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Bone Spur Prognosis

Bone Spur Prognosis
By R. Reid Hanson
 
We recently had our 4-year-old gelding X rayed due to months of periodic refusal to canter. What we learned was a shock: His hock had been broken and now has healed with what the veterinarian is calling bone spurs. He believes that the spurs are possibly rubbing against his tendon, causing pain. I have not seen the X ray yet, but the vet described it as being a clean break on the bottom bone of hock.
 
What is the long-term prognosis for injuries such as these? We have never heard of a horse’s hock being broken without indication of it. Should he be working? Or should we do whatever is comfortable to him, as we have no plans to show him? Should he be on any anti-inflammatory medications or supplements?–Tricia Arseneau, via e-mail
 
A. Those of you who have owned horses with arthritis might be familiar with the term bone spur. Or perhaps you had a prepurchase examination performed on a horse, only to discover that the horse had spurs in his hock joints.
 
The actual break in the bone you are describing sounds as if the spur itself might have become slightly detached, or it’s enlarged and appears as if it is detached. This is a typical description for bone spavin, which is defined as osteoarthritis of the lower three hock joints. It usually affects the two lowest hock joints (the tarsometatarsal and the distal intertarsal joints), with the third joint, the proximal intertarsal, rarely affected. An extensor tendon complex overrides the area where bone spurs are most likely to occur in the front of the joint.
 
Most often this type of growth is associated with arthritis of the joint, although we sometimes see spurs incidentally causing no clinical abnormalities. As joint inflammation and deterioration progress, the body starts to produce excess bone at the edges. Sometimes these spurs act to stabilize a painful joint, either by putting pressure on the joint edges or by eventually fusing the joint (preventing any motion at all). We diagnose the spurs most accurately with radiographs (X rays) or ultrasonography.
 
Determining whether the spurs are clinically significant can be tricky. Certainly if there is joint swelling, pain on flexion, and the horse becomes more sound when the joint is blocked, the spurs are likely to be signs of trouble.
 
 
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