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Topic:Yearlings

Yearlings refer to young horses that are between one and two years old. This developmental stage is significant in the growth and training of horses, as yearlings undergo physical and behavioral changes that prepare them for future performance or breeding roles. The term "yearling" is commonly used in the context of horse breeding, sales, and early training. Horses, as a broader category, encompass a wide range of breeds and ages, each with specific characteristics and needs. This page compiles peer-reviewed research studies and scholarly articles that explore the development, management, and health considerations of yearlings, as well as the broader aspects of equine physiology and care across different life stages.
Equine strongylids: Ivermectin efficacy and fecal egg shedding patterns.
Parasitology research    April 6, 2022   Volume 121, Issue 6 1691-1697 doi: 10.1007/s00436-022-07509-4
Nielsen MK, Littman BA, Orzech SW, Ripley NE.Equine cyathostomins are ubiquitous in grazing horses around the world and a main target in parasite control programs. Anthelmintic resistance has been reported with increasing frequency in these parasites over the past decades, and recent findings of fulminant resistance to the macrocyclic lactone class have raised severe concerns. This study aimed to evaluate ivermectin efficacy in cohorts of yearlings and mares present on four different farms in Central Kentucky. Strongylid egg counts were determined with an automated egg counting system, and the percent fecal egg count reduction (FECR) was...
Effect of a combination of butorphanol and detomidine on endoscopic assessment of laryngeal function in Thoroughbred yearlings.
The Veterinary record    March 29, 2022   Volume 190, Issue 9 e1483 doi: 10.1002/vetr.1483
Almonte H, Schumacher J, Johnson CR, Berk JT, Bell RP.To the authors' knowledge, the effect of a combination of butorphanol tartrate and detomidine hydrochloride on the laryngeal function and symmetry of the arytenoid cartilages in young Thoroughbred horses has not been examined. Therefore, this study aimed to examine the effects of administration of butorphanol and detomidine on left-to-right rima glottidis ratio (L:R RGR), cross-sectional area of the rima glottidis (CSARG) and grade of laryngeal function of Thoroughbred yearlings examined endoscopically at rest. Forty-six Thoroughbred yearlings underwent laryngeal video endoscopy, at rest, befo...
Evaluation of postsale endoscopy as a predictor of future racing performance in an Australian thoroughbred yearling population.
Australian veterinary journal    February 21, 2022   Volume 100, Issue 6 254-260 doi: 10.1111/avj.13155
Ahern BJ, Sole A, de Klerk K, Hogg LR, Vallance SA, Bertin FR, Franklin SH.Upper airway endoscopy of thoroughbred (TB) yearlings is commonly used in an attempt to predict laryngeal function (LF) and its impact on future race performance. The aim of this study was to determine if different grading systems and laryngeal grades were correlated with future performance. Methods: Postsale endoscopic recordings were obtained from an Australian TB yearling sale during a four-year period from 2008 to 2011. Horses were included if they had a diagnostic postsale video endoscopic recording and raced within Australia. Recordings were graded using the Havemeyer system and subseque...
Participation of Victorian Thoroughbreds in the racing industry: a whole-of-population benchmark.
Australian veterinary journal    September 30, 2021   Volume 100, Issue 1-2 40-47 doi: 10.1111/avj.13124
Flash ML, Crabb HK, Hitchens PL, Firestone SM, Stevenson MA, Gilkerson JR.The proportion of Thoroughbred (TB) horses that commence training and eventually race, is an important industry-level indicator of how successful it is at producing horses suitable for racing. It is also of interest to the wider community and is central to the issue of whether there is overbreeding in the Australian TB industry. This study investigated the training and racing records for the 2005 and 2010 Victorian TB foal crops to determine the proportion of TBs that train and race, and the age of entering training and first race start. Subsets of the foal crop were also examined to determine...
Toe white line separation associated with the notch (crena marginalis) on the distal phalanges in Thoroughbred yearling horses.
The Journal of veterinary medical science    September 24, 2021   Volume 83, Issue 11 1745-1749 doi: 10.1292/jvms.21-0270
Sato F, Otsuka N, Kuwano A.The shape of the white line of the hoof is closely related to the shape of the notch on the dorsal distal bearing border of the distal phalanx (P3). In this study, a radiographic survey of the P3 of both forelimbs of 163 Thoroughbred yearling horses was conducted. The correlation of the depth and width of the notch were analyzed with the toe white line separation grades (0 to 3). As a result, the toe white line separation grade increased, the depth and the width of the notch also increased significantly. Radiographic examination of the P3 of the forelimbs might be useful for deciding whether t...
