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Sagittal groove osseous trauma of the proximal phalanx – a distinct injury in the sport horse?
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Since magnetic resonance imaging (MRI) has become a more common diagnostic imaging modality, osseous trauma of the proximal sagittal groove of the proximal phalanx (P1) has been noted [1–3], albeit infrequently (<0.1%). Debate remains regarding the pathophysiology of this problem, similar to the debate regarding the pathophysiology of sagittal fractures of P1. The proposed aetiologies are either an acute one-off event or an accumulation of repetitive stress injury. Although osseous trauma of P1 in sport horses appears somewhat different from short incomplete P1 fractures in the racing and sport horse, the similar anatomical location of the abnormality suggests a common underlying biomechanical basis for both conditions ...
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