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SUSAN STAFFORD
New Member
Username: Super
Post Number: 1
Registered: 2-2003
| | Posted on Friday, Feb 28, 2003 - 9:42 am: |   |
30 day foal over at knees- foot hits ground normally, pasterns are fine. He is limited to 1 hr turn out and otherwise in large stall. At times, he looks pretty good, but with activity, he gets wobbly at the knees. Any suggestions? |
Robert N. Oglesby DVM
Moderator
Username: Dro
Post Number: 7889
Registered: 1-1997
| | Posted on Saturday, Mar 1, 2003 - 12:47 pm: | |
Hello Susan,
The article associated with this forum discusses this condition and possible treatments. ack up one step access the article and pay particular attention to the see the paragraphs under the heading: Flexural Contracture: upright pasterns, walking on tip toes, fetlocks or knees buckled forward.
DrO |
SUSAN STAFFORD
Member
Username: Super
Post Number: 2
Registered: 2-2003
| | Posted on Monday, Mar 3, 2003 - 12:12 pm: | |
I did read the article and understand it. he is on 1/2- 1 hr turn out and otherwise confined to a large stall. He is no better-no worse. At what point, age-wise- should I explore other options and what is avavilable? |
Robert N. Oglesby DVM
Moderator
Username: Dro
Post Number: 7903
Registered: 1-1997
| | Posted on Monday, Mar 3, 2003 - 7:33 pm: | |
As the article states, "it is thought that very early aggressive treatment greatly improve the outcome of acquired deformities". With the approval of your vet, I would begin the other treatments immediately.
DrO |
SUSAN STAFFORD
Member
Username: Super
Post Number: 4
Registered: 2-2003
| | Posted on Wednesday, Mar 5, 2003 - 9:20 am: | |
Thanks for your input. What is the name of the surgery that would be used to correct over at the knees (carpal flexor)? |
Robert N. Oglesby DVM
Moderator
Username: Dro
Post Number: 7918
Registered: 1-1997
| | Posted on Thursday, Mar 6, 2003 - 9:02 am: | |
It depends Susan, on which structures are causing the contracture. Quite frankly the amount of work done on this relatively common condition is tiny and I think there is still a lot of work to be done on what is going on. Carpal flexural contracture has been associated with contracture of the superficial and deep flexor as well as the palmar carpal ligament and the periarticular structures of the carpus. This condition is also associated with weakness or rupture of the carpal extensors in the front.
It can be difficult to determine which is the primary problem and frequently multiple structres are involved. It is one of the reasons the article tells you surgery does not have a good prognosis with this condition. Instead you should start with the nutritional program and rest. Though this may take months the prognosis is good. Though not though usually needed early use of well applied splints may inprove the prognosis. Though surgery is very effective for other contractures it is not a good choice for mild carpal flexural deformities. I have edited the article to make this clearer.
DrO |