Dietary omega-3 fatty acid supplementation does not impair vitamin E status or promote lipid peroxidation in growing horses.
Journal of animal science    July 7, 2021   Volume 99, Issue 7 skab177 doi: 10.1093/jas/skab177
White-Springer SH, Vineyard KR, Kivipelto J, Warren LK.Omega-3 (n-3; ω-3) fatty acids (FA) are often included in the diet for their potential health benefits. However, because oxidative potential is increased with the degree of unsaturation in vitro, polyunsaturated FA such as eicosapentaenoic acid (EPA; 20:5n-3) and docosahexaenoic acid (DHA; 22:6n-3) may be at increased risk of lipid peroxidation. We aimed to determine the effects of dietary n-3 FA supplementation on antioxidant status and lipid peroxidation in yearling horses. Quarter Horses (mean ± SEM; 14.6 ± 0.2 mo) were randomly assigned to receive no n-3 FA supplementation (CON; n = 6) ...
Complexed trace mineral supplementation alters antioxidant activities and expression in response to trailer stress in yearling horses in training.
Scientific reports    April 1, 2021   Volume 11, Issue 1 7352 doi: 10.1038/s41598-021-86478-7
Latham CM, Dickson EC, Owen RN, Larson CK, White-Springer SH.To test the hypothesis that complexed trace mineral supplementation would increase antioxidant capacity and decrease muscle oxidative stress and damage in young horses entering an exercise training program, Quarter Horses (mean [Formula: see text] SD; 9.7 ± 0.7 mo) balanced by age, sex, and BW were assigned to receive complexed (CTM; n = 8) or inorganic (INORG; n = 8) trace minerals at -12 week relative to this study. Blood and muscle samples were collected before (week 0) and after 12 week of light exercise training surrounding a 1.5-h trailer stressor. Muscle glutathione peroxid...
Modified Proximal Interphalangeal Joint Arthrodesis in a Yearling Filly with an Osseous Cyst-Like Lesion in the Proximal Phalanx.
Animals : an open access journal from MDPI    March 28, 2021   Volume 11, Issue 4 948 doi: 10.3390/ani11040948
Kol'vek F, Krešáková L, Vdoviaková K, Medvecký Ľ, Žert Z.After the medial femoral condyle (MFC), the phalanges are the second most common site for osseous cyst-like lesions (OCLLs). Conservative treatment of phalangeal cysts on the convex surface of proximal phalanx presents a technical problem with access to the stoma of the cyst. Surgical therapy options usually aim to avoid cyst enlargement through drilling or screw placement or to encourage lesion filling with osteoconductive material. This paper describes a case of treatment of the OCLL in a yearling Czech warmblood filly with surgical arthrodesis, together with the packing of the OCLL with cal...
Comparison of body temperature in donkeys using rectal digital, infrared, and mercury-in-glass thermometers during the hot-dry season in a tropical savannah.
International journal of biometeorology    February 22, 2021   Volume 65, Issue 7 1053-1067 doi: 10.1007/s00484-021-02087-z
Zakari FO, Ayo JO.The study aimed at comparing variations in body temperature values recorded using rectal digital, infrared, and mercury-in-glass thermometers in donkeys during the hot-dry season, prevailing under tropical savannah conditions. Thirty donkeys that served as subjects were divided into three groups of adults, yearlings, and foals. Values of the body temperature of each donkey were recorded bihourly, starting from 06:00 h till 18:00 h, by digital (5-cm depth of insertion), mercury-in-glass (3 cm depth), and infrared thermometers. The values obtained by each type of the thermometer were compared wi...
Vaccination of yearling horses against poly-N-acetyl glucosamine fails to protect against infection with Streptococcus equi subspecies equi.
