Bog
spavin refers to a chronic synovitis of the talocrural joint
characterized by distention of the joint capsule.
Faulty
conformation may lead to weakness of the hock joint and increased
production of synovia. In such cases, both limbs are affected
.
The
joint becomes distended by excess
synovial
fluid and/or
thickened synovial
tissue
bringing
about a soft, fluctuant swelling on the front of the joint, as well
as in the medial and lateral plantar pouches
Causes
Causes
include synovitis (inflammation of the lining of the joint
capsule),degenerative
joint disease,
or excessive strain of the joint capsule.
In
horses younger than the age of three, most cases of bog spavin are
caused by a defect in the tibiotarsal joint, while in older, fully
mature horses, it is most likely because of chronic strain of the
joint capsule.
Infection
of the joint causes a severe synovitis, and should be treated as an
emergency.
The
horse usually is not lame unless the condition is complicated by
additional bone and cartilage involvement.
The
primary distention of the joint capsule occurs on the dorsal medial
surface of the hock, while smaller swellings develop on each side of
the proximal caudal aspect.
The
distention may spontaneously appear and disappear in weanlings and
yearlings.
The
excess fluid within the joint capsule may be aspirated; however, this
is only of temporary benefit, as the distended joint space is rapidly
refilled by synovial fluid.
Through
external bandage support or the application of a commercial boot for
several weeks, the stretched joint capsule slowly reverts to normal
size.
injection
of intra-articular corticosteroids provides variable and transient
relief and is best applied in conjunction with rest and external
support.
The
injection may be repeated 3 wk later if necessary.
Arthroscopy
should be performed when osteochondral involvement is suspected.
Bog
spavin tends to recur, especially if poor conformation is an inciting
factor.
References
The
Merck Veterinary manuals
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