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Peronius Tertius rupture

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  • Peronius Tertius rupture

    My horse has torn/ ruptured his peronius tertius tendon about 2 weeks ago and is on stall rest . NOt wanting to put full weight on his leg and very ouchy moving around in his stall . He ruptured the front of his hock and its very big and swollen . Other than stall rest which the vet has put him on and keeping legs wrapped anything else to keep him comfortable ?

  • #2
    25 yrs ago, way before internet, this happened to my Arab. My vet said 6-9 months of stall rest. Although I thought the horse would go crazy, he didn't. At about the 5 month mark, I had more of a specialist come out, he said just leave him in a few more months.

    Well, the horse was sound, worked as a riding/trail horse for my kid for many years.

    Maybe time has improved the treatment, but stall rest worked for us.
    There is no snooze button on a cat that wants breakfast.


    • #3
      Apply large amounts of Tincture of Time. It's the only thing proven to work.

      Mangalarga Marchador: Uma Raça, Uma Paixão


      • #4

        Have you gotten xrays to see if there was bony involvement? That really changes the game if the rupture pulled bone off - much more serious than if it did not.

        My guy did not have bony involvement. I had him on stall rest for about 2 weeks just to get through the acute, painful phase. After that, I worked him up to full time turnout again, but it was by himself with access to his stall. Beyond the first few days, there were no nsaids used, and that kept him pretty self-contained in terms of how much movement he was willing to do. If he really had to get going for some reason, he'd 3-leg it LOL

        I was riding him again 4 months later, after 2 weeks of hand walking, after a month of full time turnout in the big pasture with the other horses, after the 4 months minus 1 month minus 2 weeks of solitary turnout.

        IMHO and IME, having gone through 2 major injuries (rupture PT, severed extensor tendon) and having done a ton of research as a result, getting restricted free choice movement as early as possible is a huge key in having a successful healing. Movement forces scar tissue to align itself in a stronger manner, while rest/little movement allows it to form willy nilly and in a weaker state.
        The CoTH CYA - please consult w/your veterinarian under any and all circumstances. - ET


        • Original Poster

          Did an ultra sound and no bony stuff going on just the rupture/ tear . The rupture is in the front of the leg not behind where the hock is . We are at the 3 week mark and he still stands on his toe some of the time , though he will put full weight on it . When he walks a few steps its still very stiff . Vet says it will heal but its just time and very restricted movement for now . She's hoping at 6 weeks we can possibly put him in a very small paddock . Giving him bute and or banamine to help keep him comfortable . Keeping legs wrapped for circulation and planning on taking back shoes off in a few weeks as it would be to hard on the leg to shoe him now.


          • #6
            The PT runs down the front of the leg, and in some cases it can pull bone off the front, so it doesn't matter that it's not "behind where the hock is". The PT inserts at the third metatarsal and the third and fourth tarsals. All that is on the front of the hock. The hock is not just the rear pointy protrusion


            But, that's good there is no bony involvement - that simplifies things a great deal.

            3-4 weeks is about where my guy started to make noticeable changes in his comfort level, so hopefully you'll start seeing that soon
            The CoTH CYA - please consult w/your veterinarian under any and all circumstances. - ET


            • #7
              Would voltaren gel likely help?
              "I'm a lumberjack, and I'm okay."
              Thread killer Extraordinaire


              • #8
                I have a 21 yo gelding who tore his PT in the first week of March. Ist vet said 3 months of stall rest. 2nd vet who looked at him at about 7 weeks, said 2 to 3 months MORE rest. He has a stall opening up into a paddock, so I put put an electric fence (HOT!) giving him a 12 X 24 walk out area. Taking his back shoes off was tough-I held my breath the whole time. I told farrier to lift back leg as little as possible. He is at 104 days today. He has never been lame or in pain, just dragged the leg a bit. I read about the scar tissue healing protocol and started hand-walking him for 15 min a day in straight lines at about 70 days, After 2 weeks, did the same thing under saddle. I have now started trotting him in hand a few steps during the 15 minutes. I let him tell me how much to proceed. He was so wobbly and winded when I started and now is much stronger. The first few trot steps were very unsteady. He is already better. He is my only FEI horse and is very valuable to me. I need him to come out of this sound. So far, so good. I might give him a little more turnout area at 120 days. It's hard, but the time does pass.


