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Osselets
(Osslets, Periostitis and serous arthritis)
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Osselets refer to an inflammation, usually bilateral, of the periosteum on the dorsal distal epiphyseal surface of the third metacarpal bone and the associated capsule of the fetlock joint. The proximal end of the first phalanx may also be involved. Hence, osselets constitutes a form of periostitis and serous arthritis that may progress to degenerative joint disease. The exciting cause is the strain and repeated trauma of hard training in young horses and is recognized as an occupational hazard of the young Thoroughbred.
The gait is short and choppy. Palpation and flexion of the fetlock joint produce pain, and examination reveals a soft, warm, sensitive swelling over the front and sometimes the side of the joint. Radiography in the initial stages may show no evidence of new bone formation, in which case the condition is called “green osselets.” Later, enthesopathy may be seen in the area of attachment of the fetlock joint capsule to the large metacarpal bone and first phalanx. New bone or spur formation may break off and appear as “joint mice.”
Rest is very important and can be curative for early cases. The inflammation may be relieved by the application of cold packs for several days. Systemic anti-inflammatory drugs such as phenylbutazone may also be used. Corticosteroid can also be injected intra-articularly; however, this and other forms of anti-inflammatory medication, if used along with continued training or racing, inevitably lead to destruction of the joint surfaces. Intra-articular sodium hyaluronate is useful to reestablish normal synovial viscosity.

See Also
Introduction
The Lameness Examination
Overview
Imaging Techniques
Overview
Anatomic Imaging Techniques
Physiologic Imaging Techniques
Arthroscopy
Regional Analgesia
Disorders of the Foot
Bone Cyst in Pedal Bone
Bruised Sole and Corns
Canker
Contracted Heels
Fracture of Navicular Bone
Fracture of Pedal Bone
Keratoma
Laminitis
Navicular Disease
Pedal Osteitis
Puncture Wounds of the Foot
Pyramidal Disease
Quittor
Sandcrack
Scratches
Seedy Toe
Sheared Heels
Sidebone
Thrush
Disorders of the Fetlock and Pastern
Fracture of Phalanges and Proximal Sesamoids
Ringbone
Sesamoiditis
Villonodular Synovitis
Windgalls
Disorders of the Carpus and Metacarpus
Overview
Bucked Shins
Degenerative Subchondral Lesions of the Carpal Bones
Desmitis or Sprain of the Inferior Check Ligament
Fracture of the Carpal Bones
Intra-articular Osteochondral Chip Fragments of the Carpus
Carpal Slab Fractures
Accessory Carpal Bone Fractures
Fractures of the Small Metacarpal and Metatarsal (Splint) Bones
Fracture of the Third Metacarpal (Cannon) Bone
Hygroma
Osteoarthritis (Degenerative Joint Disease)
Osteochondrosis
Osteochondroma of the Distal Radius (Supracarpal Exostosis)
Rupture of the Common Digital Extensor Tendon
Splints
Subchondral Cysts and Septic Arthritis
Suspensory Desmitis
Synovial Hernia and Ganglion and Synovial Fistulae
Tearing of the Medial Palmar Intercarpal Ligament
Tenosynovitis of the Tendon Sheaths Associated with the Carpus
Traumatic Synovitis and Capsulitis
Disorders of the Shoulder and Elbow
Arthritis of the Shoulder Joint
Bicipital Bursitis
Fractures of the Elbow
Fractures of the Shoulder
Sweeney
Disorders of the Tarsus
Overview
Bog Spavin
Bone Spavin
Curb
Displacement of Superficial Flexor Tendon from the Point of the Hock
Fracture of the TArsus
Hindlimb Tendon Ruptures
Rupture of the Peroneus Tertius Muscle
Stringhalt
Thoroughpin
Disorders of the Stifle
Fracture of the Stifle
Gonitis
Patellar Luxation
Subchondral Bone Cyst
Disorders of the Hip
Coxitis
Dislocation of the Hip
Pelvic Fracture
Trochanteric Bursitis
Disorders of the Back
Fractures
Muscle and Ligament Strain
Ossifying Spondylosis
Overriding of the Dorsal Spinous Processes
Sacroiliac Injury
Developmental Orthopedic Disease
Overview
Osteochondrosis
Physitis
Flexion Deformities