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.
Grosenbaugh DA, Hood DM.In this study, we described water-insoluble proteins extracted from the germinative regions (stratum internum and coronary band epithelium) and the cornified outer surface (stratum medium) of the equine hoof wall. Two major types of polypeptides were identified: the intermediate filaments (IF) and the IF-associated proteins. The IF, including keratins, composed a major portion of this fraction, had electrophoretic mobilities on sodium dodecyl sulfate-polyacrylamide gel electrophoresis in the range of 40 to 80 kDa, and reacted with acidic or basic keratin-specific monoclonal antibodies. Differe...
Hashimoto Y, Reese S, Bragulla H, Budras KD.Carbohydrate moieties of cell membranes in the epidermis of equine skin and hoof were investigated using lectin-histochemistry. The loss of desmosomes during keratinization leads to a reduced lectin affinity. Lectin binding capacity of the intercellular matrix in the stratum corneum of the epidermis is weak compared to that of the intercellular kitt of the hoof. Qualitative differences in lectin binding of the intercellular kitt of different hoof segments correlate with the quality of the horn in the respective areas.
Anderson GF.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.
Mogg KC, Pollitt CC.Forelimb surface temperatures were continuously monitored in four clinically normal ponies exposed to: (i) constant ambient temperature; (ii) a biphasic change in ambient temperature; and (iii) an incremental increase in ambient temperature. Limb surface temperatures were recorded at the hoof, metacarpus and forearm, and rectal temperature was also measured. Under constant ambient temperature, limb surface temperatures remained relatively constant. A pyrexic episode occurred in one pony under constant ambient temperature conditions and was characterised by an onset phase in which rectal temper...
Heinrich B.This research article corrects a common misconception about the energy metabolism in horses during short sprinting and long-distance running events, emphasizing that short sprints are primarily powered by anaerobic activity, […]
Körber HD.Radiographic examination is a valuable means for the identification of ossified lateral cartilage. The extent and stages of development of the ossification can be determined. The active stage of development of ossified lateral cartilage, which by itself can provoke lameness, can be defined. By means of the X-ray it is tried to differentiate the three kinds of ossification: the enchondral, the peri- and parachondral ossification of the lateral cartilage. Centres of ossification and fractures of the ossified lateral cartilage are described.
Seeherman HJ.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 asym...
Peremans K, Verschooten F, De Moor A, Desmet P.The clinical and radiographic findings in 21 ponies with laminitis and its treatment and results are described. All ponies received non-steroidal anti-inflammatory drugs. All were fed hay and no concentrates. They were box rested for varying periods depending on clinical improvement. Dorsal hoof wall resection was performed in 11 ponies and all regained complete soundness. To shorten the period of non-activity, working ponies were shod and the hoof wall defect was packed with technovit or a combination of glue with cotton cuttings. Ten were treated conservatively; two recovered completely, fou...
Bragulla H.The term Eponychium is used to describe the deciduous hoof capsule in veterinary-medical and embryological literature. In other aspects of veterinary medicine, the term is generally reserved for the perioplic corium of the permanent hoof. In order to clarify this double usage, the structure and origin of the hoof epidermis from 10 equine fetus at different stages of development and 4 newborn foals were investigated and described using light microscopical techniques. Epidermal tubules and lamellae are already present in the non-cornified fetal hoof epidermis. These structures, along with the fo...
Fritsche A, Mathis GA, Althaus FR.Biotin deficiency in animals causes pathological changes of the skin and its appendages including, for example, exfoliative dermatitis, depigmentation, and alopecia. The hooves of biotin-deficient swine are weak, brittle, and often necrotic. These changes disappear after dietary biotin supplementation. Biotin supplementation also noticeably improves the hoof quality of horses, cattle and swine having no apparent biotin deficiency. In order to elucidate the molecular basis of these effects, the influence of biotin on cytokeratin expression in a keratinocyte cell line (Ha-CaT) was investigated u...
Kempson SA.Farrier's Formula feed supplement was added to the diet of 18 horses with two types of hoof horn defects. The first group of horses showed sand cracks and crumbling horn around the nail holes; the second group suffered frequent bruising and had flat feet with collapsed heels. Hoof clippings from both groups were studied in the transmission and scanning electron microscopes. All the horses showed a progressive improvement in the gross and microscopic structure of the hoof horn, starting six weeks after the supplementation began. Once good quality hoof horn had grown there was no relapse during ...
