Evaluation of the efficacy of prophylactic hoof health examination and trimming during midlactation in reducing the incidence of lameness during late lactation in dairy cows

OBJECTIVE: To assess the efficacy of prophylactic hoof health examination and trimming during midlactation at reducing the incidence of lameness during late lactation in dairy cows. DESIGN: Randomized field trial. ANIMALS: 333 Holstein cows. PROCEDURES: Cows without apparent lameness were randomly allocated into 1 of 2 groups approximately 204 days after calving. Cows allocated to the treatment group (n = 161) were examined on a tilt table for diagnosis and underwent hoof-trimming procedures, if needed, for treatment of hoof disorders or lesions. Cows in the control group (n = 172) were not examined. Cows were assigned a locomotion score weekly for 28 weeks after allocation to a group. The number of cows classified as lame during late lactation (approx 205 to 400 days after calving) was compared between groups to assess the efficacy of prophylactic examination and trimming. RESULTS: Incidence of lameness during late lactation was 24% in cows in the control group and 18% in cows in the treatment group. CONCLUSIONS AND CLINICAL RELEVANCE: The 25% decrease in number of new cases of lameness in cows undergoing prophylactic hoof health examination and trimming during midlactation may be relevant for the well-being of dairy cows and should not represent a major economic burden to producers.     

The effect of claw trimming on the hoof health of Swedish dairy cattle

A 2-year experiment on the effect of claw trimming on hoof health was performed in 77 Swedish dairy herds (3444 dairy cattle) selected on herd size, breed composition and membership in the official milk-recording scheme. In the autumn, cows within each herd were blocked according to breed, parity and stage of lactation and allocated to two treatments: autumn trimming (AT) or no autumn trimming (NAT). Outcome variables were claw measurements and prevalence of hoof lesions and lameness (measured at spring trimming) and the need for hoof treatments between scheduled trimmings. At spring trimming, NAT cows had longer and shallower claws than AT cows. The average net growth of the toe wall was greater for AT than for NAT cattle, with a marked variation between housing systems. Most hoof lesions present at AT had disappeared at the subsequent spring trimming. Controlled for clustering by herd-within-year and for the effects of individual-and herd-level covariates, AT cattle at spring trimmings had significantly lower odds of lameness (OR=0.66) and of haemorrhages of the sole or white-line (OR=0.86), sole ulcer (OR=0.59) and white-line fissure or double sole (OR=0.71)-but not of moderate-to-severe heel-horn erosion or dermatitis (OR=0.96). Acute hoof treatments between claw trimmings were more common in the NAT group (OR=2.02).     

奶牛蹄部不同部位温度在跛行诊断中的应用

为了确定应用手持式红外线测温仪筛选奶牛蹄部不同部位的温度用于奶牛跛行的诊断价值,本研究在奶牛修蹄前进行跛行评分,修蹄后用手持式红外线测温仪分别测量奶牛右后蹄系部、右后蹄外侧趾远轴侧蹄壁和右后蹄外侧趾蹄底三角区的温度,分析其与奶牛跛行程度的相关性,并绘制不同部位蹄部温度的ROC曲线,确定其诊断作用和最佳临界值.结果显示,...     

Risk factors influencing lameness and claw disorders in dairy cows

Claw health of dairy cows was investigated in an observational study in different housing systems in Switzerland. Twenty-five professional hoof trimmers examined lameness and claw disorders in 4621 cows on 290 farms during routine hoof trimming. 82 farms had tie-stall barns without exercise (T1) and 166 had tie-stall barns with exercise (T2), another 42 farms kept their animals in loose housing systems with exercise (L2). The prevalence was 10.0% for lameness (LN), 15.7% for sole disorders (SD), 6.1% for white line disorders (WD), 13.6% for heel erosions (HE), and 5.3% for disorders of skin and interdigital space (ID). LN and SD showed the highest prevalence (13.2%; 16.4%) and the highest odds ratio (OR=1.89; 1.33) in T1. WD was more often detected in L2, accounting for 9.4% (OR=1.0). HE was identified most in T2 (17.1%, OR=4.72) and T1 (13.2%, OR=4.45). Disorders of skin and interdigital space were most frequently found in T2 (7.5%, OR=1.55).     

