Page 207 - The Veterinary Care of the Horse
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        Figure 6.11 Checking the hoof balance: the foot is lifted and viewed from directly above the heels



        Radiographic views

        When radiographs are taken from the front of the foot to check the mediolateral balance:
        •    the lower surface of the pedal bone should be parallel to the ground

        •    the distal interphalangeal joint (coffin joint) should be parallel to the ground and the joint

             space should be even from side to side.



        Mediolateral imbalance may be caused by:
        •    poor trimming technique

        •    poor conformation which puts more stress on one side of the foot causing it to grow more

             slowly than the other side
        •    the use of road studs or nails on one side of the foot

        •    untreated musculoskeletal issues in the horse’s body.

        The effects of mediolateral imbalance include:

        •    hoof distortion and pain from laminar tearing
        •    sheared heels

        •    thrush
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