PloS one    October 15, 2020   Volume 15, Issue 10 e0240479 doi: 10.1371/journal.pone.0240479
Cohen ND, Cywes-Bentley C, Kahn SM, Bordin AI, Bray JM, Wehmeyer SG, Pier GB.Strangles is a common disease of horses with worldwide distribution caused by the bacterium Streptococcus equi subspecies equi (SEE). Although vaccines against strangles are available commercially, these products have limitations in safety and efficacy. The microbial surface antigen β 1→6 poly-N-acetylglucosamine (PNAG) is expressed by SEE. Here we show that intramuscular (IM) injection alone or a combination of IM plus intranasal (IN) immunization generated antibodies to PNAG that functioned to deposit complement and mediate opsonophagocytic killing of SEE ex vivo. However, immunization st...
Psyllium supplementation is associated with changes in the fecal microbiota of horses.
BMC research notes    September 29, 2020   Volume 13, Issue 1 459 doi: 10.1186/s13104-020-05305-w
Mienaltowski MJ, Belt A, Henderson JD, Boyd TN, Marter N, Maga EA, DePeters EJ.Prophylactic supplementation of psyllium husk is recommended to enhance passage of ingested sand from the gastrointestinal tracts of horses. We hypothesized that psyllium supplementation would increase fecal sand passage and favorably alter bacterial populations in the hindgut. Six yearlings and six mature mares were fed a psyllium supplement in the diet daily for seven days. Voluntarily-voided feces were collected over the course of 29 days, prior, during, and after treatment. Feces were analyzed for acid detergent fiber (ADF) and acid detergent insoluble ash analyses. Microbial DNA was also...
Radiographic Description of a Bone Exostosis Lesion on the Caudal Aspect of the Proximal Tibia in Three Thoroughbred Yearlings (2014-2019).
Journal of equine veterinary science    August 29, 2020   Volume 95 103238 doi: 10.1016/j.jevs.2020.103238
Barton CK, Sandow CB, Rodgerson DH.This manuscript describes exostosis lesions originating from the caudal aspect of the proximal tibia identified in three Thoroughbred yearlings as part of the routine review of presale radiographic images. These lesions are hypothesized to be osteochondromas. The identification of bony exostoses on the proximal tibia has not been reported before in current literature. As they have not been described, the future effect on performance or soundness is unknown. Although these cases were not lame at the time of detection, the future growth of the lesion and its impact on surrounding soft tissues is...
Effects of aquatic conditioning on cartilage and bone metabolism in young horses.
Journal of animal science    July 28, 2020   Volume 98, Issue 8 skaa239 doi: 10.1093/jas/skaa239
Silvers BL, Leatherwood JL, Arnold CE, Nielsen BD, Huseman CJ, Dominguez BJ, Glass KG, Martinez RE, Much ML, Bradbery AN.While beneficial in rehabilitation, aquatic exercise effects on cartilage and bone metabolism in young, healthy horses has not been well described. Therefore, 30 Quarter Horse yearlings (343 ± 28 kg; 496 ± 12 d of age) were stratified by age, body weight (BW), and sex and randomly assigned to 1 of 3 treatments for 140-d to evaluate effects of aquatic, dry, or no exercise on bone and cartilage metabolism in young horses transitioning to an advanced workload. Treatments included nonexercise control (CON; n = 10), dry treadmill (DRY; n = 10), or aquatic treadmill exercise (H2O; n = 10; water: 6...
Objectively measured movement asymmetry in yearling Standardbred trotters.
Equine veterinary journal    July 3, 2020   Volume 53, Issue 3 590-599 doi: 10.1111/evj.13302
Kallerud AS, Fjordbakk CT, Hendrickson EHS, Persson-Sjodin E, Hammarberg M, Rhodin M, Hernlund E.Lameness evaluation of Standardbred trotters can be challenging due to discrepancies in observed movement asymmetry between in-hand and track exercise, and between different trotting speeds. There are few studies on objective measurement of movement in Standardbreds, and little knowledge regarding biological variation and clinical significance of measured movement asymmetry in this breed. Objective: To quantify the prevalence and magnitude of objectively measured movement asymmetry in young Standardbred trotters, and identify associations with trainer, sex, height, track type and in-hand measu...
Early predictors of female lifetime reproductive success in a solitary hibernator: evidence for “silver spoon” effect.