The Michigan equine monitoring system. II. Frequencies and impact of selected health problems

A prospective study was designed to document the frequencies of equine health problems in the state of Michigan, USA. A total of 2469 horses from a random sample of 138 equine operations were monitored in the study in two 12-month periods: 1992–1993 and 1993–1994. All the major breeds of horses in the state were proportionately represented in the sample. Using weighted annual incidence densities as measures of disease frequencies, the 10 most frequently observed groups of health problems were (from most to least frequent) leg lameness, dermatological problems, respiratory problems, hoof and foot problems, reproductive problems, systemic problems, colic, whole body lameness, neurological problems and gastrointestinal problems (other than colic). This ranking of the top 10 health problems was different from the ranking provided by equine owners/operators at the beginning of the study.

Overall, very low specific mortality rates were observed in the study. However, the conditions that were associated with mortality resulted in fairly high case fatalities. The five specific illnesses that most commonly resulted in fatalities were (from greatest to least case fatality risk) systemic problems, colic, gastrointestinal problems (other than colic), neurological problems, and foot and hoof problems.

Impact of disease was evaluated in terms of average duration of a case and days lost for performance. Neurological problems, lameness and dermatological problems had the longest duration per case. Neurological problems, lameness, respiratory problems and gastrointestinal problems (other than colic) had the longest average days lost per case.     

The use of high-speed treadmills for lameness and hoof balance evaluations in the horse

Examination for lameness remains the most important component of the clinical evaluation for poor performance. Although conventional examinations can be used to diagnose many causes of lameness, treadmill video gait analysis and dynamic hoof balance evaluations have proved to be useful not only for evaluating lameness but also for maintenance of long-term soundness. Treadmill lameness evaluations offer a major advantage compared to conventional evaluations because of the stationary position of the exercising horse relative to the people performing the examination. Lameness is suspected if asymmetric motion is observed or asymmetric sounds of the feet contacting the tread surface are heard during the treadmill evaluation. Localization of lameness to the front or hind legs is the first step in the treadmill gait analysis protocol. In trotting and pacing horses, asymmetric movements associated with foreleg lameness generally are confined to the front end. In contrast to the pacing gait, asymmetric movements associated with hindlimb lameness can involve both the front and rear of the horse at the trot. The evaluation is continued to determine which side of the horse is abnormal. Viewed from the front, horses with primary forelimb lameness appear to have an asymmetric downward rotation of the torso, head, and neck away from the stiffer lame front leg toward the flexed normal leg as it contacts the tread surface. The lame hind leg can appear to be stiff relative to the opposite normal leg. This results in uneven side-to-side oscillations of the pelvis rotating away from the abnormal stiff-appearing hind leg toward the normal, flexed hind leg as it contacts the tread surface. Both front- and hind-leg lamenesses cause dissociation of the normal foot-fall sequence, resulting in the alteration of the normal two beat gait at the trot or the pace to a three-beat gait. The final step of the lameness examination involves the use of diagnostic regional anesthesia to determine the anatomic location of the lameness. Treadmill video gait analysis can be used to evaluate differences in the horse's gait before and after each anesthetic block. Optimal foot balance during exercise is critical for long-term maintenance of musculoskeletal soundness. Combining slow-motion video gait analysis with treadmill exercise provides an excellent method for evaluating hoof balance at a variety of speeds. Optimal hoof balance can be achieved by using the technique of successive trimming and re-evaluation. The principles of hoof balancing include establishing dorsopalmar or dorsoplantar hoof balance.(ABSTRACT TRUNCATED AT 400 WORDS)     

Retrospective analysis of distal limb conformation and lameness in mature horses after desmotomy of the accessory ligament of the deep digital flexor tendon for management of a flexural deformity

Mature horses that present with flexural deformity of the distal interphalangeal joint and lameness isolated to the foot may obtain long‐term benefits from desmotomy of the accessory ligament of the deep digital flexor tendon (ALDDFT). This retrospective analysis of medical records and radiographs included 13 horses, aged ≥2 years, presented for lameness isolated to the hoof region and diagnosed with flexural deformity of the distal interphalangeal joint. Radiographic angles of the hoof and distal interphalangeal joint and lameness scores were compared before and after desmotomy of the ALDDFT. Follow‐up data including the ability to perform the intended use were obtained at least one year after surgery. There was improvement in the angle between the dorsal aspect of the third phalanx and the weightbearing surface of the hoof, improved alignment between the dorsal hoof wall and dorsal aspect of the third phalanx, and improved alignment of the distal interphalangeal joint. Lameness was decreased in 9/13 horses and 10/13 horses were performing at their level of intended use. Evidence of improved hoof conformation and lameness following desmotomy of the ALDDFT in lame horses with flexural deformity of the distal interphalangeal joint would indicate this procedure should be considered in mature horses.     

