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I'll leave you with a few more feet to muse over whilst I go to bed 😂 some more obvious than others.

I have more pics of some of these from the initial problem to fixing it.
 

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Lady Jane

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Close but no Cigar. The big black hole is a tear in a Superficial Digital Flexor Tendon. It's the big one you feel running down the back of your horses cannon bone.

This was too much of a hole and also a reinjury of the same area to make stem treatment possible. So box rest, walking then turned away for a few months. The horse did race again.

That is a very close up. I'll see if I can find my wider one with all layers in.
I guessed hole in a tendon 'somewhere'?
 

Maddie Moo

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Gutted I missed the condylar fracture one, I was ready with my lag screw fixation as the answer!

Anyone who is interested in cool fracture repairs, I highly recommend the exceptional Dr Patty Hogan who is a NY based orthopaedic specialist.

Edit: Deleted the image but I do recommend her Twitter page. Not only does she perform fetlock arthrodesis but also complex fracture repairs where horses can return to ridden work (she also doesn‘t just treat racehorses!)
 
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ycbm

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Gutted I missed the condylar fracture one, I was ready with my lag screw fixation as the answer!

Anyone who is interested in cool fracture repairs, I highly recommend the exceptional Dr Patty Hogan who is a NY based orthopaedic specialist.


They have made the fetlock rigid, how can that ever be "sound" ?

Sound enough to sell its sperm, maybe!


ETA apparently the horse is a gelding. Why anyone would do that to a gelding is beyond me, anyone with a large plate on a fracture will tell you that they are frequently neither trouble free nor pain free.
.
 
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Boulty

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99B2F110-FA8A-40A7-A79D-F50A1DEC7009.jpeg961D7F98-6AE2-4262-81B4-D2AF619416BF.jpeg

I don’t have undoctored images of this but this is the most random equine diagnostic image I’ve got I think. Anyone like to guess the imaging modality and what the arrow is pointing at?
 

Slightlyconfused

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Keratoma?

Yep, lady to reported thw MRI results said it was one of the biggest she has ever seen.

He was back in walk work 4 months after and a year later back in full work

MRI
Picture mid op (2017)
The keratoma
And follow up xray 2019
 

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Velcrobum

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I'll leave you with a few more feet to muse over whilst I go to bed 😂 some more obvious than others.

I have more pics of some of these from the initial problem to fixing it.
Number 1
View attachment 118586View attachment 118587

I don’t have undoctored images of this but this is the most random equine diagnostic image I’ve got I think. Anyone like to guess the imaging modality and what the arrow is pointing at?
That is a CT scan of an Atlanto-occipital joint showing an exostosis AKA a small bony growth of (probably of the first cervical vertebra of the neck) which does not impinge on the spinal cord.
 

Slightlyconfused

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That is seriously impressive! Just out of interest, how long did it take for the hoof to regrow?


Erm about 8-9 months, at the 5 month mark the hole had grown down so the void was coming out his sole. He had heart bars on both hinds for 6 months as we needed the hoof capsule to be non moving and then he was ok to go back barefoot. Blew a huge abcess at 8 months, all the brusing coming down and out.

Various stages of his healing below, he had a hospital plate on until the shoes came off again
 

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Boulty

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Number 1

That is a CT scan of an Atlanto-occipital joint showing an exostosis AKA a small bony growth of (probably of the first cervical vertebra of the neck) which does not impinge on the spinal cord.
Yep here’s the 3d reconstruction

1C3B179D-2EDF-4B48-A752-21468E892A70.jpeg


Horse had several issues being investigated (but a lot of the rest of the images the changes are a bit subtle and boring). Reason for sticking his head / first few vertebrae in a CT scanner is that was rearing if any pressure was put on the poll anything heavier than a rope halter or very lightweight head collar was used (& even then it had to have a pool pad on). He did also have other issues further down the neck & back.
 

Velcrobum

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I'll leave you with a few more feet to muse over whilst I go to bed 😂 some more obvious than others.

I have more pics of some of these from the initial problem to fixing it.
Number 1 MRI of a hoof but no indication of plane. The black area is probably fat depending on what imaging sequence was used but without anatomical landmarks the anatomy is very difficult. Not going to make a guess as to what the red or green arrows are pointing to as depending on MRI imaging sequence and 3D plane they could indicate many structures.
Number 2 Nasty under run sole abscess
Number 3 Coronet band exit from a hoof abscess
Number 4 Probably normal! The pedal bone when x-rayed from this aspect is always very "moth eaten" which is apparently normal. Shoes can still sometimes conceal delicate pathology. The area at the toe could be dirt but has no obvious pathology.
 
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Number 1 MRI of a hoof but no indication of plane. The black area is probably fat depending on what imaging sequence was used but without anatomical landmarks the anatomy is very difficult. Not going to make a guess as to what the red or green arrows are pointing to as depending on MRI imaging sequence and 3D plane they could indicate many structures.
Number 2 Nasty under run sole abscess
Number 3 Coronet band exit from a hoof abscess
Number 4 Probably normal! The pedal bone when x-rayed from this aspect is always very "moth eaten" which is apparently normal. Shoes can still sometimes conceal delicate pathology. The area at the toe could be dirt but has no obvious pathology.

No 1 - is a picture taken from the sole. The white stuff the pink arrow is pointing at is infection (foot abcess that rumbled on and on) the green arrow is pointing out the hole in the tendon due to infection eating it. The horse op'ed on, every scraped and cleaned. They have remained 1/5 lame their entire life now but has gone on to win races and is currently still in full training 3 years on.

No 2 - is again the sole but the horse had got its foot stuck in a fence and tried to take its hoof off. I will find the other pics of this to show just how much damage they did as well as some of the healing ones.

No 3 - an over reach which, like the horse above, tried to removed part of the hoof entirely. Luckily they didn't crack the sole but they did break the hoof wall from top to bottom and required a staple across.

No 4 - an abcess we just couldn't find manually so needed pictures to determine its location. That's weird for us as our farriers are 99% perfect at pin pointing abcesses.


As to your images - it's truly amazing what we can see and do under the skin these days. And from what looks like such a small problem to it causing some very significant issues.
 
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From the above 2 hoof cracks

No 2 - the full extent of the damage once the pressure bandage had been taken off (they were pouring blood so first and foremost we had to get that to stop before we could assess the full extent of the damage). Patching it up. They had a plaster cast on for 3 weeks. The furst couple of images are the healing at 3 weeks as well as an ulcer that had formed from the cast rubbing.
 

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That is a curious angle - is it showing part of it magnified?

Yes they have magnified the area they were looking at so it does look a little weird at first. As to removing staples - it's dead easy, you just use a bigger staple remover gadget than you would on our normal paper staples. We did remove quite a few of those as most weren't necessary, a lot weren't actually doing anything as they were only in one side of the wound and some were crossed over the others. So yeah the next day we stripped it down to 8 or 9 staples.

SC that is one hell of a keratoma! I bet the horse was relieved to get that out! We had another horse with one who we only discovered by chance. They were totally sound then went dog lame trotting round a bend. We bandaged them up treating as a fetlock fracture as that's what we thought they had done. The xrays showed nothing there so we xrayed the foot and saw the keratoma. The horse must have stood on a stone just at the point of the keratoma to make it so so lame but until they did that we had no idea it was there. Like yours it was dug out, plated up, kept clean etc and then returned to racing in due time.
 
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