Kick injury - Soft tissue damage or bruising? Any suggestions?

ecrozier

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Just over two weeks ago OH's 3 year old came in bleeding. He's been kicked about 3 inches below the hock on the outside of his hind leg. Called the vet, sent him a picture and he said clean it, cover it and keep in and he'd come in the morning. I didn't see but OH trotted him up for two fairly knowledgable friends and apparently was hardly favouring the leg at all.

Next morning he came and had a look, said the actual wound shouldn't be an issue as not dreadfully deep or on actual joint, but only concern was splint bone fracture as horse by that morning was quite lame, and kick is on bony area of head of splint bone.

So we box rested for a week with antibiotics, wound continued to heal, no sign of infection. But to be on safe side we decided just to get vet back to check - he said still lame so we X rayed. From xrays, 7 days after kick, vet is confident there is no fracture but did see some peri-osteo (sp?!) changes - like a boney shadow outside the actual head of the splint bone with a minute gap between the bone boundary and the shadow, if that makes any sense.

Still happy with the wound, did 5 more days antibiotics as precaution and gave one bute a day to reduce swelling, said put him out in a small pen as he wanted him moving to reduce swelling/help wound to drain. So we did this, first few days were, ahem, interesting
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as having been very calm in his stable a little bit of freedom sent him loopy. So he did throw himself around a bit, but after two days we tried putting my gelding with him and that seems to work, he still has the odd buck or trot around (in a small circle!) but generally staying quite chilled.
But I still don't think he is sound. Vet has said lets scan as the kick injury is around the area where ligaments attach to bone, so possibility of some soft tissue damage here. He's coming back on Monday as wanted swelling to reduce and wound to heal as much as poss, which it has - barely any swelling, no heat, and wound fully scabbed over now.

Just wondered if anyone has any thoughts or experience of soft tissue damage in this area? Prognosis? Treatment? Or could it still just be deep seated bruising to the bone causing lameness after 2 weeks and 3 days?

Would be so gutted if its a poor prognosis, OH's previous horse had to be retired due to extensive soft tissue damage in her foot - just praying we can fix this boy as he is so so lovely and behaving really quite well for a 16.2hh 3 year old on restricted turn out/box rest!

Biscuits and tea for anyone who got this far, sorry for essay!
 
I sympathise with you, but you're doing everything by the book, and your vet is on the case. I wouldn't be too despondent, two weeks is quite a short space of time. One of my horses managed to get a self-inflicted kick injury to her cannon bone in her stable, and it took quite a long time before she was 100% sound. The impact to the bone caused more bone to be laid down around the site of the impact, a false splint of sorts. She also got cellulitis in the flesh wound that took a lot of poulticing before it started to heal over. What a nightmare. The irony is the horses were in on that day as the weather was bad and it was to stop them from injuring themselves!!

So stay positive, controlled turnout and rest will hopefully bring him sound within a short period of time. The scan should give you a better idea of what you're dealing with, it always feels worse when you don't know. Good luck.
 
Hi, My 3 yo was kicked on the radius above the knee last Christmas and had significant soft tissue swelling around the area. Lots of ice cups being massaged over the area would help disperse the swelling. Upon xray our 3 yo had found to have 4cm of detached bone so had surgery for that and 6 weeks in the stable then on the walker, what a joke, had never been on the walker in his life but anyway he coped on it with sedalin for me and him. Definately think you are doing the right thing scanning him from a ligament perspective, deep seated bone bruising is very painful and can take a long time to subside. It took a lot of massage/cold therapy obviously alongside the surgery but now wouldn't even really know he had it. We also gave our youngster Arnica internally to aid the swelling/brusing. Hope the scan proves negative for you. Good luck
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Fabulous thank you both for positive stories. The swelling has come down really well over the last week, he's still got a bit of a lump where the actual wound is but thats partly the scab!
Ladyarcher, the extra bone being laid down around the kick site is exactly what seems to be happening on the xray. As an approximate idea, how long was it before your girl was sound enough to go back out in the normal field? And then before she was sound? Its not the end of the world with him being off work as he was ever so good to back and ride away over the summer, so a bit of a break is fine really, but husband is itching to get back on board!
 
NELSON11 - quick question, arnica - just the human homeopathic one? How much a day? And probably being thick but what is an ice cup?
 
Ice cup is water just frozen in a polysterene cup, you peel the top off the cup and hold the end but excellent for massaging oedema. Arnica yes the human version. We used 200c initially in the acute injury stages. 2 a day for 10 days then we had a break for 10 days then gave him Arnica 30c 8 tablets a day for 10 days.
 
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...Ladyarcher, the extra bone being laid down around the kick site is exactly what seems to be happening on the xray. As an approximate idea, how long was it before your girl was sound enough to go back out in the normal field? And then before she was sound?...

[/ QUOTE ]

It was a few years ago so I can't remember exactly how long, but I remember her out in the field with her coloured vet wrap on, so she was turned out before she was fully healed.

With bone injury, once it's healed you can forget it, unless of course you've ended up with a bony growth that interferes with the tendons. But usually, healed bone is even stronger than before. My horse has never been at all lame since.
 
Great thanks all, I was given some arnica to take when I broke my leg earlier in the year so will look it out and see what strength it is and start giving him that tonight.
And good idea with the ice cups! Will buy polystyrene cups, such a clever idea!

Lets just hope that it is only bony injury, and nothing more sinister, but both your posts have cheered me up no end I must say, so thank you both!
Any further experiences, good or bad, would be great, thanks.
 
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