Your opinions needed on PSD Case

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speedycivic

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Proximal suspensory desmitis. Would like your opinions on whether you think this injury in the case below is related to the initial injuries ( as I beleive they are)
Horse went lame 11th July after nasty kick wounds to OSH. Kicks all down cannon bone and suspected hairline fracture. Some ten days later, still lame and re xrayed, suspected hairline fracture at this time. Remained lame, but improved to 1/10th lame some time in late august. On box rest whole time with just walking in hand. Advised to increase to a bit of trot by vet. Horse went hopping lame right away.
Stopped work and boxed. Leg blew up - really swollen. Remained in and just hosed leg till vet came out on Monday. He drew some of the fluid off and she was sent to Potters bar on the Wednesday beginning September. Diagnosed PSD.
Vet hospital advised it was related to original injury - and you can see several blows to the area on photos. But my vet says it is totally unrelated. To be frank I cannot get my head around that at all. I mean the horse has done nothing how could the ligament go when just walking in hand.
I really want your opinion. Or whether it went because she was on box rest and something contracted. She has not been sound since she was injured in July. But I am thinking my vet is barking mad. I am getting a vet report and thats where he has said it is unrelated. However Potters Bar say not.
I really need an answer
 
Sorry to hear of your bad luck. Stupid question, if your horse is being dealt with by the equine hospital, why does it have any bearing what your vet thinks? From an insurance point of view, the hospital will help you claim, their report is the one that matters (assuming this was a referral and not a sought second opinion).
 
Could it be celulitis? My horse had severe kick just below hock - every time he completed AB course (x4!) it flared up again. Now just finished 10 days IM followed by another 10 days of a different AB in feed. Fingers crossed this will do trick - though will be ready with thermometer to shove up his bum as soon as he's finished the last prescription. We've had scans and all's clear and had joint tapped.:(
 
monikirk said:
Could it be celulitis? My horse had severe kick just below hock - every time he completed AB course (x4!) it flared up again. Now just finished 10 days IM followed by another 10 days of a different AB in feed. Fingers crossed this will do trick - though will be ready with thermometer to shove up his bum as soon as he's finished the last prescription. We've had scans and all's clear and had joint tapped.:(
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Thank you for taking the time to reply. I can confirm that it was diagnosed as PSD.
 
Bubbles said:
Sorry to hear of your bad luck. Stupid question, if your horse is being dealt with by the equine hospital, why does it have any bearing what your vet thinks? From an insurance point of view, the hospital will help you claim, their report is the one that matters (assuming this was a referral and not a sought second opinion).
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Hi Bubbles. Its a bit complicated. Little horse was on loan to a girl/ lady where she sustained some really bad injuries that were not treated. I have been unable to get any commitment from her to honour vet bills etc. She got a CCJ and has now made contact asking for vet report and xrays. I contacted my vet - thinking that Potters Bar would have communicated that they had said the PSD was as a result of the initial injury, but it seems not. As I then got a report from my vet saying that he thought they were totally unrelated. I just cannot get my head around how he can think it is not related, when the horse has been on box rest since that day and was just having some controlled walk in hand exercise introduced and almost immediately the leg blew up.
I have since contacted Potters Bar to ask for their report. But I need then my vet to do a report just advising the treatment he made prior to the horse going to Potters Bar. I wanted to hear what your views were and if anyone else has had experience of PSD as a result of blows to the area from kicks.

http://s1140.photobucket.com/profile/speedycivic
 
Looking at your pics I remember your previous posts: nasty. I've never heard of desmitis being caused by injuries like that, but I guess a trauma to a splint bone could have an impact, for example. What I would want to know is exactly why your vet thinks it's unrelated, and then get in touch with Potters to discuss their report with them. The timing of the leg swelling is odd, the damaged suspensories that I've seen have shown little or no swelling, so I wonder if that was due to the other injuries and the start of the trot work rather than a direct symptom of the PSD.
Potters should have at least sent their report to the referring vet though, having had a horse treated for a similar thing the consulting vet was forever on the phone to my practice vet so they could discuss the future treatment.
Was the PSD diagnosed in the other hind as well?
 
Hi bubbles. No sign in other leg. My own vet had been certain it was OCD until Potters bar said no. I also did not think that likely as know sire and dams parentage from way back. I get feeling vet just looking at diagnosis by the book. Potters bar were thrown by swelling too, but specialist there said sometimes you do get it.
 
Interesting, did they say how badly damaged the ligament is and whether she will return to work?
From an insurance point of view, if it does go down as a separate claim to the other injuries, whilst it might be difficult to prove your loaner had any bearing on the PSD, you will at least have your full vets fees to spend on getting both claims treated. I do hope you get your answers asap, good luck.
 
My horse had op for PSD in August by diagnosis consisted of nerve blocks, lameness work up and scans, has vet done any of that with yours? I think I would want to have those tests done before this could be confirmed. There were no particular external signs of injury, swelling like that does sound more like cellulitis. Good luck
 
Hi jacmac. Yes, had all of that done to confirm diagnosis. Suspensory ligament partially disconnected near hock which ties in with location of one of kick wounds too
 
Sorry to hear about your horse.

I have posted several messages about PSD recently as my horse got diagnosed with chronic PSD in both hinds. I have NEVER got my head around it to be honest. He has only been backed 6 months and only schooled properly for 3 months. PSD is supposed to be a strain injury!!!!!!!! because of his recent backing he had only done 15-20 min sessions and defo not over worked. He is also a 6 year old.

Anyway, I went ahead with the neurectomy surgery, which he actually had yesterday at Liphook. A very worrying day for me yesterday, but all went well.

My personal opinion is that PSD is connected to other issues. Many people often find when they have sorted it out, the horse gets kissing spine or other issues. It wouldnt surprise me if this happens to my horse as I can not see how he got a strain injury.....he lives the life of reily!!!!!

I think that PSD is still quite a grey area for vets.....a lot of it doesnt make sense. It used to go undiagnosed for years my vet said. I can see how, as my horse was only 0.5/10 lame!!!!!!!! he just didn't feel right and was very tense and wouldnt use himself properly.

Sorry I havent probably been of any help, but check my threads out. Some useful replies on there :o
 
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