Navicular bone fractures in Horses | Inside The Equine

Navicular bone fractures

Overview

[Navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) fractures are distinct from the chronic degenerative podotrochlear syndrome, although they can occur in horses with pre-existing navicular degeneration (pathological fracture through weakened bone) or lead to secondary degenerative changes. The [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) is small and subjected to significant forces; fractures disrupt its structural integrity and pulley function for the [DDFT](/anatomy/deep-digital-flexor). Common types include parasagittal fractures (vertical splits through the body of the bone, which may or may not involve the articular surface of the coffin joint), transverse fractures, comminuted fractures, and avulsion fractures (where the impar or collateral ligaments pull off a fragment). Fractures may be complete or incomplete, displaced or nondisplaced, and can result from acute trauma (kick, fall, awkward landing) or repetitive stress in athletes. ## Causes & Risk Factors Acute trauma or repetitive high-impact loading (jumping, racing, or sudden stops/turns). Pre-existing navicular degeneration or bone weakening increases susceptibility to pathological fracture. Poor hoof conformation or inadequate farriery may contribute indirectly by altering load distribution. Congenital bipartite or tripartite navicular bones (failure of fusion) can be mistaken for fractures on radiographs. ## Diagnosis Clinical exam and history of trauma or acute lameness change. Radiographs are primary; the 55-65 degree dorsoproximal-palmarodistal oblique view usually demonstrates the fracture line. Frog sulci must be packed with modeling compound to eliminate gas artifacts that can mimic fractures. Multiple views or repeat radiographs after several days may be needed for nondisplaced fractures. CT or MRI provides superior detail for surgical planning, assessment of displacement, articular involvement, and concurrent soft-tissue or ligament damage. ## Treatment Conservative management includes stall rest, supportive shoeing (bar shoe with heel elevation to unload the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) and reduce [DDFT](/anatomy/deep-digital-flexor) tension), and bandaging for swelling. Many fractures heal with fibrous union, but residual lameness or secondary DDFT damage can occur. Surgical repair using lag screw compression is possible for suitable parasagittal fractures, ideally planned with CT guidance for precise screw placement. In chronic or complicated cases, palmar digital neurectomy may be considered after confirming limited additional apparatus damage. ## Prognosis Guarded to poor for return to full athletic function. Many horses achieve pasture soundness or limited riding comfort with conservative care. Complications include nonunion or fibrous union with ongoing pain, implant failure, secondary [coffin bone](/anatomy/coffin-bone-distal-phalanx-p3) joint osteoarthritis, [DDFT](/anatomy/deep-digital-flexor) injury during convalescence, and progression of any pre-existing degenerative changes. ## Prevention Careful workload management, especially in horses with known navicular degeneration or conformational risk factors. Use of protective boots in high-risk disciplines, good footing, and prompt veterinary attention to any foot trauma or sudden lameness change. Routine farriery to maintain balance reduces abnormal stresses. This information is for educational purposes only. Always consult with a licensed veterinarian for diagnosis and treatment of your horse.

Signs & Symptoms

- Acute onset of moderate to severe lameness - Localized swelling, heat, or digital pulse elevation in the affected foot - Marked heel or frog sensitivity on hoof testers - Usually improves substantially with palmar digital nerve block - In horses with pre-existing navicular issues, may present as acute worsening of chronic low-grade lameness - Some nondisplaced or stress fractures cause more subtle, intermittent signs initially - Related conditions: [Navicular fractures](/conditions/navicular-fractures), [Navicular syndrome (podotrochlosis)](/conditions/navicular-syndrome-podotrochlosis)

Affected Structures

Frequently Asked Questions

What is Navicular bone fractures in horses?

[Navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) fractures are distinct from the chronic degenerative podotrochlear syndrome, although they can occur in horses with pre-existing navicular degeneration (pathological fracture through weakened bone) or lead to secondary degenerative changes. The [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) is small and subjected to significant forces; fractures disrupt its structural integrity and pulley function for the [DDFT](/anatomy/deep-digital-flexor). Common types include parasagittal fractures (vertical splits through the body of the bone, which may or may not involve the articular surface of the coffin joint), transverse fractures, comminuted fractures, and avulsion fractures (where the impar or collateral ligaments pull off a fragment). Fractures may be complete or incomplete, displaced or nondisplaced, and can result from acute trauma (kick, fall, awkward landing) or repetitive stress in athletes. ## Causes & Risk Factors Acute trauma or repetitive high-impact loading (jumping, racing, or sudden stops/turns). Pre-existing navicular degeneration or bone weakening increases susceptibility to pathological fracture. Poor hoof conformation or inadequate farriery may contribute indirectly by altering load distribution. Congenital bipartite or tripartite navicular bones (failure of fusion) can be mistaken for fractures on radiographs. ## Diagnosis Clinical exam and history of trauma or acute lameness change. Radiographs are primary; the 55-65 degree dorsoproximal-palmarodistal oblique view usually demonstrates the fracture line. Frog sulci must be packed with modeling compound to eliminate gas artifacts that can mimic fractures. Multiple views or repeat radiographs after several days may be needed for nondisplaced fractures. CT or MRI provides superior detail for surgical planning, assessment of displacement, articular involvement, and concurrent soft-tissue or ligament damage. ## Treatment Conservative management includes stall rest, supportive shoeing (bar shoe with heel elevation to unload the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) and reduce [DDFT](/anatomy/deep-digital-flexor) tension), and bandaging for swelling. Many fractures heal with fibrous union, but residual lameness or secondary DDFT damage can occur. Surgical repair using lag screw compression is possible for suitable parasagittal fractures, ideally planned with CT guidance for precise screw placement. In chronic or complicated cases, palmar digital neurectomy may be considered after confirming limited additional apparatus damage. ## Prognosis Guarded to poor for return to full athletic function. Many horses achieve pasture soundness or limited riding comfort with conservative care. Complications include nonunion or fibrous union with ongoing pain, implant failure, secondary [coffin bone](/anatomy/coffin-bone-distal-phalanx-p3) joint osteoarthritis, [DDFT](/anatomy/deep-digital-flexor) injury during convalescence, and progression of any pre-existing degenerative changes. ## Prevention Careful workload management, especially in horses with known navicular degeneration or conformational risk factors. Use of protective boots in high-risk disciplines, good footing, and prompt veterinary attention to any foot trauma or sudden lameness change. Routine farriery to maintain balance reduces abnormal stresses. This information is for educational purposes only. Always consult with a licensed veterinarian for diagnosis and treatment of your horse.

What are the signs of Navicular bone fractures?

- Acute onset of moderate to severe lameness - Localized swelling, heat, or digital pulse elevation in the affected foot - Marked heel or frog sensitivity on hoof testers - Usually improves substantially with palmar digital nerve block - In horses with pre-existing navicular issues, may present as acute worsening of chronic low-grade lameness - Some nondisplaced or stress fractures cause more subtle, intermittent signs initially - Related conditions: [Navicular fractures](/conditions/navicular-fractures), [Navicular syndrome (podotrochlosis)](/conditions/navicular-syndrome-podotrochlosis)