A novel radiographic projection for the detection of a scapula body
fracture in a Thoroughbred foal
Abstract
This case report describes the clinical and diagnostic imaging findings,
treatment, and outcome of a three-month-old Thoroughbred foal referred
for the evaluation of severe left forelimb lameness and presents the
acquisition of a novel radiographic projection of the scapula used to
achieve the diagnosis. No abnormalities were found with the standard
radiographic examination of the left shoulder. Ultrasound and a dorsal
45° lateral‐ventral lateral oblique radiographic view were performed to
evaluate the body of the left scapula. A longitudinal, minimally
displaced fracture of the infraspinous fossa was diagnosed with this
projection that was not detected in the routine projections. Ultrasound
was used in conjunction to confirm the diagnosis, assess the
displacement of the fracture in the frontal plane, and evaluate soft
tissue damage. The foal was treated conservatively with
anti-inflammatory drugs and stall rest. A radiographic follow-up and
clinical reassessment were performed, and the horse appeared sound, no
atrophy of the region was appreciated, and no radiographic abnormalities
were found.