Sesamoiditis

Sesamoiditis

This is a condition we diagnose via X-ray on young horses. Not so common in Warmbloods but very common in young thoroughbreds.

The sesamoid bones are part of the fetlock joint, each fetlock joint has two sesamoid bones. Sesamoiditis is when we get inflammation of the bones. We can often see subtle swelling of the sesamoid bones clinically and then on X-ray we see these black areas within the bones.

You have to be very careful with a horse like this one as the changes could potentially lead to damage to the suspensory ligament at it attaches on to these bones.

Rest is often the best management for these horses with them requiring 2-4 months off work. Occasionally we will use shockwave therapy to help the lesions. The lesions will always be visible on X-ray for a long time but will usually not affect the long term soundness of the horse.

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