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Equine veterinary journal. Supplement2001; (33); 74-78; doi: 10.1111/j.2042-3306.2001.tb05364.x

Effects of heel and toe elevation upon the digital joint angles in the standing horse.

Abstract: Five sound mature horses, age 8-14 years, with toe angles 45.5-55.0 degrees were placed on a specially designed platform with only the left forelimb weightbearing, which allowed the successive production of 7 different conditions of foot orientation: neutral position (N), 5, 10, 15 degrees heel (H5, H10, H15) and toe (T5, T10, T15) elevation, performed according to 2 different sequences. For each condition, 2 lateromedial radiographs were taken to evaluate the metacarpophalangeal joint (MPJ) and both interphalangeal joint (PIPJ and DIPJ) angles, respectively. In addition, two-dimensional (2-D) kinematic recordings, using reflective skin markers placed laterally on the left forelimb joints, were performed. The value of each joint angle (JA) and its angular variation to N (AV) were considered for statistical analysis. For all JA and their AV determined radiographically, the condition effect was significant and the sequence did not influence the differences between conditions. The relationships between the JA and the conditions (in the sequence: T15, T10, T5, N, H5, H10, H15) were overall linear for the 3 joints. The maximal range T15-H15 was mean +/- s.d. 6.9 +/- 2.0 degrees for MPJ (dorsal angle decrease), 7.3 +/- 1.0 degrees and 29.5 +/- 1.8 degrees for PIPJ and DIPJ (palmar angle decrease), respectively. Contrary to JA and in spite of large variations in hoof conformation, AV did not show any significant horse effect. Wide differences were observed between the digital JA measured radiographically and from kinematics, which could be related to cutaneous displacement. Heel elevation induced elbow flexion, whereas a slight extension was observed with toe elevation. These movements, even slight (mean elbow angle amplitude: 3.6 +/- 1.3 degrees), may have consequences upon flexor tendon tension.
Publication Date: 2001-11-28 PubMed ID: 11721575DOI: 10.1111/j.2042-3306.2001.tb05364.xGoogle Scholar: Lookup
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  • Journal Article
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  • Non-U.S. Gov't

Summary

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This study investigates how varying the orientation of a standing horse’s foot, particularly through heel and toe elevation, impacts joint angles within the horse’s lower forelimb. The findings suggest that adjusting the horse’s foot orientation has significant effects on these angles and can potentially influence tendon tension, implying potential impacts on equine health and mobility.

Methodology

  • The study involved five adult horses aged between 8-14 years, all of which had toe angles between 45.5-55.0 degrees.
  • Horses were placed on a specialized platform that facilitated seven different conditions of foot orientation: neutral position, and 5, 10, and 15-degrees heel and toe elevation.
  • By using the platform, only the horse’s left forelimb was weightbearing.
  • Two different sequences were utilized to orchestrate these conditions.
  • For each condition, two lateromedial radiographs were taken to measure the angles of the metacarpophalangeal joint (MPJ) and both interphalangeal joints (PIPJ and DIPJ).
  • Two-dimensional kinematic data was also collected using reflective markers placed on the horse’s left forelimb joints.

Results

  • The condition of the foot had a clear, statistically significant impact on all joint angles (JA) and their variations from the neutral condition.
  • The sequence of conditions didn’t influence these differences.
  • The joint angles showed linear relationships with the conditions and the effect was overall similar for the three joints examined.
  • The widest range of changes in joint angle, from extreme toe to heel elevation, was 6.9 degrees for the MPJ, 7.3 degrees for the PIPJ, and a larger 29.5 degrees for the DIPJ.
  • Despite variations in hoof structure, angular variation (AV) exhibited no significant differences across the horses.
  • There were notable differences between joint angles measured through radiography and those measured from kinematics, possibly down to skin movement.
  • Heel elevation caused a slight movement in the horse’s elbow joint, whereas toe elevation caused a slight extension.
  • These minimal shifts in the elbow angle may impact the tension in the flexor tendons.

Conclusion

  • The study demonstrates that changes in foot orientation, caused by different degrees of heel and toe elevation, substantially affect the joint angles in a horse’s lower forelimb.
  • This highlights the need for careful decisions when making hoof modifications to horses, given the significant biomechanical implications that even minor changes may have on the animal’s overall health and movement.

Cite This Article

APA
Crevier-Denoix N, Roosen C, Dardillat C, Pourcelot P, Jerbi H, Sanaa M, Denoix JM. (2001). Effects of heel and toe elevation upon the digital joint angles in the standing horse. Equine Vet J Suppl(33), 74-78. https://doi.org/10.1111/j.2042-3306.2001.tb05364.x

Publication

NlmUniqueID: 9614088
Country: United States
Language: English
Issue: 33
Pages: 74-78

Researcher Affiliations

Crevier-Denoix, N
  • UMR INRA-ENVA de Biomécanique du Cheval, Ecole Nationale Vétérinaire d'Alfort, 7 Av. du Genéral de Gaulle 94704, Maisons-Alfort, France.
Roosen, C
    Dardillat, C
      Pourcelot, P
        Jerbi, H
          Sanaa, M
            Denoix, J M

              MeSH Terms

              • Analysis of Variance
              • Animals
              • Elbow Joint / physiology
              • Forelimb / physiology
              • Hoof and Claw / diagnostic imaging
              • Hoof and Claw / physiology
              • Horses / physiology
              • Joints / physiology
              • Posture
              • Radiography
              • Shoulder Joint / physiology
              • Toe Joint / physiology

              Citations

              This article has been cited 6 times.
              1. Shaw KA, Brounts SH. The effect of heel elevation on the stiffness gradient index of the digital flexor tendons in the equine forelimb of clinically normal horses. Front Vet Sci 2025;12:1610788.
                doi: 10.3389/fvets.2025.1610788pubmed: 41104281google scholar: lookup
              2. Colla S, Johnson JW, McGilvray KC, Zanotto GM, Seabaugh KA. Biomechanical Assessment of the Collateral Ligament of the Distal Interphalangeal Joint of the Horse Following Alterations to the Palmar Angle-A Cadaveric Study. Animals (Basel) 2025 Feb 1;15(3).
                doi: 10.3390/ani15030406pubmed: 39943176google scholar: lookup
              3. Van Cauter R, Caudron I, Lejeune JP, Rousset A, Serteyn D. Distal sagittal forelimb conformation in young Walloon horses: Radiographic assessment and its relationship with osteochondral fragments. PLoS One 2024;19(10):e0311965.
                doi: 10.1371/journal.pone.0311965pubmed: 39392827google scholar: lookup
              4. Kawahisa-Piquini G, Bass L, Pezzanite LM, Moorman VJ. Hoof Unevenness in Juvenile Quarter Horses During First 6 Months of Training. J Equine Vet Sci 2023 Jul;126:104494.
                doi: 10.1016/j.jevs.2023.104494pubmed: 37075868google scholar: lookup
              5. Hagen J, Kojah K, Geiger M. Correlations between the equine metacarpophalangeal joint angulation and toe conformation in statics. Open Vet J 2018;8(1):96-103.
                doi: 10.4314/ovj.v8i1.15pubmed: 29721438google scholar: lookup
              6. Lawson SE, Chateau H, Pourcelot P, Denoix JM, Crevier-Denoix N. Effect of toe and heel elevation on calculated tendon strains in the horse and the influence of the proximal interphalangeal joint. J Anat 2007 May;210(5):583-91.