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.     

Clinical and low field magnetic resonance imaging features of osseous cyst‐like lesions of the proximal sesamoid bones in seven horses

Osseous cyst‐like lesions of the proximal sesamoid bones (PSBs) were diagnosed in 7 horses. The diagnosis was achieved radiographically prior to magnetic resonance imaging (MRI) in only one horse, and in the other 6 horses the diagnosis was made using low field MRI (retrospective evaluation of the radiographs after the MRI revealed ill‐defined radiolucencies of the PSBs in 4 of these horses). The horses ranged in age from 3 to 12 years, and the affected limbs included 3 forelimbs and 4 hindlimbs. The onset of lameness was reported to be sudden in 6 horses and insidious in one, and the duration of lameness at the time of MRI ranged from 0.3 to 11 months. The degree of lameness in the 6 horses with sudden‐onset lameness was moderate to severe. Pain on flexion of the affected metacarpo(tarso)phalangeal (fetlock) joint or exacerbation of the degree of lameness following fetlock flexion was recorded in 4 of the 7 horses. The MRI findings in all cases included a focal high signal intensity lesion (all magnetic resonance sequences) at various locations in one PSB. Both septic and nonseptic aetiologies were identified. Four of the 7 horses were subjected to euthanasia due to persistent lameness, one remained chronically lame and only 2 were able to return to their previous level of exercise.     

Musculoskeletal problems associated with lameness and poor performance among horses used for barrel racing: 118 cases (2000-2003)

OBJECTIVE: To identify types of musculoskeletal problems associated with lameness or poor performance in horses used for barrel racing. DESIGN: Retrospective case series. ANIMALS: 118 horses. PROCEDURE: Medical records were reviewed for information on signalment, history, physical and lameness examination findings, diagnostic tests performed, diagnosis, and treatment. RESULTS: Most horses were examined because of lameness (n = 72 [61%]) rather than poor performance (46 [39%]), but owner complaint was not significantly associated with age or body weight of the horse. The most common performance change was refusal or failure to turn properly around the first barrel (19/46 [41%]). The right forelimb (n = 57 [48%]) was most commonly affected, followed by the left forelimb (51 [43%]), the left hind limb (31 [26%]), and the right hind limb (25 [21%]). In 31 horses (26%), both forelimbs were affected, and in 6 (5%), both hind limbs were affected. The most common musculoskeletal problems were forelimb foot pain only (n = 39 [33%]), osteoarthritis of the distal tarsal joints (17 [14%]), suspensory ligament desmitis (15 [13%]), forelimb foot pain with distal tarsal joint osteoarthritis (11 [9%]), and bruised feet (10 [8.5%]). In 81 (69%) horses, the affected joint was treated with intra-articular medications. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that in horses used for barrel racing that are examined because of lameness or poor performance, the forelimbs are more likely to be affected than the hind limbs, with forelimb foot pain and osteoarthritis of the distal tarsal joints being the most common underlying abnormalities.     

A longitudinal study of the hooves of non-lame cows

A longitudinal study of the feet of cows from a seasonal dairy herd was conducted over a 12 month period to measure the occurrence of subclinical hoof lesions. Eleven 2-year-old cows, entering the herd for the first time, and eleven mature cows were randomly selected from a herd of 415 cows at the end of winter (July 1989) prior to calving. The incidence of lameness in the herd over the 12 months was 2%. None of the trial cows became lame during the study. Cows were examined monthly. The type, severity and location of any hoof lesions were recorded. Sole haemorrhage, erosion of the heel bulb and minor white line separation were the most commonly observed lesions. These lesions were observed with specific claw distributions in the cow and at specific times of the year and breeding season, with waves of each type of lesion passing through the herd at a particular time. White line separation was observed commonly during spring (up to 37% of digits affected), disappeared almost completely over the dry summer months and reappeared in autumn, increasing to 40%' again over winter. Lesions were more commonly observed in the lateral digits, with fore feet being more commonly affected than hind feet. Erosion of the heel bulbs was common in August (65% of digits affected, more common in mature cows than 2-year-olds), disappeared quickly during spring, and reappeared in all cows during the following winter (88% of digits; no age differences). There were no differences in distribution between digits. Sole haemorrhages were concentrated over the mid-sole and abaxial sole zones. They were more common in the hind feet than the front feet and more common in the outside claws (p < 0.001). Haemorrhages were not observed prior to or soon after calving, appeared in October and reached a peak of 40% in December, then gradually disappeared by the time of drying-off in May. The 2-year-olds were more frequently affected than the mature cows (p <0.001).     

