03/21/2024
๐ด Happy Foal Friday, everyone! ๐ Today, let's bring attention to a vital aspect of the new foal exam: rib fractures. Understanding these injuries is vital, and early detection is key. That's where the comprehensive new foal exam plays a pivotal role.
One important aspect of the new foal exam is assessing for fractured ribs, which can occur as the foal is being squeezed through the mareโs pelvis during delivery. This evaluation is critically important as the rib cage overlaps numerous critical internal organs, including the heart and lungs. The sharp edges of fractured ribs can puncture these important structures, resulting in internal bleeding and rapid death.
During the new foal exam, the veterinarian will carefully palpate the ribs and evaluate for swelling, pain, and crepitus (crunching or clicking) associated with broken ribs. Ultrasound imaging, as seen in this picture, can also aid in diagnosing and assessing the severity of the fracture.
The majority of simple rib fractures can be managed by maintaining the foal on strict activity restriction/stall rest until the fracture has stabilized, typically one to two weeks. Occasionally, if the fracture is severe and the broken edges are actively threatening internal organs, surgical stabilization may be warranted.
We typically recommend that newborn foals be evaluated within a day of birth and before turnout in order to detect and manage complications such as rib fractures!