Diseases of the foot Flashcards
What structures does the broken back hoof pastern axis stress and strain the most?
Navicular apparatus, DDF, dorsal hoof wall, heel region (prone to bruising, abscessing)
How should you compensate for a broken back conformation?
-Trim more toe than heel to improve axis, apply shoe to reduce toe lever and increase base of support
-wedge up the heel, ease breakover through modifying toe, provide larger shoe
What structures are under more strain with a broken forward hoof pastern axis?
Suspensory ligament, dorsal hoof wall, SDFT, distal sesamoidean ligaments
Describe a trimming/shoeing plan for the broken forward conformation associated with pathogenesis of suspensory ligament?
Wide toe, more narrow in heels (increases tension on DDF, decreases strain on SDF)
-or use fish tail bar shoe or egg bar (lever on heel to engage DDF to help support the fetlock)- works well in hindlimbs
Describe a treatment plan for a broken forward conformation due to club foot (congenital)?
Don’t lower heel! Will increase strain on DDF which already has too much strain
-physiologically strain DDF to encourage it to relax
-inferior check ligament desmotomy, or DDF desmotomy in severe cases
-requires vet/farrier team
What structures are under increased strain when there is a club foot?
Dorsal lamellae (can lead to mechanical laminitis), entire toe, entire P1 (also P2 and P3)
Describe a shoeing/trimming plan for a club foot deformity.
Ease breakover in toe region, lower heel (slightly), load frog and sole
-best addressed when young
Define wry foot
A distorted hoof capsule- deviating either medial or lateral
How should wry foot abnormalities be addressed?
Bar or extension on side that is more straight up (fill the triangle)
T/F: hoof is designed to expand in the heel region when limb is loading
True
What are some causes of wry foot?
base narrow horse
- will grow more straight on medial side, flare laterally on outside
-predisposes to quarter cracking and sheared heels
What does wry foot predispose to?
Quarter cracks due to increased stresses and strains on side more upright, as well as on collateral ligaments
Describe “sheared heels”
One of the heel bulbs is displaced proximally to the other
-predisposes to abscessation, quarter cracks
what is a good trimming/shoeing plan for wry foot?
Decrease load in more vertical heel (wider shoe, extension)
-make that side non-weight bearing-can put pad onto that side
What are some things you can do in terms of shoeing with thin soles or thin hoof wall?
Not much room for error with nails
-use glue on shoes!! -eliminate nails
What are some disadvantages of glue on shoes?
-Expensive, can trap dirt and bacteria in causing white line/abscess, need to have the skill set
-soft rides, rest
-wooden clog-cast on
-can create artificial hoof wall (very time and labor intensive)
What are the advantages/disadvantages of glue on shoes?
Expensive, less time consuming, more frequent replacements