Re: KSU iron panel


Lavinia Fiscaletti
 

Hi Kathy,

Magni is adorable. I've added mark-ups to his album:

https://ecir.groups.io/g/CaseHistory/album?id=266135

Although the radiographs were done in March 2021, it appears that there hasn't been much change made in the trim since then, so they are still relevant. All toes are too long horizontally, putting the breakover ahead of where the bony column needs it to be. Heels are underrun to some degree. Soles were adequate but not excessive in the March rads. There is significant sinking present, which translates to hoof capsules that need to be taller than average to be able to encase the entire bony column properly. Goal of the trims should be to bring the toes back considerably so that the breakover gets set where the bony column needs it to be; remove the wall flares all around; correct any medio-lateral balance issues that are contributing to the flaring. Here are a few links to more in-depth info:

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

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

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

LF dorsal composite: On the rad side, green lines follow the ange of the new graoth toward the ground. Blue areas are the flared wall that needs to be removed. The lateral wall appears to be a bit longer than the medial one but the foot also appears to be attached somewhat crookedly as well. Need to check both collateral groove depths to assess whether both sides are as balanced as possible.
On the photos side, the green lines correspond to those on the rad and the blue areas are the flaring that needs to be removed.

LF lateral composite: On the rad, the pink line shows how the bony column aligns and ends at ground level where the breakover point needs to be. Green line follows the angle of the new growth toward the ground. This is NOT a trim line, just a visual for where the dorsal wall would be if it were well attached. Note that the green line runs parallel to the pink one. Blue line is where the toe should end, with the blue X the excess toe length.Orange line shows where the heels should line up. Lime line across the bottom is where the bottom of the foot needs to remain. Yellow line #1 runs thru the coronary band, #2 points to the extensor process. Theses should be overlapping - the distance between them denotes the amount of sinking.
On the photo, the green and orange lines correspond to the ones on the rad. the solid blue area corresponds to the blue X on the rad and is the excess toe length that needs to be removed.

LF sole: solid blue line is where the perimeter of the foot should be, with the blue hashed area being the flared walls and toe that need to be removed. Lime lines indicate a large flap of periople that can be trimmed off. Soles, bars and frog should be left alone. Rocker the heels but don't lower them.

RF dorsal composite: Same idea as the LF, with the blue areas being the flared wall that needs to be removed.

RF lateral composite: On the rad, the pink line again shows where the bony column should align. The purple line follows the actual alignment - note how it drops slightly back and down from the pink line. That's a broken back HPA (hoof-pastern axis), which is due to a combination of the sinking, long toe and underrun heels. Blue X is again the excess toe length that needs to come off.
On the photo, the solid blue area corresponds to the blue X on the rad, which is the excess toe length.

RF sole: Solid blue line is where the perimeter of the foot is when healthy, with well-attached walls. Blue hashed area is the flared wall/long toe that need to be removed. Lime hashes are on another piece of periople that can be trimmed away.
Purple lines are on the leading edge of the lateral bar that can be lightly cleaned up. Leave the soles, rest of bars and frog alone. Rocker the backs of the heels but don't lower them as that would negatively impact the HPA.

LH dorsal: Same discussion as the fronts - blue is the flared wall that needs to be removed.

LH lateral: Same idea as the fronts. Blue area is the extra toe length. Green line is the visual for where the dorsal wall would be. Orange line is where the heels should be. The yellow lines follow several of the horn tubules from top to bottom. These tubules should run parallel to the green and orange lines but they are at a much shallower angle, which is due to the heels being run under and the entire foot having squished forward.

LH sole: Back the toe to the solid blue line, bevel the walls and heel walls out of ground contact around the entire perimeter. Again, rocker the backs of the heel buttresses but don't lower the heels as there is no vertical height to work with.

RH dorsal: Blue are on the lateral wall is the flare that needs to be removed.

RH lateral: Same idea as the other three.

RH sole: Solid blue line should be the perimeter, blue hashed area is the flared walls and long toe that need to be removed.

Use padded boots any time he isn't comfortable/sound. If using boots, make sure to add a strong bevel to the treads at the toe and across the backs of the heels to compensate for the depth of the boot shifting the breakover forward.

--
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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