{"id":5159,"date":"2020-01-23T17:40:45","date_gmt":"2020-01-23T16:40:45","guid":{"rendered":"https:\/\/demorette.be\/en\/?p=5159"},"modified":"2020-06-29T07:54:48","modified_gmt":"2020-06-29T06:54:48","slug":"a-swollen-hock-after-being-turned-out","status":"publish","type":"post","link":"https:\/\/demorette.be\/en\/all\/a-swollen-hock-after-being-turned-out\/","title":{"rendered":"A swollen hock after being turned out?!"},"content":{"rendered":"\n<p>The hock is a frequent area of injury. The collateral ligaments of the hock can be injured following a trauma or a fall . What are they? How do you treat a ruptured ligament? <\/p>\n\n\n\n<!--more Read more about this-->\n\n\n\n<p>This is the story of Enzo.<br>Enzo was turned out in the morning. Back in the stable in the evening, his hind leg showed to be swollen. With rest and anti-inflammatory drugs, most of the swelling disappeared but his hock was still swollen. Enzo was only slightly lame but bending the hock was very painful.<br>The verdict: a torn ligament!<\/p>\n\n\n\n<p>The hock is a common area of injury in horses. Several structures of this region can be affected. The collateral ligaments are some of those.&nbsp;<\/p>\n\n\n\n<p>There are four collateral ligaments in the equine hock, two on each side of the joint.<br><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"587\" height=\"450\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Collateraalbanden-sprong-zonder-logo.png\" alt=\"\" class=\"wp-image-5160\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Collateraalbanden-sprong-zonder-logo.png 587w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Collateraalbanden-sprong-zonder-logo-300x230.png 300w\" sizes=\"(max-width: 587px) 100vw, 587px\" \/><figcaption>Fig. 1 Collateral ligaments of the hock in horses. There are 4 collateral ligaments, 2 on the medial side, 2 lateral.<\/figcaption><\/figure><\/div>\n\n\n\n<p>Collateral ligaments injury is often the result of a trauma or a fall. Lameness varies from mild to severe and it is often accompanied by swelling of the affected region. Ultrasound examination is used to identify the injured ligament.&nbsp;<br><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"342\" height=\"380\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/echo-collat-lig-torn-hock.png\" alt=\"\" class=\"wp-image-5161\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/echo-collat-lig-torn-hock.png 342w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/echo-collat-lig-torn-hock-270x300.png 270w\" sizes=\"(max-width: 342px) 100vw, 342px\" \/><figcaption>Fig. 2 This ultrasound shows the torn fibers of the collateral ligament<\/figcaption><\/figure><\/div>\n\n\n\n<p>The healing of torn ligaments can be a long and difficult process due to the limited vascularisation of these structures. The treatment of choice is arthroscopic debridement of the torn fibers under general anesthesia.&nbsp;<br><\/p>\n\n\n\n<p>In the following images you can see the case of Enzo with a severe lesion of the short medial collateral ligament treated by arthroscopy. The surgery was successfully performed, and the horse is now ready for his period of rehabilitation.&nbsp;<br><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"445\" height=\"615\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Swollen-hock-white-background.png\" alt=\"\" class=\"wp-image-5165\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Swollen-hock-white-background.png 445w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Swollen-hock-white-background-217x300.png 217w\" sizes=\"(max-width: 445px) 100vw, 445px\" \/><figcaption>Fig 3. The hock was clearly swollen<\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"866\" height=\"506\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-arthroscopy.png\" alt=\"\" class=\"wp-image-5162\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-arthroscopy.png 866w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-arthroscopy-300x175.png 300w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-arthroscopy-768x449.png 768w\" sizes=\"(max-width: 866px) 100vw, 866px\" \/><figcaption>Fig. 4 Arthroscopic view of the torn fibers of the ligament<\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"842\" height=\"508\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-debridement.png\" alt=\"\" class=\"wp-image-5163\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-debridement.png 842w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-debridement-300x181.png 300w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Hock-torn-ligament-debridement-768x463.png 768w\" sizes=\"(max-width: 842px) 100vw, 842px\" \/><figcaption>Fig. 5 Debridement: the torn fibers are taken away with arthroscopic tools<\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"415\" height=\"552\" src=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Removed-ruptured-fibres-hock-ligament-logo.png\" alt=\"\" class=\"wp-image-5164\" srcset=\"https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Removed-ruptured-fibres-hock-ligament-logo.png 415w, https:\/\/demorette.be\/en\/wp-content\/uploads\/2020\/01\/Removed-ruptured-fibres-hock-ligament-logo-226x300.png 226w\" sizes=\"(max-width: 415px) 100vw, 415px\" \/><figcaption>Fig. 6 The fibers that were removed from the ligament<\/figcaption><\/figure><\/div>\n\n\n\n<p>Injury of the collateral ligaments of the hock, to remember:<\/p>\n\n\n\n<ul><li>&#8211; The hock is a frequent area of injury<\/li><li>&#8211; The collateral ligaments of the hock can be injured following a trauma or a fall <\/li><li>&#8211; Diagnosis can be performed by ultrasound<\/li><li>&#8211; Arthroscopic debridement under general anesthesia is the treatment of choice and provide the best outcome.&nbsp;   <\/li><\/ul>\n\n\n\n<p class=\"has-text-align-center\"><em>The hock of your horse is swollen?<br>Would you like more information about arthroscopic surgery of collateral ligaments?<\/em><\/p>\n\n\n\n<p class=\"has-text-align-center\"><em>Contact our expert orthopedic surgeons <\/em><br><em>by phone 02 454 10 00 or mail info@demorette.be <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The hock is a frequent area of injury. The collateral ligaments of the hock can be injured following a trauma or a fall . What are they? How do you treat a ruptured ligament?<\/p>\n","protected":false},"author":2,"featured_media":5160,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/posts\/5159"}],"collection":[{"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/comments?post=5159"}],"version-history":[{"count":5,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/posts\/5159\/revisions"}],"predecessor-version":[{"id":5173,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/posts\/5159\/revisions\/5173"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/media\/5160"}],"wp:attachment":[{"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/media?parent=5159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/categories?post=5159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demorette.be\/en\/wp-json\/wp\/v2\/tags?post=5159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}