Fractures
Fractures may be either performance related or result from some kind of trauma.
Racehorses are more predisposed to third carpal bone and pelvic fractures, whereas pleasure-riding horses are more likely to fracture the distal phalanx (P3 or pedal bone) on uneven or stony ground. Radiographs are usually used to diagnose and assess fractures.
Repairing and managing fractures
It is no longer the case that every fracture will require a horse to be euthanased. However, there are still significant risks associated with attempting to repair a fracture.
Some fractures (e.g. pelvic), may be managed conservatively with a long rest period. Management of these types of cases will often include careful use of NSAIDs as it is important to relieve pain and encourage the horse to carefully place weight on its legs.
A lack of weight bearing may cause osteoporosis. This further increases the risk of fracture and slows healing. However, an excessive amount of weight bearing may also be detrimental.
It is no longer the case that every fracture will require a horse to be euthanased. However, there are still significant risks associated with attempting to repair a fracture.