An investigation of the relationships between angles and shapes of the hoof capsule and the distal phalanx

Reasons for performing study: There is little scientific evidence to support the premise that poor foot conformation predisposes to foot pain and lameness. Objectives: To determine relationships between external characteristics of the hoof capsule and angles of the distal phalanx; to determine variability in shape of the distal phalanx; and to investigate association between distal phalanx angles and the injury causing lameness. Materials and methods: Feet were documented photographically and radiographically. Linear and angle measurements were obtained for the hoof capsule and distal phalanx and compared statistically. Horses were categorised according to injury group, and angles and linear ratios were compared between groups. Results: There was modest correlation between hoof wall and heel angles and angles of the distal phalanx. There was variation in shape of the distal phalanx. There was no significant association between injury type and angles of the distal phalanx, although there was a trend for the angle of the dorsal aspect of the distal phalanx with the horizontal to be smaller in horses with injuries of the podotrochlear apparatus or deep digital flexor tendon compared with other groups. Conclusions: There are variations in shape of the distal phalanx largely due to differences in orientation of the concave solar border and the solar border to the horizontal. Variations in shape of the distal phalanx were not accurately correlated with external characteristics of the hoof capsule. There were weak associations between injury groups and angles of the distal phalanx. Clinical relevance: Further work is required to elucidate risk factors for foot‐related lameness.     

Assessing the Association Between Hoof Thermography and Hoof Doppler Ultrasonography for the Diagnosis of Lameness in Horses

The objectives of this study were to assess the correlation between hoof surface temperature and ultrasonographic measurements of digital blood vessels in horses and to evaluate the measurements' potential as predictors for clinical lameness. Twelve 3-year-old American Quarter Horses, 6 geldings and 6 mares, with average initial body weight of 459 ± 31 kg were used. On days 0, 30, 60, and 90 of the study, horses were weighed and subjected to clinical lameness examinations. Doppler ultrasonography was used to measure diameter of the medial palmar artery in the distal left forelimb and velocity of blood flow through that artery, starting at 60 minutes after morning feeding and repeated at 30-minute intervals. Temperature measurements on the hoof were collected at 15-minute intervals beginning 75 minutes after feeding, using a digital thermographic camera. A series of bivariate linear mixed models were fitted to estimate the correlation between Doppler and temperature measurements. The within-horse and between-horse correlations between hoof surface temperature and velocity of blood flow in the distal limb through the medial palmar artery was estimated at 0.40 (P > .50) and 0.99 (P < .001), respectively. These results indicate that at the horse level, the correlation between hoof temperature and velocity of blood flow in the distal limb was very high but that the within-horse correlation was not significantly different from 0. Velocity of blood flow at 60 minutes after feeding improved model fit to the lameness data, so it was included as a model predictor for lameness.     

Bilateral lameness in horses a kinematic study

Summary

The kinematic pattern of mild bilateral lameness was studied by inducing a supporting limb lameness in both forelimbs of 11 sound Dutch Warmblood horses. The kinematics of the horses were recorded while they trotted (3.5 m/s) on a treadmill. The locomotion analysis system CODA‐3 was used to determine the temporal stride patterns, limb movements as well as head and trunk movement patterns. The transient lameness model, by which pressure‐induced pain is evoked on the hoof sole, was used. Differences between left and right limbs as well as between the sound and the lame condition were tested using a paired t‐test.

Stride and stance duration did not change significantly (p < 0.05) during bilateral lameness compared to the pattern of sound horses. Diagonal advanced placement changed to an earlier placement of both forelimbs. Fetlock hyperextension decreased also in both forelimbs, while the pro‐ and retraction, hoof impact angle, maximal hoof height, and all hind limb variables remained unchanged. Vertical head and trunk movements tended to decrease, but these changes were not significant.

It was concluded that fetlock hyperextension and diagonal advanced placement indicate locomotor disturbances, but that mild bilateral lameness may be difficult to distinguish from individual patterns in single assessments because of the lack of locomotor asymmetries. Evaluation of these variables at regular intervals may allow an early detection of bilateral lameness, which then could be confirmed by diagnostic local anaesthesia.     

