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Topic:Hoof Health

Hoof health in horses involves the study of the structure, function, and maintenance of the horse's hoof, which is vital for overall mobility and wellbeing. The hoof is composed of various structures, including the outer hoof wall, sole, frog, and internal components such as the laminae. These structures work together to support the horse's weight, absorb shock, and provide traction. Factors affecting hoof health include nutrition, environment, genetics, and management practices. Common hoof-related conditions include laminitis, thrush, and hoof cracks, which can impact a horse's performance and quality of life. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and management of hoof health in horses, as well as strategies for prevention and treatment of hoof disorders.
Use of wooden shoes for the treatment of chronic laminitis in an American quarter horse.
The Canadian veterinary journal = La revue veterinaire canadienne    September 1, 2026   Volume 67, Issue 9 1013-1017 
Fursova V.An 11-year-old American quarter horse mare with bilateral forelimb lameness was examined at a mixed-animal veterinary clinic. Radiographs revealed rotation and distal displacement of the 3rd phalanx in each front foot, confirming chronic laminitis. Wooden shoes (Steward Clogs) were used successfully to manage the lameness. The findings from this case support the use of wooden shoes as part of the treatment of chronic laminitis in a general veterinary practice setting. Utilisation de sabots pour le traitement de la fourbure chronique chez un quarter horse américainUne jument quarter horse amé...
Outcome of keratoma removal using different surgical techniques, including a modified partial hoof wall resection: A retrospective study (2004-2025).
Research in veterinary science    June 21, 2026   Volume 210 106308 doi: 10.1016/j.rvsc.2026.106308
Caballero Delgado G, Grulke S, Evrard L, Sandersen C, de la Rebière de Pouyade G, Salciccia A.Keratomas are diseases of the equine hoof that can be associated with intermittent lameness and/or recurrent foot abscesses. Different surgical techniques for keratoma removal have been described. The aim of this retrospective study was to report the short- and long-term postoperative complications after keratoma removal using different surgical techniques: complete hoof wall resection (CR), partial hoof wall resection (PR) and a modified version of PR (MPR). The medical records of horses diagnosed with keratoma and space occupying lesion (SOL) of the hoof wall (2004-2025) at a Veterinary Teac...
Management factors associated with abnormal behaviours in rural Chilean working horses.
Equine veterinary journal    May 25, 2026   doi: 10.1002/evj.70192
Moraga Ramírez G, Ugaz C, de la Cruz-Cruz LA, Larrondo C.Working horses remain essential for rural livelihoods in Chile and across Latin America. However, housing and management conditions in these systems are poorly characterised, underscoring the need for standardised welfare assessments to generate evidence and guide targeted improvements. Objective: To estimate the prevalence of abnormal behaviours in rural working horses and to examine associations with management and housing related factors. Methods: Cross-sectional observational study. Methods: Seventy-seven working horses from a rural area of the Papudo commune (Valparaíso Region, Chile) we...
Radiographic and Morphological Prevalence of Dorsopalmar Hoof Distortions in in Brazilian High-Performance Racehorses.
Journal of equine veterinary science    May 19, 2026   105941 doi: 10.1016/j.jevs.2026.105941
Correa MG, Magalhães JF, Guedes JRB, Carvalho AM, Alberto do Lago L, Gobesso AAO, Ferreira BN, de Almeida Manzano de Campos FP, Campos R, Faleiros RR.Although racehorses represent a dominant segment in equine industry, there are growing concerns regarding injury prevention, with hoof conformation increasingly recognized as a contributing factor. Objective: To morphologically and radiographically evaluate the forelimb digits of racehorses at the São Paulo Jockey Club in order to determine the prevalence of dorsopalmar hoof distortions and to compare morphological and radiographic methods for assessing the hoof-pastern axis. Methods: The forelimb digits of 59 thoroughbred horses aged 3 to 4 years were evaluated using standardized photographi...
The impact of barefoot racing in young Swedish trotters on career length.
