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  1. #1
    Join Date
    Jan. 30, 2007
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    Default Update, Nicky Corrigan's fractured femur - rays of hope?- advice please

    The fracture is of the third trochanter. I finally got a good look at what that piece is here http://users.skynet.be/Road_Rebel/St...osteologie.pdf

    it;'s not associated with a joint which sounds good but I guess it does protrude specifically BECAUSE the process is attached to such a strong gluteal muscle.

    has anyone had any experience with an avulsion fracture of the third trochanter?

    Any suggestions about things that will support healing? calcification of the bone? reattachment? anything?
    Last edited by tisor; Aug. 16, 2012 at 01:59 PM.



  2. #2
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    Jan. 30, 2007
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    Default crickets??

    wow, I hear crickets. So that's not good.

    How about this: Does anyone know where i can rent shockwave equipment?



  3. #3
    Join Date
    Jul. 21, 2003
    Location
    St Aug, Fla
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    Default

    Sorry I have no experience with any of that but so sorry you are having to deal with it. I hope your horse heals quickly!
    ~~~~~~~~~

    Member of the ILMD[FN]HP Clique, The Florida Clique, OMGiH I loff my mares, and the Bareback Riders clique!



  4. #4
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    Feb. 25, 2011
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    So California
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    Default

    Best wishes for your horse. I wish I had good advice or knowledge on this subject but I don't.

    It would be nice if you could keep us posted with what you learn. It looks pretty scary to have a fracture on the femur. Is it a small fracture? Will it require surgery? How was it diagnosed?

    Sorry for just questions and no answers.



  5. #5
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    Feb. 25, 2011
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    So California
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    Default

    Quote Originally Posted by PeteyPie View Post
    Best wishes for your horse. I wish I had good advice or knowledge on this subject but I don't.

    It would be nice if you could keep us posted with what you learn. It looks pretty scary to have a fracture on the femur. Is it a small fracture? Will it require surgery? How was it diagnosed?

    Sorry for just questions and no answers.
    Just found your original post so ignore my questions. They are mostly answered there!



  6. #6
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    Feb. 14, 2003
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    Windward Farm, Washougal, WA- our work in progress, our money pit, our home!
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    Your location might help other COTHers help you find a treatment protocol, or possibly someone who has familiarity with this type of injury.
    Proud member of the "Don't rush to kill wildlife" clique!



  7. #7
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    Jan. 30, 2007
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    Default

    Oh I assumed my location was posted. I'm in San Francisco, horse is in Petaluma 45 min North of San Francisco

    fracture is an avulsion fracture of third trochanter which is NOT in the joint but an insertion point for a gluteal muscle



  8. #8
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    Jul. 10, 2001
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    6,707

    Default

    Surgical reattachment is really the only option. I am sorry, but in humans this is the only treatment that has relative success. Otherwise there is a litany of complications and conditions that will prevent the fracture from ever healing.

    While in humans these fractures can heal rapidly without surgery, the patient is required to keep the limb immobile for 3 weeks of more. That is impossible for a horse.

    I would get the horse to Davis and get a true orthopaedic consultation.



  9. #9
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    Jun. 30, 2009
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    Default

    From OP's previous thread on this horse, it sounds as if he is/was at Davis for the diagnosis etc



  10. #10
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    Jan. 30, 2007
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    Default surgery?

    Yes this was diagnosed at Davis using Ultrasound, bone scan and xray. The vet said that they can't correct it surgically because the gluteal muscle will pull out any screws or plates.



  11. #11
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    Jan. 30, 2007
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    I have the hardest time even finding ANY literature abouyt this fracture because it's so rare.

    But I just read this and it gave me hope - which might be bad:

    http://www.ivis.org/proceedings/aaep...0102000387.pdf

    Fracture or Enthesopathy of the Third Trochanter
    of the Femur

    Fracture of the third trochanter of the femur is a
    relatively unusual injury, resulting in acute-onset,
    severe lameness that often improves quite
    rapidly with box rest. In a lean, poorly muscled
    horse it may be possible to elicit pain by palpation,
    but in a well-muscled warmblood type this is usually
    not possible. There are no particular gait characteristics.
    Nuclear scintigraphy is particularly valuable
    for tentative diagnosis of a fracture.
    There is intense, focal IRU (Fig. 16). Diagnosis
    may be confirmed radiographically, but good-quality
    radiographs can only be achieved under general anesthesia.
    Fractures are often longitudinal, occurring
    at the base of the trochanter. There is usually
    minimal displacement. Diagnostic ultrasonography
    has not been useful in my experience in helping
    to confirm the presence of a fracture. It is possible
    that some horses with IRU in the region of the third
    trochanter have enthesopathy of the attachment of
    the superficial gluteal muscles, but I have not been
    able to confirm this ultrasonographically. Treatment
    is box rest for 2 mo, followed by walking exercise
    for another month. Healing may occur by
    either osseous or fibrous union. Prognosis is good



  12. #12
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    Jun. 30, 2009
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    Don't forget these authors are real people, find contact information & call/email until you get a reply, ask if vet will look at your case

    Have case history ready to fax, attach to email etc - do you already have the Davis results on CD etc?