Oecologia    April 21, 2020   Volume 193, Issue 1 77-87 doi: 10.1007/s00442-020-04649-1
Vasilieva NA, Tchabovsky AV.Fitness consequences of early-life conditions remain unclear and poorly studied in mammals. Based on long-term observations of yellow ground squirrels (Spermophilus fulvus), we identified early determinants of female fitness by analyzing the effects of early-life individual and environmental characteristics (weaning weight, weight gain rate, date of natal emergence, natal litter size, location of the natal burrow, local density of juveniles, population density and precipitation in the post-weaning period) on lifetime reproductive success (LRS). We found high variation and right-skewed distribu...
Endoscopic recurrent laryngeal neuropathy grade prevalence in a sample of thoroughbred yearlings at public auction in South Africa (2013-2019).
Journal of the South African Veterinary Association    April 20, 2020   Volume 91 e1-e5 doi: 10.4102/jsava.v91i0.2013
Miller SM.Endoscopy of thoroughbred (TB) yearlings at public auctions is common in South Africa. Laryngeal function (LF) is a common concern of buyers of young TBs. Cancellation of sale because of LF abnormalities is a concern for both the vendor and the buyer, with recurrent laryngeal neuropathy (RLN) being a common cause of sale cancellation. The aim of this descriptive study was to determine the prevalence of RLN at South African premier TB yearling sales. This study was designed as a retrospective descriptive analysis of upper respiratory tract (URT) endoscopic examinations to determine RLN grade, p...
Prevalence of Juvenile Osteochondral Conditions in Yearling Thoroughbred Racehorses in Southern Brazil.
Journal of equine veterinary science    March 27, 2020   Volume 90 102997 doi: 10.1016/j.jevs.2020.102997
Maia MPM, Weber SH, Bastos LFC, Michelotto PV.This study aimed to investigate the prevalence of juvenile osteochondral conditions (JOCCs) in yearling Thoroughbred (TB) racehorses in Southern Brazil, as well as to examine the same animals studied as weanlings by Bastos et al. (2017) and compare the radiographic findings for the two ages. Radiographs of 76 male and female TB yearlings from Paraná State, Southern Brazil, were investigated. The proximal interphalangeal, metacarpophalangeal/metatarsophalangeal (MC/MT), tarsal, and femorotibial (FT) joints were evaluated using 24 radiographic projections. The evaluation consisted of a severit...
Description of a rare osteochondrosis lesion of the medial aspect of the distal intermediate ridge of the tibia in seven Thoroughbred horses (2008-2018). Kadic LIM, Rodgerson DH, Newsom LE, Spirito MA.Osteochondritis dissecans (OCD) of the distal intermediate ridge of the tibia (DIRT) is commonly identified on either the lateral to medial (LM) or dorso45°medial-plantarolateral oblique (D45M-PLO) projection of the tarsus. This manuscript describes a retrospective case series out of Hagyard Equine Medical Institute, for which medical records and radiographic projections of the tarsus were reviewed, consistent with Keeneland's repository requirements. This original investigation identified seven yearling Thoroughbred horses between 2008 and 2018 with radiographic signs of atypical osteochondr...
No-Contact Microchip Monitoring of Body Temperature in Yearling Horses.
Journal of equine veterinary science    December 14, 2019   Volume 86 102892 doi: 10.1016/j.jevs.2019.102892
Auclair-Ronzaud J, Benoist S, Dubois C, Frejaville M, Jousset T, Jaffrézic F, Wimel L, Chavatte-Palmer P.In clinics, temperature is used as an indicator of health. Mostly rectal temperature is recorded, requiring handling and time. Temperature-sensitive identification microchips could be an alternative. Foals (26 males and 17 females), 4-12 months old, were housed in stalls over two winters (December-February). They were equipped with an identification and temperature sensor microchip implanted in the neckline. Temperature was recorded using an antenna located near the drinking trough. Animals were fed concentrated feed and forage twice daily, with free access to water. Rectal temperatures (79 m...
Risk factors for duration of equine rhinitis A virus respiratory disease.
Equine veterinary journal    November 28, 2019   Volume 52, Issue 3 369-373 doi: 10.1111/evj.13204
Rossi TM, Moore A, O'Sullivan TL, Greer AL.Infectious respiratory disease is common in young horses and can impact athletic performance and long-term health. Significant variation in the duration of clinical disease has been observed, even in the absence of secondary complications. The determination of factors associated with disease chronicity may facilitate clinical decision-making and the development of improved biosecurity protocols. Objective: To investigate contact network characteristics, and demographic variables associated with time to clinical recovery from Equine Rhinitis A virus respiratory disease. Methods: Prospective coh...
