Conservative Management of a Distal Epiphyseal Metacarpal Fracture in a Skyros Pony

Epiphyseal fracture, also known as epiphysiolysis, is the loosening or separation, either partial or complete, of an epiphysis from the shaft of a long bone. Distal epiphyseal fractures in foals pose a substantial challenge due to their guarded prognosis. This report describes the clinical signs, diagnosis, successful conservative treatment of an 1-month-old, male Skyros pony with an epiphyseal fracture of the right third metacarpal bone (type II Salter-Harris). The owner declined surgical treatment because of financial considerations along with the unfavorable prognosis. Conservative fracture treatment was pursued through external reduction and coaptation. The total duration of the conservative treatment was eighteen weeks and the foal returned to complete health.