Fetlock Synovitis

Young TB went and did Young TB things in turnout two weeks ago, pulled the LF shoe. Shoe was tacked back on the next day, however he was still quite lame. Initially thought maybe a bruise or abscess.

Vet was out last Thursday (4/6). Significant heat and effusion around the fetlock area. 2/5 lame jogging straight line on soft footing. 4/5 lame after fetlock flexion. X-rays negative for fracture. Stall rested for the weekend with cold hosing/ice 2x per day.

Recheck yesterday - improved soundness jogging on pavement. Notable decrease in heat/swelling. Ultrasound of lower limb (flexor tendons, suspensory, collateral ligament, oblique sesamoid ligament) all negative thankfully. Diagnosis was fetlock synovitis. Plan is to continue stall rest with hand/tack walking (cough borderline kite flying cough) as tolerated until he comes sound, then resume turnout.

Aside from icing/cold hosing and controlled movement to reduce the inflammation, is there anything I can be doing? I’m bad at the wait and rest part.

We’re chalking this one up to turnout shenanigans, but is there prevention I should be adding to our pre/post work routine to avoid recurrence? He gets a loading dose of Legend IV every 6 months in lieu of feed through joint support.

the most likely thing is that when the shoe got stepped on to be pulled off, the while fetlock area was pulled and twisted, so more than just general shenanigans. Youth is on his side for full healing.

Is he in work? Are there turnout options between stall rest and full turnout? LIke, small paddock?

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He is in light/moderate work (4-5x week, mostly dressage). Just handwalking currently while we wait for him to come sound - vet ok’ed tack walking. Spring sillies, stall rest, and a young horse who’s full of it… I might wait until he’s a little less pent up before I try to swing a leg over. A little better living through chemistry might be in order for the short term.

Both solo med paddocks are currently occupied so he won’t have a smaller turnout option.

We use ace (given orally if ours are stuck in due to poor weather) to the ones who are likely to beat themselves up or are recovering from something. Regular turnout is routine for us, so some are wild after a day or two.

If you have access to a cold laser and/or PEMF, you could try that.