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Locating the lameness...HELP!!! - updated with x-rays!

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htaucher1
Reg. Oct 2013
Posted 2013-11-20 6:17 PM
Subject: Locating the lameness...HELP!!! - updated with x-rays!



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Working to rule out where the lameness is on my horse.  Symptoms:
 
  1. intermittent (sound to dead lame)
  2. front right (tries to keep off the inside hoof wall)
  3. no heat in leg anywhere 
  4. hoof testers negative for any ouchy spots
  5. blocks in the past showed heel
  6. x-rays are clea?n

I am completely stumped? on where to look

Edited by htaucher1 2013-11-21 10:03 AM
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WYOracer
Reg. Feb 2012
Posted 2013-11-20 8:29 PM
Subject: RE: Locating the lameness...HELP!!!



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My horse was the same, rads showed nothing but a slight unevenness in coffin joint spacing due to him being pigeon toed. Injected coffin joint and some pentaussie and bam! He's back!
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cheryl makofka
Reg. Jan 2011
Posted 2013-11-20 9:15 PM
Subject: RE: Locating the lameness...HELP!!!


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htaucher1 - 2013-11-20 6:17 PM

Working to rule out where the lameness is on my horse.  Symptoms:
 
  1. intermittent (sound to dead lame)
  2. front right (tries to keep off the inside hoof wall)
  3. no heat in leg anywhere 
  4. hoof testers negative for any ouchy spots
  5. blocks in the past showed heel
  6. x-rays are clea?n

I am completely stumped? on where to look

If the blocks showed heel, it could be contracted heels, navicular, have seen a horse who was on and off lame in foot for a year and it was an infected navicular bursa sac, sorry I can't remember how that one was diagnosed.
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r_beau
Reg. Apr 2010
Posted 2013-11-21 8:52 AM
Subject: RE: Locating the lameness...HELP!!!



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WYOracer - 2013-11-20 8:29 PM My horse was the same, rads showed nothing but a slight unevenness in coffin joint spacing due to him being pigeon toed. Injected coffin joint and some pentaussie and bam! He's back!

Very similar issue with my horse, except it was his short pastern joint that showed uneven joint spaces. Also is pigeon-toed.

He came up slightly lame on both front feet this year, with the left being worse. 100% sound with a heel block.

So this year we did a 2 degree wedge shoe with pad and he was 100% sound. I'm going to try regular shoes in the spring and see how he does with that. May never need to do injections as long as the shoes work. The shoes enable us to slightly offset them to the outside, to help him land/load more evenly on his pigeon-toed feet.

(But now he's got a catching right stifle issue, which I want to inject in the spring because exercise/conditioning is not working.)
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htaucher1
Reg. Oct 2013
Posted 2013-11-21 9:23 AM
Subject: RE: Locating the lameness...HELP!!!



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 here are the x-rays.  I see a difference in the navicular from the right to the left...anyone else?



(7174.jpg)



(4685.jpg)



Attachments
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Attachments 7174.jpg (73KB - 290 downloads)
Attachments 4685.jpg (71KB - 287 downloads)
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cheryl makofka
Reg. Jan 2011
Posted 2013-11-21 9:41 AM
Subject: RE: Locating the lameness...HELP!!!


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On the left X-ray on the pastern there is a line, looks like bone remodelling, any fractures.

Also too hard to look at only one angle, my vet always does min 3 views.

I do see your horse has too much toe. Not sure about the black line running down the coffin, this might me the start of laminitis, I can't remember for sure, but I would speak to your vet
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sparkett 76
Reg. Jun 2012
Posted 2013-11-21 11:31 AM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!


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My horse was slightly "off" on the front. Acted ouchy after he ran, like his feet stung. His toes were long like yours. Cut them back and got the foot back underneath him. He feels much better and not ouchy. Show extras to farrier so he has a guide. Good luck.
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JRC
Reg. Jun 2013
Posted 2013-11-21 11:33 AM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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Do have a picture from behind, the heel forward, the Navicular bone

Edited by JRC 2013-11-21 11:56 AM
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casualdust07
Reg. Mar 2005
Posted 2013-11-21 11:45 AM
Subject: RE: Locating the lameness...HELP!!!



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cheryl makofka - 2013-11-21 9:41 AM

On the left X-ray on the pastern there is a line, looks like bone remodelling, any fractures.

Also too hard to look at only one angle, my vet always does min 3 views.

I do see your horse has too much toe. Not sure about the black line running down the coffin, this might me the start of laminitis, I can't remember for sure, but I would speak to your vet

I saw a line on the right pastern and to me it looked like a blood vessel. I didn't see the one on the left.

ETA- I see the line on the left too. My guess is still blood vessel since its apparent on both side.s

Edited by casualdust07 2013-11-21 11:47 AM
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Lovin Life
Reg. Apr 2004
Posted 2013-11-21 11:57 AM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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Some horses with navicular symptoms xray clean. Not saying it's that, but you never know.  Also, agree that he needs his toes backed off.  
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htaucher1
Reg. Oct 2013
Posted 2013-11-21 12:59 PM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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Posts: 134
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We have begun backing his toes up after these x-ray were taken.  More x-rays. 



