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Fracture management in adult horses
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Ulnar Fractures:
Fracture of the olecranon is relatively common in horses and may be caused by external trauma, exercise or recovery from anesthesia. When the fracture is complete lameness is severe and characterized by and inability to fix the forelimb for weight bearing and a dropped elbow. Swelling is usually obvious and the limb should be checked carefully for wounds. Horses with incomplete fractures may appear only mildly lame. Differential diagnoses for olecranon fracture include humeral fracture and radial nerve injury. The fractures are obvious upon radiography. Plate fixation is recommended for displaced or comminuted fractures and most fractures in adults. The use of plate wire constructs is useful in comminuted fractures, proximal fractures and fractures in which screws purchase in the parent portion of bone in s tenuous such as in foals. Pin and wire techniques are useful for the repair of some types of olecranon fractures, especially in foals. Complex fractures include those involving the very proximal portion of the olecranon process, comminuted fractures, fractures unstable in the medial to lateral plane, fractures entering the proximal aspect of the joint and fractures in which the anconeal process is fractures. Combination fractures on the radius and ulna can occur as well and should be suspected when distal ulnar fracture are present. [...]
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