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| Intra-articular Osteochondral Chip Fragments of the Carpus |  |
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| These are the most common fractures in the carpal joints of racehorses. They occur less commonly in working Quarter Horses and sport horses. The primary etiologic factor is trauma, usually associated with fast exercise. Chips may occur on the dorsal aspect of all the carpal bones. In the intercarpal joint, the most frequent site is the distal radial carpal bone, followed by the distal intermediate carpal bone and the proximal third carpal bone. In the radial carpal joint, the most common location is the proximal intermediate carpal bone, followed by the proximal radial carpal bone, distal medial radius, and the distal lateral radius. The diagnosis is based on clinical signs of synovitis and capsulitis and radiographic demonstration of chip fragments. Arthroscopic surgery is the treatment of choice. The overall prognosis is excellent, but the percentage chance of the horse returning to previous performance levels decreases with chronicity and consequent excessive loss of articular cartilage and subchondral bone. |
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| See Also |
| Introduction |
| The Lameness Examination |
| Overview |
| Imaging Techniques |
| Overview |
| Anatomic Imaging Techniques |
| Physiologic Imaging Techniques |
| Arthroscopy |
| Regional Analgesia |
| Disorders of the Foot |
| Bone Cyst in Pedal Bone |
| Bruised Sole and Corns |
| Canker |
| Contracted Heels |
| Fracture of Navicular Bone |
| Fracture of Pedal Bone |
| Keratoma |
| Laminitis |
| Navicular Disease |
| Pedal Osteitis |
| Puncture Wounds of the Foot |
| Pyramidal Disease |
| Quittor |
| Sandcrack |
| Scratches |
| Seedy Toe |
| Sheared Heels |
| Sidebone |
| Thrush |
| Disorders of the Fetlock and Pastern |
| Fracture of Phalanges and Proximal Sesamoids |
| Osselets |
| Ringbone |
| Sesamoiditis |
| Villonodular Synovitis |
| Windgalls |
| Disorders of the Carpus and Metacarpus |
| Overview |
| Bucked Shins |
| Degenerative Subchondral Lesions of the Carpal Bones |
| Desmitis or Sprain of the Inferior Check Ligament |
| Fracture of the Carpal Bones |
| Carpal Slab Fractures |
| Accessory Carpal Bone Fractures |
| Fractures of the Small Metacarpal and Metatarsal (Splint) Bones |
| Fracture of the Third Metacarpal (Cannon) Bone |
| Hygroma |
| Osteoarthritis (Degenerative Joint Disease) |
| Osteochondrosis |
| Osteochondroma of the Distal Radius (Supracarpal Exostosis) |
| Rupture of the Common Digital Extensor Tendon |
| Splints |
| Subchondral Cysts and Septic Arthritis |
| Suspensory Desmitis |
| Synovial Hernia and Ganglion and Synovial Fistulae |
| Tearing of the Medial Palmar Intercarpal Ligament |
| Tenosynovitis of the Tendon Sheaths Associated with the Carpus |
| Traumatic Synovitis and Capsulitis |
| Disorders of the Shoulder and Elbow |
| Arthritis of the Shoulder Joint |
| Bicipital Bursitis |
| Fractures of the Elbow |
| Fractures of the Shoulder |
| Sweeney |
| Disorders of the Tarsus |
| Overview |
| Bog Spavin |
| Bone Spavin |
| Curb |
| Displacement of Superficial Flexor Tendon from the Point of the Hock |
| Fracture of the TArsus |
| Hindlimb Tendon Ruptures |
| Rupture of the Peroneus Tertius Muscle |
| Stringhalt |
| Thoroughpin |
| Disorders of the Stifle |
| Fracture of the Stifle |
| Gonitis |
| Patellar Luxation |
| Subchondral Bone Cyst |
| Disorders of the Hip |
| Coxitis |
| Dislocation of the Hip |
| Pelvic Fracture |
| Trochanteric Bursitis |
| Disorders of the Back |
| Fractures |
| Muscle and Ligament Strain |
| Ossifying Spondylosis |
| Overriding of the Dorsal Spinous Processes |
| Sacroiliac Injury |
| Developmental Orthopedic Disease |
| Overview |
| Osteochondrosis |
| Physitis |
| Flexion Deformities |
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