External characteristics of the lateral aspect of the hoof differ between non-lame and lame horses

During a pre-purchase examination (PPE) there is always a debate about how clinical findings of the hoof different from ideal should be interpreted in relation to future lameness risk and/or unsuitability of the horse for the potential purchaser. The objectives of this study were to describe and compare external angular measurements, linear ratios and hoof capsule characteristics of non-lame and lame feet. Photographs of feet from 300 horses with foot pain and 25 non-lame horses were analysed. Hoof wall, heel and coronary band angles and hoof wall length and height, weight-bearing length, coronary band length and height of the coronary band at dorsal and palmar locations were measured and expressed as linear ratios.Mean hoof wall, heel and coronary band angles were larger in lame compared with non-lame feet; only the ratio of dorsal to palmar coronary band heights and the shape of the coronary band were significantly different between lame and non-lame horses. Growth rings were divergent and horn tubules were non-parallel in lameness of >3 months. At a PPE, a larger ratio of dorsal to palmar coronary band heights in one limb may be indicative of previous lameness in that foot. Changes in coronary band shape and divergent growth rings and horn tubules would suggest a longer duration.     

Prevalence of lameness and hoof lesions in all year-round grazing cattle in Brazil

Lameness is a growing concern to the dairy industry worldwide. However, little is known about lameness and its causes in grazing cattle, especially in tropical climates. This study aimed to assess the prevalence of hoof lesions and lameness in dairy herds of all year-round grazing cattle under tropical condition, and to identify the main lesions associated with lameness. We visited 48 farms located in the Minas Gerais state, Brazil, equally divided into four groups based on daily milk production. All lactating cows in the visited farms were locomotion scored, and a representative sample was randomly chosen for hoof inspection. Among the 2267 lactating cows evaluated, 16% were scored as lame and 7% as severely lame. Nearly all cows presented at least one type of hoof lesion, of which heel horn erosion (90%), white line fissure (50%), and digital dermatitis (33%) were the most prevalent. Heel horn erosion was present in all farms and digital dermatitis was present in 96% of the farms. Sole ulcer was observed in a single animal. Additionally, digital dermatitis and white line fissure were correlated to a 2.5 times increase in the odds of a poor mobility score. Collectively, our results demonstrate that digital dermatitis and white line fissure are the main concern and the biggest cause of lameness in grazing cattle under tropical conditions.     

Unilateral white line disease and laminitis in a quarter horse mare

A 5-year-old quarter horse mare presented with unilateral, severe, chronic forelimb lameness. Radiographs revealed extensive hoof wall separation and capsular rotation of the distal phalanx. Treatment included dorsal hoof wall resection, phenylbutazone, a bar shoe, and stall rest. Whether white line disease or laminitis was the primary lesion remains unclear.     

Multiple keratomas in an equine foot

A 19-year-old, Arabian gelding was presented for left hindlimb lameness and deviation of the hoof wall. Radiographs revealed a semicircular, radiolucent area in the lateral edge of the distal phalanx. Three distinct keratomas were successfully removed following hoof wall resection.     

Management of a keratoma in a horse: A case report

An 8-year-old Thoroughbred gelding presented with chronic intermittent lameness of the left forelimb. Keratoma was diagnosed based on history, clinical signs and the radiographic evidence of a radiolucent concavity of the third phalanx. The keratoma was removed by hoof wall resection and the foot was immobilized using a bar shoe with clips and a dorsal hoof wall plate positioned across the hoof wall defect. The hoof wall defect was completely filled with new hoof wall by 9 months postoperatively. The horse returned to normal athletic function and is performing successfully 18 months later.     

Changes in kinematic variables observed during pressure-induced forelimb lameness in adult horses trotting on a treadmill

