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 Sesamoidean ligament desmitis - bad news :-(

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T O P I C    R E V I E W
ella Posted - 04 Jun 2009 : 6:04:53 PM
:-( :-( :-(

My poor gelding who has been very lame on alternate/both hind limbs
for the past 3 weeks has been shown to have desmitis of the distal
suspensary apparatus.

He has rear pastern swelling, windgalls & constantly rests a hindleg,
switching every 1-3days.

Has anyone seen/treated/managed this & had a return to ridden soundness?

Because we can’t see any lesions in the more proximal suspensory
branches I have my hopes pinned on this NOT being the genetic DSLD,
but a result of injury coupled with longish pasterns.

Gee, I hope there’s one of you who’s had a successful outcome
treating this :-(
25   L A T E S T    R E P L I E S    (Newest First)
ella Posted - 06 Jan 2010 : 7:10:22 PM
Hello, thanks for asking about Dior

The best description of his condition is ‘stable’.

He almost always rests a limb when stationary but has no obvious lameness at walk or trot. He‘s happy enough turned out with his buddy & on once daily NSAIDs.

I’m trying not to look too hard for lameness now, more at his overall quality of life.
I think it’s highly unlikely there’ll be any improvement, but the current rate of degeneration is very slow.

Here he is yesterday, hoping that another hay delivery was imminent!


vjc Posted - 30 Dec 2009 : 7:31:18 PM
So Sorry to hear your news was not good, it is obvious you have done everything possible to help him. Here`s hoping Dior will be able to spend a few more years yet with you.xxx
saddlebred Posted - 30 Dec 2009 : 11:40:53 AM
Just wondering how Dior is? I hope he improved with time.
Debs x
georgiauk Posted - 30 Oct 2009 : 8:50:04 PM
I'm so sorry your going through another trauma but at least your Neddy has the best Mum he could possibly have, with only his best interests at heart
Mrs DJ Posted - 30 Oct 2009 : 7:24:03 PM
Sorry your news was not good.

Keep your chin up - he's not bad for now if he can jump electric fencing!!

And you never know what's around the corner.
ella Posted - 28 Oct 2009 : 6:24:09 PM
Well not good news I’m afraid .

Prof Clegg was unable to find any disease other than the v slight arthritic changes + desmitis of his oblique seamoidean ligaments that my 1st opinion vet already diagnosed.
He says he has never seen a bilateral case before, & never a horse with this presentation & degree of lameness. “Unique” was his choice of term.
It is probable that this is some kind of genetic connective tissue disorder & that it is degenerative & will progress over time.
There’s no disease in his more proximal suspensory ligament/branches so this is different to the DSLD that affects Paso horses.

Great. Yet again I have a horse with a very “rare & interesting” disease.

My day started badly when my chauffeur’s flight back from Malaga was delayed, meaning he didn’t get a lot of sleep. Then the new wagon wouldn’t start – flat battery, which wouldn’t jump-start. Still, he still has the “old” wagon so we went in that.
The motorway junction has changed so I missed the exit, expecting a roundabout to find it has been removed. Aaargh!

Dior stood like a rock at all the important points for his scans & radiographs, though he added plenty of Arab sound effects. As the disappointing findings continued to stack up though, I was close to snapping at the next person who commented on “how good he is FOR AN ARAB”!!!
He is not “good for an Arab”, he is not “laid back” he is just blurdy well trained, like all horses should be!
There was a Highland mare also having limb scans which had needed sedation. I didn’t hear anyone comment she was “bad for a Highland”!!!

Sorry, I digress. Think I’m pretty grumpy about the whole frustrating situation.

Prof Clegg would very much like to see Dior again when he’s really lame.
He’d also love to have MRI images because the pathology is so interesting.
Desert Donkey & I are not keen for either at present. It’s not going to help him.

There are no treatments which will help. I could have fetlock arthrodesis when his ligaments fail completely, but having seen the pain dogs often suffer after this procedure I don’t believe it’s ethical in 2 limbs of a horse.

So there we are. Officially wrecked. The good news is Dior can now live a more normal life for a while & escape his prison cell to graze with his friends.
He looks pretty comfortable & has lost none of his athletic ability, pinging straight over the electric tape of his recovery pen into the wider field! Hope he’s not hopping tonight….
Nut Posted - 25 Oct 2009 : 10:47:42 AM
Fingers crossed for tomorrow for you x
geegee Posted - 25 Oct 2009 : 08:36:13 AM
My thoughts will be with you tomorrow....Hope things look brighter for you and your boy.
Red Rum Posted - 23 Oct 2009 : 10:04:57 PM
Ella good luck hope all goes ok. My boy has mild suspensory desmitus but keeping him in light work has helped.
He went to Liphook and my vet was against an operation which would have cost over £5,000. But he was never that lame only found out what was wrong as when we lunged him he lifted one back leg higher than the other and hated walking down steep hills. Mandy
debs Posted - 23 Oct 2009 : 7:36:21 PM
Hi Ella,
I have often thought of you both, good luck and keep us posted please.
Fingers crossed. Debs
ella Posted - 23 Oct 2009 : 2:15:13 PM
Hi, well I guess it's time for an update.

Dior became very lame again 4weeks to the day after injecting the steroids. We had hoped a prolonged period of good anti-inflamatory effect would help things to settle, but he was no better at all :-(

I asked vet to gather opinions on desmoplasty/fasciotomy for him & was put in contact with Prof Peter Clegg at Leahurst.

