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Pre-Purchase Vet Check for Foreign Buyers: X-rays, Second Opinion, and Risks

Veterinary31 July 2026Updated 3 August 2026By Avante Sporthorses
Pre-Purchase Vet Check for Foreign Buyers: X-rays, Second Opinion, and Risks – Veterinair – sport horse knowledge base – Avante Horse Sales

How do you get a sport horse vetted if you don't live in the Netherlands? About the scope of the examination, remote reading of X-ray images, and assessing findings.

For a buyer living in the Netherlands, a pre-purchase examination (PPE) is an afternoon's work. For a foreign buyer, it is a logistical project where trust, timing, and documentation come together. This guide describes how to organize it effectively.

What Does a Full Pre-Purchase Examination Include?

A standard examination consists of a clinical part and a radiological part. Clinical: assessment at rest, heart and lungs, eyes, teeth, flexion tests, movement on hard and soft ground, and assessment under saddle. Radiological: typically eighteen to twenty-four views of hooves, fetlocks, hocks, stifles, and back. Additional examinations, such as ultrasound of tendons, endoscopy of the airways, or an exercise test, follow if indicated.

For horses in the higher price segment, a more extensive package is common, including neck views and sometimes scintigraphy.

Who Chooses the Veterinarian?

The buyer. This is the most important principle of a reliable examination. A veterinarian who works daily for the selling stable has a conflict of interest, no matter how ethical they may be. Choose an independent clinic and formally put the assignment in the buyer's name, so you own the report and images.

How Do I Have X-ray Images Assessed Remotely?

Ask the clinic to provide the images in DICOM format, not just as a screenshot or PDF. Your own veterinarian or a specialized radiologist in your country can then assess these images themselves. A second opinion usually costs between 150 and 400 euros and is worth the investment for any serious purchase: differences in interpretation between veterinarians are real, especially in borderline cases.

What Do Common Findings Mean?

Virtually no horse is completely clean radiographically. The question is whether a finding is clinically relevant for the intended use. Chip fragments in a fetlock joint without lameness are weighed differently for a show jumper at 1.20m than for a prospective Grand Prix horse. Mild degeneration in a hock joint may be normal for a nine-year-old sport horse but a warning for a four-year-old. Always ask the veterinarian for an explicit risk assessment in relation to your goal, not just a description.

Can a Remote Examination Be Reliable?

Yes, provided you arrange three things: an independent clinic, a video connection or complete video recording of the clinical part including flexion tests, and delivery of all raw images. Many clinics are equipped for this and work standardly with international buyers. What you should not accept is a summary report without underlying images.

What if a Finding is Revealed?

Then you have three options: withdraw from the purchase, proceed with knowledge of the risk, or negotiate the price. Stipulate a pre-purchase examination clause in the sales agreement beforehand, so you can withdraw without discussion. Keep all documentation: for a later sale or insurance claim, the original examination is your proof.

Next Step

Avante Horse Sales organizes independent examinations at specialized clinics and delivers all images and reports directly to the buyer. Contact us for more information about our vetting service.

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