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Biaxial plantar process fractures of the distal phalanx in a horse
  1. Lucinda Jayne Meehan1,
  2. Eugenio Cillan-Garcia2 and
  3. Russell Parker3
  1. 1Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Midlothian EH25 9RG, UK
  2. 2Department of Veterinary Clinical Sciences, University of Edinburgh, Edinburgh, Midlothian EH25 9RG, UK
  3. 3Scott Dunn's Equine Clinic, Straight Mile Farm, Maidenhead Rd, Wokingham, Berkshire RG40 5RW, UK
  1. Correspondence to
    Lucinda Jayne Meehan, lucy.meehan{at}


A mature horse was presented for investigation of severe acute hindlimb lameness with soft tissue swelling, a full thickness wound to the dorsal metatarsus and no other localising signs. Survey radiographs of the metatarsophalangeal region were unremarkable. Nuclear scintigraphy was required to reach a diagnosis of biaxial plantar process fractures of the distal phalanx, which to the authors’ knowledge is previously unreported. Flexed dorsal 45° lateral-plantaromedial and flexed dorsal 45° medial-plantarolateral oblique projections confirmed the diagnosis of both a type I and II fracture in the same foot. Treatment with cast immobilisation and corrective farriery was successful, and the horse became sound at six-month follow-up.

  • Hoof
  • Horses
  • Fracture Management
  • Radiology
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