Distal Carpal Bone Fracture in a 14‑Year‑Old Warmblood Gelding

In this case study, we review the diagnostic process for a 14‑year‑old Warmblood cross gelding presented with acute left‑front lameness. Initial nuclear scintigraphy identified increased uptake in the carpal region, and further imaging was performed to localize the issue.

The video compares dorsal and flexed lateral views, highlighting how flexed lateral radiographs helped determine that the pathology originated in the distal carpal row. Traditional radiographs (including a skyline view) showed subtle changes but made the fracture difficult to visualize clearly. CT imaging provided a dramatic improvement in diagnostic clarity. The scan revealed a distinct fracture line, surrounding sclerosis, and areas of demineralization features that were not easily discernible on radiographs. This advanced imaging significantly streamlined surgical planning and confirmed the full extent of the injury.

This case demonstrates the value of CT in equine lameness workups when radiographs alone cannot fully characterize the lesion.