Table I
Therapeutic shoeing techniques for Palmar Hoof Pain conditions excluding DIP-PIP artrosis and podotrocleosis.

Condition

Ground surface

(Treatment) trimming, shoeing techniques- Other comments

a)heel or solar bruises/abscesses

Compact /deep

1)drainage, preferably through the hoof wall (not through the sole). Local disinfection animal lintex

2) Shoes which offer protection to the seat of corn, to the sole[ fig.4 ] ; hospital plates, open up pad , which can keep bandaging or packing in.

b) thrush or canker

Compact/deep

1) surgical debridement

2) hospital plate

3) topical application of 50 /50 picryc acid and salicylic acid in powder form every 2/3 days postop.

c/ traumas to the bulb

Copact/deep

( often on deep ground)

Topical treatment

Over reach boots after healing, setting back the hind shoes, facilitating quicker dorsal break over on the front shoes ( rolled, set back front shoes) slightly lowering , feathering the heels on the front hooves, shoes.

d) osteitis of P III

Compact/deep

(More problems on hard ground )

1.dorsal edge of P III ( responds to DPDN block) increase sole depth under the tip of

P III, ( Rim) pads, glue on shoes, medium hard sole support packing under the palmar part of the hoof.

2. Palmar processes ( negative palmar angle of P III), increase palmar sole depth, frog support pads ( e.g. P.M: pads ) soft silicone or polyurethane packing. Onion shoes with high quality leather pads or Luwex Senior pads. Do not raise heels. Note : In case of ( post neuroctomy) DDFT laceration: desmotomy of the extensor branches of the fetlock suspensory apparatus. (5 Leveillard ). [ fig.5].

e) (wing ) fractures of

P III

Stall rest recommended

Rehab. on soft ground

• Sagittal fractures : four clipped shoe ( two clips ahead of the widest part of the hoof, two clips just behind the widest part ) beveled ground surface of the shoe, negative pressure heart bar, that is with space between frog plate and frog. [fig.6 a,b.]
• Wing fractures: idem with three clips ( quarter clips plus one clip at the heel of the fractured palmar process).

f) quarter cracks ( q.c.)

Compact/deep

( worse on compact surface)

1-Spontaneous, descending , painful q.c.’s are caused by ipsilateral ungular, Cartilage entrapment by a shunted –up heel wall. Heel wall should be lowered , to obtain at least 15 mm of free ungular cartilage margin above the hoof wall. [ fig.a,b ] This is best done with a double trim method whereby after the initial trim of the hoof, a second trim on the side of the q.c. is performed , which goes from 0 at the ipsilateral toe to 6-8- mm at the ipsilateral heel in a straight line.

2-Debridement , medication, drainage and fixation of the crack.

3-Frog-support. COPPSC ( «  Mercedes  shoes”). [ fig.8a, b]

Do not raise heels! ( 6 /Castelijns)

g) Quittor

Compact/deep

Surgical debridement, regional A.B. perfusion, bar shoes, bandaging.