Lavinia : Hoof Markups Needed for farrier - redone new photos avail


Lori Ricigliano
 

Hello Lavinia 
I have done new photos of myas feet 
Her link is : 

MYA Photos:

 https://ecir.groups.io/g/CaseHistory/album?id=276519


Also I finally got back from Cornell her bloodwork - very metabolic - here is her link to the results - I have started her on metformin 2 days ago . I also updated her case history 

She is in pain - on bute 2 x a day - I need to wean her down 

I soak her hay am & pm - use wet beet pulp - no grain now (was using safe choice special low starch sugar last week now nothing ) she has vit e 2000 iu in beet pulp
And iodine salt 

PLEASE give directions so I can contact my farrier with your trim details - I want to save her 

Thank you 
Lori 



On Jul 9, 2022, at 12:01 AM, Lavinia Fiscaletti <shilohmom@...> wrote:

Hi Lori,

You're doing fine- no need to be sorry.

Has there been any trimming done since the radiographs were taken?

The views that are needed are: dorsal, lateral, sole and sole plane. No need for medials or heels. Sole plane means showing the bottom of the foot as you look at it from front to back. Here's and example:

https://ecir.groups.io/g/CaseHistory/photo/243358/3396856?p=pcreated%2C%2Cjudy+and+bugsy%2C20%2C2%2C20%2C0

Would you please retake the RF lateral photo with the camera literally on the ground so that you the lens is at the same level as the hoof, rather than aiming down on it. Set the camera so it's even with the side of the hoof  - like you did for the LF lateral shot. Also, please take the same set of photos for the hind feet.

Thanks.

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

--
Lori R in MN - 2022

Owner of 3 Metabolic Horses 

MYA Photos:

 https://ecir.groups.io/g/CaseHistory/album?id=276519

MYA CASE HISTORY :
https://ecir.groups.io/g/CaseHistory/files/Mya%20Case%20History


OLIVER CASE HISTORY LINK:
https://ecir.groups.io/g/CaseHistory/files/LORI%20and%20OLIVER 

OLIVER PHOTOS: PEND 



Lavinia Fiscaletti
 

Thanks Lori.

Will get those up for you in the next day or two.

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


Lori Ricigliano
 

Thank you so very much !!!



On Jul 14, 2022, at 10:47 PM, Lavinia Fiscaletti <shilohmom@...> wrote:

Thanks Lori.

Will get those up for you in the next day or two.

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

--
Lori R in MN - 2022

Owner of 3 Metabolic Horses 

MYA Photos:

 https://ecir.groups.io/g/CaseHistory/album?id=276519

MYA CASE HISTORY :
https://ecir.groups.io/g/CaseHistory/files/Mya%20Case%20History


OLIVER CASE HISTORY LINK:
https://ecir.groups.io/g/CaseHistory/files/LORI%20and%20OLIVER 

OLIVER PHOTOS: PEND 



Lavinia Fiscaletti
 
Edited

Hi Lori,,

A couple of questions regarding Mya.

Has there been any trimming done since the radiographs were taken?

Was the tack placed at the actual very tip of the frog or somewhere else along the frog?

Thanks.

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


Lori Ricigliano
 

Hello Lavinia , 

No - no trimming done since X-rays done .

I verified - Dr put tack on tip of frog 

Thank you 
Lori 






On Jul 17, 2022, at 3:35 PM, Lavinia Fiscaletti <shilohmom@...> wrote:

Hi Lori,,

A couple of questions regarding Mya.

Has there been any trimming done since the radiographs were taken?

Was the tack placed at the actual very tip of the frog or somewhere else along the frog?

Thanks,



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

--
Lori R in MN - 2022

Owner of 3 Metabolic Horses 

MYA Photos:

 https://ecir.groups.io/g/CaseHistory/album?id=276519

MYA CASE HISTORY :
https://ecir.groups.io/g/CaseHistory/files/Mya%20Case%20History


OLIVER CASE HISTORY LINK:
https://ecir.groups.io/g/CaseHistory/files/LORI%20and%20OLIVER 

OLIVER PHOTOS: PEND 



Lavinia Fiscaletti
 

Thanks, Lori.

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


Lavinia Fiscaletti
 

Hi Lori,

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

https://ecir.groups.io/g/CaseHistory/album?id=276519&p=Created%2C%2C%2C20%2C2%2C0%2C0

As you already know, the trim needs a lot of work to get the hoof capsule realigned with the bones inside. There is a lot of laminar wedge material that has developed that needs to be removed. Her toes need to be backed up to set the breakover in line with where the bony column needs it to be. There is bony column rotation present in both fronts (RF worse than LF), along with capsular rotation. Bony column rotation is when the coffin bone tilts down from being in proper alignment with the rest of the bones above it. Capsular rotation is when the distance between the hoof wall and the surface of the coffin bone increases as you move from top to bottom. Heels need to be lowered to correct the bony rotation while the bottom of the front half of the foot needs to remain untouched as it is already where it needs to be. This will result in the bottom of the foot not being flat from front to back - which is fine.

