Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Lag Screw Fixation of a Slab Fracture in the Third Carpal Bone in a Korean Racehorse

  • Received : 2020.05.07
  • Accepted : 2020.07.01
  • Published : 2020.08.31
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Abstract

A 3-year-old male Thoroughbred serving as a Korean racehorse named RAON PORTEOUS presented with acute lameness concomitant with edema and fever in the right carpal joint after completing a horse race. Through radiological examination using lateromedial oblique, flexed lateromedial oblique and dorsopromixal-dorsodistal oblique views, the horse was diagnosed with a slab fracture in the 3rd carpal bone of right forelimb. The fracture was surgically approached and corrected by applying 4.5 mm leg screw fixation during surgery. At eight months post-surgery, the horse was able to return to racing and has had successful racing performances with two wins and several prizes in the last 8 months. This is the first reported case of the successful use of lag screw fixation surgery in Korea with the horse showing complete recovery from a severe injury that is often considered fatal in a racehorse.

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References

  1. Baldwin CM, Smith MRW, Allen S, Wright IM. Radiographic and arthroscopic features of third carpal bone slab fractures and their impact on racing performance following arthroscopic repair in a population of racing Thoroughbreds in the UK. in a population of racing Thoroughbreds in the UK. Equine Vet J 2020; 52: 213-218. https://doi.org/10.1111/evj.13155
  2. Doering AK, Reesink HL, Luedke LK, Moore C, Nixon AJ, Fortier LA, Ducharme NG, Ross MW, Levine DG, Richardson DW, Stefanovski D, Ortved KF. Return to racing after surgical management of third carpal bone slab fractures in thoroughbred and standardbred racehorses. Vet Surg 2019; 48: 513-523. https://doi.org/10.1111/vsu.13193
  3. Engiles JB, Stewart H, Janes J, Kennedy LA. A diagnostic pathologist's guide to carpal disease in racehorses. J Vet Diagn Invest 2017; 29: 414-430.
  4. Gersten KE, Dawson HA. Sagittal fracture of the third carpal bone in a horse. J Am Vet Med Assoc 1976; 69: 633-635.
  5. Graham RJTY, Rosanowsk CW, McIlwraith CW. A 10-year study of arthroscopic surgery in racing Thoroughbreds and Quarter Horses with osteochondral fragmentation of the carpus. Equine Vet J 2020; 52: 225-231. https://doi.org/10.1111/evj.13145
  6. Kraus BM, Ross MW, Boston RC. Surgical and nonsurgical management of sagittal slab fractures of the third carpal bone in racehorses: 32 cases (1991-2001). J Am Vet Med Assoc 2005; 226: 945-950. https://doi.org/10.2460/javma.2005.226.945
  7. McIlwraith CW. Fractures of the Carpus. In: Equine Fracture Repair, 2nd ed. Hoboken: Wiley Blackwell. 2020: 480-514.
  8. Palmer SE. Prevalence of Carpal Fractures in Thoroughbred and Standardbred Racehorses. J Am Vet Med Assoc 1986; 188: 1171-1173.
  9. Raidal SL, Wright JD. A retrospective evaluation of the surgical management of equine carpal injury. Aust Vet J 1996; 74: 198-202. https://doi.org/10.1111/j.1751-0813.1996.tb15404.x
  10. Schneider RK, Bramlage LR, Gabel AA, Barone LM, Kantrowitz BM. Incidence location and classification of 371 third carpal bone fractures in 313 horses. Equine Vet J Suppl 1988; 6: 33-42.