Severe and comminuted fractures of scapula are not candidates for conservative management; they should be destroyed because of humane reasons.
The shoulder region may be severely swollen, which provides some stability during the initial phase.
The animal is placed in a box stall and tranquilized to some extent. It is very important to prevent any excessive movements of the injured limb. Stall rest should be maintained for 6 weeks, followed by hand walking for an additional month.
Placing the horse in a sling for a few weeks prevents it from lying down and potentially aggravating the displacement.