Bone Injuries in Horses: A Comprehensive Overview

we will explore the various types of bone injuries in horses, their causes, diagnostic methods, recommended treatments, and strategies for preventing such injuries.

Bone Injuries in Horses: A Comprehensive Overview


Horses are known for their remarkable strength, grace, and agility, but despite these impressive attributes, they are also prone to various types of injuries. Among these, bone injuries are particularly concerning due to their potential to cause long-term complications and affect the overall quality of a horse’s life. As such, equine health professionals and caretakers must be well-versed in identifying, treating, and preventing these injuries. This article will explore the various types of bone injuries in horses, their causes, diagnostic methods, recommended treatments, and strategies for preventing such injuries.


Types of Bone Injuries


Several types of bone injuries can affect horses, including:


  • Fractures: Fractures are breaks in a bone and can range from simple, single breaks to more complex, multiple breaks. They can be further classified as complete or incomplete, open (compound) or closed (simple), and displaced or non-displaced.


  • Stress fractures: Stress fractures are hairline cracks in a bone caused by repetitive stress, such as the constant impact of a horse’s hooves on hard surfaces. They often go unnoticed until they develop into more severe fractures.


  • Chip fractures: These small, detached bone fragments are typically found in the joints, especially in the knee and fetlock. They can be caused by trauma, repetitive strain, or developmental issues.


  • Sesamoiditis: Inflammation and damage to the sesamoid bones in the horse’s lower limbs can lead to stress fractures, chips, or even complete fractures. This condition is common in racehorses and can result from excessive stress on the tendons and ligaments that attach to the sesamoid bones.


  • Osteochondrosis: (OCD) This developmental disorder occurs when there is an abnormality in the growth and maturation of cartilage and bone, resulting in the formation of cartilage flaps or loose fragments within the joint. It is most commonly found in the shoulder, stifle, and hock joints.


Causes of Bone Injuries


Bone injuries in horses can arise from various factors, including:


  • Trauma: Accidents, such as falls, collisions, or kicks from other horses, can result in bone injuries ranging from minor chips to severe fractures. Overexertion during races or events cause tired horses to place their feet wrong and cause stress to a bone that it is not designed for.


  • Poor conformation: Horses with abnormal skeletal structures may experience uneven stress distribution, predisposing them to bone injuries. A farrier can sometimes make up for this deficiency. Corrective shoeing should begin at an early age. Landing squarely on the hoof surface can also mitigate conformation shortcomings.


  • Training and exercise: Overtraining, sudden changes in the intensity or duration of exercise, and working on hard or uneven surfaces can lead to stress fractures and other injuries. Also, unfit animals who need more training to model bone and strengthen ligaments and tendons are at risk for greater injury.


  • Nutritional imbalances: Deficiencies or excesses in essential nutrients, such as calcium, phosphorus, and vitamin D, can compromise bone strength and increase the risk of injury.


  • Genetic predisposition: Some breeds or bloodlines may be more susceptible to certain types of bone injuries due to their genetic makeup.


Diagnosis and Treatment


Diagnosing bone injuries in horses usually involves a combination of clinical examination, palpation, and imaging techniques, such as radiography, ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI). The choice of imaging modality depends on the location and severity of the suspected injury, as well as the availability of equipment.


Treatment options for bone injuries in horses vary depending on the injury’s type, location, and severity. Some standard treatment approaches include:


  • Rest and immobilization: In cases of mild fractures or stress injuries, rest and immobilization may be sufficient to allow the bone to heal naturally. This may involve stall confinement, limited turnout, or the use of casts or splints.


  • Surgery: In more severe cases, surgical intervention may be necessary to repair or stabilize the fractured bone. This can involve the use of plates, screws, pins, or wires to hold the bone fragments in place. In cases of chip fractures or osteochondrosis, arthroscopic surgery may be employed to remove loose bone fragments or cartilage flaps from the joint.


  • Medications: Anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, may be prescribed to manage pain and inflammation. Additionally, a veterinarian may prescribe antibiotics to prevent or treat infections in cases of open fractures.


  • Physical therapy: Following an appropriate healing period, rehabilitation exercises and physical therapy may be recommended by a veterinarian to restore the horse’s range of motion, muscle strength, and proprioception, gradually returning them to their normal activities.


  • Alternative therapies: Some horse owners and veterinarians may opt for complementary therapies, such as shockwave therapy, acupuncture, or laser therapy, to promote healing and pain relief. However, these treatments’ effectiveness varies and should be looked at on a case-by-case basis.


  • Best Hoof’s Bone Strengthener can make a huge difference, as studies indicate the active ingredient Gu Sui Bu can make bones %6.5 stronger.


Prevention of Bone Injuries


Preventing horse bone injuries requires a multifaceted approach, encompassing proper management, training practices, and nutrition. Some key strategies include:


  • Gradual conditioning: Slowly increasing the intensity and duration of a horse’s training regimen allows its musculoskeletal system to adapt to the increased workload, reducing the risk of stress fractures and other injuries.


  • Appropriate footing: Working horses on well-maintained, shock-absorbing surfaces can help to minimize the impact on their bones and joints, reducing the likelihood of injury.


  • Regular farriery: Maintaining proper hoof balance and alignment through regular trimming and shoeing is crucial in preventing uneven stress distribution and subsequent bone injuries. A good farrier can alter the way a horse moves to protect against an injury and prevent one from happening.


  • Balanced nutrition: Providing a diet that meets the horse’s requirements for essential nutrients, particularly those involved in bone growth and maintenance, is vital in ensuring optimal bone health and reducing the risk of injury.


  • Routine veterinary care: Regular veterinary examinations can help to identify early signs of bone injuries, enabling prompt intervention and reducing the risk of more severe complications.


  • Genetic screening: In some cases, genetic screening may be beneficial in identifying horses with a predisposition to certain bone injuries, allowing for targeted management and prevention strategies. This is often the case with OCD lesions which are more predominant in certain breeds like Standardbreds.


  • Supplements like Best Hoof’s Bone Strengthener, which contains the herb Gu Sui Bu, can help the body make, heal and maintain stronger bones.




Bone injuries in horses are a significant concern for horse owners, trainers, and veterinarians due to their potential to cause long-term complications and negatively impact a horse’s quality of life. Understanding the various types of bone injuries, their causes, and the appropriate diagnostic and treatment options is essential for effectively managing these conditions. Moreover, implementing preventive measures, such as proper conditioning, nutrition, and routine care, can significantly reduce the incidence of bone injuries and ensure the ongoing health and well-being of these majestic animals.