Title (Diagnosis): 4.2.2. Flexural deformity in the foal

                  1. Author:  Miloslav Kreps, CE-F

                   Place of work:   Popelka

               2. Literary overview:   Podkovářství, ISBN: 978-80-7490-052-5,  Tisk Pálka 2015

               3. Data of the patient No. 4.2.2.

                   Breed:                Paint horse

                   Sex:                    Stallion

                   Age:                   9. weeks old

                   Color:                 Skewbald

                   Type of work:     Rearing

 

Reason, why the owner complains: The foal has problems with movement.

Duration of the problems: approx. 3 weeks

Stabling conditions: 24/7 outside

Surface on which the moves most often: Grassy field

Frequency of the hoof care: firts trim in fourth week of age

Type of shoeing: None

Lameness, diagnosis: Significant flexity of forelimbs,  caused by rapid growth of the foal

4. Anamnesis:
5. Case description:

Charakteristics of the changes: Excessive and rapid growth of the foal caused flexity of the forelimbs.

Shape of the hooves and pathological changes: Club feet, bent dorsal hoof walls, heels not in contact with the ground.

Limbs conformation: Due to the pull of the shortened DDFT the foal stands on the toes of his hooves.

Zah 19.8.2018 I.jpg
Zah 19.8.2018 II.JPG

Fig. 1. and 2.:  Stance before trim - 19.8.2018

Video 1.: Movement of the foal before trim - 19.8.2018

6. Chosen measures: 

Trimming: We performed a basic trim of the hooves and glued a Dallmer shoe with heel support to decrease the pull of DDFT and its relaxation on both forelimbs. 

Prepapartion of shoes:  After trim we prepared the Dallmer shoes with wedge.

Shoeing:  To protect the coronary band, we applied adhesive tape around the whole perimeter, than we glued the Dallmer shoes on and lastly, the wedges (heel support) were screwed on the shoes. Left front hoof was treated first, beacause it seemed to be more affected, after that we applied the right shoe. 

Veterinary measures:  Adjustment of mother’s feed ration.

Zah 18.8.2018 V.jpg
Zah 19.8.2018 IV.jpg

Fig. 3 and 4.: Stance after trim and shoes application - 19.8.2018

7. Development of changes

Efect of the first trim

Immediatelly after application was visible improved function of the DDFT. 

Changes in shoe choice and shoeing:

At follow-up after 5 days was found out that taken measures were not sufficient for right front limb. 

Effect of the first treatment:

Despite all the regular adjustments and use of Dallmer's shoes, the development has not improved for the better.

Result of the care:

At 18.10. 2018 attending vet decided for desmotomy of the deep digital flexor tendon. In this case, desmotomy of the accessory ligament of DDFT was assessed as insufficient.

Zah 23.8.2018 I.jpg
Zah 23.8.2018 II.jpg
Zah 23.8.2018 VI.jpg

Fig. 5. - 7.: We have used aluminium sheet metal as support. We have created a wedge in the heel area by appliing Superfast between the metal sheet and Dallmer shoe wedge. Dorsal part of the shoe was created longer, to prevent bending over in the coffin joint.

Zah 18.10.2018 I 1.převaz.jpg
Zah_18.10.2018_II_1.převaz.jpg

Effect of the second treatment:​

Before the desmotomy, we have created a support to dorsal part of the hoof using the Superfast.

 

Fig. 8. - 9.: 

Left front limb at first change of dressing.

Following treatment: 

Until April 2019 hooves were trimmed regularly every 10-14 days. Since April 2019 the period was prolonged to 5-7 weeks.

Vid. 2.: 

Movement of the foal at 8.12.2019

Zah_květen_2019_III.jpg
Zah_květen_2019_II.jpg
Zah květěn 2019 I.jpg
Zah_květen_2019_IV.jpg

Fig. 10. - 13.: 

Foal’s hooves in May 2019