Computed tomography (CT) in equine orthopaedics is currently limited because of the price, availability, impossibility to transport the scanner into surgical theatre, and the contraindications of general anaesthesia in some patients. A pQCT (peripheral quantitative computerised tomography) scanner was designed by the authors to image the limbs of the horse, both in standing or recumbent position. Standing computed tomography of the foot with a pQCT scanner is feasible and well tolerated by the horse. It enables good visualisation of bony structures but is not suitable to evaluate soft tissues. The technique can also assist surgery by assessing the 3D configuration of bone lesions.