FOCAL INCREASED RADIOPHARMACEUTICAL UPTAKE IN THE DORSOPROXIMAL DIAPHYSEAL REGION OF THE EQUINE PROXIMAL PHALANX

The aims of this study were to establish the frequency of occurrence, intensity and symmetry of focal increased radiopharmaceutical uptake in the dorsoproximal aspect of the diaphysis of the proximal phalanx; to determine if this focal increased radiopharmaceutical uptake was related to age, height, gender, breed, bodyweight, or discipline of the horse, and if there was any relationship with lameness. Scintigraphic images from 690 horses were analyzed subjectively and objectively. Age, breed, discipline, height, weight, gender, and lame limb(s) or reasons for presentation were recorded for all horses. Univariate and multivariable logistic regression was performed to identify associations between available variables and focal increased radiopharmaceutical uptake. Focal increased radiopharmaceutical uptake was present in 17% of forelimbs and 7% of hindlimbs. It occurred most frequently in the forelimbs of older, taller, and heavier warmblood and warmblood cross dressage horses, and the hindlimbs of older, taller, and heavier showjumpers and dressage horses. It was usually bilaterally symmetrical and was not associated with lameness.     

Clinical, pathologic, and microbiologic findings of foot abscess in neonatal pigs

A longitudinal study was undertaken in a swine herd with an ever-present problem of foot abscess in suckling pigs reared on a woven-wire floor. Of 3,322 4-day-old pigs, 199 (6%) developed abscess lesions involving claws and accessory digits before weaning. Lesions were first detected in 4-day-old pigs; median and mean ages at onset were 10 and 11.3 days, respectively. At first detection, most pigs had only a single claw affected, but 39 pigs had at least 2 claws with abscesses. Hind limbs had more affected claws (140) than forelimbs (96). In the hind limbs, medial claws were most likely to have lesions, whereas the reverse was true for the forelimbs. Gross and microscopic examinations of affected claws indicated necrotic pododermatitis, with severe osteomyelitis, arthritis, and tenosynovitis. Bacteria isolated from foot abscess lesions included Actinomyces pyogenes, Staphylococcus spp, beta-hemolytic Streptococcus spp, Actinobacillus spp, Escherichia coli, Fusobacterium spp, Bacteroides spp, and Peptostreptococcus spp.     

A case study of lameness in three dairy herds

All cases of lameness that occurred in cows from three dairy herds between August 198'3 and July 1990 were examined every 2 weeks from the onset of lameness until the lesions resolved. The incidences of herd lameness were 38%, 22% and 2%. Some 186 clinical lesions were identified in 134 cases of lameness in 120 cows. Sole bruising (42%) and white line separation (39%) were the most frequently diagnosed conditions. Lateral digits of the hind limbs were the most affected. The mean time from the onset of lameness to clinical recovery was 27 days and to lesion recovery was 35 days. The peak incidence of lameness occurred during winter for autumn-calving cows and during the late spring for spring-calving cows. The onset of lameness was associated with the stage of lactation and wet weather conditions. Survival analysis revealed that the probability of an individual cow lasting in the milking herd for any specified period of time without becoming lame was highly associated with both her herd environment and her age. Total lactation yields of milk, milk fat and milk protein were lower for cows suffering from lameness than for herd-mates matched on age and proximity on calving date (P<0.05). Reproductive performance was also poorer in lame cows than in their herd-mates.     

