Standing repair of a complete, articular fracture of the proximal radius in a racing Thoroughbred

Summary A 5‐year‐old Thoroughbred mare presented with acute onset, nonweight bearing lameness of the left forelimb following a kick injury to the left cubital joint during exercise earlier the same morning. Survey radiographs confirmed a complete articular fracture of the caudolateral prominence of the proximal radius. Later the same day, the fracture was repaired using two 4.5 mm cortical screws placed in lag fashion as a standing procedure using radiography to guide screw placement. No intraoperative complications were encountered and follow‐up radiographs indicated complete fracture healing and an absence of any secondary arthritic changes. The horse made an uneventful return to full athletic training, with the first race 216 days following the date of injury. In summary, this case report further expands the repertoire of select fractures of the proximal limb that have the potential to be repaired in the standing patient.