Guess the problem

[Elf On A Shelf]

From a other thread I realised I have so many funky images on by phone of various xrays and tendon scans etc. So the ones with no names visible I will pop up here one at a time for you to figure out what's wrong.

We will start off with an easy one - tell me what you think the problem is and then give me the solution:

 

[Cloball]

There's a fist inside the bone

 

[Elf On A Shelf]

Maybe that wasn't so easy ... but the answer will be obvious when you see it. Its a condular fracture - it comes up the cannon bone from the fetlock.

 

[Lady Jane]

I could see it was a fracture and where but would have had no idea of the terminology, not sure I've even heard it before

 

[dixie]

Oh interesting!
I find it so difficult to understand X-rays.

 

[Elf On A Shelf]

Oh interesting!
I find it so difficult to understand X-rays.

Xrays are easier than ultrasound scans.

 

[teacups]

Interesting, thank you! I know very little, look forward to learning.

What was the solution?

 

[Elf On A Shelf]

Interesting, thank you! I know very little, look forward to learning.

What was the solution?

2 screws. And no fancy smancy hi tech kit either - a DeWalt drill, some major heavy duty screws from screwfix and some saline. A few months rest then back into training. The horse ran for a few more years and won a couple as well after this.

 

[Elf On A Shelf]

Round 2 is probably the easiest but either way it's quite a cool pic most people won't (and hopefully will never!) See in their lives.

 

[Velcrobum]

That are some horses guts during colic surgery. Remove the cause of the colic and sew back up. Then hope horse does not break a leg waking up and that the colic does not recur.

 

[piebaldproblems]

Then hope horse does not break a leg waking up and that the colic does not recur.

And that they don't end up with laminitis?

 

[Elf On A Shelf]

That are some horses guts during colic surgery. Remove the cause of the colic and sew back up. Then hope horse does not break a leg waking up and that the colic does not recur.

Spot on. Luckily this horse had nothing cut out. They caught the twist early enough that they could just undo it and shove everything back in. Zip it back up and home a week later. Again horse went on to race again after.

 

[Elf On A Shelf]

We will go for a wound this time. So it's obvious what the issue is. I have a pic of the solution and um ... yeah ....

 

[PinkvSantaboots]

Over reach injury

 

[Tiddlypom]

No prizes for what procedure this horse has just had done, but what is this structure that the vet dentist is pointing to, and what does its presence suggest?

 

[Tiddlypom]

X rays had showed that 402/403 had pulp horn caries with periapical infection, they were dead, so needed to be extracted.

The structure pointed to is a drainage tract, which shows that the infection had been present long enough for it to develop . The problem was first spotted by the vet dentist when he came on a referral visit for another issue which had been noted by the EDT, to fill infundibular caries in 109/110.

After a slow start, and her breath absolutely stank for weeks as the remaining infection drained out, it has healed up really well.

 

[Elf On A Shelf]

Over reach injury

Luckily there was no damage to the underlying structures. But the racecourse vet was a bit staple happy!

 

[Elf On A Shelf]

X rays had showed that 402/403 had pulp horn caries with periapical infection, they were dead, so needed to be extracted.

The structure pointed to is a drainage tract, which shows that the infection had been present long enough for it to develop . The problem was first spotted by the vet dentist when he came on a referral visit for another issue which had been noted by the EDT, to fill infundibular caries in 109/110.

After a slow start, and her breath absolutely stank for weeks as the remaining infection drained out, it has healed up really well.

View attachment 118553

One very very lucky pony!

 

[Elf On A Shelf]

On the subject of teeth.

 

[toppedoff]

Was gonna look at this while eating dinner but scrolled down and decided to use common sense gonna look now, thank you Elf

 

[toppedoff]

On the subject of teeth.

Could that be an abcess on the first photo? Or its swollen? Blockage maybe. No idea what the second one is though

 

[Tiddlypom]

Abscess? Same number of teeth each side (I think) but a lot of swelling on one side?

 

[Elf On A Shelf]

Abscess? Same number of teeth each side (I think) but a lot of swelling on one side?

Yup. Your horse was incredibly lucky. This one not so much. He had an abcess on his jaw under his cheekbone about 6 weeks prior to these xrays. It was lanced, drained and treated with antibiotics. All cleared up. Or so we thought. No more symptoms presented until some swelling appeared by their jaw and their mouth was bleeding. Nothing appeared obvious so we assumed they had bitten the inside of their mouth. Opened up in a gag and it showed a lot of problems hence the xrays.

The gap in the right hand side is a mass of infection that had eaten away at the bone. There was a very, very slim line of bone left. We could have dug out, scraped and cleaned the bone out before grafting some other bone onto it. But there was such a small amount of bone left that you couldn't guarantee that there was enough healthy bone left after scraping to graft to. Right up until the day of the blood in the mouth the horse had been working away and not presenting with any issues what so ever.

This horse did not come home

 

[Elf On A Shelf]

Could that be an abcess on the first photo? Or its swollen? Blockage maybe. No idea what the second one is though

The bottom one shows how much bone is truly missing through infection.

 

[toppedoff]

Yup. Your horse was incredibly lucky. This one not so much. He had an abcess on his jaw under his cheekbone about 6 weeks prior to these xrays. It was lanced, drained and treated with antibiotics. All cleared up. Or so we thought. No more symptoms presented until some swelling appeared by their jaw and their mouth was bleeding. Nothing appeared obvious so we assumed they had bitten the inside of their mouth. Opened up in a gag and it showed a lot of problems hence the xrays.

The gap in the right hand side is a mass of infection that had eaten away at the bone. There was a very, very slim line of bone left. We could have dug out, scraped and cleaned the bone out before grafting some other bone onto it. But there was such a small amount of bone left that you couldn't guarantee that there was enough healthy bone left after scraping to graft to. Right up until the day of the blood in the mouth the horse had been working away and not presenting with any issues what so ever.

This horse did not come home

That's so scary. I didn't realise the bone thinned out was due to the infection going at it. As much as it is heart breaking to hear that I really appreciate you sending these, I think it's good to have an idea of what you're looking at

 

[nagblagger]

I'm enjoying them to, but haven't had the confidence to post my answers ....

 

[Elf On A Shelf]

I'm enjoying them to, but haven't had the confidence to post my answers ....

No guess is ever wrong. You never learn if you don't hazard a guess or ask more questions.

 

[Tiddlypom]

The bottom one shows how much bone is truly missing through infection.

Horses can be so stoic with dental pain .

 

[nagblagger]

Thank you. Except for the 2nd dental picture, I've 'guessed' right...knew it was bone erosion but couldn't work out the complete picture..

 

[Elf On A Shelf]

Thank you. Except for the 2nd dental picture, I've 'guessed' right...knew it was bone erosion but couldn't work out the complete picture..

It's an odd angle for the xray to be taken. But it shows just how much damage there is quite nicely.