A Retrospective Study of the Prevalence of First Premolars in 306 Thoroughbred Yearlings.
Journal of veterinary dentistry    September 23, 2019   Volume 36, Issue 2 104-108 doi: 10.1177/0898756419876363
Tanner RB.The equine first premolar is now considered a vestigial tooth that does not play a role in mastication. For centuries, this tooth has been blamed for a number of abnormalities. Given its anatomical location, the tooth is often implicated by riders to cause biting issues. Treatment of this tooth is considered controversial, with some clinicians extracting all equine first premolars prior to bit introduction and others choosing to remove only those shown to cause bite-related problems. In a private veterinary hospital in Lexington, Kentucky, dental charts of 306 Thoroughbred yearlings, average a...
Internal fixation of a complete ventral luxation of the dens axis in an American quarter horse yearling.
Veterinary surgery : VS    July 12, 2019   Volume 48, Issue 8 1500-1506 doi: 10.1111/vsu.13283
Schulze N, Ehrle A, Noguera Cender AC, Lischer C.To report surgical treatment of a complete luxation of the atlantoaxial articulation with a 4.5-mm T-locking compression plate (T-LCP) in a horse. Methods: Case report. Methods: A one-year-old American quarter horse filly. Methods: A one-year-old American quarter horse filly presented with a complete luxation of the atlantoaxial articulation. Closed and open reduction of the luxation were attempted under general anesthesia with the aid of a pulley system. Because the manual reduction was unsuccessful, the dens axis was excised, and the atlas and axis were stabilized with a 4.5-mm T-LCP. Fo...
Race performance following epiglottic entrapment surgery in Thoroughbred yearlings.
Equine veterinary journal    May 10, 2019   Volume 52, Issue 1 52-58 doi: 10.1111/evj.13122
Curtiss AL, Aceto H, Embertson RM.Epiglottic entrapment can occur in yearling Thoroughbreds (TB); however, race performance following surgical correction is unknown. Objective: To determine the race performance of horses treated surgically for epiglottic entrapment as yearlings as compared to an untreated cohort. A second objective was to identify risk factors for treated horses not racing post-operatively. Methods: Retrospective cohort and case-control studies. Methods: Medical (1989-2014) and race records of 66 treated TB racehorses were reviewed. Observed abnormalities on pre- and post-operative endoscopic images and surgic...
Prevalence, radiographic resolution and outcomes of slab fractures of the third and central tarsal bones in juvenile Thoroughbred horses.
Australian veterinary journal    March 29, 2019   Volume 97, Issue 4 108-115 doi: 10.1111/avj.12790
Steel CM, Collins VL, Hance SR, Adkins AR, Hitchens PL.Veterinarians are required to interpret the significance of radiographic findings for sale, soundness and future racing performance of weanling and yearling Thoroughbreds. We investigated the prevalence and radiographic appearance of slab fractures of the third (T3) and central tarsal (Tc) bones. Methods: Weanling and yearling horses with complete or incomplete T3 or Tc fracture were identified by searching a database of radiographs. The prevalence and radiographic appearance at initial diagnosis and after continued pasture turnout, as well as prognosis for racing, of fractures of T3 and Tc we...
Fragmentation of the dorsal distal aspect of the talus on weanling survey and pre-sale radiographs of juvenile Thoroughbreds: prevalence and 2- and 3-year-olds racing performance.
Australian veterinary journal    February 17, 2019   Volume 97, Issue 3 68-74 doi: 10.1111/avj.12787
Steel CM, Devery S, Hance SR, Adkins AR, Hitchens PL.Fragmentation of the dorsal aspect of the distal talus (FDDT), at the dorsolateral articular margin of the proximal intertarsal joint (PITJ) on pre-sale radiographs of yearling Thoroughbreds has not been previously described and data to support decisions made by veterinarians to predict future racing potential of horses with these lesions are lacking. Methods: In this retrospective case-control study we aimed to determine the prevalence of FDDT in juvenile Thoroughbreds and to report their race records. From a database of survey and repository radiographic examinations of 5709 horses, 36 with ...
Comparison of the racing performance of Thoroughbreds with versus without osteochondral fragmentation of the accessory carpal bone identified on yearling sales repository radiographs.
