Authors of section

Authors

Jörg Auer, Larry Bramlage, Patricia Hogan, Alan Ruggles, Jeffrey Watkins

Executive Editor

Jörg Auer

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Nonsurgical management

1. Nonsurgical treatment

External coaptation is usually not required for conservative management. However, in severe cases with profound lameness, external support may be beneficial in the early weeks of healing.

Comminuted fracture of the proximal sesamoid bone - nonsurgical treatment

Extended stall rest and a gradual return to some exercise will typically result in a functional fibrous union, however soundness is dependent upon the degree of osteoarthritis that develops.

Generally stall rest for 90 days followed by hand walking for 30-60 days is sufficient prior to free exercise.

Healing can be monitored radiographically, however, progress of osseous union is more difficult to assess because of the fibrous nature of union.

Comminuted fracture of the proximal sesamoid bone - nonsurgical treatment