MINOR
CUTS
This
month at Riverdene three
cases have illustrated
how apparently minor cuts
may conceal much more
serious problems, and may
require aggressive management
if they are not to turn
into disasters.
Two
racehorses in work sustained
small (3-4 cm) cuts to
the caudal (back) aspect
of their lower legs. These
wounds were clean and
fresh, and their trainer’s
had kept them this way
with appropriate bandaging
while they promptly sought
veterinary attention.
Due
to the location of these
cuts, it was decided that
instead of simply suturing
the skin closed a more
thorough investigation
was required. Both horses
were immediately transferred
to the hospital where
they underwent general
anaesthesia.
One
case involved penetration
of the tendon sheath and
partial severing of the
tendon. The tendon sheath
was extensively flushed
and closed and the horse
maintained on antibiotics
as tendon sheath infection
can be career ending and
even life threatening.
Exploration
of the second case
revealed
a completely severed
flexor
tendon that was not
visible
until the wound was
extended
down the leg. The wound
was flushed, the tendon
sutured and the leg
placed
in a cast.
The
third case occurred
in
a standardbred foal
where
the wound had entered
the fetlock joint.
This joint underwent
extensive flushing
and the wound was debrided
and sutured closed.
All
three injuries were
initially
though to be fairly
minor
but could have become
life threatening if
they were inadequately
treated as infection
in the above
mentioned structures
can
cause crippling lameness
and can be very hard
to
resolve once established.
All
three horses are progressing
well at this stage
and
their treatment is
ongoing.
Please
call us promptly for
assessment
of any lower limb injury
that may have penetrated
a synovial structure
in
order that the most
effective
and timely treatment
can
be initiated.