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Discussion on Tendon sheath injury.
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New Member:
Sonoita
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Posted on Friday, Oct 7, 2005 - 3:25 pm:
I have a 27 yr.old that got cast under some steel bars. He tore a couple of gashes on all four legs. The back legs being the worst. The right hind he has some cuts and the left hind he had a lump on the inside of the leg. On the outside of the leg he did have a small cut.This happened about three weeks ago and the vet has come out several times to look at it, the knot has been there the whole time .He has also been on antibiotics. The other day the vet came back out , because I was still worried. He stuck a needle in the lump and clear fluid came out for about six minutes then blood. My horse has been lame on both hind legs. I was cold hosing and using dmso plus bute twice a day, the lump never went down until the vet came. That was two days ago and the lump has come back up. the vet did say he might have a tendon rupture. My question is should he be stall rested?
the vet also said something about surgery.
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Moderator:
DrO
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Posted on Friday, Oct 7, 2005 - 6:25 pm:
Hello Wanda,
Yes, considering everything you write stall rest seems prudent. What tendon does the vet say is ruptured? Can you describe exactly where the swelling is or post a photo. The Upload Attachment button at the bottom of the "Add Your Message Here" button at the bottom.
DrO
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New Member:
Sonoita
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Posted on Saturday, Oct 8, 2005 - 3:29 pm:
the swelling is on the inside in the middle and about 5 1/2 to 6 inches below the hock. the vet came back out today and re-bandaged the leg. He told me to give him 2grams of bute a day for three days and off two and so on, until the swelling goes down. And I asked him about keeping him in and he said a small paddock would be fine. when he took the bandage off there was some discharge. Is that okay?
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Moderator:
DrO
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Posted on Sunday, Oct 9, 2005 - 2:51 pm:
Since I cannot examine the horse Wanda and there is still uncertainty as to the nature of the injury (there are many possibilities even in the specific locale you state) I really don't know if this is OK or not. What was the nature of the discharge and you need to continue to press your vet for a specific diagnosis and severity. This may take radiographs and ultrasonography. Only then can your questions be answered with any accuracy.
DrO
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Member:
Sonoita
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Posted on Thursday, Oct 13, 2005 - 9:39 pm:
 
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Member:
Sonoita
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Posted on Thursday, Oct 13, 2005 - 9:42 pm:
Dr. O this is the injury I told you about .Back legs Some swelling has gone down, but not much.
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Moderator:
DrO
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Posted on Friday, Oct 14, 2005 - 6:46 am:
As medial and anterior as the swelling appears in the photos this may be damage to the splint bone though I cannot rule out the suspensory or the deep digitial tendon, but again radiographs and ultrasound are likely to be needed: what does the vet say after palpating the injury?
DrO
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Member:
Sonoita
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Posted on Monday, Oct 17, 2005 - 2:16 pm:
DR.O
Robbie is going to have radiographs and ultrasound on Thursday and I will let you know what the other vet says.
Thank you for your advice.
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Member:
Sonoita
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Posted on Monday, Oct 24, 2005 - 1:35 pm:
Dr.O
Robbie did not get the work done because he was on bute and the vet said she would prefer he was not on this for the exam.
So we are planned for this Thursday. I hope I will get some answers then.
Thanks,
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Moderator:
DrO
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Posted on Tuesday, Oct 25, 2005 - 6:29 am:
What did he say the bute got to do with the exam, radiographs, or ultrasound Wanda?
DrO
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Member:
Sonoita
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Posted on Tuesday, Oct 25, 2005 - 11:56 am:
Dr.O
He was not lame when we brought him in . She says the injury is not causing the lameness while off bute. He is very lame when he is off. She thinks he has a stifle problem. The swelling she thinks is a hematoma. NOT A PROBLEM she says. I am still worried and I want the ultrasound done. The wound is finally starting to heal. I still cold hose ,but I am using aloe from my plant. If this is a hematoma, would it not go down after awhile?
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Moderator:
DrO
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Posted on Wednesday, Oct 26, 2005 - 8:26 am:
I see the vet wants to localize the lameness before further diagnostics on the swelling and believes she already knows what the swelling is. This seems sensible Wanda, if she is correct and yes a hematoma will resolve with time.
DrO
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Member:
Sonoita
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Posted on Thursday, Oct 27, 2005 - 2:13 pm:
Dr.O
The appointment was today and the results are in . He was lame before off and on ,we were treating it as a abscess{My other vet } I had done x-rays before{ with the place I had the x-rays done,but did not have her look at them.{my mistake] for the so called abscess. As it turns out it is a injury to the proximal ligament of the navicular bone. Plan is to put him in a wedge about 3 degrees and re-check in two weeks. If he is not better he will get injections and or shock wave therapy. I have to say I am glad she x-rayed both legs. It puts my mind at ease. Some what.
I hope I did not confuse you on this, At least now we have some answers.Thank you for your help.
the lump is a hematoma.
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Moderator:
DrO
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Posted on Friday, Oct 28, 2005 - 7:28 am:
Well good Wanda. 2 weeks may not be enough time to assess healing of a ligament strain but it sounds like you are on the right track.
DrO
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