Wounds to the fore or hind pasterns or heel bulbs are common injuries and can be life-threatening. Wounds can result from a variety of causes; Horses often injure themselves on wire, tin, or other sharp objects, but overreaching can also be a cause.
Vital structures are near the surface here – joints, tendon sheaths, bone, tendons and ligaments. The question with any wound in this location is whether any of these structures are affected and if so, which ones and how severely.
Diagnosis requires careful veterinary examination, digital palpation and exploration of the wound. Pressurizing nearby synovial structures (joints or tendon sheaths) allows veterinarians to assess whether there is communication with the wound. Collection and analysis of fluid from synovial structures, radiography and ultrasound may provide additional information.
Treatment depends on the nature of the wound, how old it is, and it’s size and orientation, and especially whether nearby critical anatomic structures are involved.
Other Diagnoses Considered
Treatments May Include
Prognosis & Relevant Factors
The prognosis for these wounds depends on the nature of the wounds, the involvement of vital structures, and the effectiveness of treatment. The age of the wound can be critical.
For wounds involving critical structures, prompt and aggressive treatment provides the best prognosis.
I Might ObserveRelated Observations
Skills I might need
QUESTIONS TO ASK MY VET
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