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Acute lameness - broken bone, extensor tear, ???

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  • Im glad she is doing better A2. Continued healing for her.

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    • would be cool if you could show a video of her just to show improvement.

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      • Original Poster

        Another great update for today....the vet just left and she took a ton of new radiographs. We still cannot see any fracture line anywhere so at this point, she is ruling it out. We've taken a ton of films over a 2 month period and still can't find a fracture. Two vets have called her "fracture lame" and said they've never seen one that lame and NOT have a fracture, but the radiographs just don't support that theory.

        There is however proof that the distal sesmoidian ligament was avulsed (complete detachment) as evidenced by the significant amount of periostial reaction on the pastern bone.

        There is no evidence of any boney abnormalities anywhere else, so this is consistent with what the ultrasound showed.

        At this point the vet was confident and comfortable with the diagnosis of avulsion of the medial distal sesmoidian ligament. She is considering the abnormality of the coffin bone and lateral collateral cartilage to be insignificant incidental findings and not related to this injury.

        The filly is doing GREAT and the vet was extremely pleased with her progress. There is no heat, and only a minor bit of swelling remaining. She walks great and it looks like she is well on the road to recovery. Her being so young undoubtedly helps.

        The risk of course is re-injury later in life due to lack of stability in the joint but we'll have to manage that as it comes. We will re-evaluate in the spring as far as turnout into a small, level paddock.

        I added a full dose of Cosequin ASU and reduced the SmartFlex Repair to 1/2 dose which will give her 12,000 mg glucosamine instead of 10,000. Also she will be getting the ASU which the SmartFlex doesn't supply. The vet thought this was fine in lieu of the Platinum Performance CJ which was just way too expensive for what you get.

        She said to continue with the cold water machine every night and in another couple weeks or so I will try cutting her Previcox down to 1/2 a pill and see how that goes.

        So overall, I'm happy that she is doing so well and though she probably won't be a riding horse, at least she will "hopefully" be pasture sound and can at least be something pretty to look at out my living room window. That's better than putting her down which was the talk a month ago.

        Fharoh - I posted a video last week of how she is moving now. It is rotated though and I have no idea why because when I pull it up from my camera to the computer, it's not. I will try to shoot a new one though that hopefully won't be rotated. I just haven't had the time.

        Edited to add - I forgot to mention - we talked about her living situation in the aisleway and the vet thought that was great. At this point minimizing the amount of scar tissue and risk of adhesions is going to be a priority so steady gentle movement is going to be the best thing. Strictly confining to a tiny area would allow scar tissue to set up and contribute to more long term lameness. So at this point I am happy that I went with my gutt on where to put her in the barn. I just did not feel right about blocking her into half a stall (for her mental sake) and given that she has continued to improve daily I felt I was doing the right thing. I am really sorry that so many people have been outraged over that, but when you see the animal every day with your own eyes, you develop gutt feelings about what is the best thing to do. No, I had no idea for sure if there was a fracture or not, but at this point if I "had" strictly confined her to a tiny area, there would probably be more scar tissue and more lameness. The fact that she has been able to move has turned out to be the best for her. Obviously the key is flat, smooth footing. No holes or frozen terds or ice! So the barn aisle is a great place for her to move safely.

        I'm dealing with this with myself right now - scar tissue and subsequent neuropathy from an old injury. Doctor told me if I had done massage and P.T. throughout the injury, the huge ball of scar tissue probably wouldn't be there. I'm going to look into the possibility of gentle massage for the filly's leg to see if it might be beneficial.
        Last edited by Auventera Two; Jan. 12, 2011, 11:40 AM.

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        • A2, you may have me on ignore, but I'll post this anyway as it may be relevant and helpful to others.

          My mare developed scar tissue that impacted a nerve and artery in her left front pastern. I had treated her for what appeared to be a tiny cut there. Unbeknownst to me, the "cut" was deeper than I thought. She played sound with her friends in turnout, but I realize now that was due to the escitement of play. On the lunge line, she showed lameness.

          Anyway, my vet injected the site with steroids and prescribed massaging the areea with DMSO for a month, followed by a month's worth of massage with Surpass to reduce the scar tissue. After that, we put her back to work under saddle with 30 minutes of walking, 5 minutes of trot for about 6 weeks (BO-RING!). Now we're adding a little canter work and a little more trot work.The mare is now back to work and almost 100% sound and the vet says she will be able to jump again. It's been a long, long rehab, though.

          I don't know if any fo this pertains to your filly's scar tissue, just putting it out there in case it's helpful. Obviously she has other issues with the avulsion. Best wishes for her continued recovery.

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          • Great news! Thanks for posting A2. I look forward to reading her continued improvement! Best Wishes!

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            • Fabulous.
              Click here before you buy.

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              • Original Poster

                Originally posted by Beasmom View Post
                A2, you may have me on ignore, but I'll post this anyway as it may be relevant and helpful to others.

                My mare developed scar tissue that impacted a nerve and artery in her left front pastern. I had treated her for what appeared to be a tiny cut there. Unbeknownst to me, the "cut" was deeper than I thought. She played sound with her friends in turnout, but I realize now that was due to the escitement of play. On the lunge line, she showed lameness.

