Page 261 - The Veterinary Care of the Horse
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        Figure 6.46 X-ray showing rotation and sinking of the pedal bone and a dark shadow at the front of the hoof indicating
        trapped gas or fluid



             By taking measurements from the X-rays, your vet will be in a position to recommend the

        most appropriate treatment and also to gain some idea of the prognosis. A founder distance of
        more than 15 mm has a poor prognosis.

             Magnetic Resonance Imaging (MRI) and Computed Tomography may be used.



        Definition of terms

        Confusion sometimes arises over the terms used to describe the progression of the disease.

        The term ‘laminitis’ has traditionally been used to describe all stages of the disease. Once the
        pedal bone has started to rotate and there is a palpable depression above the coronary band at

        the  front  of  the  hoof  the  condition  becomes  an  ‘acute  founder’.  If  the  pedal  bone  drops
        within the hoof capsule so that the coronary band depression extends all round the hoof, the

        affected animal is described as a ‘sinker’. It is possible for the pedal bone to rotate and sink
        at the same time (Figure 6.46). ‘Chronic founder’ cases are those where there are changes to
        the appearance of the hoof, e.g. dropped or convex soles, concave anterior hoof wall and
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