equine orthoapedics of the foot Flashcards

1
Q

how do hoof cracks occur and what direction do they usually run in

A

can be caused due to poor foot balance, poor horn quality or trauma.
can be incomplete or complete and they often run in a proximo-distal direction

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2
Q

how does a hoof crack progress

A

instability leads to shear forces, further seperation, infection and pain

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3
Q

how are hoof cracks treated

A

if incomplete only functional trimming is needed. filler can be used to fill in the crack or wires and bar shoes can also be used

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4
Q

define white line disease

A

progressive, crumbling, poor quality hoof wall with seperation at the white line

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5
Q

clinical signs of white line disease

A

lameness possible.
seperation of hoof wall especially at toes with grey crumbly horn seen

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6
Q

what is seen with injuries to the coronary band and hoof wall

A

haemorrhage!
moderate to severe lameness
possible involvement of joint/tendons

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7
Q

when treating a coronary band and hoof wall injury which structure should you aim to preserve

A

the coronary band!

consider use of bandages and casts

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8
Q

whats the difference between a nail bind and a shoeing prick

A

nail bind: nail is close to sensitive structures. mild lamesness. pain around nail

shoeing prick: nail into sensitive structures. immediate pain. develop into subsolar abscess if untreated

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9
Q

subsolar abscessation clinical signs

A

ACUTE onset
increased digital pulse
increase hoof temperature
sensitive to hoof testers

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10
Q

cause and treatment of subsolar abscessation

A

penetration of bacteria leads to abscess formation which puts pressure on sensitive lamina

follow tracts and remove any necrotic/underrun horn

apply poultice daily after

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11
Q

in cases of foot penetration involving synovial structures. where on the hoof are you likely to find the foreign body

A

middle third

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12
Q

what are possible causes for chronic hoof abscessation

A

keratoma
sequestrum
pedal osteitis
laminitis

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13
Q

what is a keratoma

A

bening tumor of the hoof and solar horn

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14
Q

clinical signs of keratoma

A

intermittent lameness and discharge.
characteristic circular abnormal area of keratinisation seen.

smooth radiolucent defect seen in p3 on xray

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15
Q

what is quittor

A

infection of the collateral cartilages

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16
Q

what is seen in quittor

A

swelling and chronic discharge arising from the coronary band.

17
Q

what is canker

A

chronic condition associated with hypertrophy of the germinal layer of the epithelium of the frog.

18
Q

what infective agent is linked with canker

A

fusobacterium necrophorum

19
Q

what does infection with canker lead to

A

dyskeratosis of the keratin producing cells.
results in abnormal hyperkeratotic horn with fronds on unconnected tubular horn seen

20
Q

how would you treat canker

A

debride and apply ASTRINGENTS (picric acid, benzoyl peroxide)
recurrence very common

21
Q

what are the four x ray views used in imaging of the foot

A
  1. lateromedial
  2. horizontal dorsopalmar
  3. dorsoproximal-palmarodistal oblique
  4. palmaroproximal-palmarodistal oblique
22
Q

what is pedal osteitis and what is seen on x ray

A

radiographic changes in pedal bone in horses with chronic foot soreness.

demineralisation and widening of vascular channels seen on xray

23
Q

what is the typical history associated with navicular disease

A

intermittent chronic bilateral forelimb lameness often worsened on hard surfaces. lameness exacerbated when made to walk in a circle.
associated with low heel/long toe confirmation of hoof.
hoof tester positive over frog and horses land toe first when walking to try and avoid painful heel

24
Q

what is seen on radiograph of navicular disease

A

medullary cyst formation
flexor cortex. erosion/irregularities
loss of corticomedullary defenition

25
Q

navicular disease treatment

A

improve foot balance!!
nsaids
intra bursal corticosteroids/hyaluronic acid
neurectomy surgery

26
Q

what are the clinical signs of a DDFT lesion in the foot

A

acute onset unilateral lameness
need MRI to diagnose