{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T03:01:52Z","timestamp":1755226912134,"version":"3.43.0"},"reference-count":41,"publisher":"American Veterinary Medical Association (AVMA)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2025,6,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>Objective<\/jats:title>\n<jats:p>To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses &gt; 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were included. Follow-up information was obtained from referring veterinarians and telephone questionnaires with owners.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>41 horses met the inclusion criteria: 29 horses with subchondral bone cysts and 12 horses with subchondral bone fissures. Warmblood was the predominant breed type, and show jumping was the predominant athletic discipline. At 6 months postoperatively, 85% (35 of 41) of horses were sound (95% CI, 74.6% to 96.2%), with a return to previous athletic level in 73% (30 of 41; 95% CI, 59.7% to 86.7%). Horses treated for subchondral bone cysts had higher rates of soundness (90% vs 75%; risk difference, 14.7%; Cohen\u2019s <jats:italic>h<\/jats:italic> = 0.36) and return to intended use (76% vs 67%; risk difference, 9.2%; Cohen\u2019s <jats:italic>h<\/jats:italic> = 0.28) compared with those treated for subchondral bone fissures. However, these differences were not statistically significant.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Lag screw compression may be beneficial in the treatment of subchondral bone lesions in the proximal aspect of P1.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Clinical Relevance<\/jats:title>\n<jats:p>This surgical technique may provide an effective treatment for subchondral lesions of the first phalanx where conservative therapies have failed, and may have mitigated the risk of progression to macrofracture.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.25.03.0134","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T12:25:47Z","timestamp":1750076747000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses"],"prefix":"10.2460","author":[{"given":"Michelle","family":"Maguire","sequence":"first","affiliation":[{"name":"Palm Beach Equine Clinic, Wellington, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6609-0461","authenticated-orcid":true,"given":"Robert","family":"Brusie","sequence":"additional","affiliation":[{"name":"Palm Beach Equine Clinic, Wellington, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"9","key":"ref1","series-title":"Equine Vet Educ","first-page":"e223","article-title":"Complete fractures through osseous cyst-like lesions of the proximal phalanx in three horses","volume":"36","author":"Ammann L","year":"2024","unstructured":"Ammann L, F\u00fcrst AE, Jackson MA. 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