References

Anderson DE, Allen D, DeBowes RM. Comminuted, articular fractures of the olecranon process in horses 17 cases (1980-1990). Vet Comp Orthop Traumatatol.. 1995; 8:141-5 https://doi.org/10.1055/s-0038-1632445

Arnold CE, Schaer TP, Baird DL, Martin BB. Conservative management of 17 horses with non-articular fractures of the tibial tuberosity. Equine Vet J.. 2003; 35:(2)202-6 https://doi.org/10.2746/042516403776114261

Baxter GM, Doran RE, Allen D. Complete excision of a fractured fourth metatarsal bone in eight horses. Vet Surg. 1992; 21:273-8 https://doi.org/10.1111/j.1532-950x.1992.tb00063.x

de Preux M, van der Vekens E, Racine J Accessory carpal bone fracture repair by means of computer-assisted orthopaedic surgery in a Warmblood stallion. 2022; 34:(11)E478-484 https://doi.org/10.1111/eve.13594

Donati B, Fürst AE, Hässig M, Jackson MA. Epidemiology of fractures: The role of kick injuries in equine fractures. Equine Vet J.. 2018; 50:(5)580-6 https://doi.org/10.1111/evj.12819

Donecker JM, Bramlage LR, Gabel AA. Retrospective analysis of fractures of the olecranon process of the equine ulna. J Am Vet Med Assoc.. 1984; 185:(2)183-9

du Preez P. Fractures of the small metacarpal and metatarsal bones (splint bones). Equine Vet Ed. 1994; 6:279-83

Dyson SJ. Stifle trauma in the event horse. Equine Vet Educ.. 1994; 6:234-40 https://doi.org/10.1111/j.2042-3292.1994.tb01144.x

Furst AE, Auer JG. Chapter 104: Craniomaxillofacial disorders, 5th edn. In: Auer JG, Stick JA (eds). St Louis, USA: Elsevier; 2019

Furst AE, Jackson M. Fracture of the accessory carpal boneconservative or surgical therapy?. Equine Vet Educ.. 2022; 34:(11)566-568 https://doi.org/10.1111/eve.13622

Honnas CM, O'Brien TR, Linford RL. Distal phalanx fractures in horses: A survey of 274 horses with radiographic assessment of healing in 36 horses. Vet Radiol.. 1988; 29:98-107

Jackson M, Furst A, Hassig M, Auer J. Splint bone fractures in the horse: A retrospective study 1992-2001. Equine Vet Ed.. 2007; 19:(6)329-35 https://doi.org/10.2746/095777307X207169

Jackson M, Kummer M, Auer J, Hagen R, Fuerst A. Treatment of type 2 and 4 olecranon fractures with locking compression plate osteosynthesis in horses: a prospective study (2002-2008). Vet Comp Orthop Traumatol.. 2011; 24:(1)57-61 https://doi.org/10.3415/vcot-10-02-0020

Jimenez-Rihuete P, O'Meara B. Three cases of olecranon fracture repair in the standing horse. Equine Vet Educ.. 2023; 35:(3)193-199 https://doi.org/10.1111/eve.13686

Kidd J. Management of splint bone fractures in horses. In Practice. 2003; 25:(7) https://doi.org/10.12968/ukve.2022.6.3.104

Kidd J. Pedal bone fractures. Equine Vet Educ.. 2011; 23:(6)314-23 https://doi.org/10.1111/j.2042-3292.2011.00227.x

Latimer FG, Kaneps AJ, Trotter GW. Stifle disease in horses: fractures and osseous injuries. Comp Cont Educ Pract Vet. 2001; 23:1004-19

Mudge MC, Bramlage LR. Field fracture management. Vet Clin North Am Equine Pract. 2007; 23:117-33 https://doi.org/10.1016/j.cveq.2006.11.008

Ohlsson J, Jansson N. Conservative Treatment of intra-articular distal phalanx fractures in horses not used for racing. Aust Vet J.. 2005; 83:(4)221-3 https://doi.org/10.1111/j.1751-0813.2005.tb11656.x

Rijkenhuizen AB, de Graaf K, Hak A Management and outcome of fractures of the distal phalanx: a retrospective study of 285 horses with a long term outcome in 223 cases. Vet J.. 2012; 192:176-82 https://doi.org/10.1016/j.tvjl.2011.05.017

Sherlock CE, Archer RM. A retrospective study comparing surgical and conservative treatments of open comminuted fractures of the fourth metatarsal bone in horses. Equine Vet Ed.. 2008; 20:373-9 https://doi.org/10.2746/095777308X329163

Swor TM, Watkins JR, Bahr A Results of plate fixation of type 1b olecranon fractures in 24 horses. Equine Vet J.. 2003; 35:(7)670-5 https://doi.org/10.2746/042516403775696249

Swor TM, Watkins JR, Bahr A Results of plate fixation of type 5 olecranon fractures in 20 horses. Equine Vet J.. 2006; 38:(1)30-4 https://doi.org/10.2746/042516406775374261

Thomas N, Bladon B. Non-displaced radius fracture in 20 horses. Outcome following conservative management. Equine Vet J.. 2018; 50:(S52)

Wright IM, Montesso F, Kidd LJ. Surgical treatment of fractures of the tibial tuberosity in 6 adult horses. Equine Vet J.. 1995; 27:(2)96-102 https://doi.org/10.1111/j.2042-3306.1995.tb03043.x

Wright IM. Racecourse fracture management. Part 3. Emergency care of specific fractures. Equine Vet Educ.. 2016; 29:500-15 https://doi.org/10.1111/eve.12567

Diagnosis and management of traumatic equine fractures: an update

02 May 2023
12 mins read
Volume 7 · Issue 3
Figure 8. Typically ‘dropped elbow’ appearance of an olecranon fracture, the horse is unable to extend the elbow and carpus. There is moderate soft tissue swelling of the elbow.
Figure 8. Typically ‘dropped elbow’ appearance of an olecranon fracture, the horse is unable to extend the elbow and carpus. There is moderate soft tissue swelling of the elbow.

Abstract

For the most part, equine fractures can be divided into those of traumatic origin and those caused by repetitive stress. This article focuses on the diagnosis and management of the more commonly encountered traumatic fractures.

There are a number of equine fractures that may be encountered in practice and that equine practitioners should be able to diagnose and manage with confidence in the field. These can largely be divided into three categories: traumatic fractures, pathological fractures and those that occur as a result of repetitive stress-related pathology. Donati et al (2018) studied a population of 499 equids with fractures resulting from known kick injuries. The 2nd and 4th metacarpal/tarsal (splint) bones were affected most frequently (15%), followed by the radius and ulna (13.8% each), the tibia (12.2%) and the head (12%). Other commonly encountered sites of traumatic fractures include the distal phalanx. Sites of repetitive stress fractures include the pelvis, the condyles of the 3rd metacarpal bone and proximal phalanx. Pathological fractures may occur secondary to neoplasia or osteomyelitis. This article will focus on the diagnosis and management of traumatic fractures.

Register now to continue reading

Thank you for visiting UK-VET Equine and reading some of our peer-reviewed content for veterinary professionals. To continue reading this article, please register today.