“…9,11,12,14,15,[17][18][19] In only 1 Thoroughbred study 10 did metacarpal and carpal injuries exceed proximal sesamoid bone injuries. Palpation should be useful for detection of some distal scapular spine lesions 35 ; ultrasonography for scapular and ilial wing lesions 36,40,41 ; radiography for humeral, metacarpal and metatarsal, and tibial lesions 39,[42][43][44] ; and scintigraphy for scapular, humeral, metacarpal and metatarsal, pelvic, and tibial stress remodeling. 15,19,20,24,26,32,[34][35][36][37][38][39] Evidence of preexisting periosteal callus was noted in association with complete fractures of the scapula, humerus, and tibia for some Quarter Horses of the present study.…”