suspected tendon injury = box rest, but I don't normally stable :/ - Page 3

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suspected tendon injury = box rest, but I don't normally stable :/

This is a discussion on suspected tendon injury = box rest, but I don't normally stable :/ within the Horse Health forums, part of the Keeping and Caring for Horses category

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    10-19-2012, 09:47 AM
Oh, I thought it was known to be a bowed tendon already. Sorry, but I still stand by my method. The general consensus here is the same as what you are being told in Aussie. I just didn't agree with it and honestly, the horse was so bad I didn't have anything to lose. Full turnout in unlimited space is definitely not the same and, IMO, not a good idea; so, ya, no pasture at this time. Small, small turnout is what I was talking about.

Anyway, good luck this aft with the vet. I hope you find the exact problem.
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    10-19-2012, 11:28 AM
Vet has been and gone, well and truly, but I haven't been back on earlier because I had to go to work pretty much as soon as she left.

Good news and bad news. Good news is, NOT a tendon issue after all. Bad news? It could possibly be so much worse.

Madam trotted up almost sound today despite her big big panic attack last night involving 5 or 6 BIG vertical rears, but had some swelling at her stifle. Vet thought the swelling and warmth I was seeing and feeling at her achilles was probably due to gravity drawing it downwards away from the stifle.

Flexion test. First her nearside hind - the good one - and she trotted up lame. Red flags starting to appear. Second her bad leg, the offside hind, and BANG dog lame "oh my god I broke my leg" type reaction.

Vet then referred to the files and saw that Magic is a 2yo TB. Another red flag. Actually, two more - age and breed. You could actually see the possibility dawning on her face as each particular sign showed itself. And, yet another red flag, Magic is 16.1hh already and her knees are still WIDE open, so open you can actually SEE from the outside that they're not closed yet. So she is going to be HUGE. Big horses are more prone to this particular problem than smaller ones.

We still don't have a definite diagnosis as definite will take x-ray and she has to book the machine well in advance, nick an x-ray gown from small animal because they only have two in large animal and the stifle is frustratingly a 3-person job, and then there's a lot of runaround to develop it because they don't have a portable developer. So she said, give it 4-6 weeks of box rest, a jab of Pentosan Polysulfate (to promote joint health and better lubricate the joints affected), and see if there's any improvement that DOESN'T go away with a flexion test/trot up... and if there's improvement, continue that plan of action. If not, x-rays.

The reason for all of this? The vet thought there was a possibility, given Magic's age and breed, and the way all of this is outwardly presenting, that she may have OCD, and if so, she's likely to have lesions in both stifles. Very minor OCD may self-resolve with box rest and pharmaceutical joint "suppliments" [read pentosan], so she wanted us to try that plan of action first to try to avoid spending much money on x-rays we may not NEED to do. If she needs surgery, it will cost a LOT of money. Vet estimate was anywhere from $6000 to $7000 and possibly more if there are complications, but they don't do the OCD surgery themselves - they would refer us to a city vet with the cutting edge of technology - so they don't have definite quotes for us.

I don't have a lot of money but **** if I won't do everything I can to GET the money if necessary... hell I would take out a bank loan if I had to, which is something I refuse to do for ANYTHING. This horse means that much.

And then there is the possibility, remote at this stage as she is so young, that the lesions, if they exist, may be so bad she becomes essentially crippled. If she can't be kept pasture sound, I will have to make a very difficult decision.

I refuse to think about the worst that could happen. As far as I am concerned she will heal perfect and be totally fine and sound for riding.

But, there goes the plan to one day breed her to a warmblood... even a question of possible OCD is too much when you're thinking of breeding to THE breed type with the highest rate of OCD, which can be genetic. Doesn't mean I can't put her in foal full stop, not necessarily [but I won't if she has it bad enough to need surgery] - I will just have to pick totally sound stallions of breeds that don't have a very high incidence of the problem. I actually know a stallion I might breed her to for a registerable Anglo Arabian foal, but I can't think that far in the future right now when we don't know what the next couple of months will bring.
    10-19-2012, 05:20 PM
OCD? I know I'm wrong in my thinking because OCD to me is heaves - breathing issues. So what is the OCD to which you are referring?
    10-19-2012, 05:28 PM
OsteoChondrosis Dessicans. Normally shows up at around 2-3yo but can appear in younger and in older horses. Very common, apparently, in taller TB's like my girl, and it affects a large percentage of the warmblood population - I saw a figure somewhere that read something like 80% but I'm not sure it's quite THAT high.

It forms lesions in joints that affect the function and cause arthritic changes if not caught and treated in time. There are distinct genetic links, so this pretty much totally puts paid to any future plans of breeding her.
    10-19-2012, 08:30 PM
Oh wow. I'm so sorry. I hope that it is minor and can be handled with medications. Good luck.
    10-19-2012, 08:44 PM
Vet seems to think the prognosis is good at this stage [though there is STILL no definite diagnosis as she needs notice to book the x-ray machine and related specialist equipment and personnel] and the article I just read indicates that in most cases the prognosis is good to excellent that the horse will return to healthy function and be able to work athletically just as well as any other horse.

Assuming, of course, that the OCD is caught in time.

article which explains what it is better than I did, what the risk factors are, how it usually presents, and what the treatment is. I fail to see why surgery for it should cost over $6000 but that's what has been estimated if box rest doesn't clear it up.

X-rays first, though, before I get ahead of myself. Can't set up a plan of attack for if box rest doesn't work, without x-rays to find out exactly what is wrong in the first place.

In Magic's case it's her off side stifle though OCD usually affects horses on both sides of their bodies, not just one, and she did trot up lame after the flexion test on her nearside hind, which was done before the test on her bad leg.
    10-19-2012, 08:47 PM
And the biggest risk factor is them being too mature - too built - at too young an age, or commencing hard work too quickly. Feeding for fast growth is also extremely bad for a horse that's already predisposed to OCD. As far as I know it doesn't run in the family and appears to have developed since she went through the sales as apparently TB's here are all x-rayed in the usual OCD spots of hock, fetlock and stifle before the yearling sales and sold with a copy of those x-rays [according to my vet who of course would be the person who knows about these things].

Edit; and a photo of the built young TB in question - excuse the size! - to illustrate the point. How old does she look to you?

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