Medial condyle incomplete fractures
Fracture occurence and clinical signs
Medial condylar fractures are an injury of race horses. In Thoroughbreds, there is a more even distribution between forelimbs and hindlimbs. In Standardbreds, there may be a greater percentage of hind limb involvement.
Fractures typically cause fairly severe acute lameness. The degree of swelling is quite variable. Localizing lameness is not difficult because of pain on local manipulation and palpation.
Imaging
A full set of radiographs (DP, LM, DMPLO, DLPMO) including the entire diaphysis is essential.
Although distal palmar/plantar comminution is not as common in medial condylar fractures as in lateral condylar fractures, the tangential projection to silhouette this region is advised.
If surgical fixation under anesthesia is elected, the ideal way to assess these fractures is with a CT scan.
