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The
Liphook Equine Hospital
SPAVIN
‘Spavin’
is a common condition in ponies and horses of all ages.
There are two forms of spavin – bone spavin and bog
spavin. Both affect the hock.
What is bog spavin?
Bog spavin is excessive
fluid in the largest of the hock joints. This can result
in slight or severe enlargement of the hock. One or both
hocks may be affected. It is more commonly seen in younger
horses, although it can occur at any age. The increase in
fluid can be the result of injury (trauma), degeneration
of bone or cartilage in the joint (OCD), or joint infection
(septic arthritis). There may be associated lameness which
can range in degree from mild to severe depending on the
cause.
Can bog spavin be treated?
Depending on the cause
of the bog spavin, several treatments are available and
you should ask your veterinary surgeon to make a diagnosis
and for advice. If the condition is caused by traumatic
injury (most commonly a ‘strain’) and there
is no associated lameness, rest and some anti-inflammatory
medication is all that is needed. If the joint remains enlarged
it may be necessary to drain the joint of excessive fluid
and to inject corticosteroids into it. This should only
be considered if fractures, OCD and infection have been
ruled out, by your veterinary surgeon, with the use of radiographic
(x-ray) examinations, joint fluid analysis and blood tests.
See out handouts on osteochondritis dissecans (OCD) and
arthritis. If the horse or pony is lame, it should be rested
and treatment postponed until the cause of lameness and
spavin is determined. Treatment will entirely depend on
the diagnosis. Box rest, joint medication or surgery may
be recommended. Your horse may or may not need to be referred
to a specialist centre if surgery is required or the joint
infected.
What is bone spavin?
Bone spavin is degenerative,
non-septic arthritis of the smaller hock joints. It is more
often seen in older horses and ponies and is a common cause
of hind limb lameness. The lameness can range from mild
stiffness with toe dragging to quite severe. It may affect
one or both hind limbs. Radiographs (x-rays) taken of affected
hocks can demonstrate a wide range of bone degeneration
and damage which does not always directly correspond to
the degree of lameness seen.
Can bone spavin be
treated?
Treatment for bone
spavin, being a form of arthritis, aims to reduce pain either
by reducing inflammation or reducing movement in the joint(s).
In some cases there is a good response with anti-inflammatory
medication such as phenylbutazone, while continuing exercise.
In others it may be necessary to inject corticosteroid medication
into the affected joints to reduce inflammation. Alternatively,
strong irritant solutions have been injected into the affected
joints to try to inflame them sufficiently to heal solid
(ankylose), thereby abolishing painful movement.
Surgical treatments
are also directed at ankylosing the joints. Once the joints
are fused, no movement is possible and the lameness usually
disappears. This type of treatment can take up to a year
to settle and to know if it has been helpful.
What is a spavin test?
A traditional spavin
test is conducted in three stages:
1. The horse is trotted
in hand in a straight line to determine the degree of lameness,
if any, and the leg involved.
2. The lame hind leg is held up in a flexed position for
up to two minutes.
3. The horse is trotted again to see if the degree of lameness
has been made any worse.
If the horse is not
lame, the test is repeated with the other leg. When the
horse is made lame (or more lame) by flexion test it is
said to be a positive spavin test. The name is often misleading
as many different conditions affecting other joints or areas
of the hind leg can cause a positive result and the test
is certainly not specific for bone spavin.
As with all disease
conditions, diagnosis is the first step to successful treatment
and management. Ask you veterinary surgeon for help.
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