Radial-intermediate Carpal Bone Fusion in a Horse

The radial carpal and intermediate carpal bones were found to be fused in a four year old Quarterhorse stallion having a subtle forelimb lameness. Clinical examination, diagnostic local anesthesia, radiography and arthroscopy were used to arrive at the diagnosis. A cause could not be established, although perinatal deformation of cartilagenous carpal bone templates is suspected. A similar case of carpal bone fusion was found among carpi collected for an anatomical study, indicating this condition may be more common than expected. Clinicians should carefully evaluate the flexed lateral view of the carpus for proximal movement of the intermediate and ulnar carpal bones in young horses presented for carpal lameness. The significance of this condition will remain uncertain until its incidence and relationship to lameness are better defined.