OBJECTIVE: To determine whether kinematic changes induced by heel pressure in horses differ from those induced by toe pressure. ANIMALS: 10 adult Quarter Horses. PROCEDURE: A shoe that applied pressure on the cuneus ungulae (frog) or on the toe was used. Kinematic analyses were performed before and after 2 levels of frog pressure and after 1 level of toe pressure. Values for stride displacement and time and joint angles were determined from horses trotting on a treadmill. RESULTS: The first level of frog pressure caused decreases in metacarpophalangeal (fetlock) joint extension during stance and increases in head vertical movement and asymmetry. The second level of frog pressure caused these changes but also caused decreases in stride duration and carpal joint extension during stance as well as increases in relative stance duration. Toe pressure caused changes in these same variables but also caused maximum extension of the fetlock joint to occur before midstance, maximum hoof height to be closer to midswing, and forelimb protraction to increase. CONCLUSION AND CLINICAL RELEVANCE: Decreased fetlock joint extension during stance and increased head vertical movement and asymmetry are sensitive indicators of forelimb lameness. Decreased stride duration, increased relative stance duration, and decreased carpal joint extension during stance are general but insensitive indicators of forelimb lameness. Increased forelimb protraction, hoof flight pattern with maximum hoof height near midswing, and maximum fetlock joint extension in cranial stance may be specific indicators of lameness in the toe region. Observation of forelimb movement may enable clinicians to differentiate lameness of the heel from lameness of the toe.     

A fresh look at white line disease

White line disease occurs secondary to a hoof wall separation. Clinical signs may vary from not being lame to severe lameness with rotation of the distal phalanx depending on the extent of the disease affecting the inner hoof wall. The author has found that removal of the hoof wall overlying the diseased area combined with the appropriate farriery is the most important aspect of therapy.     

Evaluation of the hoof and foot relevant to purchase.

The equine hoof and foot are the most commonly affected anatomic sites of lameness encountered during purchase examination of the performance horse. This article presents a thorough, systematic approach to the clinical evaluation of the hoof and foot relevant to the pre-purchase examination. Normal and abnormal conditions are discussed with reference to their potential effects on future performance and soundness. Proper trimming, balancing, and shoeing principles are emphasized.     

Prevalence and interrelationships of hoof lesions and lameness in Swedish dairy cows

The prevalence of hoof lesions and lameness in 4899 heifers and cows was determined at claw trimming one time in a cross-sectional study on 101 Swedish dairy farms, 1996-1998. The percentage of affected animals was 41% for heel-horn erosion, 30% for sole haemorrhages, 27% for erosive dermatitis, 21% for abnormal claw shape, 14% for white-line haemorrhages, 8.8% for white-line fissures, 8.6% for sole ulcers, 3.3% for double soles, 2.3% for verrucose dermatitis, and 1.8% for interdigital hyperplasia (IH). Seventy-two percent of all animals had at least one hoof lesion. The prevalence of lameness was 5.1%; most hoof lesions did not cause lameness. Differences between herds were substantial; the herd-specific, animal-level prevalence of lesions ranged from 25 to 98% and of lameness from 0 to 33%. Sole haemorrhages were found in all herds. The proportion of variance at the between-herd level was particularly high for heel-horn erosion (62%) and abnormal claw shape (54%). Strong correlations between lesions were found within hooves (and animals), e.g. for heel-horn erosion and dermatitis (Spearman's rank correlation, r(s)=0.36 and 0.37, respectively) and for sole and white-line haemorrhages (r(s)=0.25 and 0.28). Most hoof lesions affected hind and front hooves bilaterally, whereas the correlation between hind and front hooves generally was lower. Herds that ranked high for prevalence of sole ulcer also ranked high for sole haemorrhages and for abnormal claw shape and herds that ranked high for dermatitis also ranked high for heel-horn erosion, verrucose dermatitis and IH. Abnormal claw shape was strongly associated with sole ulcer (r(s)=0.41 at cow level)-suggesting the importance of maintaining a correct claw shape for the prevention of hoof-horn lesions.     

Platelet-rich Plasma Combined With a Sterile 3D Polylactic Acid Scaffold for Postoperative Management of Complete Hoof Wall Resection for Keratoma in Four Horses

Keratoma is a nonmalignant horse tumor that grows in the space between the horn of the hoof and the distal phalanx. Keratoma causes lameness in the horse, and surgical excision is the treatment of choice. Four horses underwent removal of a keratoma by complete hoof wall resection. The remaining wound was treated with platelet-rich plasma (PRP) combined with a sterile three-dimensional polylactic acid scaffold. The PRP was applied at 3, 6, 9, 12, 15, and 18 days postoperatively. The surgical site was cleaned with gauzes and swabs soaked in Ringer’s lactate solution before applying PRP and the foot bandage. Healthy granulation tissue developed at 6–21 days postoperatively. The hoof wall defect was completely filled with new hoof wall within 6–8 months after surgery. All horses returned to their previous exercise level, and no recurrence of lameness was reported by the owner.