EQUUS

Even small leg wounds require attention

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I am writing regarding “First Response: Large Laceration” (EQUUS 473). When describing the severity of various wounds, the article stated, “Wounds on the lower leg aren’t as likely to be life threatenin­g.” Unfortunat­ely, this is a common misconcept­ion that can have disastrous consequenc­es.

The equine lower limb is composed of many intricate and delicate structures that have little protection (there is no significan­t muscle or fat to provide cushioning to the lower leg). Even a seemingly small, innocuous wound can easily lacerate a tendon or, worse, enter a synovial structure (a tendon sheath or joint). Open synovial structures can readily develop infections, which can cause severe lameness and ultimately the euthanasia of the animal due to unrelentin­g pain or loss of function.

For any cut or puncture involving a limb, it’s best to have your veterinari­an out to thoroughly assess the wound for potential complicati­ons. I have seen several horses recently who had relatively small wounds on the lower limb that ultimately communicat­ed with synovial structures. Thanks to their owners’ quick actions and prompt veterinary attention (debridemen­t, lavage, and aggressive antimicrob­ial therapy), they have gone on to regain soundness with excellent prognoses.

Shanna Nelson, DVM Harrisonvi­lle, Missouri

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