“…Racetrack surface [2,3], age [1,3,6], gender [1,6,16,17], season [3,5,16], trainer [4,5,15-17], pre-existing pathologies [18-20], accumulation of exercise at racing speed [21,22], average distance run per week [23,24], laying-up periods [2,22] and inter-race interval [2,22] have all been studied in TBR populations, with contradictory results. Also, shoeing techniques received great attention [19,25,26]; particularly one of them, the toe grab, is a recognized risk factor for MSI in TBR due to the alteration of the horse’s gait at high speed [19,26].…”