{"id":14182,"date":"2024-10-30T17:24:33","date_gmt":"2024-10-30T17:24:33","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/heel-bulb-laceration-with-navicular-bone-fracture-2\/"},"modified":"2024-12-19T12:53:37","modified_gmt":"2024-12-19T12:53:37","slug":"heel-bulb-laceration-with-navicular-bone-fracture","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/heel-bulb-laceration-with-navicular-bone-fracture\/","title":{"rendered":"Heel Bulb Laceration With Navicular Bone Fracture"},"content":{"rendered":"\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Heel Bulb Laceration With Navicular Bone Fracture<\/h2>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>In this case study, a 3-year-old thoroughbred gelding <span style=\"margin: 0px;padding: 0px\">with a lateral heel bulb laceration of the left hind foot was referred<\/span> for further investigation at&nbsp;<a href=\"https:\/\/www.dgequinevets.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Donnington Grove Equine Vets<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Radiographic Findings<\/h4>\n\n\n\n<p>Radiographic examination of the foot was performed and identified a fracture of the medial wing of the distal phalanx (Figure 1 A).In addition, subtle irregularities were noted on the distal border of the navicular bone (Figure 1 B). Lateral to the right. The radiographs show the medial wing fracture (blue arrow) and the subtle irregularity of the navicular bone (green arrow).<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-1-A-DG5-Radiograph-1.png\" alt=\"\" class=\"wp-image-14268\"\/><figcaption>Figure1 (A): dorsoproximal-palmarodistaL oblique.<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-1-B-DG5-Radiograph-1.png\" alt=\"\" class=\"wp-image-14269\"\/><figcaption>Figure 1 (B): lateral 45 proximal-medial distal oblique.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading\">CT Findings<\/h4>\n\n\n\n<p>Scanning with Hallmarq\u2019s <a href=\"https:\/\/hallmarq.net\/us\/products-solutions\/standing-equine-leg-ct\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vision CT<\/a> indicated an articular fracture of the medial wing of the distal phalanx. In addition, concurrent multiple fracture fragments were observed along the distal border of the navicular bone (Figures: 2,3).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-2-DG5-CT-3D-volume-render-1-1024x832.png\" alt=\"\" class=\"wp-image-14270\"\/><figcaption>Figure 2: CT 3D volume rendering image showing the medial wing fracture<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Figure-3-1-1-1.jpg\" alt=\"\" class=\"wp-image-14274\" width=\"1019\" height=\"414\"\/><figcaption>Figure 3: CT 3D reconstruction image (lateral to the right) showing the fragments of the navicular bone in all three planes.<\/figcaption><\/figure>\n<\/div>\n\n\n<h4 class=\"wp-block-heading\">Progression<\/h4>\n\n\n\n<p>Given the severity of the injuries, euthanasia was recommended. Post-mortem findings revealed that the wound at the heel bulb extended down to the lateral aspect of the navicular bursa.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Conclusion<\/h4>\n\n\n\n<p>CT can be superior to radiographs when assessing osseous changes in the navicular bone. Two-dimensional, radiographs can be limited by the superimposition of structures. In this case, Vision CT\u2019s three-dimensional imaging provided a faster, more precise, and quantitative evaluation, clearly revealing the severity of the injury.<\/p>\n\n\n\n<p>This case was kindly provided by <strong>Henry O\u2019Neil MVB, DVM, MS, Dipl ACVS, MRCVS, &nbsp;Donnington Grove Equine Surgery, UK.<\/strong><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Vision CT proved superior to radiographs for assessing osseous changes in the navicular bone in this case of heel bulb laceration in a 3-year-old thoroughbred gelding.<\/p>\n","protected":false},"author":1,"featured_media":14181,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[77,122],"class_list":["post-14182","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-ct","studies_category-equine-ct-us"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heel Bulb Laceration With Navicular Bone Fracture - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"Vision CT proved superior to radiographs for assessing osseous changes in the navicular bone in this case of heel bulb laceration in a 3-year-old thoroughbred gelding.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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