                Anyway, my vet injected the site with steroids and prescribed massaging the areea with DMSO for a month, followed by a month's worth of massage with Surpass to reduce the scar tissue. After that, we put her back to work under saddle with 30 minutes of walking, 5 minutes of trot for about 6 weeks (BO-RING!). Now we're adding a little canter work and a little more trot work.The mare is now back to work and almost 100% sound and the vet says she will be able to jump again. It's been a long, long rehab, though.

                I don't know if any fo this pertains to your filly's scar tissue, just putting it out there in case it's helpful. Obviously she has other issues with the avulsion. Best wishes for her continued recovery.
                Thank you for sharing what worked with your horse. I will talk with the vet more about this. I have been using the Surpass though just off and on because it hasn't seemed to do anything one way or the other, but maybe I should do it more religiously. I'll ask her about that.

                We have talked about injections before but she didn't want to go to that just yet. Thankfully it does not appear that any articular surfaces are affected but that might change as the osteoarthritis forms.

                Comment


                • Good news! Continued jingles for you and the filly.
                  Michael: Seems the people who burned me want me for a job.
                  Sam: A job? Does it pay?
                  Michael: Nah, it's more of a "we'll kill you if you don't do it" type of thing.
                  Sam: Oh. I've never liked those.

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                  • Good news for the filly. It is just miraculous what some time can do sometimes. I bet all the prayers and jingles for her helped too. Thank the Lord!

                    Comment


                    • I'm glad to hear your filly is doing better.

                      I don't know that anyone was "outraged" by what you decided to do. Your horse, your decision. I'm not a "do what the vet sez no matter what" person either. When I brought my mare back in to work and she was uneven (to put it mildly), I used the best lameness vet around here, but ended up not doing what he suggested.

                      But it was frustrating (and confusing) to wade through your long, detailed posts about differing advice and prognoses from the various vets, that ended with "ain't doing that." I guess that's what the scroll feature is for, huh?

                      I hope she continues to improve.
                      __________________________
                      "... if you think i'm MAD, today, of all days,
                      the best day in ten years,
                      you are SORELY MISTAKEN, MY LITTLE ANCHOVY."

                      Comment


                      • Glad things are looking up for your filly!

                        Comment

                        • Original Poster

                          Yay we've been cleared for a bit of slow, careful handwalking We've been doing a trip to the end of the driveway and back each night (plowed, salted, no ice). The vet says to only do what she can handle without getting sore and to take it slow and easy.

                          She is THRILLED to get out and go for some walks. But for having been cooped up more than 2 months she isn't trying to get away or act crazy. She just wants to stick her nose in the snowbanks on the edge of the drive and blow so it flies up in her face.

                          Comment


                          • Originally posted by Auventera Two View Post
                            Yay we've been cleared for a bit of slow, careful handwalking We've been doing a trip to the end of the driveway and back each night (plowed, salted, no ice). The vet says to only do what she can handle without getting sore and to take it slow and easy.

                            She is THRILLED to get out and go for some walks. But for having been cooped up more than 2 months she isn't trying to get away or act crazy. She just wants to stick her nose in the snowbanks on the edge of the drive and blow so it flies up in her face.
                            A.W.E.S.O.M.E.!!!! Good job, Vicki! And good job, Filly!
                            --Gwen <><
                            "Treat others as you want to be treated and be the change you want to see in the world."
                            http://www.thepenzancehorse.com

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                            • Very cute!

                              It's so nice when they BEHAVE themselves and follow the doctor's orders!

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                              • thats wonderful news! Good luck for continued progress!

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                                • Glad to hear she's doing better.
                                  __________________________
                                  "... if you think i'm MAD, today, of all days,
                                  the best day in ten years,
                                  you are SORELY MISTAKEN, MY LITTLE ANCHOVY."

                                  Comment


                                  • Great news!!! You must be so relieved.
                                    MnToBe Twinkle Star: "Twinkie"
                                    http://i236.photobucket.com/albums/f...wo/009_17A.jpg

                                    Proud member of the "Don't rush to kill wildlife" clique!

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                                    • JINGLES CONTINUE FOR MORE PROGRESS ~

                                      Good news update ` Jingles continue ~
                                      Zu Zu Bailey " IT'S A WONDERFUL LIFE ! "

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                                      • Glad to hear this positive report.

                                        One thing I am very curious about is what does a horse have to do, in order to 'avulse' a ligament?

                                        Comment

                                        • Original Poster

                                          Originally posted by Androcles View Post
                                          One thing I am very curious about is what does a horse have to do, in order to 'avulse' a ligament?
                                          Vet thinks she probably took a bad step on top of a rock that caused instability. Momentum + weight on the uneneven surface is probably what did it. We're on sand and don't have too many rocks large enough to do that but the frost constantly heaves stuff up out of the ground, and I did find a couple of stones out there large enough that could have been the culprit. But the short answer is - who knows. She's a horse and horses are born looking for a time and place to self destruct. Vet says she's only seen this same injury in one other horse, I think it was an older broodmare.

                                          She's enjoying her short walks and they don't make her any more sore so we're just going to keep taking it slowly over the next few months so hopefully when spring arives she can go out into a paddock.

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