Journal of animal science    May 8, 2026   skag127 doi: 10.1093/jas/skag127
Berglund P, Andonov S, Strandberg E, Eriksson S.In several European countries, racing without shoes, i.e., barefoot, is a common strategy in trotting races to improve the speed of the horse. Why some trotters can race barefoot without damage to the hoof from excessive wear and others cannot, has been shown to partly be explained by differences in hoof composition. In particular, durable hind hooves are believed to be important to sustain racing without shoes. Also, variation in the proportion of the races the horse races with barefoot hind hooves, has been shown to be affected by genetic differences in Swedish Standardbred trotters (SB) and...
Effects of shoeing on forelimb biomechanics in walking horses.
Equine veterinary journal    April 26, 2026   doi: 10.1002/evj.70182
Wang JY, Guan S, Walmsley E, Wells D, Pandy MG, Whitton C.Hoof trimming and shoeing techniques are used to manage and prevent equine limb injuries. However, quantitative studies comparing the effects of different shoeing techniques on equine joint biomechanics over the full gait cycle are lacking. Objective: To measure and compare joint motion and net torques at the distal forelimb joints when horses walk overground unshod, with a standard flat shoe, and with a rocker shoe. Methods: In vivo study. Methods: Gait data were recorded from 12 sound horses during walking. Three shoeing conditions were tested: unshod, flat shoe, and rocker shoe. Data were r...
Presurgical acetone and chlorhexidine aseptic preparation of the equine hoof lowers bacterial counts below surgically acceptable threshold.
Journal of the American Veterinary Medical Association    April 15, 2026   Volume 264, Issue 9 1-8 doi: 10.2460/javma.25.12.0822
Gonzalez GA, O'Shea CM, Nabors B, Eldridge J, Wills R, Stilwell N.The objectives were to determine whether topical applications of acetone and 4% chlorhexidine following removal of the superficial hoof wall reduces tissue bacterial load below 5 log10 microorganisms per gram (CFUs/g) of tissue and whether Dey-Engley neutralizing broth (DENB) neutralizes residual chlorhexidine in vitro within equine hoof tissue samples. Unassigned: In a clinical prospective study with a total of 24 hooves, the superficial hoof was mechanically removed followed by disinfection with acetone and 5-minute rough and aseptic preparations with 4% chlorhexidine. Dorsal wall, frog, and...
Progressive structural and functional change in horses: a conceptual framework for systemic equine (patho-)physiology.
Frontiers in veterinary science    April 7, 2026   Volume 13 1767386 doi: 10.3389/fvets.2026.1767386
Diehl M, Bader K.A wide range of locomotor, postural, and behavioral pathophysiology in horses-often grouped under terms such as Topline Syndrome, Myofascial Dysfunction, or Poor Posture Syndrome-lack a coherent systemic explanation. These presentations share reduced performance, stability, and resilience, yet are commonly managed through isolated symptom-focused interventions. To address this gap, we propose progressive structural and functional change (PSF) as a systemic framework describing progressive reorganization processes within the equine body that link fragmented pathological domains into a coherent ...
Ethological and clinical evaluation of the welfare of horses in draft competitions in Spain.
Frontiers in veterinary science    April 2, 2026   Volume 13 1720309 doi: 10.3389/fvets.2026.1720309
Alonso-de-la-Varga ME, Lomillos Pérez JM.Draft and pulling horses are used in a traditional equestrian sport in the Valencian Community (Spain), in which horses must pull a cart loaded with a weight equivalent to twice their body weight along a sand track. Although it constitutes cultural heritage, this practice raises questions about animal welfare since it involves working horses under demanding physical exertion. There are no studies evaluating the welfare of horses participating in these draft and pulling competitions using validated clinical, ethological, and physiological indicators, and the present work aims to fill this knowl...
[Puncture wounds of the equine hoof – a retrospective study of 96 cases – Part 1: Prevalence, clinical findings and diagnostic investigations].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 1, 2026   doi: 10.1055/a-2794-3137
Herschel TL, Pelli A, Winter K, Scharner D.Penetrating wounds of the hoof are common and potentially life-threatening injuries in equine veterinary practice. The aim of this study was the systematic data analysis of horses presenting to the clinic with a solar puncture wound.In this retrospective study, patient data from horses presented with a puncture wound to the hoof in the period from September 2008 to August 2024 were collected. The analyzed data covered signalment, intended use, and insurance status. The following were also considered: previous history including the period between injury and presentation to the clinic, affected ...
