Right Fore (RF) basal sesamoid bone fracture in January 2025 following a field injury.

A 2-year-old dressage prospect sustained a right fore (RF) basal sesamoid bone fracture in January 2025 following a field injury. The horse completed 14 weeks of stall rest before beginning EqueStride rehabilitation on 23.04.2025. Follow-up imaging later identified involvement of the medial distal oblique sesamoidean ligament (MDOSL), which appeared hypoechoic and damaged on ultrasound examination.

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At the start of rehabilitation:

• The horse was sound at walk

• No significant swelling was present

• Fetlock posture remained upright without hyperextension

• Exercise was limited to stable support and short periods of controlled walking

Ultrasound and radiographic monitoring showed:

• Progressive fracture healing

• Improvement in the MDOSL lesion over time

• Excellent healing by September 2025

Rehabilitation progressed gradually through:

• Controlled hand walking under sedation

• Introduction of small paddock turnout with support

• Progressive increase in turnout duration

• Introduction of trot work and later lunging exercises

• Controlled canter introduction during later rehabilitation phases

Throughout rehabilitation:

• The horse remained consistently sound at walk

• Became sound at trot while wearing EqueStride support

• No swelling or pain on palpation developed

• Fetlock stability remained excellent and upright

Outcome

After approximately six months of EqueStride-supported rehabilitation:

• The fracture and associated ligament injury showed excellent healing

• The horse successfully progressed to turnout, trot work, lunging, and controlled canter exercise

• Ultrasound scans confirmed excellent soft tissue repair, with excellent longitudinal fibre pattern

• A gradual withdrawal plan from EqueStride support was initiated following excellent clinical progress