168-2
Pacholewska A, Mach N, Mata X, Vaiman A, Schibler L, Barrey E, Gerber V.MiRNAs regulate multiple genes at the post-transcriptional level and therefore play an important role in many biological processes. It has been suggested that miRNA exported outside the cells contribute to inter-cellular communication. Consequently, circulating miRNAs are of particular interest and are promising biomarkers for many diseases. The number of miRNAs annotated in the horse genome is much lower compared to model organisms like human and mouse. We therefore aimed to identify novel equine miRNAs for tissue types and breed in serum. We analysed 71 small RNA-seq libraries derived from n...
Blood pressure in Warmblood horses before and during a euglycemic-hyperinsulinemic clamp.
Acta veterinaria Scandinavica    October 20, 2016   Volume 58, Issue Suppl 1 65 doi: 10.1186/s13028-016-0247-y
Nostell KE, Lindåse SS, Bröjer JT.Insulin resistance (IR) in humans is related to hypertension and impaired vasodilation. Insulin administration has been shown to lower blood pressure both in insulin resistant as well as in insulin sensitive individuals. The aim of the study was to investigate the association between insulin sensitivity and alterations in blood pressure in healthy horses before and after a euglycemic-hyperinsulinemic clamp (EHC). A 3-h EHC was performed in 13 healthy horses (11 mares, 2 geldings). Blood samples for measurement of plasma glucose and insulin were collected before the start of the EHC, every 10 ...
Relationships among stallion fertility and semen traits using estimated breeding values of German Warmblood stallions.
Theriogenology    October 19, 2016   Volume 89 68-71 doi: 10.1016/j.theriogenology.2016.10.011
Gottschalk M, Sieme H, Martinsson G, Distl O.A high quality of stallion semen is of particular importance for maximum reproductive efficiency. In the present study, we estimated the relationships among estimated breeding values (EBVs) of semen traits and EBVs for the paternal component of the pregnancy rate per estrus cycle (EBV-PAT) for 100 German Warmblood stallions using correlation and general linear model analyses. The most highly correlated sperm quality trait was total number of progressively motile sperm (r = 0.36). EBV-PAT was considered in three classes with stallions 1 SD below (<80), around (80-120), and above (>120) the popu...
Variability of lysozyme and lactoferrin bioactive protein concentrations in equine milk in relation to LYZ and LTF gene polymorphisms and expression.
Journal of the science of food and agriculture    October 4, 2016   Volume 97, Issue 7 2174-2181 doi: 10.1002/jsfa.8026
Cieslak J, Wodas L, Borowska A, Sadoch J, Pawlak P, Puppel K, Kuczynska B, Mackowski M.Equine milk is considered to be an interesting product for human nutrition, mainly owing to its low allergenicity and significant amounts of bioactive proteins, including lysozyme (LYZ) and lactoferrin (LTF). The present study assessed the effect of genetic factors on LYZ and LTF concentration variability in mare's milk. Results: Significant effects of horse breed and lactation stage on milk LYZ and LTF contents were observed. The highest level of LTF and the lowest concentration of LYZ were recorded for the Polish Warmblood Horse breed. The highest amounts of both proteins were found for the ...
Functional anatomy of the equine temporomandibular joint: Collagen fiber texture of the articular surfaces.
Veterinary journal (London, England : 1997)    September 28, 2016   Volume 217 58-64 doi: 10.1016/j.tvjl.2016.09.006
Adams K, Schulz-Kornas E, Arzi B, Failing K, Vogelsberg J, Staszyk C.In the last decade, the equine masticatory apparatus has received much attention. Numerous studies have emphasized the importance of the temporomandibular joint (TMJ) in the functional process of mastication. However, ultrastructural and histological data providing a basis for biomechanical and histopathological considerations are not available. The aim of the present study was to analyze the architecture of the collagen fiber apparatus in the articular surfaces of the equine TMJ to reveal typical morphological features indicating biomechanical adaptions. Therefore, the collagen fiber alignmen...
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