  13. #13
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    Jan. 30, 2007
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    I just got off the phone with my horse's normal vet. He hasn't seen many of these cases either. It just IS super rare. BUT, he said he'd have suggested TWO months stall and then out to pasture. we're going to do three months and take a look. he's also in favor of shockwave and PRP.

    The question is whether it heals through ossification (bone creation and fusion) or by the fibrous union mentioned in that extract. Fibrous won't be as strong and is also the more likely way it will heal. Odds are greater that we won't be able to jump him ever (still so heartbreaking - he never even started) but he also might. we just have to see how it heals.

    He also said that id I just turned him out on pasture it would heal, but we want it to heal "right".

    So... fingers crossed?

    Here is his xray btw, you can really see it top left

    http://www.facebook.com/photo.php?fb...type=1&theater



  14. #14
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    Apr. 22, 2006
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    Quote Originally Posted by tisor View Post
    Yes this was diagnosed at Davis using Ultrasound, bone scan and xray. The vet said that they can't correct it surgically because the gluteal muscle will pull out any screws or plates.
    What if they used botox to relax the muscle while it heals? Botox is used for relaxing spastic or tight muscles for people.
    "The captive bolt is not a proper tool for slaughter of equids they regain consciousness 30 seconds after being struck fully aware they are being vivisected." Dr Friedlander DVM & frmr Chief USDA Insp



  15. #15
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    Apr. 14, 2001
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    Minnesota
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    Quote Originally Posted by alto View Post
    Don't forget these authors are real people, find contact information & call/email until you get a reply, ask if vet will look at your case

    Have case history ready to fax, attach to email etc - do you already have the Davis results on CD etc?
    This. Totally.

    Consult the experts, don't just read what they've published. TALK to them.



  16. #16
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    Oct. 8, 1999
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    My TB gelding fractured his third trochanter a few years ago when he had a trailer accident. He was diagnosed on bone scan as he had a persistant, grade 3 lameness that would not block out wth nerve blocks. In his case we did 2 months stall rest, then 2 months small paddock. We also shockwaved and injected local steroids. He healed fully from that injury. The prognosis is actually quite good for these with stall rest, etc as is horses the fragments tend to not displace much. We actually bone scanned him again later as he was lame from a suspensory injury and before we did surgery we wanted to confirm the femur had healed. It was fully healed on the second bone scan


    1 members found this post helpful.

  17. #17
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    Jan. 30, 2007
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    oh i like the sound of that jr eventer. does your horse lie down a lot? i'm worried that will be an issue.

    and ptwonet i like the sound of botox! why not! has anyone done this succefully? wouldnt he then be in danger of pulling some other thing that would have to replace that muscle?

    and yes, i have the DVDs from davis and am sending those to local vets.



  18. #18
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    Nov. 23, 2001
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    Catharpin, Virginia
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    Default

    I saw your original post but have not been able to post on COTH (new computer glitch) until recently.

    Yes, my mare fractured her femur. I will find the actual location.

    In a stall for 6 months. She was smart. Would only lay down with her good leg underneath her.

    It was a crapshoot...but, she recovered to full soundness. No bute, nothing that could mask the problem for her and I believe that allowed her to be careful.

    Was terrified she'd founder on the opposite hind as for the first month, she would keep the fractured leg literally off the ground for much of the day.

    I'll check the exact location and get back to you.



  19. #19
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    May. 21, 2008
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    Sonoma County, California
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    Ugh. I so totally feel for you. My horse has an avulsion fracture of the proximal suspensory origin and he's on stall rest.

    I'm in Santa Rosa so close to you. Curious who you work with locally. Have you talked to Tom Yarbrough? He's a surgeon and that guy is da bomb for challenging stuff. Worth getting him on the phone and picking his brain.

    I've been hauling my lame horse down to Riverside to see Dr. Smith and do shockwave. He comes up from GGF once a week. Anyway, he's another source of info and very good.

    As far as other support goes, the advice I got was to test my hay & get a nutritional consult and make sure my horse's diet was as balanced as possible, to support his body's ability to heal itself. I'm also giving him the herb comfrey, which is also known as 'boneset' or 'knit bone' per another consult.

    PM me if you want. Maybe we can form a North Bay support group, LOL.

    PS, be sure to ask about the difference between radial and focused shockwave and which is best for your horse.
    Last edited by Watermark Farm; Sep. 13, 2012 at 06:18 PM.



  20. #20
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    Oct. 8, 1999
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    Sorry just saw this.
    Yes my guy laid down a lot! He is a very, very mellow gelding who loves to sleep and eat, and eat while laying down Really with this injury the vets were not concerned with him laying down. We were concerned with recovering him from anesthesia if it wasn't healed (since anethesia recovery can be very rough) but the second bone scan 6 months after the initial one showed it was fully healed. He returned to full work from this injury. Unfortunately his suspensories did not hold up but that is a different story!



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