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Principles of Interpretation

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Results of nuclear scintigraphic examinations have been documented in racing Thoroughbreds [75] and Standardbreds [107], and horses used for showjumping, eventing and hunting [108], reporting the distribution of areas of IRU and their variability between disciplines. Interpretation of the presence of a stress reaction relies on knowledge of injury predilection sites. The spectrum of IRU in stress fractures can vary from a focally marked fusiform area of cortical IRU to an area less intense or well defined which can represent the pathophysiological continuum between fracture and stress reaction. Asymptomatic foci can reflect prodromal change, active remodelling or healing. Alternative imaging may be needed to determine the significance of findings.

Fractures in the Horse

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