Assessment of the Welfare of Working Horses: Combining Clinical Evaluations with Indirect Indicators.
Veterinary sciences    March 16, 2026   Volume 13, Issue 3 274 doi: 10.3390/vetsci13030274
Basher AA, Ahmed AA, Pfukenyi DM, Liu HY, Essa MOA, Husien HM, Saleh AA, Adam SY, Cai D.Assessing the welfare of the working horses is crucial for identifying health and management issues and implementing effective solutions. This study evaluated the welfare of working horses in South Darfur, Sudan, by integrating clinical examination with indirect indicators through owner interviews. A total of 400 horse-owner pairs were included. Most horses (61.7%) worked every day, and 77% of owners reported using whips to encourage movement. Clinical assessment revealed that 29.0% of horses were thin, over half had dirty coats, 50.5% harbored external parasites, 43% had abnormal discharges, ...
Trends in the prevalence of Gidoh at Japan Racing Association Training Centers in 2020.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 21-26 doi: 10.1294/jes.37.21
Kuwano A, Kusano K, Mita H, Tamura N, Tokushige H, Iimori M, Kurimoto S, Kawabata M, Ueno M, Okada Y, Kamiya K, Tanaka K.Pathological hoof-wall cavities unrelated to nailing (so called "Gidoh" in Japan) often occur in the feet of horses. In 2001, in facilities managed by the Japan Racing Association (JRA), Gidoh was found to occur most frequently in the toe of the fore-hoof, with no gender predilection, and was more prevalent in older horses. However, it remains unclear whether this trend has continued in recent years, which pathological type of Gidoh predominates, and whether there are differences in prevalence among seasons. Therefore, in spring (April) and autumn (October) of 2020, we surveyed all racehorses ...
The effect of botulinum toxin injection into the deep digital flexor muscle on foot biomechanics in healthy horses.
American journal of veterinary research    February 26, 2026   1-10 doi: 10.2460/ajvr.25.12.0452
Slavik K, Underwood C, Lowndes C, Skelton G, van Eps A.To examine the effects of botulinum toxin inoculation into the deep digital flexor (DDF) muscle on foot biomechanics. Unassigned: 6 healthy horses were injected with botulinum toxin in the DDF of 1 forelimb. The opposite forelimb was untreated. Ground reaction forces (GRF) were measured using a pressure sensor in regions of interest, including the dorsal hoof wall (toe). The location of the center of pressure (COP) was measured relative to the dorsal hoof wall during static standing and at peak stance during walking. Repeat measurements 3, 7, 14, 28, and 42 days after injection were compared t...
Equine lameness detection and monitoring during diagnostic anaesthesia with an instrumented hoof boot.
Veterinary journal (London, England : 1997)    February 25, 2026   Volume 317 106614 doi: 10.1016/j.tvjl.2026.106614
Keller J, Hassenstein MJ, Jung K, Geburek F.Ground reaction forces are accepted as gold standard for objective assessment of weightbearing lameness but measurements at the hoof are limited to experimental devices. This study aimed to evaluate whether innovative instrumented hoof boots (IHBs) could detect and monitor lameness in horses during diagnostic anaesthesia. Twenty-six horses referred for lameness examination (15 front limbs, 17 hindlimbs) were equipped with IHBs and body mounted inertial sensors. Data were collected simultaneously before and after diagnostic anaesthesia until objectively considered positive. Recorded IHB data i...
Hoof and movement asymmetry in Thoroughbred racehorses with predominantly single direction training.
American journal of veterinary research    February 23, 2026   1-7 doi: 10.2460/ajvr.25.12.0437
Chan ZYS, Ho W, Slobodova A, Parkes RSV, Forbes B, Pfau T.To investigate associations between contralateral (left-right) hoof width asymmetry and vertical movement asymmetry in racing Thoroughbreds. We hypothesized that forehoof differences would be associated with poll and withers movement asymmetry and hind hoof differences with pelvis movement asymmetry. Unassigned: This observational cross-sectional study included 169 Thoroughbred racehorses recently retired from clockwise racing and assessed the day of scheduled farriery work. Contralateral hoof width differences were quantified and movement asymmetry during trot measured using inertial sensors ...