Barrey E.A greater knowledge of the biomechanics is necessary in equine orthopaedics, therapeutics, farriery and for the selection of athletic horses. The purpose of this study was to determine the normal distribution of the vertical component of the hoof force using a measuring boot. The measurements were carried out using 20 sound horses walking and trotting on a straight hard track. A force measuring horseshoe, attached to the foot with a boot, provided continuous recording of vertical forces at four locations on the hoof. For each measuring location, a computer program produced curves and calculate...
Clayton HM.High speed cinematography was used to measure the timing and distance characteristics of the trot in five sound horses. Two farriery treatments were compared: (1) normal, in which the dorsal hoof wall was aligned with the pastern axis in all four feet and (2) acute hind hoof angulation, in which the hind toes were allowed to grow relatively longer than the heels, so that the angulation was approximately 10 degrees lower than the normal hind hoof angle for the individual animal. Comparison between the two treatments showed that the acute hind hoof angulation was associated with significant incr...
Clayton HM.High speed cinematography was used to describe the stride kinematics in a group of six, sound horses subjected to two farriery treatments, designated 'normal' and 'acute' hoof angulation. Normal was defined as having the dorsal hoof wall aligned with the pastern axis, whereas the acute hoof angulation was approximately 10 degrees lower than the normal angle for the individual horse. The acute angle was achieved by allowing the toes to grow relatively longer than the heels. The results of a multivariate analysis of variance showed significant differences between the two farriery treatments in t...
Seeherman HJ, Morris E, O'Callaghan MW.Discovering the cause of poor performance in racehorses can often represent a considerable challenge eluding the more common diagnostic techniques available at the racetrack. Application of sports medicine techniques to these problem cases can aid in the diagnosis of poor performance. Central to the development of this capability has been the use of highspeed treadmills, allowing the racehorse to be evaluated in the controlled laboratory setting, at exercise intensities equivalent to those of racing. Video and cinematographic gait analysis can be used in the diagnosis of subtle lameness condit...
Pollitt CC, Molyneux GS.The microcirculation of the dermal laminae and papillae of the equine foot from seven clinically normal Australian ponies was studied using an improved microvascular casting corrosion technique and scanning electron microscopy. Casts of veins, arteries, capillaries and arteriovenous anastomoses (AVAs) were readily identified by their characteristic surface morphology. Arteries entered the laminar circulation axially, between pairs of axial veins, and were connected to each other by smaller calibre interconnecting arteries. Short abaxial branches of the axial interconnecting arteries gave rise ...
Ekfalck A.A method was developed for separating different layers of the matrix of the equine hoof wall by dissection, and the layers were then analyzed with respect to their amino acid composition. The results were used to compare the biochemistry of hard keratinization (e.g., in the hoof wall matrix) and soft keratinization (e.g., in the epidermis of the skin). Hard keratinization differed from soft keratinization not only by its previously well known high incorporation of cystine, but also by considerable incorporation of tyrosine and threonine into the outer layers of the keratogenous zone and by the...
Fessler JF.Major surgery for wounds of the foot, compared with other parts of the body, requires a more detailed preparation and a more persistent aftercare. To approach severe hoof wounds with a routine applicable to drainage of a subsolar abscess is doomed to failure! Yet, in dealing with referral cases of hoof wounds, particularly those that have become chronic, the author has observed that the principles have been ignored and/or the routines inadequate. The hoof has a suitable capacity to heal, with complete reformation of hoof structures, if a healing environment is maintained for a long enough peri...
Eustace RA, Caldwell MN.This paper describes the treatment of 10 horses suffering from acute laminitis using the heart bar shoe and a dorsal hoof wall resection technique. All cases had progressed to prolapse of the tip of the pedal bone covered by solar corium through the horny sole; in one case the exposed tip of the distal phalanx became visible. Nine cases of distal phalangeal rotation and one case of distal displacement of the distal phalanx (sinking) are described. Two animals were destroyed because of the degree of lameness, one remains slightly lame at the trot and the remaining seven have returned to their p...
Budras KD, Hullinger RL, Sack WO.The laminar epidermis (epidermis parietis) of hooves from 14 clinically normal horses, 6 months to 15 years old, was examined by light and electron microscopy and immunofluorescence to measure the contributions of this region to the formation of the hoof wall. By their progressive keratinization to form primary epidermal laminae, the secondary epidermal laminae ultimately contributed about 20% of the thickness of the hoof wall (as revealed in the white line [zona alba]). The keratinized, primary epidermal laminae were developed to a height of 4 mm during their proximodistal-course, much of thi...
