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Spur on Stifle

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Last activity 2017-04-17 1:55 PM
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12smitty
Reg. Jul 2009
Posted 2017-04-14 11:56 AM
Subject: Spur on Stifle


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Well I just found out why my is horse cross-firing and had difficulty picking up right lead. She has a bone spur on stifle. My vet suggests injecting . I have no experience with stifle spurs and how to manage them . My horse is only 5. I would appreciate any input . Thanks
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barrelracingchick16
Reg. Aug 2004
Posted 2017-04-14 12:25 PM
Subject: RE: Spur on Stifle



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Did your vet say if your horse had any stifle effusion (swelling)? Also, how lame was she? Was the lameness blocked to the stifle?

If she was significantly lame and the lameness blocked to the stifle there are a few things I would be concerned about. Normally you do not see a stifle bone spur on such a young horse unless there was a previous underlying soft tissue injury that has caused instability in the joint, cartilage damage and subsequent degenerative joint disease changes. Do you have the radiographs that you can share?

It all depends on how lame your horse actually is, but if it was a mild to moderate lameness and it did block to the stifle I would go ahead and inject the stifles. If you horse goes on does well for 6 months to a year- great. IF the injections are not lasting as long I would be very concerned you still have a soft tissue injury within the stifle, and would think about have an arthroscopy performed to fully assess soft tissue structures and cartilage damage.
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12smitty
Reg. Jul 2009
Posted 2017-04-14 12:42 PM
Subject: RE: Spur on Stifle


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hotpaints
Reg. Feb 2007
Posted 2017-04-15 1:31 PM
Subject: RE: Spur on Stifle


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We had a 3yo gelding that we raised and knew the work load that he did, which was not hard. He developed a spur in his right stifle. Injecting it did not help. We sold him for next to nothing as a trail horse since he was not going to have a performance career.
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cheryl makofka
Reg. Jan 2011
Posted 2017-04-15 2:48 PM
Subject: RE: Spur on Stifle


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I would ask if it is calcified or not.

If it isn't calcified I would have the vet do iv tildren, as this will assist the body to reabsorb it.

Bones spurs generally don't go away and if catching on the tendon, the career expectancy will not be long if left untreated
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barrelracingchick16
Reg. Aug 2004
Posted 2017-04-17 12:35 PM
Subject: RE: Spur on Stifle



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Location: Muskogee, OK
cheryl makofka - 2017-04-15 2:48 PM

I would ask if it is calcified or not.

If it isn't calcified I would have the vet do iv tildren, as this will assist the body to reabsorb it.

Bones spurs generally don't go away and if catching on the tendon, the career expectancy will not be long if left untreated

IMO I would not recommend IV Tildren for a stifle bone spur.

The way Tildren works (very similar to Osphos) is to inhibit (or prevent) osteoclastic activity. There's a natural bone health cycle which includes cells that take up bone (Osteoclasts), and then cells that lay down new bone (Osteoblasts). This is why Tildren works very well for lesions like navicular bone cysts where you want them to become more solidified and "fill in", and there has been some work showing the positive effects of Tildren when concerning Hock fusion... However, Tildren will not aid in "resorbing" a bone spur. If anything I would say it would have an opposite effect.

Once a bone spur is showing up on radiographs it is calcified- by definition it is a proliferation of bone usually at a joint margin.

Again, once a horse has developed a spur you are not going to do much as far as removing it especially within the stifle. The biggest priority is to find out what is causing the spur- in a stifle it is usually an underlying soft tissue injury +/- cartilage damage which is leading to chronic inflammation within the joint and ultimately the degenerative joint disease changes you are seeing, aka the "spur". The key is to break that inflammatory cycle and determine if the horse still has an active soft tissue injury which will further guide treatment recommendations.
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cheryl makofka
Reg. Jan 2011
Posted 2017-04-17 1:55 PM
Subject: RE: Spur on Stifle


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barrelracingchick16 - 2017-04-17 12:35 PM

cheryl makofka - 2017-04-15 2:48 PM

I would ask if it is calcified or not.

If it isn't calcified I would have the vet do iv tildren, as this will assist the body to reabsorb it.

Bones spurs generally don't go away and if catching on the tendon, the career expectancy will not be long if left untreated

IMO I would not recommend IV Tildren for a stifle bone spur.

The way Tildren works (very similar to Osphos) is to inhibit (or prevent) osteoclastic activity. There's a natural bone health cycle which includes cells that take up bone (Osteoclasts), and then cells that lay down new bone (Osteoblasts). This is why Tildren works very well for lesions like navicular bone cysts where you want them to become more solidified and "fill in", and there has been some work showing the positive effects of Tildren when concerning Hock fusion... However, Tildren will not aid in "resorbing" a bone spur. If anything I would say it would have an opposite effect.

Once a bone spur is showing up on radiographs it is calcified- by definition it is a proliferation of bone usually at a joint margin.

Again, once a horse has developed a spur you are not going to do much as far as removing it especially within the stifle. The biggest priority is to find out what is causing the spur- in a stifle it is usually an underlying soft tissue injury +/- cartilage damage which is leading to chronic inflammation within the joint and ultimately the degenerative joint disease changes you are seeing, aka the "spur". The key is to break that inflammatory cycle and determine if the horse still has an active soft tissue injury which will further guide treatment recommendations.

Actually I had a horse we did tildren specifically for a bone spur, hers was by the pasterns due to a wire cut (before I got her) and my vet (the co author on laser hock fusion) suggested the tildren as her spur was not calicified, we did it, and 1 month later, no spur via X-rays. It was pretty neat to see.
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