Effect of palmar digital perineural analgesia (as a model for “nerving”) on forelimb loading over varied surfaces at the walk and trot – a pilot study.
Journal of equine veterinary science    February 17, 2026   Volume 159 105812 doi: 10.1016/j.jevs.2026.105812
Zimmerman-Cameron SR, Colbath AC, Caruso MA, Hoffman RM, Logan AA.Navicular syndrome is characterized by palmar foot pain and is a common cause of lameness in horses. Palmar digital neurectomy (nerving) removes sensation to the heel region of the hoof and may serve as a treatment for navicular-afflicted horses, while analgesia (blocking) results in temporary loss of sensation. Objective: The purpose of this pilot study was to examine the effect of loss of sensation in the heel on the forelimb area and force while tracking on soft and hard ground at the walk and trot. Methods: Three horses that scored a 0 or 1 on the AAEP lameness scale were fitted to Tekscan...
Evaluation of computed tomographic anatomy of the foot in Jeju horses.
Journal of veterinary science    February 10, 2026   Volume 27, Issue 1 e7 doi: 10.4142/jvs.25250
Kim T, Lee S, Seo JP.Foot diseases are common causes of lameness in horses. Computed tomography (CT) is a valuable tool for diagnosing musculoskeletal lesions in horses and providing a detailed evaluation of foot diseases. Objective: The objective of this study was to establish reference ranges related to the feet of normal Jeju horses by measuring the angles and length of the hoof, and the Hounsfield Unit (HU) value of soft tissues in the foot. Methods: Sixteen normal Jeju horses (mean age: 4.25 years; mean body weight: 282.06 kg) without lameness were examined using CT. After CT scanning, the angles and lengths ...
How to perform a venogram of the equine foot.
Journal of the American Veterinary Medical Association    January 30, 2026   1 doi: 10.2460/javma.25.11.0755
Santonastaso A, Burns T, Claffey E.The objective of this video is to demonstrate a reliable technique for obtaining diagnostic venogram images of the equine foot. Venogram studies are indicated to assess vascular contrast filling of the equine digit, primarily in cases of laminitis. Unassigned: A healthy university-owned horse was used for demonstration purposes. The protocol was approved by the Virginia Polytechnic Institute and State University IACUC. Unassigned: The horse's shoes are removed, and the foot is cleaned of debris. The horse is sedated and a medial and lateral abaxial nerve block performed. The pastern is clipped...
Comparison of the Level of Mineral Components in the Hoof Wall of Pure-Breed Arabian Horses and Polish Sport Horses.
Biological trace element research    December 24, 2025   doi: 10.1007/s12011-025-04952-z
Stanek M, Różański SŁ, Sztuka H, Komosa M.Research on the characteristics of the mineral profile of hooves can help prevent overgrowth or micro-cracks. Knowledge about the interaction of these elements shows how imbalances can lead to hoof pathology or suboptimal hoof quality. Sulphur plays a key role in keratin synthesis, contributing to hoof elasticity and strength. Iron is involved in oxygen transport to the hoof matrix cells, supporting proper metabolism and tissue regeneration. Zinc promotes keratinocyte differentiation and accelerates healing of micro-injuries within the horn structure. Copper is essential for the formation of d...
Measuring Equine Hooves in Radiographs and Computed Tomography Images Reveals Unexpected Size Differences.
Anatomia, histologia, embryologia    December 15, 2025   Volume 55, Issue 1 e70073 doi: 10.1111/ahe.70073
Sellke L, Ludewig E, Handschuh S, Witter K.In a previous study on hoof biometry, we found that mathematical correction of measuring results from radiographs did not lead to complete correspondence to computed tomography (CT) results. The present study investigates this finding by comparing 13 measures of six cadaveric equine digits collected with the following workflows: radiographs with 1 and 2 m focus-object distance (FOD) (Xray 1 m/2 m), computed tomography images in planes defined based on anatomical landmarks (CTw), simulated radiographs based on the tomography dataset (virtual 120-mm slabs, Xray Sim) and measurements based ...
