Fretz P B, Barber S M, Bailey J V, McKenzie N T
J Am Vet Med Assoc. 1984 Aug 1;185(3):282-4.
The case records of 49 horses with proximal sesamoid bone fracture were studied. The population consisted of 20 Thoroughbreds, 20 Standardbreds, 5 Quarter Horses, 2 Arabians, and 2 grade horses. The fractured bones were classified into 5 categories: apical fractures, basilar fractures, abaxial fractures, middle one-third fractures, and bilateral comminuted-distracted fractures. Apical fractures occurred most frequently in the Standardbred, with the prevalence of medial fracture being equal to that of lateral fracture. Basilar fractures occurred predominantly in the Thoroughbred, with the highest prevalence in the lateral sesamoid bone of the right front fetlock. Bilateral comminuted-distracted fractures also occurred primarily in the right front fetlock. The prognosis following surgical removal of apical fractures appeared to be superior to that for stall rest alone. The prognosis for basilar fractures was poor.
对49匹近籽骨骨折马的病例记录进行了研究。该群体包括20匹纯种马、20匹标准赛马、5匹夸特马、2匹阿拉伯马和2匹杂种马。骨折的骨头分为5类：尖端骨折、基部骨折、远轴骨折、中三分之一骨折和双侧粉碎性分离骨折。尖端骨折在标准赛马中最常见，内侧骨折的发生率与外侧骨折相等。基部骨折主要发生在纯种马中，在右前蹄关节外侧籽骨中发生率最高。双侧粉碎性分离骨折也主要发生在右前蹄关节。手术切除尖端骨折后的预后似乎优于单纯静养。基部骨折的预后较差。