(4687.jpg)



(4686.jpg)



(7175.jpg)



(7176.jpg)



Attachments
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Attachments 4687.jpg (40KB - 283 downloads)
Attachments 4686.jpg (47KB - 278 downloads)
Attachments 7175.jpg (65KB - 280 downloads)
Attachments 7176.jpg (34KB - 279 downloads)
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Anniemae
Reg. Jan 2004
Posted 2013-11-21 10:18 PM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!


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I have no suggestions, but wish you luck in finding the lameness.

I, too, have a horse with undetermined lameness and it can be very frustrating to say the least.  18 months apart, my mare came up really lame, 3+/5 lame on the left front, 2 vets, 2 different clinics, 2 sets of x-rays.. and notta...  

1.  X-rayed both front feet, clean.
2. No heat, no swelling, no recent physical injury that can be seen.
3. No reaction to hoof tester
4. Ultrasound was clean, tendons and ligaments look great.
5. Sound when blocked at PD
6. Farrier great, both vets said do not change a thing.

She has an old scar on the back of her pastern from when she was 2, she is 8 now.  That "may" have something to do with it, may not.  
 Next step is a standing MRI, working on saving my pennies for that procedure.  Sure do wish they could talk...  


 
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barrel_racing_angel
Reg. Sep 2007
Posted 2013-11-21 10:56 PM
Subject: RE: Locating the lameness...HELP!!!



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casualdust07 - 2013-11-21 9:45 AM

cheryl makofka - 2013-11-21 9:41 AM

On the left X-ray on the pastern there is a line, looks like bone remodelling, any fractures.

Also too hard to look at only one angle, my vet always does min 3 views.

I do see your horse has too much toe. Not sure about the black line running down the coffin, this might me the start of laminitis, I can't remember for sure, but I would speak to your vet

I saw a line on the right pastern and to me it looked like a blood vessel. I didn't see the one on the left.

ETA- I see the line on the left too. My guess is still blood vessel since its apparent on both side.s

You are correct...its called a nutrient foramen

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barrel_racing_angel
Reg. Sep 2007
Posted 2013-11-21 11:00 PM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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Sounds like you need an MRI of the hoof. There are many soft tissue structures within the hoof capsule that don't show up on an xray, and when injured, can cause the symptoms you describe.

What did your vet say??
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casualdust07
Reg. Mar 2005
Posted 2013-11-22 9:20 AM
Subject: RE: Locating the lameness...HELP!!!



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barrel_racing_angel - 2013-11-21 10:56 PM

casualdust07 - 2013-11-21 9:45 AM

cheryl makofka - 2013-11-21 9:41 AM

On the left X-ray on the pastern there is a line, looks like bone remodelling, any fractures.

Also too hard to look at only one angle, my vet always does min 3 views.

I do see your horse has too much toe. Not sure about the black line running down the coffin, this might me the start of laminitis, I can't remember for sure, but I would speak to your vet

I saw a line on the right pastern and to me it looked like a blood vessel. I didn't see the one on the left.

ETA- I see the line on the left too. My guess is still blood vessel since its apparent on both side.s

You are correct...its called a nutrient foramen


Yay gross anatomy!!! vet school!! bones gotta be vascularized too! KEY EVENT of forming primary center of ossification! bam!
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CaughtYawl
Reg. Apr 2004
Posted 2013-11-22 9:25 AM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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barrel_racing_angel - 2013-11-21 11:00 PM Sounds like you need an MRI of the hoof. There are many soft tissue structures within the hoof capsule that don't show up on an xray, and when injured, can cause the symptoms you describe. What did your vet say??

I agree about needing a MRI of the hoof. I just had a friend go threw this. Couldn't figure out what was wrong for several months. Finally went and had a MRI done.. there was plenty of damage and now they're trying to repair it. All the damage was done down in the hoof so nothing ever showed up on the ultrasounds or x-rays. 
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r_beau
Reg. Apr 2010
Posted 2013-11-22 10:29 AM
Subject: RE: Locating the lameness...HELP!!! - updated with x-rays!



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I'm going to give another vote to MRI. 

An x-ray will tell you nothing about the soft tissue in the foot. An MRI is the only way to view it and see where damage is being done.


 
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barrel_racing_angel
Reg. Sep 2007
Posted 2013-11-22 11:58 AM
Subject: RE: Locating the lameness...HELP!!!



I"m Jealous!


Posts: 1737
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Location: Benton City, WA
casualdust07 - 2013-11-22 7:20 AM
barrel_racing_angel - 2013-11-21 10:56 PM
casualdust07 - 2013-11-21 9:45 AM
cheryl makofka - 2013-11-21 9:41 AM On the left X-ray on the pastern there is a line, looks like bone remodelling, any fractures. Also too hard to look at only one angle, my vet always does min 3 views. I do see your horse has too much toe. Not sure about the black line running down the coffin, this might me the start of laminitis, I can't remember for sure, but I would speak to your vet
I saw a line on the right pastern and to me it looked like a blood vessel. I didn't see the one on the left. ETA- I see the line on the left too. My guess is still blood vessel since its apparent on both side.s
You are correct...its called a nutrient foramen
Yay gross anatomy!!! vet school!! bones gotta be vascularized too! KEY EVENT of forming primary center of ossification! bam!

 Lmao!!! See vet school IS good for something!
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