Fractures of the Proximal Sesamoid Bones

Wright, I. M.

doi:10.1002/9781119108757.ch21

Cited by 1 publication

(1 citation statement)

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“…It should also be discussed whether the fragment needs to be removed or not in order to prevent the development of osteoarthritis. Considering avulsion fractures, like for example in the case of avulsion fractures of the proximal sesamoid bone apices, removal of the fragment or, depending on the size, stabilisation is recommended to prevent osteoarthritis of the fetlock joint (Schnabel & Redding, 2018; Wright, 2020). On the other hand, a butterfly fracture fragment can be wedged between the main fracture fragments at the time point of fixation and heal, or at least form a fibrous union with the remaining fragments.…”

Section: Discussionmentioning

confidence: 99%

Standing osteosynthesis of an accessory carpal bone fracture in a Warmblood mare with a 6‐hole 3.5 talonavicular fusion plate and 3.5‐mm screws

Aßmann

Fürst

Bischofberger

2022

Equine Veterinary Education

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A 9-year-old Warmblood, high-level showjumping mare sustained an acute, closed, vertical, comminuted fracture of the left accessory carpal bone (ACB) during a fall. The fracture was repaired under standing sedation and local anaesthesia, using a 6-hole APTUS® 3.5 TFP and 5 × 3.5-mm selftapping TriLock© screws. The mare recovered from surgery without complications. Upon follow-up examination 9 months post-operatively the mare was sound in all gaits and back to full athletic activity. The ACB fracture had completely healed. The displaced dorsoproximal fracture fragment was in a stationary position and there was evidence of mild nonprogressive osteoarthritis of the antebrachiocarpal joint.

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Section: Discussionmentioning

confidence: 99%