He has viewed all the images & I have been persuaded to travel Dior to Leahurst for further workup.
In short, we are still unlikely to be able to help him, but the current diagnosis (bilateral oblique sesamoidean desmitis) so rarely causes this degeree of lameness that he feels it is worth checking there is nothing else going on that may affect prognosis.

We’re going on Monday, cross fingers please.

Initially I was reluctant to tow him “on 3 legs” (he needs to be off meds for the assessment) so my boss has v kindly taken the day off to transport us in his brand new wagon. Couldn’t really refuse that!
debs Posted - 21 Jul 2009 : 10:26:53 PM
Keeping fingers crossed for you both. Keep your chin up! Spoil him rotten, hope someones spoiling you too x
ella Posted - 21 Jul 2009 : 2:02:30 PM
Hi, a Desert Donkey update:

When horse vet saw Dior last week he was pretty horrified at the degree of lameness despite rest etc., so we’ve pretty much given up on healing & gone down the route of “everything deserves to try steroids before it dies”.
So on Thursday he had long-acting steroids injected into the rear of his pasterns & into the DDFT sheaths.
He thinks he is fixed! Makes me realise just how long it is since I last saw him moving properly L.

Unfortunately, after only 2 days he was dragging his toes & shifting weight again, though he looks good today.

Such a rollercoaster. Back to waiting with fingers crossed again.

Thanks for all the texts & pm’s.
debs Posted - 18 Jul 2009 : 11:35:31 PM
Ella, how's your boy? Hope you are ok too.
Eeyore Posted - 16 Jul 2009 : 09:28:45 AM
So sory to hear about your Dior. I have pm'd you my experience of suspensory ligament desmitis but I don't know if it will be much help.
Zan Posted - 12 Jul 2009 : 7:44:08 PM
So sorry to read this. Does it have to be a very small space and drugs, or could he be field sound on drugs?
debs Posted - 12 Jul 2009 : 6:58:05 PM
Oh poor you and poor Dior. I know what you are going through. If that is the only option you just have to do the right thing for him, no matter how hard it seems. Will obviously take time for you to adjust, was the worst decision I had to make in my life, but I know it was the right one. He knows how much you love him and you will have so many happy memories of your time together.
Thinking of you both at this awful time, take care Debs x
ella Posted - 10 Jul 2009 : 5:37:59 PM
Poor Dior is back standing on 3 legs this morning, 2 days after withdrawing the bute . It really doesn't seem as though the resting has helped at all

This is such a disaster. I really had thought he looked better the last couple of weeks.

Dunno what we're going to do now, should probably set an initial time limit on how long it's fair to live on drugs in a very small space?

This is so hard to think about, I had to leave work to cry for 1/2hr earlier

There just doesn't seem to be anything else to help him.
debs Posted - 06 Jul 2009 : 11:04:27 PM
Bless him.... good luck! Keeping fingers crossed....x
Theo Posted - 06 Jul 2009 : 10:39:45 PM
Our healing thoughts are with him! x
ella Posted - 06 Jul 2009 : 6:52:11 PM
Hi, thanks for asking.

My Desert Donkey has improved considerably with 5 weeks of pen rest & bute, though he still looks a bit sore some days:



I’m to stop the bute this week so I expect to see the real results of the confinement in a few days – watch this space! Hopefully he’ll progress to playing with his friends in another few weeks.

There’s no sign of worsening pastern angles yet thankfully.
debs Posted - 02 Jul 2009 : 1:11:22 PM
How is your boy??? Hope all is ok.
debs Posted - 19 Jun 2009 : 10:51:47 PM
Hi Ella,
No wasn't confirmed.
Keep us posted...stay positive.
Debs
ella Posted - 19 Jun 2009 : 5:19:16 PM
Hi Debs, thank you for sharing your boy's story.

I'm still hoping that ESPA is not the cause of my gelding's problems, though it is certainly high on the list of possibilities & like your's he hasn't ever had lameness other than this bilateral problem.

Was ESPA confirmed by pathology on your horse?

He doesn't have dropped fetlocks (yet), I hope it doesn't come to that.
debs Posted - 18 Jun 2009 : 5:55:35 PM
Hi, I lost my horse of a lifetime at the beginning of the year to ESPA, of which DSLD was a symptom. The vets had no idea what it was to start with as Giz was just stood with his back hunched up... after 3 daily visits the only noticeable change was that his fetlocks suddenly dropped right down, they sent him off to RVC at South Mimms and an Israeli vet saw him off the lorry and knew what it was immediately.The scans showed that there really was no hope, they said his legs could rupture at any time... He did also say that this was only the second case he had seen in 15 years, but thought that the dropped fetlocks in older horses was maybe just thought of as old age/wear and tear.Other symptoms of ESPA, ie blindness, he thought would also be put to old age.
My boy had never had a day's lameness in his 17 years.
Looking on various websites there seems to be some positive recoveries.
If they are treating yours there looks like there could be hope... so stay positive. Good luck.Will be thinking of you, hope all ends well, Debs
Originally posted by ella

Thanks Kelly :-),

Hi Theo, I have viewed the ultrasound images & radiographs of my gelding¡¦s fetlocks/pasterns. He has roughened areas around the sesamoids & 'holes' in the sesamoidean ligaments of both hind legs.
He¡¦s currently having 2x bute daily, a topical steroid + DMSO ointment & electric pen or box rest. The bute reduces the lameness, but he's still pretty uncomfortable. It's very hard to assess the degree of lameness when lame on 2 limbs.

Is this a condition that few have seen? Or do owners mistake 'dropping fetlocks' in older horses as a normal ageing process?



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