Subchondral bone plate collapse?

Newlands

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7 February 2011
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Hi,

Just wondered if anyone has any experience of the above or similar?

My horse was referred for surgery a couple of weeks back to have some bone chips removed from his fetlock.

I chose to be referred to my old surgery, when I lived in that area. Got there, spoke to the vet who would be doing the surgery and she said she doesn’t think they are chips so can we do more X-rays, we did these straight away and they were still grainy but backed up her thoughts so I asked for him to have an MRI so we had a better idea what was going on. We did this and sadly they didn’t show bone chips.

I have the report and a basic understanding of what there is but there are so many big words.

“It is considered likely that this subchondral lesion is the end stage of a traumatic subchondral bone injury where the subchondral bone plate has collapsed, creating the large defect”. There is arthritic change around this and elsewhere in his fetlock, also some change on his non lame hind.

So, he has not had surgery. She said to me the area of damage cannot be reached and even if it could she really didn’t know what they would be able to do.

My vet has sent the report to a colleague for another opinion which I have been waiting over a week to hear about. I know he’ll be in touch when he hears but the wait is horrid. Luckily my horse is back to being turned out and is comfortable at the moment. They injected his fetlock before coming home to give us some time. He won’t be able to return to work, he could possibly light hack but even that doesn’t sit right with me, knowing the damage that’s underneath. He’s also not a horse that is sensible to hack solo or in company. He has only just turned 8 and I’m just feeling so torn, my poor boy.

I’m not sure if anyone can help but just need to blurt it out again as I think I’m driving everyone around me crazy with moving around. Thank you.
 
I'm sorry to hear your news. It is horrible when the prognosis is poor and they are so young. In your position, I would wait for the 2nd opinion and if it confirms what the referral vet thinks, make a decision based on quality of life.
I do sympathise, I lost a 6 yr old Shire , because nothing could be done.
 
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