Subchondral cystic lesions can be managed in two ways, medical therapy or surgical intervention. The decision depends on age, location, and how much the lesion is affecting joint function. In young horses, surgery often offers the most predictable outcome by addressing the lesion directly and restoring a healthier joint environment before long term damage develops. Early, decisive treatment is what gives these horses the best chance for soundness and longevity. The full surgical procedure is ava
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