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Catastrophic injuries, lameness and what to do 


An equine catastrophic (breakdown) injury refers to a severe musculoskeletal injury in an athletic horse, resulting in an acute lameness.  These injuries happen during racing, training or eventing.

The main signs of a breakdown injury include

  • the horse suddenly pulling up lame (often 4/5 or 5/5 lame)
  • a crack possibly heard at the time of injury

Most commonly, these injuries are found in the lower limb, in the fetlock region and/or the foot but also occur in the knee, hock, pelvis, or upper limbs.  Such injuries include fractures, a ruptured suspensory apparatus, ruptured tendons and/or ligaments.

"My horse can bear weight so there can't be a fracture". 

This is a common misconception; until the limb has been assessed by a vet, it is important that first aid be carried out.

What to do

  • Ideally, there will be a vet present at events, who will be able to attend quickly
  • If not, call a vet as soon as possible and in the meantime:
          - Apply a well-padded, large, firm Robert Jones bandage (see below)
          - Confine the horse to limit movement
          - Do not give any medication until you have spoken to your vet
  • If you have to transport your horse a short distance to the nearest vet clinic, the Robert Jones bandage is a suitable support bandage for transport.              

How to apply a Robert Jones Bandage

  • Apply multiple (2-4) layers of padding (usually gamgee or cotton wool)
  • Between each layer of padding, apply a firm compression bandage (usually Vetwrap or Elastoplast)

           - The bandage should be of even thickness from top to bottom.

           - Ensure the bandage extends to include the joints above and below where the
             likely damage is. For example, in the case of a pastern fracture, the bandage
             must extend from the hoof to the knee (carpus).

  • If the limb is unstable, splints can be placed medially and laterally within the bandage, for added support.

This is best done by a veterinarian as an incorrectly applied bandage can do more harm than good.