X-rays of rotation and demineralisation of the pedal bone

Discussion in 'Horse Management' started by GoneRama, Oct 7, 2013.

  1. GoneRama

    GoneRama Gold Member

    As quite a few on here know I lost my beloved Kenoath on the 7th of April this year due to laminitis and demineralisation of the pedal bone.

    I've been thinking about it lately and thought that some may find it interesting/educational to see the x-rays that revealed all so here they are. I will do my best to describe what the vet saw in each of the images.

    [​IMG]
    This is the off fore foot, the one that caused us the most problems.

    If you have a look down the front of the pedal bone you'll see that it's not exactly smooth and there's a bit of fuzzy looking bone. This is not good and indicates a recurring infection sort of thing happening hence the whopper of an abscess that he had developed. You will also notice that it's not exactly parallel with the wall of the hoof which means that it has rotated. Now a rotated pedal bone can be fixed however the next image shows why he was put to sleep....

    [​IMG]
    Front view of the off fore. The fact that it looks like coral and there's no visible 'v' shape at the front shows that the pedal bone is breaking down aka demineralising. This is why it would have been pointless to try to save him and 'realign' the pedal bone. If his foot wasn't breaking down then yeah we would have had a chance.

    [​IMG]
    Near fore. Looks a hell of a lot better than the off fore but there's still slight rotation there.

    [​IMG]
    Again looks a lot better than the other foot but it's still in the process of breaking down/demineralising. The 'v' that wasn't visible on the other foot is visible here.

    Think that's about it. Any questions feel free to ask, any criticisms take them elsewhere. I put this up for educational purposes. The horse is dead so any 'you could have done this' type comments would be in vane and won't change what is.

    ETA: I will say this though as a warning, treat seedy toe very seriously and get on top of it as soon as it's detected because I think that may have been a contributing factor here.
     
  2. kp

    kp Well-known Member

    Always a hard decision to make.

    I second treating seedy toe. I lost one of mine with a similar problem to yours. Her pedal bone looked a whole lot worse than yours though.
     
  3. Blackbat

    Blackbat Well-known Member

    Thanks for posting GR, I hope we can learn something from your experience. Even after all these months it must be hard to go over again.

    Query/observation, it looks like the lateral view of the bad foot has a flare at the toe, with the proximal inch of the toe wall growing at a more 'normal' and steeper angle than the distal toe. Was that evident without X-rays? It looks like the pedal bone is parallel to the the normal bit of wall, but rotated if you look at the majority of the wall which is flared?

    I just wondered if that's always the case, and if anyone else has X-rays like this to compare?
     
  4. retroremedy

    retroremedy Well-known Member

    Do you have those images taken in the NT? They would be a great comparison to show the importance of quality radiographs and how poorer quality can unfortunately not show up pathology.

    Thanks for sharing GR :)
     
  5. GoneRama

    GoneRama Gold Member

    I do have them here somewhere RR and I'll put them up at some stage.
     
  6. maxntaz

    maxntaz Well-known Member

    Thanks for the post, I find it interesting to look at xrays and see things from the inside out. Not a good ending, Im sorry you had to have your horse put to sleep but i hope that others can use this as an educational tool too:)
     
  7. magic_impact

    magic_impact Well-known Member

    Does anyone have any good images of what the ideal should look like? I've never really looked at hoof xrays so would be good to have a comparison. Thanks for putting these up GR
     
  8. Ponies4Me

    Ponies4Me Well-known Member

    Give me a couple of days to get the disk back from another vet and I'll post a few of mine.
     
  9. GoneRama

    GoneRama Gold Member

    Rightio for a comparison in quality between x-ray machines.

    These were the first lot of x-rays taken in the NT (I didn't get a copy of the second lot of x-rays). The horse shoe nail was stuck to the hoof with some elastoplast so we knew where the outside of the hoof was.

    [​IMG]
    Off fore side photo.

    [​IMG]
    Near fore side. Not sure what the reasoning was behind taking them from the opposite side but hey, all that mattered was that we got the image.

    Don't need to put up the other images taken from the front as I'm sure everyone can see the difference in quality between the machines already. I'm not criticising the work of the vet up here, far from it, she's a brilliant vet and we did the best with what we have. Just sucks we don't have a specialist equine vet up here with all the bells and whistles in veterinary equipment.
     
  10. Shandeh

    Shandeh Well-known Member

    oh bugger it. I spent ages writing out a reply and lost it lol

    So Sugar's Mum here.

    To cut my very eliquent post short lol.

    GR I well remember how devastated you were when all this happened. I have been in a similar position, been hounded dreadfully for the actions I took because others did not see the reality of the situation I was in nor had they been there in the discussions with the vet.

    Sometimes the factor that prevents top quality treatment is physical distance, sometimes it is financial distance.

    Sometimes we can make the choice to trial treatment as a way to get a diagnosis ( e.g. treating with bute to treat pain or ulcer treatments instead of diagnosis because the cost of treatment is less then the cost of diagnosis.) Sometimes no matter what the diagnosis is going to be the problem cannot be treated satisfactorily and so it is just throwing money down the drain.

    And some times the simple fact is that the cost of diagnosing is so hugely high (Latee could only have been diagnosed by sending him to America to get an MRI and even then it would not have been treatable) and our precious souls worth so little financially that it makes no mental sense at all to begger ourselves when another horse can so easily be found looking for a new home at little or no cost.

    AGHHHH the ethics of it. I hate with a passion not having enough money to be able to afford the best possible care at all times for my animals. It hurts my soul to not be able to spend thousands of dollars to diagnose a problem so it can be treated yet the reality is that I dont have thousands to spend only to face thousands more to possibly treat a problem but the reality is that people are in the same boat.Human health care is a matter of who can afford to pay what and the poor do simply get less quality health care then those who have money. Just look at the waiting lists of public verses private to see that.

    There I go again on my band wagon lol. Do people who don't have money have the right to own animals? Of course they do. As long as their animals are well cared for and not left to suffer. They wont live as long (Good quality arthritis care is expensive but does add a few years to the life of an animal)

    Do people who live remotely not have the right to own animals? Of course they have the right. It is just simply a matter of fact that in remote areas sometimes care cannot be as specialist as it can when you have an equine specialist down the road and sometimes an animal will live a shorter life because of it.

    The perfect world we would all be able to give perfect care. The real world we give the best care we can and ensure that suffering doesn't continue.

    GR thank you for posting those X'rays. It was interesting to see how his poor foot was inside and I know many will have learned a lot from your experiences. You are a brave woman to put it out there. I dont know if I will ever open up online again after the abuse Shandeh and I copped over Latte.
     
  11. GoneRama

    GoneRama Gold Member

    That's the shortened version :blink:
     
  12. Shandeh

    Shandeh Well-known Member

    Sugars Mum again.

    Lol GR haven't you worked out yet I have a serious case of verbal diarrhoea. Seriously it was the end of a long day yesterday and my mind could not switch off so yes that was a very shortened version.

    So let me edit it to this.

    Well done, you are brave and courageous and I am sure many hear have learned a lot from your heartbreak
     

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