THE MERCK VETERINARY MANUAL
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Thoroughpin in Horses

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Thoroughpin refers to a distention of the tarsal sheath of the deep digital flexor tendon just above the hock. It is characterized by plantar fluid-filled swellings visible on both medial and lateral sides proximal to the tibiotarsal joint, which distinguish it from bog spavin (see Bog Spavin in Horses). It is usually unilateral and varies in size. The lesion is referred to as a tenosynovitis of traumatic origin, but it may not be associated with any detectable inflammation, pain, or lameness. It essentially constitutes a blemish and so is of major clinical importance in show horses. Treatment is by withdrawal of the fluid and injection of hyaluronate and/or a long-acting corticosteroid, which may need to be repeated until the swelling does not recur.

Last full review/revision March 2012 by Stephen B. Adams, DVM, MS, DACVS; Joerg A. Auer, DrMedVet, Dr h c, MS, DACVS, DECVS; James K. Belknap, DVM, PhD, DACVS; Jane C. Boswell, MA, VetMB, CertVA, CertES (Orth), DECVS, MRCVS; Peter Clegg, MA, Vet MB, PhD, CertEO, DECVS, MRCVS; Andrew L. Crawford, BVetMed, CertES (Orth), MRCVS; Jean-Marie Denoix, DVM, PhD, Agregé; Marcus J. Head, BVetMed, MRCVS; C. Wayne McIlwraith, BVSc, PhD, DSc, FRCVS, DACVS, DACVSMR; James Schumacher, DVM, MS, DACVS, MRCVS; John Schumacher, DVM, MS, DACVIM; Roger K. W. Smith, MA, VetMB, PhD, DEO, DECVS, MRCVS; Chris Whitton, BVSc, FACVSc, PhD

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