CASE HISTORY
SESAMOID
​Equine Medical Associates, Kentucky
Jim Morehead, DVM
Peggy Marsh, DVM, dip. ACVIM, dip. ACVECC
www.eqmedical.com

Name:
​redacted

​Breed:
​​Thoroughbred

​Sex:
​Colt

​Use:
​Race

​Age:
2009

Diagnosis/Condition:
apical fracture of medical sesamoid with subsequent suspensory branch desmitis at attachment at site of fragment removal

Site:
LF

Injury Date:
November 2012

Lameness Grade:
​1/5

Chronicity:
​Chronic
Pre- Tx notes:
As a 3 year old, late in the season, this colt was racing well, winning graded stake races. He was injured Nov 2012 and surgery was performed to remove an apical fragment from the medial sesamoid of the left front. There was associated tearing of the medical branch of the sesamoid at the site of fragment removal. Approximately 1 month post surgery IRAP was administered and then about 60 days later a series of laser treatments were initiated.
Horse History:
n/a

​# of RLT Tx's:
​23

​Protocols & Settings:
​as prescribed in guidebook
Rehabilitation protocols:
Handwalking every day post Tx
Other Therapies used:
IRAP @ surgery
​

​Findings and notes here:
​
Conclusion:
After a period of rehabilitation the horse returned to racing in Oct 2013. Since that time the horse has continued to race with total earnings now over a million and a win in a grade 3 stakes race in 2015.
Before RLT
After RLT
Picture
1/2
Picture
5/31