Standing repair of a proximal, incomplete, articular fracture of the third metatarsal bone

Eugenio Cillan-Garcia, Richard Reardon, Stefano Schiavo, Tessa Fordham, Yvonne Elce

Research output: Contribution to journalArticlepeer-review


A 5-year-old National Hunt Thoroughbred mare presented with sudden onset left hind limb lameness after race training on the gallops. Clinical examination revealed a marked painful reaction over the proximal metatarsal region but no other obvious abnormalities were detected. Survey radiographs at the yard did not reveal any abnormalities. Nuclear scintigraphic examination 3 days after injury revealed focal marked increased radiopharmaceutical uptake in the proximal metatarsal region. Subsequent radiography revealed an incomplete, articular fracture of the proximal left third metatarsal bone. Repair of the fracture using 3 x 4.5 mm cortical screws placed in lag fashion was performed under standing sedation following perineural analgesia. Follow-up radiographs demonstrated progressive healing of the fracture. The mare returned to race training 8 months after the fracture was repaired and raced successfully 12 months post injury.
Original languageEnglish
JournalEquine Veterinary Education
Early online date1 Jun 2018
Publication statusE-pub ahead of print - 1 Jun 2018


  • Third metatarsal
  • fracture
  • horse
  • scintigraphy
  • prognosis
  • standing surgery 

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