Traumatic arthritis of metacarpo-phalangeal joint (osselets) is frequently seen in young horses put to hard work or hard. The symptoms recorded were pointing of toes, shortened anterior phase of stride, distended joint capsule with reduced performance. In protracted cases of osselets, in which routine treatment with non-steroidal anti-inflammatory drugs fail, intra articular injections of a combination of hyaluronic acid and methyl prednisolone can prevent progression of osteoarthritis and related untoward effects.
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