Cyclooxygenase-2 and von Willebrand factor-an immunohistochemical study of the equine foot with and without laminitis, post-mortem perfused with paraffin oil.
Frontiers in veterinary science    December 15, 2025   Volume 12 1673415 doi: 10.3389/fvets.2025.1673415
Underberg BA, Van der Vekens E, Drews B, Kaessmeyer S.Equine laminitis is a complex and potentially fatal disease characterized by severe vascular and inflammatory alterations within the equine foot. This study aimed to develop immunohistochemistry (IHC) protocols for the detection of cyclooxygenase-2 (COX-2) and von Willebrand factor (vWF) in equine feet with and without laminitis, post-mortem perfused with paraffin oil. Unassigned: A total of 12 equine forelimbs from 8 horses were utilized in this study, divided into two study cohorts: one with laminitis and the other as a non-laminitis control. To develop the IHC protocols thoroughly, the tiss...
Preliminary Biometric Study on Symmetry of Hoof Solear Aspect in Forelimbs in Four Horse Breeds.
Animals : an open access journal from MDPI    November 21, 2025   Volume 15, Issue 23 3369 doi: 10.3390/ani15233369
Stachurska A, Wnuk E, Łuszczyński J, Donderowicz W.Correct conformation and symmetry of bilateral hooves are associated with a properly balanced hoof, which has a significant impact on the biomechanics of movement and reduces the risk of injury. The aim of the study was to compare solear aspect dimensions of bilateral hooves in forelimbs (hoof width, length, frog width, length, medial and lateral diagonals) with regard to sex, breed and age of horses. The dimensions were measured with a calliper in 100 horses of four breeds. The results showed that the breed factor significantly affected all dimensions. Age was significant for some variables, ...
Radiographic measurements of Miniature Horse and Miniature Pony Feet.
Journal of equine veterinary science    October 31, 2025   Volume 155 105710 doi: 10.1016/j.jevs.2025.105710
Olijnyk JM, Hosgood G, Richardson J, Beggs C, McConnell E.Reliable assessment of foot conformation is essential for podiatric management in Miniature Horses and Ponies, yet reference ranges and the reliability of radiographic measurements remain poorly defined. Objective: This study quantified radiographic measurements of foot conformation in sound, skeletally mature Miniature Horses and Ponies and evaluated their agreement, reliability, and precision. Methods: Standardised lateromedial and dorsopalmar/plantarodorsal radiographs were obtained from 30 Miniature Horses and Ponies. Two observers took 60 measurements from 10 sets of projections on three ...
Risk factors for strangulating lipoma obstruction and lipomata in horses.
Equine veterinary journal    October 4, 2025   doi: 10.1111/evj.70107
Gillen A, Hassel D, Gonzalez SW, Savage V, Mudge M, Wood A, Barnes H, Bauck A, Freeman D, Dembek K, Gonzalez LM, Archer DC.Strangulating lipoma obstruction (SLO) is the most common cause of equine small intestinal strangulation and is fatal without surgery. Currently, epidemiological information is primarily limited to signalment-related risk factors and requires further investigation. Objective: To identify horse-level risk factors for SLO and/or abdominal lipoma(s) (LP) formation in horses with acute colic that underwent surgery or post-mortem examination at participating equine clinics. Methods: Prospective, international, multicentre, epidemiological study. Methods: An epidemiological study was conducted over ...
Comparing the Difference in Traction Between the Bare Hoof, Iron Horseshoes and Two Glue-On Models on Different Surfaces.
Sensors (Basel, Switzerland)    September 26, 2025   Volume 25, Issue 19 5975 doi: 10.3390/s25195975
Siedler C, Zinkanel YM, Schramel JP, Peham C.The interaction between equine hooves and various ground surfaces is a critical factor for injury prevention and performance in modern equestrian sports. Accurate measurement of surface grip is essential for evaluating the effectiveness of different hoof protection systems. This study introduces the Vienna Grip Tester (VGT), a novel sensor-based device developed to quantify rotational resistance-an important parameter for assessing hoof-surface interaction. The VGT utilizes a torque wrench and spring-loaded mechanism to simulate lateral hoof movements under a standardized vertical load (~700 N...
