No answer in Veterinary so...coffin joints anyone???

Cliqmo

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Sorry if this ends up long, I would love any info / personal experience please as want to get an honest and clear picture of long term prognosis for my boy

I took Boo (4yr 17hh Warmblood x Cob/ID type) to the vets for nerve blocks and xrays todays as he has had a grumbling lameness for about six weeks; during this time he has been intermittently sound, mildly lame, acutely lame and back again without rhyme or reason for the changes. He is not backed and came in lame from the field.

Today he was nerve blocked just below the fetlock but still showed lame so they 'prod tested' him and found the medial(sp?) block had not worked. A second go at this block (on the inside of the leg just below the fetlock) meant he trotted up sound.
(are you with me so far??)

Xrays showed a slightly long toe and a suggestion of ring bone to the outside (which they discounted as the problem because the nerve block on the outside had worked but he was still lame?) but no arthritis or navicular and only a very subtle "grainy" look to the coffin joint.

The vet thinks from the xrays it is likely to have been caused by a tweak or twist in the field and has recommend a coffin joint nerve block (have to go back next week) to confirm this is the site of the problem; he also advised that they will know by the amount of time it takes the block to work whether it is a joint or a soft tissue/ligament problem?

My question really is whether this is a problem that is fixable or just manageable? I have read the previous threads about various joint injections, supplements etc but can't quite fathom whether this is to rectify the problem or just to treat the symptoms?

Cookies for getting through this, any info would be massively appreciated
 

rsc

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My mare has pulled the ligaments/tendons running down the back of the pastern and attaching to the pedal bone, sounds like your vets may think your horse has done something similar. She did a couple of months box rest and then gradual turning out. She is out full time now and can power trot sound round the paddock ! Only occasionally is she a bit lame. The prognosis is pretty good long term but I have put her in foal to give her 18 months off and fingers crossed when it comes round to riding again.
 

Cliqmo

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Ah okay, some good news
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Fingers crossed it works out
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Ludi-doodi

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Stick with me a moment and I'll try and find posts I've made about Ludo's coffin joint injury. So as you're not worrying, he recovered well from it!
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Here we go - Ludo damaged the coffin joint collatoral ligament - not sure if it's the same injury you have but certainly the 'grumbling lameness' is an identical symptom!

http://www.horseandhound.co.uk/forums/sh...rue#Post3976248
 

Cliqmo

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Aww thanks Appylass
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I have to say I was absolutely cacking myself today incase they said it was confirmation based or caused by his poor start!!
 

eoe

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If he has long toes would this not unbalance him and cause lameness problems. I have had a couple of new liveries in recently who had only been shod 3 to 4 weeks before, their toes were long and obviously had not been trimmed back enough, these horses sound similar to your horse, we got a good blacksmith out who trimmed the toes back to how they should be, they were a bit foot sore for a week and have been fine since, the owners were about to go down the route that you are taking. Have you got any photos of his feet?
 

Cliqmo

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The odd thing is that to the naked eye his feet look good (IMO)!! it was only on the xray that the extra toe length becomes apparent ... here is a (big!) pic that should show his feet quite well...

BentleyMay2.jpg
 

appylass

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Still got my fingers crossed
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I have to say you have done an amazing job with him, he looks fab in that picture (compared to when I met him!) Gorgeous boy
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Rocky715

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This is very interesting - my horse came in lame three weeks ago .. suspected twisted coffin joint.

he trotted up still lame after 2 weeks box rest, got to the horse hosital ready for scans and xrays and he trotted up sound.

do you think i should suspect this to be a grumbling lameness too?

(sorry to steal the post a bit)
 

Darkly_Dreaming_Dex

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* also posted in vets*
link to my post a year ago when this first appeared, inc video clips:
http://www.horseandhound.co.uk/forums/showflat.php/Cat/0/Number/3011176/an/0/page/2
16.2hh 8yrs similar build to your horse-Jacob had arthroscopy surgery under GA on his coffin joint 4 weeks ago. He had intermittant lameness for 10 months that defied diagnosis. his xrays and scans were all clear but slightly fuzzy round the joint. His foot balance was declared excellent. He went hopping lame a month ago so was referred to vet hospital. The operation found a bone chip and cartilage was torn off the bone and they suspect it had been like that for a while
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They said its not unusual to have clear xrays with this level of damage, it might have shown under MRI but both the hospital & my vet felt its a lot of money for a "pretty picture with no solution"hence the investigative op. They removed the chip and damaged cartilage and four weeks on, he is still on box rest and about 3/10 lame. He is slowly getting sounder but it is a long process, we do not expect to ride him this year. We have purchased a project horse to allow Jacob as long as he needs to get well, he will never leave us i just want him pain free in the field, anything else is a bonus.
Feel free to PM

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Cliqmo

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[ QUOTE ]
This is very interesting - my horse came in lame three weeks ago .. suspected twisted coffin joint. He trotted up still lame after 2 weeks box rest, got to the horse hosital ready for scans and xrays and he trotted up sound. Do you think i should suspect this to be a grumbling lameness too?
(sorry to steal the post a bit)

[/ QUOTE ]

I hope not but I fear it may be the case
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My boy seems to ignore his lameness when he is excited or somewhere new (he was sound for the first few trot ups with the vets yesterday until he settled down and remembered his foot hurt
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)
 

Cliqmo

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Hi Darkly_Dreaming_Dex and thanks for the info! Can you remember when or why your boy first went lame? and has he varied in severity of lameness over the last 10mths? Fingers crossed for you that he comes good
smile.gif
 
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