Fractures of the proximal aspect of the calcaneus frequently involve the calcaneal bursa. Most of these fractures are open and the result from a kick from another horse.
The prognosis for future soundness is usually poor in those cases. Aggressive treatment should be implemented as soon as possible.
Fractures of the calcaneus
Calcaneal fractures are often open and can be complicated by osteomyelitis, septic calcaneal bursitis, sequestration and chronic drainage. The prominence of the calcaneus makes it susceptible to external impact by kicks or other trauma.
Clnical signs and imaging
Lameness is usually severe with calcaneal fractures.
In addition to standard projections, stressed radiographs can provide important additional information. Skyline views are useful for evaluating the calcaneus and sustentaculum tali.