SURPRISING FINDINGS ABOUT RARE NAVICULAR CONDITION

A new study suggests that a rare malformation of the navicular bone that often results in chronic lameness is congenital rather than related to wear or injury.

Researchers from Utrecht University in the Netherlands and Ghent University in Belgium recently published a paper documenting three cases of navicular bone partitions---meaning the bone is composed of two (bipartite) or three (tripartite) sections instead of a normal, single structure. These sections are delineated by defects in the bone, covered by smooth cartilage, and range from shallow dents to full-depth separations connected only by fibrous tissue. In each case, the unusual formation was discovered through radiographs taken to investigate chronic lameness.

These abnormalities are often mistaken for fractures or other injuries, but they would actually be present at birth, says Willem Back, DVM, PhD, DECVS. “At around 100 days of pregnancy the navicular bone is still made up of cartilage, while at 3 to 4 months of age, the bone starts to become fully ossified,” he says. “We think that degree of lameness.

“We think these horses develop lameness when there are more structural, degenerative changes becoming apparent in the bone,” says Back. “In cases of a more advanced cyst formation, most likely this will result in a chronic lameness.”

He adds, however, that if the condition is discovered before the horse becomes lame, there are ways to try to preserve soundness. “A conservative therapy can be initiated using NSAIDs , corrective farriery and a restricted exercise regimen,” Back says, “but obviously still with a poor prognosis. A surgical intervention, such as a neurectomy , is not advisable, as this would even accelerate the cyst formation and increase the chance of the horse developing even a pathological navicular bone fracture.” Both the left (A1) and right (B1) front navicular bones of this horse have an abnormal tripartite structure, with bone sections connected by fibrous tissue. This structure is clearly seen when a cross section of the bone is viewed from above (A2 and B2).