Mia’s History
Date
2012
08/12
Description
Note
PPE
(David Heinze, Elburn IL) for Leah. Khorsandian
Age 6 Yrs
Prior Use: Jumping for last 4 months, 2nd level dressage, some 3rd level dressage
Lameness Exam:
This mare wings all 4 legs slightly at the walk, wings both hind legs at the trot but
travels wide, and she moves straight with both front limbs. Baseline gait in hand, this
mare travels well with no obvious gait imbalance or lameness detected. No
abnormalities are noted while lunging in either direction. She has a very easy trot
and canter, with nice extension in front and impulsion behind. She was not observed
under saddle.
Left Forelimb: Passive lower limb flexion and lower limb torsion are negative. Lower
limb flexion test is ngative. Passive carpal flexion and carpal flexion test are both
negative. Hoff test is negative. Digital pulse is within normal limits. There is no filling
in any tendons, joints or ligaments found on palpation of the left forelimb.
Right Forelimb: Passive lower limb flexion and lower limb torsion are negative. Lower
limb flexion test is negative, but she lands harder on the left front after the flexion
test. Passive carpal flexion and carpal flexion test are both negative. Hoof test is
negative. Digital pulse is within normal limits. there is no filling in any tendons, joints
or ligaments found on palpation of the right forelimb.
Left Hindlimb: Passive lower limb flexion and lower hock palpation are negative.
Hock flexion test is negative. Lower limb flexion test is negative. She has mild filling
in the left hind digital tendon sheath (windpuff).
Right Hindlimb: Passive lower limb flexion and lower hock palpation are negative.
Hock flexion test is negative. Lower limb flexion test is negative. She has mild filling
in the right hind digital tendon sheath (windpuff).
Present Shoeing/Hoof Comments: The quality of her feet is generally good. She has
flat steel shoes on both front feet and was reset last week. Her left front heel is
slightly lower as compared to the right front. She is barefoot on both hind.
Radiographs: Both front feet LM, navicular DV, navicular skyline; both hind stifles LM
CA-CR.
10/17
2013
05/01
10/19
PPE
Radiographic Fundings: There is a small rounded chip in the dorsal proximal P1 of the
left front fetlock. There is a more pointed appearance to the extensor process of the
left front P3 and the hoof-pastern axis is broken back somewhat. Other views appear
unremarkable to me. I find that these small rounded chips in the fetlock dorsal
compartment rarely cause clinical lameness, but still must be considered as a small
risk factor.
Radiographs available (Langton)
Rest
Exam (Langton)
Trainer-recommended 3 weeks rest/walk only due to “discomfort”
Exam Lameness front right (lateral DPE radiographs available)
Workup:
2/5 RF noted on R circle
DX plan:
1. Blocked carbocaine kentoein RF/LF DIP
2. Lameness resolved
3. Stance phase LH > RH 1-2/5 mild churchills (+)
RF/LF DIP
6mg TCA
2ml Predex 2x
3ml Gentocin
Plan:
40mg PMA
1 ml Predex 2x
1.5 ml Gentocin
11/08
12/03
12/10
Lameness Exam
(Hildenbrand/
Farmer)
MRI
PRP Treatment
ACTION: Stall/pasture rest
Ultrasound Tendon, Radiograph, Abaxial Block LF
UF Report provided
Treatment
Action: 4 weeks stall rest
Begin to administer Fluphenazine
12/20
12/26
2014
01/06
Farmer
PRP Treatment
Exam
Finding: Sound at trot straight line
Action: Handwalk for 10 minutes 2x a day (with ace)
02/12
Exam
Finding: Unsound on 20m circle
Action: Handwalk straight lines for 20 minutes 2x a day (with ace)
02/26
03/12
Exam/Summer Sore
Exam/Stifle Sticky
Froze sore, new cream
Finding: Summer sore ok; stifle lack of exercise.
04/04
Exam
Finding: Sound at trot straight line, ok on circle; sensitive in deep
Action: Walk U/S for 20 minutes 1x day, Handwalk for 20 min 1 x day
06/11
Exam
07/03
Exam
Finding: Sound enough to start trotting.
Action: 4 weeks US: 20 min walk + 5 min trot
Handwalk: 15 min walk
Rf lameness returned after starti g back to trot 1/5. Flexions slight pos lower limb,
upper neg, lf flexion neg
Block med pd 50% improve block lat pd 100%
Suspect soft tissue injury rf either suspensory of navicular or ddft fraying found on
orginal
MRI
Stall rest, or pull shoes and turn out 6m and see where she is at.
ACTION: Pulled shoes, pasture rest.