Synovitis

Amy_08

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My mare slipped on the road and bashed her LH fetlock joint in Nov. The fetlock swelled up, had vet out she had xrays done. They found a hairline fracture of the cannon bone and also diagnosed synovitis (no cartilage change), having nerve blocked. She was 3/10th lame on flexion test. She had 4 weeks box rest and was then rexrayed. The fracture had healed, the swelling and heat had gone about 2 1/2 weeks into the box rest, but came up again a couple of days before she was rexrayed. She was now 2/10th lame on flexion and 1/10th lame trotting on the lunge. We decided to medicate the joint, then she had 4 days box rest, followed by ridden walking for 25 minutes and turnout. All good, she was sound and swelling and heat gone completely. Vet came back and gave us the thumbs up, sound on flexion, just slight uneven step when turning her. He said to carry on the walking and gave me an exercise plan, to build her workload back up.

A new horse was then turned out in her field. I wasn't told. So lots of galloping around and the next day the fetlock has swelled right up again with a little heat in it. So I have been icing it and bandaging when in, she is sound. Rang the vet who said to give her a days box rest and then carry on as I have been doing. He said she is always going to have a weakness now and obviously when she overdoes it, is likely to tweek it. So when she is stabled it is fairly swollen, yet does go down as soon as she is ridden or turned out.

So does this sound right? I just feel very uneasy about the swelling and just carrying on as normal. Just would like opinions as to whether this sounds right, or should I be speaking to vet again?
 
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what about a second opinion from another vet or a specialist in this field of injury.... no harm in asking
 
Thanks Ju, I spoke to the vet again today. He didn't realise it had been swollen for nearly a week, so we are DMSO'ing for now and if this doesn't work will probably medicate again.
 
How do they know there were no cartledge changes as cartledge doesnt show up on anything other than MRI?

I have sadly has a lot of experience here and all synovitius is is an increase of swelling within the synovial fluid lining which indcates joint trauma.

My horse has all sorts of tests joint meds, scans, xrays joint fluid testing and the damaged cartledge that didnt show when they opertaed was horricfic and my horse who was harldy lame should have been fracture lame on it.
 
My gelding had arthroscopy to both his stifles for suspected OCD and all they found was synovitis (soft tissue inflammation) and they treated it with IRAP injections whih worked. You may want to ask your vet about IRAP for the fetlock joint treatment.

Hope you get to the bottom of the problem.
 
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