Sesamoid fracture

No nasty comments please, just looking for the facts.

I am wondering if anybody has any experience with a horse that has a fractured sesamoid. Horse is a 4 year old standardbred trotter that broke her sesamoid in her last race. Horse is going to surgery this week, and owner/trainer doesn’t want to send her back to the track, would much rather see her get a pleasure home.

My goals would be trail riding and dressage, not to the upper levels, but I would like a horse that could at least go to second.

Is this a reasonable expectation with a horse with this type of injury?

What kind of break is it? Any hardware? Front leg? Back leg? Any other bones impacted? Can you get x-rays and ask your vet for an estimated prognosis?

Sesamoids can be recoverable and also career ending…

I’m not sure about what kind of break, it is a front leg that is impacted, and it sounds like the vet think it will need a pin.

It’s not possible to predict an outcome for the future until after the horse gets through the surgery and rehab period. Too many individual variables with this type of injury. BUT, I would not expect a horse with a pin-repaired fracture in such a mobile area to be comfortable doing more than pleasure work, at most. Anything beyond that would be a serious bonus, in my estimation.

A young horse at my barn fractured a hind sesamoid. They tried for a few years to rehab it, but horse could never canter more than a few steps comfortably. He is not sound enough for any concentrated work - only slow trail ride type stuff.

My horse had an apical fracture in a hind leg. He was back to work in 6 months and 5 years later he’s still sound on that limb.

My horse fractured a sesamoid in his left front when he raced. After surgery and a year off, he raced on it and is now 13 and jumping 2’6" courses and has never been lame on it.

This explains some of the many ways a Sesamoid bone can fracture, and why the out come is so variable.

www.wiwfarm.com/sesamoid_injuries.htm

Thanks for the feedback all. When I made this post I didn’t realize they are thinking about pinning the fracture. At first it sounded like a small chip had broken off and they were going in to remove that. The addition of needing a pin makes me question the future soundness of her. But, I plan to talk to the vet and see what they find when they go in tomorrow.

I have a 14 y/o OTTB with a fractured front sesamoid. It happened several years before I got him (as a 5 y/o) so I’m not sure what the initial rehab was like, but there is no hardware in there now. He evented through Training Level, but the concussion on it needed for conditioning was getting to be too much so we switched to straight dressage a few years ago. We just were out at 4th level this past weekend with decent scores. He’s probably an exception though, not a rule.

He does have some arthritis in there and gets yearly injections (was 2-3x a year the last year I tried to event him), a daily joint supplement, and 24/7 turnout as he seems to do better on that.

Surgery went well, sadly damage was much worse than expected. :frowning:

[QUOTE=Draftmare;8876409]
Surgery went well, sadly damage was much worse than expected. :([/QUOTE]

How was the suspensory?

[QUOTE=Laurierace;8876418]
How was the suspensory?[/QUOTE]

That was the unexpected part. The suspensory was much more damaged than initial imaging showed. Right now the prognosis is pasture sound, though time and healing may change that.

I have a mare that had a clean break in her left front sesamoid from attempting to jump out of a round pen while weaning, made it the first 4.5ft, took with her the last foot, I am told :lol:.
She had 3 mos stall rest after setting the break apparently.

I was weary when purchasing her at two but had her xray’d by the same vet clinic who handled the initial call/treatment, ironically the vet I always use and trust. Xrays show full calcification of break, very tricky to notice despite the slightly larger bone around the ankle area.
Vet stated that we were lucky it happened at a very young age and healed well.

Mare has never been lame a day in her life and she is now my Level one/schooling two dressage horse, whom I also dabble in 3’ hunters.

I think injuries all depend on, cleanliness of the break, (fractures I was told can be trickier) and timeliness of setting/proper rehab.
My vet advised that the nature of horses being prey animals, their injuries heal quickly and strongly to prevent reinjury of same bone. But I think that can be a problem as well. Healing too quickly + How it heals = the real question.

Now, another filly was purchased at my barn, had a similar injury but owner did not feel the need to give stall rest. As soon as she ‘looked’ sound she was out with the herd and often times owner insisted that filly needed to learn ‘join up’. So she was chased around a small arena, galloping at full speed until she yielded.
A year later filly now 2.5 y/o, looks sound but even to my untrained eye you can see a slight hitch when landing on the joint.

Horses are tough creatures. They can bounce back from a lot given luck and proper knowledgeable treatment.

I wish you luck!

Here’s the thing to consider: It is virtually impossible to ever resell a horse like this.

So, if you want to take the risk and you own property, plan on keeping the horse for life (sound or not), then it is a wonderful thing to do for the horse.

If you can afford one horse and it needs to be as sound as possible and you have serious competition goals, this is not the horse I would choose.

[QUOTE=exploding pony;8877504]
Here’s the thing to consider: It is virtually impossible to ever resell a horse like this.

So, if you want to take the risk and you own property, plan on keeping the horse for life (sound or not), then it is a wonderful thing to do for the horse.

If you can afford one horse and it needs to be as sound as possible and you have serious competition goals, this is not the horse I would choose.[/QUOTE]

This horse would never be resold. It would be a “keep her as long as you want her, return her if it doesn’t work out” situation.

[QUOTE=Draftmare;8872428]
No nasty comments please, just looking for the facts.

I am wondering if anybody has any experience with a horse that has a fractured sesamoid. Horse is a 4 year old standardbred trotter that broke her sesamoid in her last race. Horse is going to surgery this week, and owner/trainer doesn’t want to send her back to the track, would much rather see her get a pleasure home.

My goals would be trail riding and dressage, not to the upper levels, but I would like a horse that could at least go to second.

Is this a reasonable expectation with a horse with this type of injury?[/QUOTE]

my OTTB came to me with a healed sesamoid fracture in the front, he was 3, and rehabbed, and rested for a year, after running once 3rd at GulfStream, he has never been any more than ‘ouchy’ on stones, and although he has an easy life, no competitions, no heavy duty training regime, he’s 100% sound, and fully recovered, for w/t/c and small jumps, hacking anything I want.