## Overview Pelvic fractures can involve the ilium, ischium, or pubis. Ilial wing and tuber coxae fractures are among the more common and often carry a better prognosis. Pubic and ischial fractures can affect the pelvic canal and weight-bearing. Diagnosis relies on rectal palpation, ultrasound, or scintigraphy because standard radiographs are limited in adults. ## Causes Trauma or stress. ## Diagnosis Rectal examination, ultrasound, bone scan. ## Treatment Strict stall rest for the majority. Surgical options are rare. ## Recovery and Prognosis Better for tuber coxae and some ilial fractures. More guarded for acetabular or highly displaced fractures. ## Prevention Safe environments and monitoring of at-risk racehorses.
hind-limb lameness; pelvic asymmetry; crepitus; muscle atrophy; site-dependent severity
## Overview Pelvic fractures can involve the ilium, ischium, or pubis. Ilial wing and tuber coxae fractures are among the more common and often carry a better prognosis. Pubic and ischial fractures can affect the pelvic canal and weight-bearing. Diagnosis relies on rectal palpation, ultrasound, or scintigraphy because standard radiographs are limited in adults. ## Causes Trauma or stress. ## Diagnosis Rectal examination, ultrasound, bone scan. ## Treatment Strict stall rest for the majority. Surgical options are rare. ## Recovery and Prognosis Better for tuber coxae and some ilial fractures. More guarded for acetabular or highly displaced fractures. ## Prevention Safe environments and monitoring of at-risk racehorses.
hind-limb lameness; pelvic asymmetry; crepitus; muscle atrophy; site-dependent severity