Journal of the American Veterinary Medical Association    February 5, 2019   Volume 254, Issue 4 501-507 doi: 10.2460/javma.254.4.501
Davern AJ, Peloso JG, Hawkins JF, Moore GE, Morehead JP.OBJECTIVE To evaluate 2- and 3-year-old and career race performance of Thoroughbred racehorse prospects with and without osteochondral fragmentation of the accessory carpal bone (ACB) identified on yearling presale radiographs. DESIGN Retrospective, matched cohort study. ANIMALS 47 nonlame Thoroughbreds with (exposed cohort) and 94 nonlame Thoroughbreds without (unexposed cohort) osteochondral fragmentation of ACB facture identified on yearling sales repository radiographs. PROCEDURES Repository radiographic interpretation reports for September yearling sales of a large Kentucky auction house ...
Significance of Group Composition for the Welfare of Pastured Horses.
Animals : an open access journal from MDPI    January 5, 2019   Volume 9, Issue 1 doi: 10.3390/ani9010014
Sigurjónsdóttir H, Haraldsson H.We explore how herd composition and management factors correlate with frequencies of social interactions in horse groups. Since the welfare of horses correlates with low aggression levels and social contact opportunities, information of this kind is important. The data are a collection of records of social interactions of 426 Icelandic horses in 20 groups of at least eight horses. The complexities and limitations of the data prohibit useful statistical modelling so the results are presented descriptively. Interesting and informative patterns emerge which can be of use both in management and in...
Maternal obesity increases insulin resistance, low-grade inflammation and osteochondrosis lesions in foals and yearlings until 18 months of age.
PloS one    January 26, 2018   Volume 13, Issue 1 e0190309 doi: 10.1371/journal.pone.0190309
Robles M, Nouveau E, Gautier C, Mendoza L, Dubois C, Dahirel M, Lagofun B, Aubrière MC, Lejeune JP, Caudron I, Guenon I, Viguié C, Wimel L....Obesity is a growing concern in horses. The effects of maternal obesity on maternal metabolism and low-grade inflammation during pregnancy, as well as offspring growth, metabolism, low-grade inflammation, testicular maturation and osteochondrotic lesions until 18 months of age were investigated. Twenty-four mares were used and separated into two groups at insemination according to body condition score (BCS): Normal (N, n = 10, BCS ≤4) and Obese (O, n = 14, BCS ≥4.25). BCS and plasma glucose, insulin, triglyceride, urea, non-esterified fatty acid, serum amyloid A (SAA), leptin and adiponect...
Cyathostomine egg reappearance period following ivermectin treatment in a cohort of UK Thoroughbreds.
Parasites & vectors    January 25, 2018   Volume 11, Issue 1 61 doi: 10.1186/s13071-018-2638-6
Molena RA, Peachey LE, Di Cesare A, Traversa D, Cantacessi C.In spite of the emergence of populations of drug-resistant cyathostomines worldwide, little is known of parasite species responsible for 'early egg shedding' in cohorts of horses subjected to treatment with widely used anthelmintics, e.g. ivermectin (IVM). In this study, we determined the cyathostomine egg reappearance period (ERP) after IVM treatment in a cohort of yearlings from a large Thoroughbred (TB) stud farm in the United Kingdom, and identified species of cyathostomines with reduced ERP using a combination of fundamental parasitology techniques coupled with advanced molecular tools. ...
A retrospective study of radiographic abnormalities in the repositories for Thoroughbreds at yearling sales in Japan.
The Journal of veterinary medical science    October 6, 2017   Volume 79, Issue 11 1807-1814 doi: 10.1292/jvms.16-0425
Miyakoshi D, Senba H, Shikichi M, Maeda M, Shibata R, Misumi K.This study aimed to evaluate whether radiographic abnormalities at yearling sales were associated with the failure to start racing at 2-3 years of age. Radiographic abnormalities in the carpal (n=852), tarsal (n=976), metacarpophalangeal (n=1,055), and metatarsophalangeal joints (n=1,031) from 1,082 horses, recorded at yearling sale, were reviewed. Eighty-two horses (7.6%) failed to start racing. Radiographic abnormalities such as wedged or collapsed tarsal bones, irregular lucency of a sagittal ridge at the distal aspect of the distal third metatarsal bone, and proximal dorsal fragmentation o...