Chronic Laminitis Flashcards
What is the definition of laminitis?
Inflammation of laminae of the foot
Becomes chronic after 48hours of continual pain or when rotation of the distal phalanx occurs
Clinical symptoms of chronic laminitis?
Shifting weight to hind feet Unwilling to walk/turn Skin ulcers Sinking in at coronary band Non-parallel growth rings Sole abscess
What grade is this laminitis ?
No lameness at walk
Short stilted gait at trot
Grade 1
What grade is this laminitis ?
Stilted gait at walk
Foot can be lifted
Grade 2
What grade is this laminitis ?
Reluctant to walk
Resist foot lifting
Grade 3
What grade is this laminitis ?
Refuses to move
May become recumbent
Grade 4
What might you see on radiographs of a hoof with laminitis?
Bone remodeling “ski tips” Distal marginal fractures Osteolysis Osteomyelitis Rotation Sinking Radiolucent lines
What are risk factors for laminitis?
Pony Fat horse Late summer High carbohydrate (grain) Non-weight bearing lameness
What are treatment options for chronic laminitis?
Therapeutic shoeing
- dorsal hoof wall resection
- heart bar shoe
- reversed horse shoe
Deep digital flexor tenotomy
Euthanasia