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Injury vs DE

The differences between injury and DE are:

1. Injury usually not bilateral, certainly not quadrilateral
2. If there is fetlock dropping, it occurs at the time of the injury, not as a late development
3. Injuries heal by a combination of tendon regeneration and scar tissue. While ultrasound appearance during an acute DE flare may improve somewhat as that settles down, they do not heal.
4. The enlargement seen in healed injured tendons and ligaments is from scar tissue and does not increase over time. It usually decreases. With DE, enlargement is progressive over time.
5. There is usually no obvious precipitating event with DE, such as racing or pasture accident. With injury there always is.

--Eleanor Kellon, VMD

Reference

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