Other Clinical Problems of the Equine Foot.
Authors: Fürst, Lischer
Journal: The Veterinary clinics of North America. Equine practice
Summary
# Editorial Summary: Other Clinical Problems of the Equine Foot Fürst and Lischer's comprehensive review examines the multifactorial nature of equine foot pathology, emphasising that whilst many hoof conditions initially appear straightforward, they frequently stem from multiple predisposing causes and can result in protracted healing periods with substantial performance implications. Advanced diagnostic imaging—particularly computed tomography and MRI—now enables clinicians to visualise intra-capsular pathology with far greater precision than traditional radiography alone, fundamentally improving diagnostic accuracy and treatment planning. The authors highlight significant progress in fracture management, particularly through strategic lag screw placement guided by aiming devices and intraoperative imaging, which has demonstrably improved prognosis in cases previously considered intractable. Crucially, the paper reinforces that optimal outcomes in hoof disorder management depend on close collaboration between veterinarians and farriers, as neither discipline operating in isolation can adequately address the biomechanical and structural complexities of foot disease. For practitioners, this underscores the importance of conservative management protocols as first-line intervention, the judicious use of advanced imaging when diagnosis remains unclear or conservative approaches plateau, and the establishment of robust communication pathways with farrier colleagues to ensure coordinated therapeutic strategies.
Read the full abstract on PubMed
Practical Takeaways
- •Collaborate closely with a skilled farrier for optimal outcomes in hoof disorder management, as both clinical and biomechanical expertise are essential
- •Request advanced imaging (CT/MRI) when dealing with hoof capsule problems to improve diagnostic accuracy before committing to conservative protocols
- •Counsel owners that hoof injuries often require prolonged recovery periods even with modern surgical techniques including lag screw fixation
Key Findings
- •Multiple predisposing causes often underlie hoof problems, requiring comprehensive diagnostic and management approaches
- •Advanced imaging including CT and MRI enhances diagnosis of hoof capsule disorders
- •Strategic lag screw placement with aiming devices and advanced intraoperative imaging has improved fracture prognosis
- •Healing of hoof diseases is often prolonged with long-lasting effects on performance despite conservative management