An 8-year-old showjumper gelding was referred for examination as a result o
f a purchase dispute for reported back pain. Clinical examination identifie
d back pain and atrophy of the left semimembranosus and semitendinosus musc
les, but no lameness. Standing pelvic radiography demonstrated a chronic no
nunion fracture of the left ischium, the clinical significance of which was
uncertain. The apparent back pain was thought to be probably unrelated to
the pelvic lesion. We conclude that chronic ischial fracture in the horse c
an lead to specific atrophy of the semimembranosus and semitendinosus muscl
es, which originate from this bone.