                • Original Poster

                  have been giving bute as needed and though his comfort level is better than2 weeks ago he still stands on toe though also puts full weight on leg other times . Vet has said in 2 weeks we should pull back shoes as it will be to hard on the leg to shoe him and as long as he's on stall rest he should be fine . any thoughts


                  • #10
                    You still have to trim the feet, but yes, trimming can be done more easily than trimming AND shoeing.

                    It's a bit concerning that he's not comfortable enough all the time to fully weight the leg. BUT, in the process of rupturing that PT, he might have pulled some other muscles and maybe that's the cause of the discomfort.
                    The CoTH CYA - please consult w/your veterinarian under any and all circumstances. - ET


                    • #11
                      PT rupture

                      There are several threads on PT rupture you can search for. I have a TB that ruptured his PT first on one leg, then years later, the other leg. The first time, he was on strict stall rest for 3 months. Strict meaning couldn't come out for anything including stall cleaning, farrier, etc. He was slowly brought back. He returned sound to competition. When he ruptured his PT for the second time, he was retired. We put him on stall rest for 6 weeks, then made a small hot-tape pen outside the back of the stall so he could see his barn friends but wasn't free to move around much. After about 6 weeks of that limited turnout, he went back out. He's sound but he's also not in competition. It's a pretty horrifying injury to watch but they do recover - some twice! Good Luck!


                      • Original Poster

                        My other concern is its still very swollen and though there is no heat anymore its still quite swollen .Wondering if this is the norm for this injury. His stall is 2 steps from the cross ties I so put him in the cross ties to groom him daily so he has something done to him and re wrap his legs . He's tentative walking the few steps but better the few steps when I put him back . Maybe not even take the 2 steps out and groom in stall ?


                        • Original Poster

                          Thank you . Yes he's been on stall rest almost a month and though its better than it was a month ago its still very swollen and he cocks his foot to stand some of the time though some of the time he stands with full weight . He gets bute to keep him more comfortable but its going to be a long road . He's 21 and retired from competition so I just want him to be able to go back out in his paddock and hopefully trail ride him again .


                          • #14
                            I agree with JB that your horse probably pulled some other stuff, to be that sore and swollen. If you google on PT you will find a lot of info. I found that is usually not painful. My horse never has shown any discomfort, other than dragging his leg along because the hock is not flexing normally. A field study done showed a whole range of outcomes, based on different degrees of injury as well as rest times. Some returned to soundness, some didn't. When my horse was first injured, the vet wanted as little movement as possible. He said that leaving his stall door open to go out into his little area was too much trauma on the leg (the door sill caused him to have to raise his leg too much.) After about 6 weeks, I started leaving the door open and he is ok with it. One thing I have done consistently is bodywork on the rest of his body. I have been able to maintain his flexibility in his neck and his ability to lift his back. Also, it helps with his boredom. I only started hand-grazing him after the first 2 and a half months, and I limit it to 15 minutes. Good luck.


                            • Original Poster

                              I'm finding its to painful for him to lift his leg over his door sill to take 2 steps to cross ties to groom him so I think its best to leave him in stall and have as little movement and trauma to the leg . I just feel so terrible for him having to live in his stall 24/7 when he's used to being outside . However I will keep him on stall rest for as long as it takes till vet says he can go to a small paddock . This is painful for me but so far he's being very good .Just hope the swelling goes down and he puts full weight back on it most of the time .


                              • #16
                                I have a retired gelding that ruptured his several years ago. He did 3 months stall rest. He was only painful the first few days I think. I then got another gelding that had ruptured his before I got him. I think he also did 3 months in the stall. Both came sound but the first one was already retired and the second was semi retired. Best of luck with your guy.


                                • #17
                                  Are you sure it's painful for him to lift his leg over the threshold, and just something he is not physically capable of doing well yet?

                                  The PT connects the stifle to the hock. It's functionality is what makes them both flex at the same time. If the connection isn't there, he's got to rely heavily on minor supporting structures to get the leg bent and lifted enough to get it over something. That can take some real hard thought on his part, making it very slow going, at least until his mind settles on that sequence of movements again for that moment.
                                  The CoTH CYA - please consult w/your veterinarian under any and all circumstances. - ET