Surgical Treatment of a Palmar Midsagittal Fracture of the Proximal Second Phalanx in a Horse |
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| Authors: | PAULA D MODRANSKY DVM BARRIE D GRANT DVM MS † NORMAN W RANTANEN DVM MS DOUGLAS G COREY DVM § |
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| Institution: | Department of Veterinary Clinical Medicine and Surgery, Washington State University, Pullman, Washington;§Associated Veterinary Clinics, Walla Walla, Washington |
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| Abstract: | Second phalangeal fractures have been classified as either simple or multiple and have been managed in a variety of ways. The removal of small osteochondral fragments originating from the palmar midsagittal aspect of the proximal second phalanx is reported. This lesion has been described as a coincidental finding unrelated to lameness. Based on our clinical finding of lameness in this case and the response to an intraarticular injection of anesthetic, excision of the fragment was elected. However, the importance of confirming the significance of a radiographic lesion with local anesthesia prior to surgical intervention must be stressed. |
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