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The Veterinary clinics of North America. Equine practice2017; 33(2); 417-430; doi: 10.1016/j.cveq.2017.03.008

Physeal Fractures in Foals.

Abstract: Physeal fractures are common musculoskeletal injuries in foals and should be included as a differential diagnosis for the lame or nonweightbearing foal. Careful evaluation of the patient, including precise radiographic assessment, is paramount in determining the options for treatment. Prognosis mostly depends on the patient's age, weight, and fracture location and configuration.
Publication Date: 2017-07-09 PubMed ID: 28687098DOI: 10.1016/j.cveq.2017.03.008Google Scholar: Lookup
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Summary

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The research article focuses on the common occurrence of physeal fractures in foals, stressing the need for accurate diagnosis and evaluation for proper treatment options. The prognosis is mainly determined by factors such as age, weight, and the specificities of the fracture.

About Physeal Fractures in Foals

  • Physeal fractures are highlighted as common injuries to the musculoskeletal system in foals. These are injuries damaging the growth plate (physis) of the young and growing bones.
  • The study emphasizes the need for these fractures to be kept in view as a potential cause when diagnosing a foal that is lame (having difficulty in moving or walking) or non-weightbearing (unable to put weight on a limb).

Importance of Precise Assessment

  • The research underlines the vital role of precise assessment in identifying the best treatment course. This includes a careful examination of the patient’s general health and condition.
  • Radiographic assessment is specifically highlighted as a crucial part of this evaluation. This is a technique that uses X-rays to visualize the internal structures of the animal and can be helpful in identifying a physeal fracture and its specificities.

Prognosis Factors

  • The research article also points out that the result or the prognosis of a physeal fracture is heavily influenced by several factors.
  • The patient’s age is one such important factor. This is because the growth plates in younger animals are still ‘open’ or ‘active,’ meaning that the bone is still able to grow, whereas in older ones, the growth plates have usually ‘closed’ and are less likely to repair themselves.
  • Weight is another notable determinant for the prognosis. This could be due to the fact that a heavier animal would exert more stress on the fractured area, potentially increasing the severity of the injury.
  • The location and the configuration of the fracture also largely dictate the prognosis. A fracture in a certain location might be more difficult to treat, or a certain type of fracture might be more serious or complicated than another.

Cite This Article

APA
Levine DG, Aitken MR. (2017). Physeal Fractures in Foals. Vet Clin North Am Equine Pract, 33(2), 417-430. https://doi.org/10.1016/j.cveq.2017.03.008

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 33
Issue: 2
Pages: 417-430
PII: S0749-0739(17)30033-0

Researcher Affiliations

Levine, David G
  • University of Pennsylvania, Department of Clinical Studies New Bolton Center, 382 W Street Road, Kennett Square, PA 19348, USA. Electronic address: dglevine@vet.upenn.edu.
Aitken, Maia R
  • University of Pennsylvania, Department of Clinical Studies New Bolton Center, 382 W Street Road, Kennett Square, PA 19348, USA.

MeSH Terms

  • Animals
  • Animals, Newborn / injuries
  • Epiphyses / injuries
  • Femoral Fractures / therapy
  • Femoral Fractures / veterinary
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / therapy
  • Fractures, Bone / veterinary
  • Growth Plate / pathology
  • Horse Diseases / diagnostic imaging
  • Horse Diseases / therapy
  • Horses / injuries
  • Humeral Fractures / therapy
  • Humeral Fractures / veterinary
  • Male
  • Metacarpus / injuries
  • Metatarsus / injuries
  • Prognosis
  • Radiography / veterinary
  • Radius Fractures / therapy
  • Radius Fractures / veterinary
  • Salter-Harris Fractures / diagnostic imaging
  • Salter-Harris Fractures / therapy
  • Salter-Harris Fractures / veterinary
  • Scapula / injuries
  • Tibial Fractures / therapy
  • Tibial Fractures / veterinary
  • Toe Phalanges / injuries
  • Ulna Fractures / therapy
  • Ulna Fractures / veterinary

Citations

This article has been cited 4 times.
  1. Lemaitre V, Cote E, Bellon C, Cassard H, Schelcher F, Maillard R, Robcis R. Surgical Management of a Salter-Harris Type I Distal Physeal Fracture of the Tibia in a Calf: A Case Report. Vet Sci 2023 Jul 14;10(7).
    doi: 10.3390/vetsci10070463pubmed: 37505867google scholar: lookup
  2. Mazaheri-Khameneh R, Azizi S, Davoodi F, Gooran MM. Surgical management of a Salter-Harris type I proximal physeal fracture of the tibia in a foal: a case report. BMC Vet Res 2022 May 16;18(1):183.
    doi: 10.1186/s12917-022-03285-6pubmed: 35578200google scholar: lookup
  3. Bowers K, Weinhandl JT, Anderson DE. A review of equine tibial fractures. Equine Vet J 2023 Mar;55(2):171-181.
    doi: 10.1111/evj.13599pubmed: 35569040google scholar: lookup
  4. Schild CO, Nyaoke A, Asin J, Henderson EE, Blea JA, Stover SM, Uzal FA. A retrospective study of radial fractures in racehorses in California, 2006-2022. J Vet Diagn Invest 2025 Jul 23;:10406387251336267.
    doi: 10.1177/10406387251336267pubmed: 40702641google scholar: lookup