{"id":17451,"date":"2026-01-08T09:09:20","date_gmt":"2026-01-08T09:09:20","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/salter-harris-type-ii-fracture-in-a-foal\/"},"modified":"2026-01-08T09:14:28","modified_gmt":"2026-01-08T09:14:28","slug":"salter-harris-type-ii-fracture-in-a-foal","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/salter-harris-type-ii-fracture-in-a-foal\/","title":{"rendered":"Salter-Harris Type II Fracture in a Foal"},"content":{"rendered":"\n<p>In this case study, a foal sustained a Salter-Harris type II fracture of the left hind proximal phalanx following a collision with a paddock mate, and subsequent fall. As a result, the foal was acutely lame on the affected limb. A radiographic examination confirmed the presence of the fracture, and the foal was referred to the hospital for further imaging and appropriate treatment.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"712\" height=\"1024\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-712x1024.jpg\" alt=\"Figure 1:  DMPaL oblique radiograph of the left hind limb demonstrating a fracture involving the lateral aspect of the physis of the proximal phalanx. \" class=\"wp-image-17441\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-712x1024.jpg 712w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-209x300.jpg 209w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-768x1105.jpg 768w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-500x719.jpg 500w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal-540x777.jpg 540w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-1-DG-9-Foal.jpg 833w\" sizes=\"auto, (max-width: 712px) 100vw, 712px\" \/><figcaption class=\"wp-element-caption\"><p><em>Figure 1:\u00a0 DMPaL oblique radiograph of the left hind limb demonstrating a fracture involving the lateral aspect of the physis of the proximal phalanx.<\/em><\/p><\/figcaption><\/figure>\n<\/div>\n<h2 class=\"wp-block-heading\">CT Findings<\/h2>\n\n<p><p>Upon arrival at hospital, the foal underwent computed tomography (CT) using Hallmarq\u2019s <a href=\"\/?p=4346\" target=\"_blank\" rel=\"noreferrer noopener\" data-mce-href=\"https:\/\/hallmarq.net\/us\/products\/standing-equine-leg-ct\/\">Vision CT<\/a> system. This confirmed a closed, displaced Salter\u2013Harris type II fracture propagating through the physis from the lateral aspect, extending into the metaphysis on the plantaromedial aspect. In addition, multiple small osseous fragments were identified at the distal margin of the fracture fragment.<\/p><\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"410\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-1024x410.jpg\" alt=\"\" class=\"wp-image-17443\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-1024x410.jpg 1024w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-300x120.jpg 300w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-768x307.jpg 768w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-500x200.jpg 500w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-1000x400.jpg 1000w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-540x216.jpg 540w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal-1080x432.jpg 1080w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-2-DG-9-Foal.jpg 1379w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><p><em>Figure 2: CT 3D reconstruction images of the left hind limb demonstrating a displaced Salter\u2013Harris type II fracture, propagating through the physis from the lateral aspect and extending into the plantaromedial metaphysis.<\/em><\/p><\/figcaption><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"903\" height=\"733\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal.jpg\" alt=\"\" class=\"wp-image-17444\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal.jpg 903w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal-300x244.jpg 300w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal-768x623.jpg 768w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal-500x406.jpg 500w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-3-DG9-Foal-540x438.jpg 540w\" sizes=\"auto, (max-width: 903px) 100vw, 903px\" \/><figcaption class=\"wp-element-caption\"><p><em>Figure 3: CT volume rendering image of the left hind limb demonstrating the fracture.<\/em><\/p><\/figcaption><\/figure>\n<\/div>\n<h2 class=\"wp-block-heading\">Treatment<\/h2>\n\n<p>The following day, the fracture was surgically repaired under general anesthesia using a combination of cortical screws and a plate. With fracture reduction achieved under intraoperative radiographic guidance, stabilization was completed without complications. The foal was comfortable in the immediate postoperative period.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"919\" height=\"922\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal.jpg\" alt=\"\" class=\"wp-image-17445\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal.jpg 919w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal-300x300.jpg 300w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal-150x150.jpg 150w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal-768x771.jpg 768w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal-500x502.jpg 500w, https:\/\/hallmarq.net\/app\/uploads\/2026\/01\/Fig-4-DG-9-Foal-540x542.jpg 540w\" sizes=\"auto, (max-width: 919px) 100vw, 919px\" \/><figcaption class=\"wp-element-caption\"><p><em>Figure 4: Post-operative lateromedial radiograph of the left hind limb.<\/em><\/p><\/figcaption><\/figure>\n<\/div>\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n<p>In the case of a Salter-Harris type II fracture, computed tomography (CT) allowed thorough evaluation and proved to be a suitable imaging modality. It enabled detailed assessment under mild sedation with the foal remaining standing, even at a young age. This facilitated accurate characterization of the fracture configuration and supported informed surgical planning. In time, the case will be reviewed and follow-up information will be provided.<\/p>\n\n<p><p>With thanks to surgeons Dr Henry O\u2019 Neil and Dr Giorgio Ricardi, <a rel=\"noopener noreferrer\" target=\"_blank\" href=\"https:\/\/www.dgequinevets.com\/\" data-mce-href=\"https:\/\/www.dgequinevets.com\/\">Donnington Grove Equine Vets<\/a>, UK, for sharing this case with us.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In the case of a Salter-Harris type II fracture, computed tomography (CT) enabled thorough evaluation and proved to be a suitable imaging modality. It aided detailed assessment under mild sedation, with the foal remaining standing, even at a young age. This facilitated accurate characterization of the fracture configuration to support informed surgical planning. <\/p>\n","protected":false},"author":2,"featured_media":17444,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[122],"class_list":["post-17451","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-ct-us"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Salter-Harris Type II Fracture in a Foal - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"In the case of a Salter-Harris type II fracture, computed tomography (CT) enabled thorough evaluation and proved to be a suitable imaging modality. It aided detailed assessment under mild sedation, with the foal remaining standing, even at a young age. 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