Executive Editor: Jörg Auer

Authors: Wayne McIlwraith, Dean Richardson, Anton Fürst, Larry Bramlage

Metacarpals/Metatarsals

back to skeleton

Glossary

Lateral condyle nondisplaced fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Regain athletic function Some specialized surgical experience Simple surgical and imaging resources

Lateral condyle displaced fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Regain athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Medial condyle incomplete fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical fracture management Regain use of the limb Basic surgical experience, no specialized skills Basic equipment only
Screw fixation in the standing horse Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Screw fixation under general anesthesia Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Plate fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Medial condyle spiral fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Plate fixation Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals II and IV: Proximal fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Wound debridement Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Resection Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Plate fixation Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals II and IV: Midbody fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical fracture management Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Resection Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals II and IV: Distal fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical fracture management Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Resection Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Proximal simple fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical treatment Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Plate fixation Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Proximal incomplete fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical treatment Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Fixation with lag screw Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Distall simple fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical treatment Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Double plating Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Metaphyseal fractures (Salter-Harris type II)

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical treatment Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Screws with transphyseal bridge Return to soundness Some specialized surgical experience Simple surgical and imaging resources

Metacarpals/-tarsals III: Diaphyseal simple complete fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Return to soundness Basic surgical experience, no specialized skills Basic equipment only
Fixation with plates and screws Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Minimally invasive fixation Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Diaphyseal multifragment fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Double/single plating Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Double plating Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Metacarpals/-tarsals III: Diaphyseal dorsal cortical stress fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation with osteostixis Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Angular limb deformities

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Only for deformities of the Metacarpal/-tarsal III Basic surgical experience, no specialized skills Basic equipment only
Growth retardation Only for deformities of the Metacarpal/-tarsal III Basic surgical experience, no specialized skills Basic equipment only
Growth acceleration Only for deformities of the Metacarpal/-tarsal III Basic surgical experience, no specialized skills Basic equipment only
Corrective osteotomy Only for deformities of the Metacarpal/-tarsal III Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Fetlock joint disruption

Please select a treatment option:
Treatment Main indication Skill Equipment
Arthordesis: tension band Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2013-02-02