A case study of lameness in three dairy herds

All cases of lameness that occurred in cows from three dairy herds between August 1989 and July 1990 were examined every 2 weeks from the onset of lameness until the lesions resolved. The incidences of herd lameness were 38%, 22% and 2%. Some 186 clinical lesions were identified in 134 cases of lameness in 120 cows. Sole bruising (42%) and white line separation (39%) were the most frequently diagnosed conditions. Lateral digits of the hind limbs were the most affected. The mean time from the onset of lameness to clinical recovery was 27 days and to lesion recovery was 35 days. The peak incidence of lameness occurred during winter for autumn-calving cows and during the late spring for spring-calving cows. The onset of lameness was associated with the stage of lactation and wet weather conditions. Survival analysis revealed that the probability of an individual cow lasting in the milking herd for any specified period of time without becoming lame was highly associated with both her herd environment and her age. Total lactation yields of milk, milk fat and milk protein were lower for cows suffering from lameness than for herd-mates matched on age and proximity of calving date (p<0.05). Reproductive performance was also poorer in lame cows than in their herd-mates.     

Mineralization can be an incidental ultrasonographic finding in equine tendons and ligaments

Tendon/ligament mineralization is recognized in horses but information regarding its clinical significance is limited. The aims of this observational study were to report the structures most commonly affected by ultrasonographically detectable mineralization and, for these, determine frequency of diagnosis and key clinical features. Cases presented at our hospital in April 1999–April 2013 and September 2014–November 2015 were included: a total of 27 horses (22 retrospective, five prospective). Mineralizations were most common in deep digital flexor tendons (10) and suspensory ligament branches (eight), representing 10% and 7% (estimated), respectively, of horses diagnosed with injuries to these structures during the study. Two deep digital flexor tendon and three suspensory ligament branch cases showed bilateral mineralization. Deep digital flexor tendon mineralization was restricted to the digital flexor tendon sheath, most commonly in the proximal sheath (±sesamoidean canal), and seven of 10 cases involved hindlimbs. Suspensory ligament branch mineralization was visible in the same ultrasound window as the proximal sesamoid bones in 10/11 limbs and six of eight cases involved forelimbs. Previous corticosteroid medication was a feature of one deep digital flexor tendon and one suspensory ligament branch case. Mineralization was associated with lameness in some but not all limbs. Mineralized foci within the deep digital flexor tendon preceded hypoechoic lesion formation in two limbs. Of the cases with deep digital flexor tendon or suspensory ligament branch injury only, one of three and two of three cases, respectively, became sound. Findings indicated that tendon/ligament mineralization can be associated with lameness in some horses, but can also be an incidental finding.     

Salinomycin-induced polyneuropathy in cats: morphologic and epidemiologic data

In April 1996, an outbreak of toxic polyneuropathy in cats occurred in the Netherlands. All cats had been fed one of two brands of dry cat food from one manufacturer. Chemical analyses of these foods, stomach contents, and liver and kidney of affected cats revealed contamination with the ionophor salinomycin. Epidemiologic and clinical data were collected from 823 cats, or about 1% of the cats at risk. In 21 affected cats, postmortem examination was performed. The affected cats had acute onset of lameness and paralysis of the hindlimbs followed by the forelimbs. Clinical and pathologic examination indicated a distal polyneuropathy involving both the sensory and motor nerves.     

Incidence of lameness requiring veterinary treatment in dairy cattle in Queensland

A survey of the incidence of lesions causing lameness in dairy cattle was conducted by veterinarians in 9 practices in Queensland between November 1984 and July 1985. One hundred and eighty five cases were treated in 83 dairy herds. The average incidence of lameness which required treatment by veterinarians was 2.7 cases per 100 cows per 9 months, with a range of 1.4 to 5.5% in the 9 practices. Foot lesions constituted 83.2% of all lesions; the most common being interdigital necrobacillosis (15%), deep sepsis (8.9%), white line disease (8.4 per cent), axial groove fissure (8.4%), bruised sole (5.6%) and foreign body in the sole/heel (5.6%). Sixty-five per cent of foot lesions occurred in the hind feet and 63% of these lesions occurred in the lateral claw, while 37% of foot lesions occurred in abnormally shaped claws. Limb lesions accounted for the remaining 16.8% of lesions, and 50% of these lesions occurred in the hip and stifle, while trauma was the main cause of limb lesions.     

