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OCD in the stifle is one of the most frequent joint issues in young performance horses, yet it often goes unnoticed until the horse shows pain or reluctance to move. These loose fragments create inflammation inside the joint that limits mobility and accelerates wear on the cartilage. Left untreated, the condition can shorten a horse’s athletic career and compromise long term comfort. Surgical removal of the fragments through arthroscopy is highly effective when performed early, allowing the joint to return to smooth function and reducing the risk of arthritis later in life. What many people do not realize is that OCD often begins during growth, when nutrition, exercise, and genetics all play a role in how cartilage develops. The right balance of diet and workload in young horses can reduce the risk of these lesions forming in the first place, which is why prevention and early management are just as important as surgery.