Upper hock injection under x ray?

[huskydamage]

Just looking for anyones experiences of this and was it worth doing?
My horse had her hock injected for bonespavin but whilst it improved a lot shes still not totally sound, vet wants to try injecting the upper part (which is were most of her problem is) which needs to be done with an xray.
I dont know anyone who had this with their horse, just wondered if anyone had any experiences good or bad with it.

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[Sossigpoker]

What do you mean by upper part?
If steroid hasn't worked, arthmid would he good to try. Mine became sound in 48 hours. An x-ray was used to confirm the position of the needle before injection.

 

[Tiddlypom]

My mare has just had her lower hocks medicated, this time with both gel and steroid. She was first diagnosed with hock arthritis 6 years ago, and she was last medicated 2.5 years ago. A week post hock jabs and she is already much more comfortable and off danilon. Her left hock is nearly fused, and it was tricky to find a space to correctly place the needle, it took a few goes, so the vet did x ray with the needle in position to check all good before injecting.



Good luck anyway. If gel + steroid is an option, go for it. My vets do this routinely now with great success, if owner finances permit and it is appropriate. She had gel only last time as she had steroid in her SI at the same time, and steroid in the hocks too would have been too much in one go.

 

[AandK]

Is it the tarsocrural joint? That’s the joint my 10yo has OA in due to an injury 3yrs ago. He has it medicated, no xray needed, other than to confirm he had changes in the joint. He had it done today with steroids, following with Arthramid in two weeks.

 

[huskydamage]

What do you mean by upper part?
If steroid hasn't worked, arthmid would he good to try. Mine became sound in 48 hours. An x-ray was used to confirm the position of the needle before injection.

It's from an injury rather than wear and tear most of the damage is not in the usyal place apparently, its is in the distal something or other. I'm rubbish at remembering the name!
Arthmid has never been mentioned as an option, I don't know much about it

 

[huskydamage]

Is it the tarsocrural joint? That’s the joint my 10yo has OA in due to an injury 3yrs ago. He has it medicated, no xray needed, other than to confirm he had changes in the joint. He had it done today with steroids, following with Arthramid in two weeks.

Its called distal something.. I can't remember the name its the middle layer.
Whats the benefit of the arthamid? I've not heard of it, maybe my vet doesnt do it..

 

[huskydamage]

My mare has just had her lower hocks medicated, this time with both gel and steroid. She was first diagnosed with hock arthritis 6 years ago, and she was last medicated 2.5 years ago. A week post hock jabs and she is already much more comfortable and off danilon. Her left hock is nearly fused, and it was tricky to find a space to correctly place the needle, it took a few goes, so the vet did x ray with the needle in position to check all good before injecting.

View attachment 107789

Good luck anyway. If gel + steroid is an option, go for it. My vets do this routinely now with great success, if owner finances permit and it is appropriate. She had gel only last time as she had steroid in her SI at the same time, and steroid in the hocks too would have been too much in one go.

Glad it worked for your horse. Mine had it done today it did look really faff for them ti get it in the right place. Just hope it works, dont know what to try next tbh

 

[Sossigpoker]

Its called distal something.. I can't remember the name its the middle layer.
Whats the benefit of the arthamid? I've not heard of it, maybe my vet doesnt do it..

Arthmid is a filler , it not only fills the damaged joint space but also binds with the tissue so it becomes a part of the body.
If your vet isn't skilled enough to administer it then I'd ask for a referral to vet hospital .

Do you mean distal metatarsal joint ? That's where mine has had the Arthmid. His tarsometatarsal joint is almost fused but vet managed to get a bit into it. The difference is amazing, 3 moths later he's going better than ever before.

horse distal hock joints - Google Suche

 

[Birker2020]

Are you referring to contrast dye being injected into the joint space to see if there is any communication with the upper joint prior to injecting ethanol otherwise referred to as chemical arthrodesis? The contrast dye is injected then xray taken. If the dye communicates with the upper part of the hock the procedure cannot go ahead, because in doing so it would render the horse permanently lame.