Proximal suspensory desmitis: clinical, ultrasonographic and radiographic features

Clinical, ultrasonographic and radiographic features of proximal suspensory desmitis in the forelimb and the hindlimb are described. Acute cases may present with slight, localised, oedematous swelling, heat, distension of the medial palmar (plantar) vein and/or pain, whereas chronic cases or those rested immediately after onset of lameness usually have no detectable clinical signs suggestive of the source of pain. In these cases local analgesia is required to identify pain in the proximal metacarpal (metatarsal) region. Transverse ultrasonographic images of the suspensory ligament usually yield the most information and a variety of abnormalities of the proximal suspensory ligament have been identified including i) enlargement ii) poor definition of one or more of the margins of the suspensory ligament, especially dorsally iii) a well circumscribed, central hypoechoic area iv) one or more poorly defined hypoechoic areas, central or more peripheral v) a larger area of diffuse decrease in echogenicity (such lesions were seen most commonly in the hindlimb and appeared to warrant a more guarded prognosis than focal lesions). Radiographic abnormalities were identified in hindlimbs more often than in forelimbs and were usually seen in a dorsopalmar (dorsoplantar) view, and/or a lateromedial projection. Radiographic abnormalities included sclerosis of the trabeculae, a change in orientation of the trabeculae and entheseophyte formation. The most extensive radiographic abnormalities were seen together with an ultrasonographic type v lesion. The prognosis for return to full athletic function and sustained future soundness was better for forelimbs than hindlimbs, especially if the lesion, identified ultrasonographically, resolved.     

Bone marrow lesions of the distal condyles of the third metacarpal bone are common and not always related to lameness in sports and pleasure horses

The metacarpophalangeal joint is a common site of pain in horses. Little information is available about bone marrow lesions in the distal condyles of the third metacarpal bone in sports and pleasure horses. Aims of this prospective, retrospective, observational study were to evaluate the prevalence of bone marrow lesions in the distal condyles of the third metacarpal bone, to describe their anatomic distribution and to correlate lesions with the presence of lameness and the level and type of activity. All sports and pleasure horses undergoing standing low‐field MRI of the front fetlock region between 2009 and 2016 were included and divided into three lameness groups according to the results of diagnostic analgesia. Bone marrow lesions were analyzed and graded by one reader. Grades were compared between anatomical locations and between lameness groups. A total of 166 horses were sampled. The prevalence of bone marrow lesions was 76.5% (127/166). The dorsal aspects of the medial condyle (31%, 39/127) and of the sagittal ridge (28%, 36/127) were the most commonly affected locations. There was no significant difference between both forelimbs (lame limb and non‐lame limb) of the same horse. Lesion severity was neither significantly associated with the lameness group nor with the type or level of activity. The prevalence of bone marrow lesions in the distal condyles of the third metacarpal bone is high in this population and the clinical significance is not always clear. Further studies are required to elucidate the clinical significance of this finding in sports and pleasure horses.     

Magnetic Resonance Imaging Findings in the Proximal Metacarpal Region of 359 Horses and Proximal Metatarsal Region of 64 Horses Acquired Under Standing Sedation

Standing magnetic resonance (MR) images of proximal metacarpal/metatarsal regions are increasingly being acquired. This study aimed at describing ranges of abnormalities detected in sport/racehorses, using retrospective evaluation of magnetic resonance imaging (MRI) reports from horses with lameness isolated to proximal metacarpal/metatarsal regions with images acquired standing. It was hypothesized that MRI features are different between metacarpal and metatarsal regions and between horses doing different sports. Reports from 359 forelimbs and 64 hindlimbs were included. Palmar/plantar metacarpal/metatarsal bone injury and suspensory desmopathy, which often occurred concurrently, were most frequently reported. Third metacarpal abnormalities were more likely at palmar/medial locations, including cortical (86.4%) and trabecular (38.2%) pathology with frequent thickening, irregularity, and periosteal/endosteal abnormalities. Fluid signal was reported in cortical (38.7%) and trabecular (22.6%) bone. Medial intermetacarpal articulation abnormalities were more frequently reported (52.5%) than lateral. Suspensory ligament pathology was reported in 83.8% forelimbs, frequently with cortical (74.1%) or trabecular (32.9%) pathology. Tarsal-joint abnormalities were significantly more likely than carpal-joint abnormalities. Third metatarsal cortical (57.8%) and trabecular (20.3%) pathology was most frequently plantar, but significantly more likely to be dorsal than forelimbs. Metatarsal fluid signal was significantly less likely than metacarpal. Lateral intermetatarsal articulation pathology (23.4%) was more frequent than medial; medial was significantly more likely in forelimbs. Suspensory ligament abnormalities were reported in 64.1% hindlimbs, 39.1% having concurrent cortical pathology. Metacarpal fluid signal was significantly more likely in endurance/racehorses than dressage/show jumping horses. Dressage was overrepresented in hindlimb suspensory origin pathology. These findings indicate different pathology patterns between forelimb/hindlimb and between different sports and may be useful for MRI interpretation.     

