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Greenhaven

Xray And Photo Critique. Questions/suggestions Prior To Casting

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Just a reminder, I brought this gelding home in mid-October of this year:

http://forums.horsecity.com/index.php?showtopic=47104280

So I am planning on casting at least his hind feet this weekend, and want to be sure we do it well, as in, do we need to wedge his heels a little while the hoof wall grows?


No surprise that all four pasterns are broken back and that toes are way long. BUT, I have been maintaining a solid toe rocker on all four, and his heels have started opening up, I am assuming because of the reduced torque forward of the hoof capsule. In three out of four of the sole shots you can actually SEE the bottom of the central sulci, when just a few weeks ago they were mere slits! This was very exciting to see.


I am also have a bear of a time getting the overlaid bars on the hinds pared back. I think I am going to have to have more wall at the heel before I can see a real difference. Especially on the right hind he is absolutely walking on his heel bulbs.


Since I took the pics I did a little bar paring, renewed bevels and took down the inside heel on the right hind a little. Enough, apparently, because the rads show pretty good m/l balance.

Please note, too, that the front view rad of the right front shows that pastern crooked as heck! But it is not. He just shifted his weight at the wrong moment. Of course.

And one more thing you might notice is a long piece of calcification in the left front, vet said nothing at to worry about, it was not even attached to the bone. Probably random calcification due to a mishap as a baby or something weird.

So:

1. Wedge or not?

2. Simple cast?

3. Is assertively rockering the toe enough, or should I physically remove excess toe? Vet seemed to think removing toe would be enough to bring that pastern back into proper alignment but I think he needs more caudal height from the ground before the problem is “solved.”

4. Will casting arrest caudal expansion until the casts come off?

Left front:

lffrontal_zpsd6b01ffa.jpg

lffrontal_zpsd6b01ffa.jpg

IMG_1795_zpsf7d5626c.jpg

IMG_1799_zpsd5f37a0a.jpg

IMG_1805_zpsf3026143.jpg

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I think that you have done a good job, and feet look so much better.

I would not wedge thew heels, but instead, continue to bring them back as live sole allows, while applying a stronger bevel at the toe

I do not see the heels as being too low, just still run forward some, thus not providing the full support at the back of the foot, like they should, and why it might appear as if he is walking on the bulbs

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we must have crossed mail!

Yes, I would not be wedging the heels, but instead bringing them back far as possible, while addressing the toe from the top

He needs to get his heels under him, and not grow more heel

Look at the before and desired back of the heel, frog relationship in the diagram in this link, to see what I mean

http://www.lamenessprevention.org/assets/docs/elpoprotocolsheets-print.pdf

Edited by Smilie

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He needs to get his heels under him, and not grow more heel

Right, yes, thank you, smilie! I am more concerned about giving those crushed tubules some relief so they can start growing more downward than horizontal.

So you think simply getting the heel back in position will re-support P2?

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Yes I do.

You most likely have looked at the Re -hab pics on Pete's site, and there are some great examples of similar cases, with some way worse.

If you scroll down, on the left side is an extreme example of tubules going horizontal as the heels become more under run, and how change is brought, over time, just barefoot and trimming

I hope Missy and Chocomare also chime in, as I am no expert!

http://www.hoofrehab.com/Rehabilitations_Pictures.html

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I don't know why you don't feel qualified to answer. You seriously know some stuff! Thank you, smilie!

I have been to the site and looked at photos, but I will go again right now. After all, it is only midnight. lol

Edited by Greenhaven

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The whole hoof has migrated forward. The toe wedge is not serious and front of P3 parallel, but the whole hoof has migrated forward. The toe is just as prominent in length and flare as the heel height is absent. The coronary bands are a bit steep. On the solar side, I see wall above live sole all around and bars that are preventing the false sole to come out, the heels to come back and stressing the quarters that are not cleared enough. The heels need to be defined by trimming bar lower, and back off the seat of the corn. There is still a need to access this hoof for thrush care, which is just starting to come along nicely. Basically, this is a short as you want to go and the bone agrees, but there is more work to be done with a well place proactive bevel that also releases the heels, puts them to work for growth/strength, takes the stress off that crack right now and its a bevel that needs to maintained to proactively to address the flare forward and the crack. I'm wondering why there is a need to wrap, cause the hoof will go on the back burner instead of being proactively being stayed on top of it. Another thing that concerns me is that there is more flare forward and a crack hanging on harder now than before. If you can Greenhaven, send some heel shots so I can check the heel balance. At the very least, the trim should have better form and function and healing first. There are some random pics below, but with heel shots I can better show balance and shape and can draw you some better lines.

If you wedged the heels, you would tip P3 down on its nose. With a toe way out there, the torque is also pulling down on its nose. Double whammy and not the answer. Make sense?

<a href="https://www.flickr.com/photos/92429952@N03/16054182185" title="111 by missyclare, on Flickr"><img src="https://farm9.staticflickr.com/8618/16054182185_3bb55d9ed5_s.jpg" width="75" height="75" alt="111"></a>

<a href="https://www.flickr.com/photos/92429952@N03/15868430877" title="333 by missyclare, on Flickr"><img src="https://farm8.staticflickr.com/7485/15868430877_40ccc9ede0_s.jpg" width="75" height="75" alt="333"></a>

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Yup, does make sense.

I do want to point out that I have been rockering the toe toe to the toe pillars and working those bars as much as the hoof is allowing. Not getting a lot of wall height in the heel to work with because the heel is so crushed.

Part of the reason for wrapping is to encourage enough growth to reshape.

I left off heel shots because I figured the xrays would be enough to show m/l balance, but I will share them anyway. Going to run up to the PC, too hard on the Nook.

Thanks,missyclare!

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P.S., this was before I tweaked the rockers and trim that day.

Left front:

IMG_1801_zps1f1ddda4.jpg

IMG_1803_zpsa24c14c1.jpg

Right front:

IMG_1807_zpsdf2e2cbf.jpg

IMG_1808_zpse304e5ad.jpg

Right hind:

IMG_1814_zpsffba8530.jpg

left hind:

IMG_1819_zpscbb5e66a.jpg

Edited by Greenhaven

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