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Thoughts on hoof and knee x-rays?

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  • Thoughts on hoof and knee x-rays?

    I am working with a local team of vets and with my farrier, and I'd also appreciate any additional COTH thoughts about these x-rays.

    My 16-year-old Thoroughbred has had some on-again-off-again soundness issues (right front) and I'm trying to get them sorted out. I am happy to adjust his workload (or lack of) according to his soundness level- I want to do what is best for him.

    Right front foot





    Left front foot


    Right knee




    Thank you.
    Sarah K. Andrew | Twitter | Instagram | Flickr | Calendar

  • #2
    My TB mare had off and on lameness in the R front. We had x-rays, joint injections, adequan and were ready to inject the coffin joint when the ultrasound being used to direct the needle showed a hole in one sesamoid ligament. I will always ask for ultrasound now for lameness diagnosis when x rays don't show a cause.
    "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


    • #3
      What did your vet team and farrier say. Would be most interested to hear.
      I am in NJ so if you would rather PM me please do so. I am not going to venture a guess on what I "see" on the radiographs since I am a layman, But would like to hear what they see to know if I have a "clue" lol
      Happily retired but used to be:


      • Original Poster

        Basically, my vet said she has seen much worse on active riding horses, and she is optimistic that corrective shoeing and work will help quite a bit.

        She saw some minor arthritic changes in the right knee. In the right foot, she said there was a change in the angle, including the broken-back angle of P2 and P1. She also saw some minor sclerosis of the navicular bone. It sounded to me like possibly whatever issue Wizard has/had was affecting the whole foot and the angles. Shoeing, old injury, etc. His body compensated, and we are seeing the long-term results in the x-rays.

        We tried blocking him over the summer and came back with inconclusive results- it is too subtle to block. It is only visible on a small circle to the left, it has not gotten worse, and it comes and goes. In straight lines and on large circles, he's sound in both directions. I've had two vets, the farrier, and the chiropractor look at it periodically.

        He has not been ridden since October (waiting on a saddle), so we've been hand walking on the trails and doing some very easy long line work. It's a work in progress, and we're sort of in a holding pattern right now, but I am happy with the direction we're taking with shoeing changes. Our typical work is easy trail riding and some easy ring work, and I'm happy to adjust his workload as needed if anything gets worse.

        His Lyme test came back with good results, so that is one less thing to worry about for now. His levels last year were quite high (both chronic and acute) and we treated him with doxy.
        Sarah K. Andrew | Twitter | Instagram | Flickr | Calendar


        • #5
          WHAT is visible in a small circle to the left?


          • Original Poster

            Originally posted by Tom Bloomer View Post
            WHAT is visible in a small circle to the left?
            A slight head nod indicating lameness in his right front.
            Sarah K. Andrew | Twitter | Instagram | Flickr | Calendar