The lockdown on locking stifles

A: The stifle is the area where the tibia (the bone that forms your horse’s gaskin) meets the femur (the bone that extends up to his hip) and it can be compared to our own knees – when you pick up a horse’s hind leg, the joint bends forwards, just as your knee does when you walk up stairs.

As horses evolved, they underwent various physical changes designed to help them survive. One especially clever adaptation is a locking mechanism in the stifle, which allows your horse to keep standing while sleeping – all with minimal muscular effort.

But this mechanism can also cause trouble. When the ligament involved doesn’t unlock spontaneously, or if it locks at the wrong time, it gives rise to a locking stifle. (Or, to give it its proper veterinary name, ‘upward fixation of the patella’.)

A: Petplan is a trading name of Pet Plan Limited who administer the cover and Allianz Insurance plc who provide and underwrite the cover. Pet Plan Limited (Registered in England and Wales with company number 1282939) is a subsidiary of Allianz Insurance plc registered in England and Wales with company number 84638.  

Pet Plan Limited is authorised and regulated by the Financial Conduct Authority. Financial Services reference number 311969. Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority, reference number 121849. Registered address: 15 Bishopsgate, London, EC2N 3AR.

A: A locked stifle is very obvious and can look alarming. However, it’s usually not as serious as it first appears. If your horse has the condition, he’ll stand with his hind leg locked in extension (it will appear very straight and stiff) and he may drag the toe of his hoof along the floor behind him. Usually, the leg will unlock of its own accord, but some horses may need assistance. Asking your horse to rein back will allow the ligament to slacken and, as it does so, unlock the joint.

A: Stringhalt is a neurological disease, which causes uncontrollable exaggerated movement. It’s quite different from a locking stifle, as a horse with stringhalt will typically jerk its hind legs up high and pause before taking the next step.

I’ve found that owners more commonly mistake a locking stifle for a broken leg. But it’s important to remember that, unlike a broken leg or other significant injury, a locking stifle will rarely cause your horse any distress. If your horse does become stuck in extension, but is otherwise happy and has no visible wounds, a locking stifle is the likely culprit. If you’re at all worried, though, it’s always best to call your vet.

A: If your horse is young and prone to the condition, it shouldn’t be a cause for concern: the majority of young horses will simply grow out of it as their muscles develop fully. However, in older or poorly developed horses, if the stifle locks regularly and movement is hampered as a result, intervention may be necessary.

This can be done with a targeted exercise programme or, if the condition is severely affecting your horse’s quality of life, with surgery (see more on this below). Walking and trotting up hills, and work on varied surfaces to encourage the hindquarters to get pumping, will all aid in building the muscles in your horse’s hind end. This will help to increase the tension of the necessary ligament around the stifle, and will stop it from catching.

There are also various supplements available (such as those that are rich in a muscular protein called creatine) that your vet might recommend to help improve muscle condition.

A: If an exercise programme or supplements don’t seem to be working for your horse, and the condition is affecting his welfare, your vet will then consider surgery.

Traditionally, surgery to treat locking stifles involved cutting through the ligament in that area (called the medial patella ligament) to prevent it catching. However, this is a relatively risky procedure for your horse to undergo.

More modern techniques can be carried out under local anaesthetic, and these can significantly reduce the risk to your horse. One method involves injecting iodine directly into the ligament to cause it to stiffen (and prevent any slackening), which makes it less likely to catch on the femur. Another method is to initiate a small amount of direct trauma to the area (either with a laser, or by surgically creating a small flesh wound), which then causes scar tissue to form and reduces the elasticity of the ligament.

In both cases, your vet will recommend the best – and safest – course of action after assessing your horse’s condition and needs.