Hertsch B, Teschner D
Nuthetal OT Tremsdorf.
Tierarztl Prax Ausg G Grosstiere Nutztiere. 2011;39(3):163-70.
Objective of the study was to investigate whether a correlation between rotation and/or sinking of the third phalanx (P3) and changes of horn growth on the hoof wall exists.
In 117 hooves of euthanatized or slaughtered horses with chronic laminitis the rotating angle to palmar/plantar and medial/lateral and a sinking of P3 were assessed on radiographs. Defined distances were measured on the dorsal hoof wall as well as in the heel to assess the horn growth of a hoof. On the basis of saw cuts of the hooves, the course of the horn tubes was judged.
A rotation angle of approximately 8° was found to predict a change in the direction of the growth of the hoof horn at the dorsal and the lateral hoof wall. In addition, a correlation between the rotation angle of P3 and the length of growth of the hoof could be highlighted. A greater angle could lead to a larger interruption of the dorsal horn growth; meanwhile the palmar/plantar horn growth appeared to be independent. A correlation between a medial/lateral rotation of the pedal bone and the length of the horn was not observed.
The direction change of the horn tubes might cause a decrease of the visible length growth of a chronic laminitic hoof. Therefore, it appears to be important to differentiate between the externally visible length of the hoof and the real growth of the horn. Apparently, the amount of horn produced is the same on the dorsal hoof wall and in the heel. In horses with moderate laminitis the horn tubes on the dorsal wall were lying in folds, with the consequence of a decreased visible length growth. Only the formation of wrinkles of the horn tubes on the dorsal hoof wall reduced the visible wall length. Formation of wrinkles of the horn tubes in the heel could not be observed. Interestingly, the results of this study show that the lateral rotation of P3 does not promote the formation of wrinkles of the horn tubes along the lateral or medial hoof wall.
According to our results, a resection of the dorsal hoof wall might be a sensible therapeutic approach in horses with chronic laminitis showing a rotation of P3 of at least 8°.
本研究的目的是调查第三趾骨(P3)的旋转和/或下沉与蹄壁角生长变化之间是否存在相关性。
对117只因慢性蹄叶炎而安乐死或屠宰的马的蹄进行研究,通过X光片评估P3向掌侧/跖侧以及内侧/外侧的旋转角度和下沉情况。在背侧蹄壁以及蹄跟处测量特定距离,以评估蹄的角生长情况。根据蹄的锯切情况,判断角管的走向。
发现约8°的旋转角度可预测背侧和外侧蹄壁蹄角生长方向的变化。此外,P3的旋转角度与蹄的生长长度之间存在相关性。角度越大,背侧角生长的中断越大;同时掌侧/跖侧角生长似乎是独立的。未观察到趾骨的内侧/外侧旋转与角长度之间的相关性。
角管方向的改变可能导致慢性蹄叶炎蹄可见长度生长的减少。因此,区分蹄的外部可见长度和角的实际生长似乎很重要。显然,背侧蹄壁和蹄跟处产生的角量是相同的。在中度蹄叶炎的马中,背侧壁上的角管呈褶皱状,导致可见长度生长减少。只有背侧蹄壁上角管形成皱纹才会减少可见壁长。未观察到蹄跟处角管形成皱纹。有趣的是,本研究结果表明P3的外侧旋转不会促进沿外侧或内侧蹄壁的角管形成皱纹。
根据我们的结果,对于慢性蹄叶炎且P3旋转至少8°的马,切除背侧蹄壁可能是一种明智的治疗方法。