Page 379 - The Veterinary Care of the Horse
P. 379

GENETIC PREDISPOSITION

        Studies have revealed that the progeny of some stallions have a significantly higher incidence
  VetBooks.ir  of OCD, despite being reared under a wide range of environmental conditions.



        GENDER

        There is no evidence that either male or female foals are more prone to the development of
        OCD lesions.




        Sites affected

        The most commonly affected sites are the:

        a    stifle

        b    hock

        c    fetlock



        The  shoulder,  elbow,  knee,  neck  and  hip  can  also  be  affected.  The  lesions  are  usually
        bilateral, even if the horse shows unilateral lameness.



        Clinical signs


        These include:
        •    mild to severe lameness

        •    joint swelling

        •    very young foals may lie down more than expected

        •    the disease may be asymptomatic.



        It  is  thought  that  most  OCD  lesions  develop  by  the  time  the  foal  is  5  months  of  age.

        However, affected animals may not show any clinical signs until they are backed and begin
        work.



        Diagnosis


        Diagnosis is usually made on the clinical signs (which can be very subtle) and confirmed by
        radiography  (Figure  8.14)  Ultrasonography  and  scintigraphy  can  be  helpful.  Arthroscopy

        allows  direct  inspection  of  the  joint  surfaces  and  detection  of  lesions  not  yet  visible  on
        radiographs.  Intra-articular  analgesia  may  be  used  to  confirm  that  a  lesion  seen  on
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