Better hoof, better horse – genetic correlations between ability to race barefoot and performance in trotting horses.
Animal : an international journal of animal bioscience    September 23, 2025   Volume 19, Issue 11 101664 doi: 10.1016/j.animal.2025.101664
Berglund P, Andonov S, Strandberg E, Eriksson S.Harness racing is popular in several parts of the world, and the ability to race barefoot is an important trait for success because of its effect on racing time. Barefoot racing is also discussed in terms of animal welfare because not all horses have hooves that tolerate racing without shoes. In Swedish Standardbred trotters (SB) and Swedish-Norwegian Coldblooded trotters (CB), the proportion of barefoot races and the probability to race barefoot in any given race (barefoot status) have low-to-moderate heritability (h = 0.07-0.28). However, the genetic correlation between the ability to race...
Morphometric parameters, metabolic profile and musculoskeletal alterations in Criollo horses competing in the morphology trial.
Journal of equine veterinary science    September 13, 2025   Volume 154 105703 doi: 10.1016/j.jevs.2025.105703
Mousquer MA, Paz CFR, Rafael LA, Wendt CG, Curcio BR, Souza RP, Santos IPOD, da Silva RB, Müller V, Nogueira CEW.Obesity is common in some horse breeds, raising concerns about health and performance. Criollo horses in morphological events often undergo intensive management promoting early adiposity. Objective: This study aimed (1) to assess morphometric traits, metabolic profile, hoof morphology, and tarsal joint alterations in Criollo horses participating in morphological trials; (2) to evaluate sex-related differences; and (3) the associations between morphometric measurements, hoof morphology, and tarsal osteoarthritis grades. Methods: Fifty-five horses (30 mares, 25 stallions) were evaluated for body...
Effects of sand, asphalt, and a three degrees hind toe or heel elevation on equine cervical and thoracolumbosacral kinematics at walk and trot.
Journal of equine veterinary science    September 4, 2025   Volume 154 105697 doi: 10.1016/j.jevs.2025.105697
Caure S, Miljak K, Dendaw P, Thesée L, Villedey E, Malinvaud A, Cousty M, Prié V, Horan K, Weller R.Effects of ground surface and hoof angles on equine cervical and thoracolumbosacral kinematics are poorly understood. However, the equine cervical and thoracolumbosacral areas present frequent lesions and he management of factors that might improve treatment and rehabilitation outcomes, such as ground surface and hoof angles, requires more investigation. Objective: Our objectives were to determine the influence of ground surface (asphalt versus sand) and a 3 degrees hind toe or heel elevation on cervical and thoracolumbosacral kinematics during walking and trotting. Methods: Six saddle horses ...
RNA-seq analysis identifies key genes enhancing hoof strength to withstand barefoot racing in Standardbred trotters.
BMC genomics    August 18, 2025   Volume 26, Issue 1 751 doi: 10.1186/s12864-025-11814-4
Schwochow D, Alameddine A, Spörndly-Nees E, Montigny M, Naboulsi R, Jansson A, Niazi A, Lindgren G.Racing without protective shoes is common in the Swedish harness racing industry, as it can enhance horses' performance on the track. Trainers typically decide whether a horse will race barefoot based on practical experience rather than objective measures. However, this practice can sometimes lead to excessive hoof wear, posing potential welfare concerns for racing horses. Gene expression differences may help reveal the underlying genetic mechanisms associated with different phenotypic traits. To explore an objective measure for assessing which horses are best suited for barefoot racing, we co...
Correction: Association between radiographic equine distal phalanx characteristics and absence, presence and type of horseshoes.
Frontiers in veterinary science    August 18, 2025   Volume 12 1675356 doi: 10.3389/fvets.2025.1675356
Ennsmann LH, Licka TF.[This corrects the article DOI: 10.3389/fvets.2025.1598038.].
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