Avulsion of the proximal digital annular ligament in five hindlimbs

Avulsion of the proximal attachment of the proximal digital annular ligament (PDAL) was identified in five horses based on characteristic radiographic findings and supported by ultrasonographic examination in four horses. In two cases, PDAL avulsion was associated with acute onset lameness based on physical examination (both animals) and diagnostic analgesia (one animal), and was the only lesion identified. Both horses became sound after a period of rest. Radiographs repeated 11 years later in one animal showed minimal change in the appearance of the lesion. PDAL avulsion was associated with a substantial tear of the deep digital flexor tendon in another horse and in the remaining two cases PDAL avulsion was not associated with lameness. A dissection study found that the proximodistal extent of the proximal PDAL attachment, expressed as a proportion of the length of the proximal phalanx, was significantly (P = 0.011) greater in hindlimbs (11.48 ± 1.01%) compared with forelimbs (8.55 ± 1.06%). This finding may explain why hindlimbs appear at greater risk of PDAL avulsion. In conclusion, while PDAL avulsion can be a cause of acute lameness which, in uncomplicated cases, responds to rest, it can also be an incidental radiographic finding.     

Effect of lameness on the calving-to-conception interval in dairy cows

OBJECTIVE: To examine the relationship between lameness and the duration of the interval from calving to subsequent conception in lactating dairy cows. DESIGN: Cohort study. ANIMALS: 837 dairy cows. PROCEDURE: Cows affected with lameness were classified into 1 of 4 groups on the basis of types of disease or lesions observed, including foot rot, papillomatous digital dermatitis, claw lesions, or multiple lesions. Cows not affected with lameness were classified as healthy. Time from calving to conception was compared between lame cows and healthy cows. RESULTS: 254 (30%) cows were affected with lameness during lactation. Most lame cows (59%) had claw lesions. Lame cows with claw lesions were 0.52 times as likely to conceive as healthy cows. Median time to conception was 40 days longer in lame cows with claw lesions, compared with healthy cows. Number of breedings per conception for lame cows with claw lesions was significantly higher than that for healthy cows. CONCLUSION AND CLINICAL RELEVANCE: Claw lesions were the most important cause of lameness, impairing reproductive performance in dairy cows, as indicated by a higher incidence of affected cows and a greater time from calving to conception and a higher number of breedings required per conception, compared with healthy cows.     

Prevalence of foot lesions in Danish Holstein cows

In a cross-sectional study of 6240 Danish Holstein cows in 55 herds using loose-housing systems, sole haemorrhages and heel horn erosions occurred frequently in almost all the herds. Digital dermatitis occurred in 47 of the 55 herds (85 per cent). Spearman correlation coefficients revealed relationships between lameness and sole ulcer (0.36), between heel horn erosion and sole haemorrhage (0.39), between heel horn erosion and interdigital dermatitis (0.29) and between sole ulcer and double sole (0.26). The prevalence of heel horn erosion, sole haemorrhage, interdigital dermatitis and digital dermatitis appeared to be most affected by herd-level factors. The associations between individual foot trimmers and all the foot lesions were statistically significant. The risk of interdigital dermatitis increased with decreasing amounts of bedding. Cows housed throughout the year had a marginally higher risk of sole haemorrhage.     

