Navicular fractures in Horses | Inside The Equine

Navicular fractures

Overview

This entry addresses fractures of the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) and is clinically synonymous with [Navicular bone fractures](/conditions/navicular-bone-fractures). Fractures disrupt the structural and functional integrity of the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) within the podotrochlear apparatus. Types include parasagittal (most common), transverse, comminuted, and avulsion fractures involving ligament attachments. They may arise from acute trauma or occur as pathological fractures through bone weakened by pre-existing navicular degeneration. Healing can be complicated by the bone's limited blood supply in certain areas, ongoing mechanical stresses from the [DDFT](/anatomy/deep-digital-flexor), and potential involvement of the [coffin bone](/anatomy/coffin-bone-distal-phalanx-p3) joint articular surface. ## Causes & Risk Factors Acute trauma or repetitive high-impact loading. Pre-existing navicular degeneration increases susceptibility. Poor hoof conformation may contribute indirectly. ## Diagnosis Clinical exam, history of trauma or acute lameness. Radiographs (55-65 degree dorsoproximal-palmarodistal oblique view) are primary. Pack frog sulci with modeling compound to avoid gas artifacts. CT or MRI for surgical planning and soft-tissue assessment. ## Treatment Conservative: stall rest, supportive shoeing (bar shoe with heel elevation), bandaging. Surgical: lag screw compression for suitable parasagittal fractures with CT-guided planning. Neurectomy may be considered in chronic or complicated cases. ## Prognosis Guarded to poor for athletic return. Many horses achieve pasture soundness. Complications include nonunion, implant failure, secondary osteoarthritis, and [DDFT](/anatomy/deep-digital-flexor) injury. ## Prevention Workload management, protective boots, good footing, prompt attention to foot trauma, routine balanced farriery. **Note:** This condition and [Navicular bone fractures](/conditions/navicular-bone-fractures) refer to the same clinical entity. Minor differences in source materials do not indicate separate diseases. This information is for educational purposes only. Always consult with a licensed veterinarian for diagnosis and treatment of your horse.

Signs & Symptoms

- Acute or acute-on-chronic lameness with heel pain - Moderate to severe lameness, sometimes with localized swelling, heat, or digital pulse elevation - Marked heel or frog sensitivity on hoof testers - Positive response to digital nerve block - In horses with pre-existing navicular issues, may present as acute worsening of chronic lameness - Nondisplaced or stress fractures may cause subtle, intermittent signs initially - Related conditions: [Navicular bone fractures](/conditions/navicular-bone-fractures), [Navicular syndrome (podotrochlosis)](/conditions/navicular-syndrome-podotrochlosis)

Affected Structures

Frequently Asked Questions

What is Navicular fractures in horses?

This entry addresses fractures of the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) and is clinically synonymous with [Navicular bone fractures](/conditions/navicular-bone-fractures). Fractures disrupt the structural and functional integrity of the [navicular bone](/anatomy/navicular-bone-distal-sesamoid-right-forelimb) within the podotrochlear apparatus. Types include parasagittal (most common), transverse, comminuted, and avulsion fractures involving ligament attachments. They may arise from acute trauma or occur as pathological fractures through bone weakened by pre-existing navicular degeneration. Healing can be complicated by the bone's limited blood supply in certain areas, ongoing mechanical stresses from the [DDFT](/anatomy/deep-digital-flexor), and potential involvement of the [coffin bone](/anatomy/coffin-bone-distal-phalanx-p3) joint articular surface. ## Causes & Risk Factors Acute trauma or repetitive high-impact loading. Pre-existing navicular degeneration increases susceptibility. Poor hoof conformation may contribute indirectly. ## Diagnosis Clinical exam, history of trauma or acute lameness. Radiographs (55-65 degree dorsoproximal-palmarodistal oblique view) are primary. Pack frog sulci with modeling compound to avoid gas artifacts. CT or MRI for surgical planning and soft-tissue assessment. ## Treatment Conservative: stall rest, supportive shoeing (bar shoe with heel elevation), bandaging. Surgical: lag screw compression for suitable parasagittal fractures with CT-guided planning. Neurectomy may be considered in chronic or complicated cases. ## Prognosis Guarded to poor for athletic return. Many horses achieve pasture soundness. Complications include nonunion, implant failure, secondary osteoarthritis, and [DDFT](/anatomy/deep-digital-flexor) injury. ## Prevention Workload management, protective boots, good footing, prompt attention to foot trauma, routine balanced farriery. **Note:** This condition and [Navicular bone fractures](/conditions/navicular-bone-fractures) refer to the same clinical entity. Minor differences in source materials do not indicate separate diseases. 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 fractures?

- Acute or acute-on-chronic lameness with heel pain - Moderate to severe lameness, sometimes with localized swelling, heat, or digital pulse elevation - Marked heel or frog sensitivity on hoof testers - Positive response to digital nerve block - In horses with pre-existing navicular issues, may present as acute worsening of chronic lameness - Nondisplaced or stress fractures may cause subtle, intermittent signs initially - Related conditions: [Navicular bone fractures](/conditions/navicular-bone-fractures), [Navicular syndrome (podotrochlosis)](/conditions/navicular-syndrome-podotrochlosis)