Hashimoto Y, Reese S, Bragulla H, Budras KD.Carbohydrate moieties of cell membranes in the epidermis of equine skin and hoof were investigated using lectin-histochemistry. The loss of desmosomes during keratinization leads to a reduced lectin affinity. Lectin binding capacity of the intercellular matrix in the stratum corneum of the epidermis is weak compared to that of the intercellular kitt of the hoof. Qualitative differences in lectin binding of the intercellular kitt of different hoof segments correlate with the quality of the horn in the respective areas.
Markel MD, Richardson GL, Peterson PR, Meagher DM.Three adult horses were admitted with chronic coronary band avulsions of 2-, 3-, and 46-month durations, respectively. The hoof had a typical appearance in all 3 horses, with a spur of coronary band and associated horn growing at right angles to the hoof wall. Each horse was anesthetized, and the coronary band was reconstructed. Follow-up evaluation of the 3 horses (12, 15, and 23 months after surgery, respectively), revealed healing of all 3 avulsed coronary bands. Mild roughening of the hoof wall distal to the previous avulsion site was observed.
Skelton G, Acutt E, Stefanovski D, van Eps A.Traditional radiographic measurements of distal phalanx (Pd) displacement based on the outer hoof wall are not useful for diagnosis of acute laminitis. Objective: We hypothesised that the distance between the inner hoof wall and Pd ('lamellar lucent zone'; LLZ) measured on lateromedial digital radiographs would be increased in horses with acute and subacute laminitis compared with healthy horses. Methods: Retrospective cohort study and in vivo experimental study. Methods: Forelimb radiographs from 32 healthy and 18 laminitic mixed-breed horses were analysed retrospectively. Laminitis was defin...
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...
Wintzer HJ.A long-term treatment with biotin (vitamin H) in 5 warm-blooded horses and 10 trotter horses is reported. The dose of 0.031-0.037 mg/kg body weight was well tolerated, and with a therapy period up to 10 months an improvement of the horn quality of the growing hoof could be attained as it had not been possible before with other measures. Biotin (Gabiotan) is recommendable as a therapeutic in all cases of hoof problems which are based on disturbed horn elasticity.
Tjalsma EJ, van Maurik JM.There are few descriptions of an abnormal white line in the horse, and it is not known what causes this disorder. Thirty horses and ponies with this disorder were examined mycologically, as were 30 horses and ponies with normal hooves. Scopulariopsis brevicaulis was detected in 60% of the animals with an abnormal white line with or without hollow wall or brittle toe.
Faramarzi B, Cruz AM, Sears WC.To quantify changes in hoof wall strain distribution associated with exercise and time in Standardbreds. Methods: 18 young adult Standardbreds. Methods: 9 horses were exercised 4 d/wk for 30 to 45 minutes at a medium trot for 4 months; 9 nonexercised horses served as the control group. Rosette strain gauges were used to measure the principal surface strains at the toe, lateral quarter of the hoof wall (LQ), and medial quarter of the hoof wall (MQ) of the right forefoot at the beginning and end of the experiment. Midstance maximal (msϵ1) and minimal (msϵ2) principal and peak minimal principal...
Tanaka K, Hiraga A, Takahashi T, Kuwano A, Morrison SE.We applied aluminum hinged shoes (AHSs) to the club foot-associated contracted feet of 11 Thoroughbred yearlings to examine the effects of the shoes on the shape of the hoof and third phalanx (P III). After 3 months of AHS use, the size of the affected hooves increased significantly, reaching the approximate size of the healthy contralateral hooves with respect to the maximum lateral width of the foot, the mean ratio of the bearing border width to the coronary band width, and the mean ratio of the solar surface width to the articular surface width. These results suggest that the AHSs corrected...
Sardari K, Kazemi H.To evaluation of clinical examination for differential diagnosis of navicular region pain from other forms of palmar heel pain in the forelimb in horses the present study was undertaken. Thirty four horses with lameness referable to the palmar aspect of the hoof based on their response to the palmar digital nerves analgesia were divided into 2 groups based on their response to both distal interphalangeal joint and navicular bursa analgesia. Horses that were profoundly improved by both analgesic blocks (distal interphalangeal joint and navicular bursa) were considered to have navicular region p...
Anderson GF.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.
