Fractures
Fracture of the scapula
Fractures of the scapula are usually caused by hard blows to the shoulder. Most cases will show a sudden, severe lameness unless it is just the spine that is damaged, in which case a much milder lameness can be seen.
Diagnosis
X-rays are required for diagnosis and to assess treatment options.
Treatment
Fractures of the spine can be treated with box rest. More severe fractures carry a poor prognosis and euthanasia is often considered. Surgical techniques and box rest with the leg in a sling have been used as treatments, however, the likelihood of the horse returning to soundness is low.
Fracture of the humerus
Fractures of the humerus will usually cause a sudden, severe lameness, usually non-weight bearing, and have severe pain and swelling on palpation. A suspected fracture is an emergency and a veterinary surgeon should be called before attempts are made to move the animal. A large bandage with a splint should be applied to support the limb.
Diagnosis
X-rays are required for diagnosis and to assess treatment options, although, in many instances examination of the animal can provide enough information as to whether the fracture is treatable or not.
Treatment
Complete fractures of a long bone in the horse generally carry a poor prognosis and euthanasia is often performed to prevent suffering. Horses can be placed on strict box rest with the leg immobilized (bandage with a splint) or placed in a sling in some cases where the fracture is not displaced. Due to likelihood of healing being very low and the numerous complications that can occur, euthanasia on humane grounds must be considered.