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Conservative management of a fracture of the greater trochanter of the femur in an adult horse

Peeters, MWJ; Wallace, AG; Chesworth, MJ; Berner, D; Fiske-Jackson, AR

Authors

MWJ Peeters

AG Wallace

MJ Chesworth

D Berner

AR Fiske-Jackson



Abstract

An 8-year-old Warmblood cross mare was presented for further investigation of an acute-onset lameness of the right hindlimb. Three weeks prior to presentation, the horse was found markedly lame at walk following a fall during exercise. The horse was initially managed with field rest, but the lameness persisted. A marked right hindlimb lameness at trot graded 5/10 was confirmed. Atrophy of the right gluteal musculature was evident, and palpation over the region of the right coxofemoral joint provoked a pain reaction. Nuclear scintigraphy revealed a diffuse area of increased radiopharmaceutical uptake in the right femoral head, neck and greater trochanter. Radiographs identified a complete, slightly displaced fracture of the base of the greater trochanter of the right femur. Ultrasound examination of the proximal femur demonstrated an irregularity of the caudolateral bone surface of the greater trochanter, extending along its attachment to the femur; this was consistent with the radiological findings. On re-examination, after 9 months of stable rest, the horse was found to be sound when trotted in a straight line on the hard surface. Follow-up two and a half years after the initial incident reported the horse to be nonlame and at its previous level of work.

Citation

Peeters, M., Wallace, A., Chesworth, M., Berner, D., & Fiske-Jackson, A. (2024). Conservative management of a fracture of the greater trochanter of the femur in an adult horse. Equine Veterinary Education, https://doi.org/10.1111/eve.13949

Journal Article Type Article
Acceptance Date Jan 11, 2024
Online Publication Date Feb 5, 2024
Publication Date 2024
Deposit Date Feb 28, 2024
Publicly Available Date Feb 28, 2024
Print ISSN 0957-7734
Electronic ISSN 2042-3292
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1111/eve.13949
Keywords horse; conservative management; fracture; lameness; proximal limb

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