Arndt JL, Pfau T, Day P, Pardoe C, Bolt DM, Weller R.Hoof testers are commonly used in equine practice. In this study, we determined the intraoperator and interoperator reliability of force application with hoof testers for different groups: experienced veterinarians, novices and farriers. For this purpose, we have developed and validated an instrumented hoof tester. Forces varied significantly between the different regions of the foot for experienced operators applying the highest forces to the heels, then the frog, then the toe, and the lowest forces to the quarters. Novices applied significantly more force to the toe versus the frog. Intraope...
Stashak TS.The causes, clinical signs and various approaches to treatment of injuries involving the foot and pastern regions are reviewed, and the prognosis for each type of injury is discussed.
Palozzo A, Traversa D, Marruchella G, Celani G, Morelli S, Petrizzi L.Cutaneous habronemosis in horses is caused by larvae of the spirurid nematodes Habronema microstoma and Habronema muscae. These lesions, also known as "summer sores'', are often severe and disfiguring. Although Habronema-caused lesions at the coronary grooves have been described, cases of hoof cracks with secondary summer sores have never been reported. The present case describes clinic-pathological and surgical features of a quarter crack case complicated by cutaneous habronemosis at the dermal layers. A 15-year-old, Andalusian stallion was referred to the Veterinary Teaching Hospital of the ...
Miller SM, Katzwinkel RH.This case report shows that keratomas can occur in both hind feet of equine patients and should be considered as a diagnosis for long-standing, intermittent lameness localised to the hooves. A Thoroughbred racehorse presented with long-standing abscessation of the right hind hoof. Owing to the long-standing nature, the abscess draining tract was surgically explored. A focal mass was found within the solar horn. Histopathology revealed the mass to be a keratoma. A similar mass was removed from the left hind hoof a few months later after similar presenting signs. This case shows that keratomas c...
Finno CJ.Hoof wall separation disease (HWSD) is a genetic defect in Connemara ponies characterised by separation and cracking of the dorsal hoof wall. The disease can result in chronic inflammation, severe lameness and laminitis. Affected ponies typically show clinical signs within the first six months of life. The disease is inherited as an autosomal recessive trait. The genetic mutation is a frameshift mutation in the gene SERPINB11, (c.504_505insC). Carriers are completely normal, only ponies that are homozygous for the mutation will have clinical signs of the disease. Within the Connemara breed, ca...
Moore LV, Zsoldos RR, Licka TF.The present study investigated accelerations of the front and hind hooves of horses comparing two different shoe types. A standard steel shoe, with studs, pins, and in some instances with toe grabs, was compared to a steel shoe covered on the bottom with a layer of polyurethane. Four horses were used; they trotted in hand on an asphalt track at their self-selected speed. The results showed significantly reduced decelerations during the stance phase with the polyurethane-covered shoes (10th percentile median steel -2.77 g, polyurethane -2.46 g; 0.06) and significantly increased decelerations i...
Van Wulfen KK, Bowker RM.To localize substance P (SP) and neurokinin A (NKA) and their receptors in the insertion of the distal sesamoidean impar ligament (DSIL), deep digital flexor tendon (DDFT), and dorsal hoof wall of healthy feet of horses. Methods: 18 healthy feet from horses. Methods: Samples from the dorsal hoof wall and insertion of the DSIL and DDFT of 10 feet were processed for immunocytochemical analysis, using rabbit polyclonal antisera raised against SP and NKA. Tissue sections from 8 feet were incubated with 125-labeled SP to localize tachykinin receptors and their specificity and with control solutions...
Musterle B, Fürst A, Geyer H, Räber M, Weishaupt MA.Good cooperation between farrier, veterinarian and horse owner is an important prerequisite for optimal support of the horse with regards to shoeing and hoof health. The introduction of a joint educational aid aims to improve the level of education of both veterinarians and farriers. The interactive, multimedia approach represents an innovative new dimension in instruction techniques, predominantly provided through images and videos. The contents of the new teaching aid will focus on detailed anatomy of the foot and distal limb, as well as currently accepted shoeing practices and techniques an...
Nourian AR, Mills PC, Pollitt CC.Intraosseous (i.o.) infusion of the distal phalanx (IOIDP) as a delivery route targeting hoof lamellar tissue of standing, conscious horses was evaluated. Following sedation and regional nerve blockade in six Standardbred horses, a microdialysis (MD) probe was implanted into the hoof lamellar tissue of one forelimb. A purpose designed cannulated bone screw was introduced into the body of the distal phalanx, approximately 6 cm from the MD probe. Gentamicin solution (25 mg/mL) was infused at 20 microL/min through the bone screw for 2 h without the application of a tourniquet. MD and blood sample...