Unfortunately, the radiographs weren't taken from the proper angle for lateral views as the block the hoof is standing on is visible thru the bottom of the foot, making sole depth interpretation somewhat difficult. It appears as tho her sole depth is borderline adequate but that there isn't any to spare at this time. Significant distal descent (aka sinking) is present in both feet, which means that there is more of the bony column inside the hoof capsule than there should be. In turn, that means that the hoof capsule will need to remain vertically taller than a healthy hoof would in order to make sure that there is enough material there to completely encase all the extra bones inside from being exposed to the outside world. Both coffin bones show demineralization along the distal border and the amount suggests that this situation has been ongoing for some time. The dark shadows that are located within the hoof capsules below and ahead of the tips of both coffin bones are abscess pockets or may be empty crevices where abscesses were previously located. When the trim invades these spots, they may spurt out trapped fluids and old blood, which is nothing to be worried about - you haven't hit anything live or blood vessels.

The following links will take you to more in-depth explanations of the whys behind the changes needed to help correct the rotation and distal descent and in setting the breakover properly:

https://www.hoofrehab.com/DistalDescent.htm

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

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

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

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

LF lateral composite: On the radiograph side, the pink line shows how the bony column wants to line up and it ends where the breakover point should be. The purple line follows the actual contours of the bony column. Notice how the bony column bulges forward of the pink line because the tip of the coffin bone is tilting down somewhat, out of alignment. This means the heels need to be lowered a bit in order to allow the tip of the coffin bone to relax and tilt back up into alignment. The blue line is where the toe needs to be brought back to, with the blue X being then excess forward length and laminar wedge material. If you look closely, you can see the shadowy areas that trimming the toe back will invade - which may leak some fluids. That's OK as that is material that needs to drain away. The green line follows the angle of the new growth coming in under the coronary band down toward the ground. This isn't a trim line, just a visual marker. Note that it runs parallel to the pink line, however. Red line is where to leave the sole alone. Orange line shows where to remove a wedge-shaped amount from mid-foot back thru the heels so that only the heels are lowered. Yellow line #1 runs thru the coronary band, while #2 points to the extensor process. The two lines should overlap, or at least be very close together. The distance between them denotes the amount of sinking.
On the photo, the green an orange lines are the same as on the rad. The blue area corresponds to the blue X on the rad, which is the laminar wedge and excess toe that needs to be backed up.

LF sole plane: The entire perimeter of the foot needs to be lowered so that the walls are taken out of load-bearing. Currently, the medial wall and bar appear to be taller than the lateral side, which needs to be corrected.

LF sole: Solid blue line corresponds to the blue line on the rad and the blue hashes are the extra toe length that needs to be backed up. Orange lines run along the back half of the foot, where the heels need to be lowered to help correct the bony rotation. You can see that the toe gets backed up into that area where the abscess pocket is located.

RF lateral composite: On the rad, the pink line again shows how the bony column needs to line up while the purple line follows the actual alignment. The tip of the coffin bone has rotated downward more on this foot than on the LF, so more heel height needs to be removed to heel correct this. Orange line shows where to lower the back half of the foot, starting at mid-foot and moving back in a wedge-shaped removal. Light blue is where to leave the front half of the sole alone. Dark blue line shows where to back the toe to, with the blue X being the excess toe and laminar wedge. Green line again follows the angel of the new growth coming in under the coronary band toward the ground - this isn't a trim line, just a visual marker. Yellow line #1 runs thru the coronary band, while #2 points to the extensor process. The distance between them denotes the amount of sinking.
On the photo side, the orange, green and light blue lies correspond to the ones on the rad. The dark blue area corresponds to the blue X on the rad, which is the toe that needs to be removed.

RF sole plane: Blue line shows where to lower the back half of the foot to, which is just barely above the level of the frog. Medial side is again taller than the lateral one.

RF sole: Back the toe to the solid blue line, with the blue hashed area being all the excess toe length. Lower the back half of the foot along the orange lines but leave it alone between the orange lines and where the blue line is at the toe.

LH dorsal: Green line follows the angle of the new growth to the ground, with the blue being flaring of the lateral toe and wall that needs to be removed.

LH lateral: There appears to be an excess of vertical height across the board. Green line shows where the dorsal wall should line up. Orange line shows where the heels should be standing up - instead, they are significantly underrun. Blue is where to back the toe up and lower the entire foot. The bull-nosed appearance of the dorsal wall is a sign that the plantar angle is likely ground parallel or even negative plane. Measure both collateral groove depths at their deepest point near the back of the foot. - want that to be 1". Then measure the depth at the tip of the frog - looking for 3/4". Lower the entire foot as it appears that there is more than this available.

LH sole plane: Lower the entire foot, leaving the walls level with the soles when done.

LH sole: Take the toe back to the solid blue line. Lower the entire foot as much as the collateral grooves allow for. Nip off the curled, dead tip of the frog but don't trim away any more of the frog.

RH dorsal: Green line follows the angle of the new growth to the ground. Blue area is the lateral wall flare that can be removed. Pink line is level, while the black line follows the height of the coronary band. Medial wall appears taller, so lower it along the blue area.

RH lateral: Same idea as the LH. Lower the entire foot but take more from the front half than the back half as the heel are underrun and the bull-nosed dorsal wall suggests that the coffin bone is sitting level to negative plane.

RH sole: Tighten up the entire foot ll the way around and bring the toe back to the solid line. Nip off the shriveled, dead frog tip (lime ).
 
Use padded boots to make her as comfortable as possible. Experiment with different types of pads to see what she likes the best. Make sure to raps aggressive bevels into the treads of her boots both at the toe and across the backs of the heels to help ease breakovers and landings.

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