Project Description

Case102013_Fig-1Case102013_Fig-2-3Case_102013Fig-4

CASE STUDY – OCTOBER 2013

A 9-year-old WB Jumper gelding presenting with Grade 2/5 right forelimb lameness noted after jumping.
  • Physical exam was initially unrevealing.
  • Diagnostic nerve blocks localized the lameness to the sub-carpal area.
  • Ultrasound exam was negative.
  • Radiographs of the upper cannon bone area showed a mild lucency in the upper metacarpal cortex (see Fig 1 – left).
  • Diagnostic Treatment: Anti-inflammatories, ice; referred for standing MRI.
  • Note: Two days post-examination, horse became non-weight bearing; right forelimb swollen in sub-carpal area.

  • There was focal fiber disruption and/or severe degenerative injury in the medial lobe of the suspensory ligament (fig 2).
    • There was an incomplete non-displaced avulsion fracture in the palmar medial cortex of the third metacarpal bone at the level of the suspensory ligament injury (fig 3).
  • Horse remained non-weight bearing.
  • Placed in a heavy Robert Jones bandage reinforced by a PVC splint.
  • Treated with broad-spectrum antibiotics and by regional limb perfusion.
  • Radiographs taken six months post onset showed the fracture was healing. Horse jogged sound in hand and is beginning slow return to work.