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Discussion on Ruptured Peroneus Tertius on a 12y/o Quarter Horse

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Reuben Richardson
Member
Username: Reuben

Post Number: 3
Registered: 10-2002
Posted on Thursday, Oct 24, 2002 - 7:02 pm:   Edit PostPrint Post

I need suggestions on rehab for a 12 y/o Quqrter with this injury. Vet says rest for 9 to 12 weeks then hand walking. What sort of conditioning should follow this and how long on the lead rope?
Reuben
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Melissa Boschwitz
Member
Username: Amara

Post Number: 18
Registered: 7-2000
Posted on Thursday, Oct 24, 2002 - 7:18 pm:   Edit PostPrint Post

i just helped rehab a horse through this same injury late last year-early this year..
our traditional vet said about the same thing yours did - stall rest than hand walk... and honestly, its the wrong thing!..
we started with hand walking 5 min 1x/day after 2 week stall rest, than 2x/day, etc...hand trotting and work over poles started at about 2 1/2 months...smaller circles were incorporated as well
(have a rehab vet in our area who recommended all this)
we rented a laser from respond systems...and used that extensively...(we woulda done magnet therapy too, but the horse had severe issues about anything being wrapped around his hock)
did lots of cold/hot H2O therapy
supplemental therapy incl. MSM,glucosamine (horse already had arthritis in the hock) and a VERY well balanced, high quality vit/min supplement...
with the horse that we rehabbed (it was a complete rupture), the horse was very lightly under saddle in just 3-4 months...
within 6 months he was w/t/c/basic dressage

good luck...
if you want to talk to the person who had this horse, let me know..
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Reuben Richardson
Member
Username: Reuben

Post Number: 4
Registered: 10-2002
Posted on Thursday, Oct 24, 2002 - 7:39 pm:   Edit PostPrint Post

Melissa, thanks for the advice. Could you give me some detail about the well balanced diet. This horse is on straight coastal hay and he is still pretty hyper. Thanks.
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Melissa Boschwitz
Member
Username: Amara

Post Number: 20
Registered: 7-2000
Posted on Thursday, Oct 24, 2002 - 7:46 pm:   Edit PostPrint Post

we put him onto all you can eat timothy hay with a little bit of alfalfa mixed in... his "grain"
was beet pulp only, with rice bran (he was a difficult keeper)..
he was fed the free choice vitamins from the ABC company...they set up a special program for him..

he was a 13 yr. old TB (OTTbut unraced)...and we had no problems with him being hyper (except for those occasional "its so windy i just gotta run days")
we have an indoor, so it certainly was easier to keep him quiet, what with the boring scenery and all...
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 7172
Registered: 1-1997
Posted on Friday, Oct 25, 2002 - 6:03 am:   Edit PostPrint Post

Hello Reuben,
We have an article that explains this injury and its care in detail at Equine Diseases » Lameness » Diseases of the Hock » Ruptured Peroneus Tertius.

Melissa complete stall rest is a well established and effective treatment for the first 2 months and doing so gives the horse the best prognosis for returning to work particularly if the rupture is more proximal than the hock and involving more of the muscle. A horse walked carefully in hand during this period may be able to heal but you run an increased risk of ending with a nonunion of the two ends.

Whether you use laser, magnets, or MSM is unlikely to effect the outcome.
DrO
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Reuben Richardson
Member
Username: Reuben

Post Number: 9
Registered: 10-2002
Posted on Thursday, Nov 14, 2002 - 11:30 am:   Edit PostPrint Post

Hi Dr. O.
I have an earlier post on this subject. My vet was out yesterday and this horse has made little or no progress after several weeks of stall rest. The swelling in the lower extremities of the leg is gone but he still carries the leg if he happens to move suddenly. Is there a remidial surgical procedure to aid in the healing such as pinning? The rupture is at the hock. Would any type of supplement or high protein feed help? He is currently on Coastal grass hay only. This is a really good roping horse and I sure do want him back. Rube Richardson
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 7297
Registered: 1-1997
Posted on Friday, Nov 15, 2002 - 9:02 am:   Edit PostPrint Post

That is not surprising Reuben, these things take several months to heal. Y'all are just being impatient. Check the article it explains this and I have never had to do surgery to get one of these healed up. Of course this is assuming you have the diagnosis right.
DrO



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Reuben Richardson
Member
Username: Reuben

Post Number: 10
Registered: 10-2002
Posted on Friday, Nov 15, 2002 - 9:09 am:   Edit PostPrint Post

Thanks Dr. O. My vet didn't do a cat scan but he did take X-rays of the hock. With those and the symptoms he decided what it is. What about any type of supplement or feed that might aid the healing proces? Rube
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 7303
Registered: 1-1997
Posted on Sunday, Nov 17, 2002 - 10:43 am:   Edit PostPrint Post

No just good quality feed, fed in the proper amounts, see » Care for Horses » Nutrition » Nutrition for the Horse: an Overview of Feeding Horses. There are some special consideration and suggestions for long term stall management at » Training Horses » Behavioral Problems » Stall Resting Horses. I will move the older discussion to here so we can keep the case easy to follow.
DrO
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Reuben Richardson
Member
Username: Reuben

Post Number: 11
Registered: 10-2002
Posted on Thursday, Dec 5, 2002 - 7:53 pm:   Edit PostPrint Post

Hi DrO. This horse has been confined for almost 7 weeks. Is it too early for 15 minute hand walks?He still favors the leg if he moves too quickly but while being led he seems to move normally.
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