Findings of ultrasonographic evaluation of the hoof appear to be useful in determining the cause of caudal heel pain and characterizing the components of navicular syndrome in horses.

Tenotomy of the semitendinosus muscle in horses with fibrotic myopathy leads to similar improvement in gait, whether performed under standing sedation or general anesthesia.

Summary The case reported here describes a transthoracic approach for removal of a splenic lymphoma from a 5‐year‐old mule. Nine months prior to presentation at Iowa State University College of Veterinary Medicine (ISUCVM), abdominal ultrasound was performed as part of a work‐up to investigate the cause of lethargy, anorexia and anaemia. Ultrasound examination identified a haemoabdomen and multiple splenic masses. Transabdominal biopsies were collected for histopathological evaluation and lymphoma diagnosed. Based on a number of clinical and laboratory examinations there was a lack of support for multicentric involvement and all results suggested solitary splenic involvement. Surgical removal of the spleen was accomplished via a transthoracic approach without complications. Histopathology of the splenic masses revealed a B cell lymphoma. Bone marrow was collected during surgery and submitted for cytology and was found to contain a normal lymphoid population with no evidence of neoplastic cells. The mule was discharged from the hospital 11 days after surgery.

SummaryA mature Thoroughbred gelding that was used as a high level jumper presented for evaluation of a nonweightbearing forelimb lameness following a fall. Radiographs revealed a complete, noncomminuted, minimally displaced sagittal fracture of the greater tubercle. Supporting limb laminitis was a major concern in the short term based on the severe lameness at presentation. Open reduction with internal fixation was chosen over stall rest in an attempt to more rapidly return the weightbearing function to the limb. The procedure was performed standing and 3 bone screws were placed standing in an attempt to avoid implant or catastrophic bone failure that can accompany recovery from general anaesthesia. The day following surgery the lameness was significantly improved as the horse was able to bear some weight on the heel. The gelding was discharged 5 days following surgery and was fully weightbearing at the walk. Six months following surgery the horse was free of lameness and resumed training. This report describes our experience and rationale in placing bone screws in a standing horse for treatment of a greater tubercle fracture.

Objective: To describe the presentation, diagnosis, treatment, and outcome for horses with fibro-osseous lesions of the craniofacial complex. Study design: Retrospective multicenter case series. Animals: Thirty horses evaluated for fibro-osseous lesions of the skull from January 1, 2001 through December 31, 2019 in four centers. Methods: Medical records were reviewed for signalment, clinical presentation, histological and diagnostic imaging findings, treatment instituted, and outcome. Long-term outcome information was obtained by owner questionnaire or the medical record. Results: Diagnoses included ossifying fibroma in 20 of 30 horses, osteoma in eight of 30 horses, and fibrous dysplasia in two of 30 horses. Twelve of 30 lesions were diagnosed in horses <1 year old, and 20 of 30 lesions originated from the rostral mandible. The most common treatment was rostral mandibulectomy. Recurrence was not reported after complete excision. Incomplete excision was confirmed in eight horses (four ossifying fibromas, three osteomas, and one fibrous dysplasia), and follow-up information was available for seven horses. Recurrence occurred in one horse, while six horses had long-term resolution of clinical signs. Prognosis for survival and return to use was excellent in 23 horses with longterm follow-up. Conclusion: Fibro-osseous lesions were uncommon in this multicenter study; they were most commonly diagnosed in young animals and most frequently affected the rostral mandible. Long-term survival was excellent. Clinical significance: The definitive diagnosis of fibro-osseous lesions of the craniofacial complex in horses is made from results of histopathology and cannot be determined on the basis of clinical presentation alone. Surgical excision