Comparison of visual lameness scores to gait asymmetry in racing Thoroughbreds during trot in-hand

Regular monitoring of movement asymmetry with inertial measurement units (IMUs) to aid in the diagnosis of the underlying cause of a lameness is feasible. Normal ranges for specific groups of horses may be required, with consideration of expert veterinary opinions for both asymmetry screening and lameness assessment. The aim of this study was to determine movement asymmetry values compared with expert lameness scores to enable screening for lameness in Thoroughbreds in race training. IMU gait assessment during in-hand trot-up was performed in 25 racehorses undergoing routine gait analysis or lameness examination at the Singapore Turf Club. Video recordings were graded numerically (0–5) for lameness by six experienced racehorse veterinarians. Inter-observer agreement and consistency were determined. Median lameness scores were used to calculate sensitivity and specificity for head, withers and pelvic movement asymmetry. Guideline values for aligning movement asymmetry values with expert opinions about forelimb and hindlimb lameness were determined from receiver operating characteristics (ROC). Inter-observer agreement was poor to fair, inter-observer consistency was good (intraclass correlation coefficient: 0.667 for forelimbs and 0.617 for hindlimbs). ROCs indicated higher discriminative power for hindlimb lameness using pelvic asymmetry (90% sensitivity, 93% specificity) compared with forelimb lameness using head asymmetry (69% sensitivity, 89% specificity) or withers asymmetry (44% sensitivity, 89% specificity). When compared to expert lameness scores from videos of a limited number of Thoroughbred racehorses, preliminary guideline values for movement asymmetry screening for forelimb lameness (>|14.5 mm|) and hindlimb lameness (>|7.5 mm|) are higher than previously reported clinical thresholds of >|7 mm| for head movement and >|4 mm| for pelvic movement asymmetry.     

Seven-legged calf--dipygus with an extra foreleg at the pelvic region

A male Holstein-Friesian calf with seven legs was examined macroscopically and radiographically. External features included two normal forelimbs, two normal hindlimbs (lateral hindlimbs), and two abnormal hindlimbs (medial hindlimbs) which were underdeveloped. Also, a rudimentary forelimb, which was attached to the pelvic region, was observed between both the medial hindlimbs. It consisted of an underdeveloped humerus, a duplicated ulna, several carpal bones, a partially duplicated metacarpal bone and three digits with three hoofs. This leg was connected with two sets of coxae by a irregular-shaped bone considered the vestigial vertebrae and ribs. Two penises and scrotums, three kidneys and testes were also observed. This calf is the first case of dipygus associated with pygopagus parasiticus in cattle. Based on these findings, the pathogenesis of this rare anomaly was briefly discussed from an embryological point of view.     

Evaluation of claw health in heifers in seven dairy farms using a digital claw trimming protocol and claw data analysis system

The claw health of 139 heifers with a mean age of 22.1 months (SD: 2.6) in seven free stall dairy farms in Lower Austria was evaluated. Claw lesions were assessed during functional claw trimming and documented and analysed using the digital program Claw Manager. For documentation of lesions, each claw was divided into ten zones. The prevalence of lameness, claw lesions and their severity were determined, furthermore the Cow-Claw-Scores (CCS), Farm-Claw-Scores (FCS) and Farm-Zone-Scores (FZS) were calculated.The FCS between farms was tested for significant differences. A lameness prevalence of 9.4% and an overall prevalence of claw lesions of 98.5% were recorded in these 139 heifers.The most commonly diagnosed disorders were white line lesions (WLL) with a prevalence of 87.1%, heel horn erosion (84.9%), double soles (DS; 47.5%), sole haemorrhages (SH; 33.1%) and a concave dorsal wall contour in 15.1% of the heifers. High correlation coefficients (r > or = 0.93) were found between SH and DS, WLL and DS. 86.5% of all diagnosed claw lesions were score 1 (mild), 11.1% score 2 (moderate) and 2.4% score 3 (severe) lesions. The CCS in all heifers ranged between 0 and 267, and the FCS in the seven herds was between eleven and 55. Claw zone 3 was affected most frequently and severely. Following the results of this study, systematic functional claw trimming and consequent documentation of detected claw lesions is highly recommended for heifers at the time of their first insemination to prevent claw disorders in lactating cows and to improve their well-being.