Survey radiographs at the yard did not reveal any abnormalities.
Nuclear scintigraphic examination 3 days after injury revealed focal marked increased radiopharmaceutical uptake in the proximal metatarsal region.
Subsequent radiography revealed an incomplete, articular fracture of the proximal left third metatarsal bone.
Repair of the fracture using 3 Ă 4.5 mm cortical screws placed in lag fashion was performed under standing sedation following perineural analgesia.
Followâup radiographs demonstrated progressive healing of the fracture.
The mare returned to race training 8 months after the fracture was repaired and raced successfully 12 months post injury.
Source: E. CillĂĄnâGarcĂa R. J. M. Reardon S. Schiavo T. Fordham Y. A. Elce, Standing repair of a proximal, incomplete, articular fracture of the third metatarsal bone. EVE, Early View. First published: 01 June 2018 https://doi.org/10.1111/eve.12939
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