fractured pedal/navicular bone.

henryhorn

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23 October 2003
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Location
Devon UK
www.narramorehorses.blogspot.com
Scenario is this, pony arrives for a few months' stay whilst owner has an op.
It is lame on arrival but her vet has advised that the undulating ground and walking exercise it will get here will imrpove the injury to it's stifle he has diagnosed.
So we turn it out. after a month it's much worse and holding the leg off the ground, so we bring it in, ask owner's wishes and get the vet.
He agrees stifle, X Rays it and nothing much seen, but it's on box rest for a month plus bute gradually decreasing.
It can then walk in hand.
After a month I decrease bute and it's instantly worse, so we get vet out again.

He says he is sure it is it's cruciate ligament and I agree, all the area around there is tight and tense, and it shows nothing much to hoof testers and a good old poke about with the knife. It goes back on bute.
All through this time there is no heat/swelling anywhere.
My husband has said all along he disagrees with the diagnosis as it jerks it's foot away violently, and today our farrier had a really close look at it.
He says with less than half pressure on it's hoof it goes ape, and thinks it's fractured either of the above.
I've obviously contacted the owner and hope she will agree to vet X raying tomorrow. For now it's back on full bute dose.
Now from previous experience of breaks it does fit the pattern. They tend to not get better and I'm wondering if the stifle problem is now there due to adapting it's gait to rest the foot?
What I really need to know is what is the prognosis is for this type of inury?
My husband and the farrrier are convinced it's a fracture, there appears to be no abcess in there and I am going with that opinion too, but poor little bugger, she has been mis-diagnosed but has at least been inside resting and pampered for the last five weeks...
Any stories of similar injuries gratefully received., it's ever such a sweet pony, and if there is a chance of recovery
I reckon the owner would take it.
(oh and aren't men infuriating when they're proved right...
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I managed a 15yr old which fractured his pedal bone in the field, in front of me (I was feeding him in the field, he spooked, spun round, and was on three legs).
He was in severe pain at first - sweating and blowing with a raised heart rate, so I got him to his stable.
He was box rested for around three months, and reshod with eggbars (he had sheared heels which was considered to contribute greatly to his propensity for the fracture). The eggbars stopped the movement within the foot, to a degree.
I don't remember there being much swelling, but that may have been because I did my therapy yard style stable bandages on him
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He went sound after three months, and we carefully brought him back into work, with no further problems.
He didn't show any other lamenesses, but unlike your one, he didn't have the opportunity to move around in the field and compensate.
B
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My TB had 2 fractured pedal bones as a 7 year old. He is now 15 and is still going strong, although being a TB we do have other foot issues.
 
On the flip side, a horse I know fractured it's pedal bone - showed intermittenet low grade lameness, vet/farrier didn't find anything so carried on working it (appeared sound by then) went BD'ing and BE'ing - never picked up - still around 1-2/10 lame - ended up being x-rayed as didn't improve and had a fractured pedal bone - operated on and made a full return to fitness. Vet reckoned the hoof was acting as a kind of brace to where the fracture was
 
3 years ago my horse came in from the field having pulled a shoe hopping lame. He had a period of boxrest and bute and appeared almost 100% sound but when you put him on a 10m circle he went lame. He went to the vets for various nerve blocks and x-rays and it turned out he had fractured his pedal bone. He had eggbar shoes on both front feet and was on box rest from July until December, I was then allowed to introduce work and was given the all clear to jump and carry on as normal the following March.

He is now 100% fine (touch wood
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) on that foot, recently had it x-rayed for another injury and the vet said it has healed perfectly. He hunts, SJ's at 1.10m, XC and does dressage (currently at Elementary level) all with no bother so there is hope that the pony will be fine.

Will keep fingers crossed - keep us posted
 
My boy had a fractured pedal bone before I got him, he kicked a stable wall whilst rolling!!
I'm not sure of the exact treatment he had but he was box rested, and then went lame again when he came off box rest and ended up with operations for bilateral OCD in his stifles. He would have been about 7 at the time, once he made the recovery from the OCD ops he was 100% sound and other than stabbing his hock in the field and having successful hock flush surgery in 2006 he has been 100% sound since. He'll be 14 next year!
 
One of mine smashed his hind navic bone into 5 pieces. All looked doom and gloom and we went through however long of box rest. He recovered fully to event and teamchase etc till he got normal navic in both his front feet. They are causing me more problems than the one which he broke!
 
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