Relevante trim mark-ups


Lavinia Fiscaletti
 

Hi Lynn,

I've added mark-ups to Relevante's album:

https://ecir.groups.io/g/CaseHistory/album?id=36909

Latest rads of the hinds are showing that the soles are still somewhat thin, the HPA is slightly broken back and the toes a bit too long. No ground lost since the last rads were done and Relevante has appeared to be comfortable since starting back into work. There is some flaring of all the lateral heels, with the RH being the worst. With the flaring that remains, need to keep the wall length no more than a smidge beyond the sole plane, otherwise they will just break off. Need to focus on taking the walls in the heels out of weight bearing while leaving the bar-wall junction area as the highest area, then adding a rocker to the very backs of the heels. Revisit this article, esp. figures 2 and 3, for the specifics:

https://www.hoofrehab.com/HeelHeight.html

Leave all the soles completely alone, even if they appear to be shedding, as there doesn't appear to be much sole depth present. The relatively flat soles also point to this being the case and the rads of the hinds confirm it. Bars all need some attention along their leading edges to address the crumbling.

RH lateral composite: On the rad, the pink line shows how the bony column should align, while the purple line shows how it actually does line up. Note that it continues to be be slightly broken back. Getting the hoof capsule fully back under the leg should help get this totally adjusted. Green line follows the dorsal wall toward the ground and runs parallel to the pink line - which is where you want to see it. Blue area is the bit of toe that can be rolled hard to get the needed shortening done. Red line indicates that the bottom of the foot shouldn't be touched as it needs to build more depth.
On the photo, the blue area corresponds to the blue on the rad. Orange line shows where you are working to get the heels to move back to.

RH sole plane: Orange squares are where you want to set the weight bearing - on bars, with thew wall outside of that area removed. Blue hashes indicate where the perimeter is flaring away from a tight connection to the sole, so should be removed. Lime hashes run along the leading edges of the bars, which need some cleaning up. Add rockers to the backs of the heels.

RH sole: Blue solid line - which runs along the perimeter of the sole - is where the walls would be if they were well-connected. The blue hashed areas are where to remove the flared material and back the toe up so there is less damaged material in ground contact. The lateral heel and wall are significantly flaring, plus have run further forward than the medial heel. Lime hashes run along the leading edges of the bars, where they can be cleaned up.

LH lateral composite: Same discussion as the RH. Roll the toe under in the blue area to shorten the foot at ground level and provide an easier breakover.

LH sole plane: As with the RH, maintain the vertical height in the bar-wall junction (orange squares) while rasping the wall away from ground contact (blue). This encourages the wall tubules to relax down and back.

LH sole: Same discussion as the RH, except that the lateral heel hasn't run forward as it has flared out.

RF lateral: Blue is where to roll the toe under while the orange line shows where the heels will eventually end up over time.

RF sole plane: Same discussion as the hinds.

RF sole: Again, the lateral heel is flaring more than the medial one so needs to be tightened up.

LF dorsal: Green line follows the angle of the new growth. Blue ares is the lateral flare. There were no LF sole shots to work from but it appears that it is doing the same thing as the other three: lateral heel flaring, bars will need attention and the toe needs to be rolled under.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR

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