Page 1170 - Adams and Stashak's Lameness in Horses, 7th Edition
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1136   Chapter 11


                       Before trim
                    point of break-over
  VetBooks.ir         (Stretched toe)                     Efficient point


                                                          of break-over
                                    1/4                                             1/4
                                                           Tip of Plll
                                                                        ¾
                                                ¾
                                               1                       1
                   Widest part                                                                   Widest part
                   of the foot                                                                   of the foot



                    Before trim
                  caudal support
                   (End of heel)
                                                                                             Caudal support
                                                                                              (back of frog)


                             Foot with common hoof distortions             Non-distorted foot
            Figure 11.57.  Drawings of two solar views. The solar view on   foot, as well as the widest part of the foot (WPOTF) and caudal
            the left is a foot with common hoof distortions. The solar view on the   most aspect of support (either heels of the foot or back of the frog,
            right is a non‐distorted foot. Lines are drawn on the pictures to   depending on which structure contacts the ground first and
            illustrate the point of break‐over and where it should be on each   primarily).


            Table 11.3.  ELPO hoof evaluation grading protocol.


             Grade  Description/abnormalities
             0     Considered to be a perfectly natural, normal foot, free of hoof distortions, that is expected to be functioning at its optimum efficiency.
                   Hoof structures with this grade would also be representative of a foot that either requires no maintenance or has just been trimmed and/or
                   shod and again is free of hoof distortions

             1     Indicative of a natural normal foot that is at the end of a trimming/shoeing period and requires basic maintenance. Minor hoof distortions
                   seen are the result of normal growth and with basic maintenance will be returned to a grade 0 status. If a #1 status is achieved after
                   trimming/shoeing, then this grade would be representative of hoof structures that possesses only minor hoof distortions that would still
                   allow the foot to function efficiently

             2     Indicative of hoof distortions that can start to affect proper foot function. Although these are commonly seen at the end of a shoeing
                   cycle, this rating is suggestive of distortions that generally were not fully dealt with at the beginning of the shoeing/trimming cycle. Feet
                   and structures in this condition can start to negatively affect performance, but may not be recognized as problems by everyone

             3     Indicative of hoof distortions that can cause minor to moderate lameness issues. Foot function is often being compromised and common
                   gait faults such as stumbling, forging, and landing toe first are prevalent, and signs of DIP joint pathology may be recognized and even
                   diagnosed by veterinarians. These types of distortions challenge the soft tissues around the DIP joint
             4     Indicative of moderate to severe hoof distortions that are often associated with serious lameness issues. These feet have been subject to
                   long‐term hoof distortion, and often, irreversible damage can occur. Foot function can be at least somewhat restored with shoes, pads, and
                   detailed hoof trimming
             5     Indicative of the most severe hoof distortions that contribute to both soft tissue and bony damage. Horses are often severely lame or
                   debilitated as a result of the distortions. These types of distortions are sometimes irreversible, but can be improved with the use of various
                   prosthetics and more detailed hoof preparation


            distortion evaluation by classifying or grading these   equine feet. Although an overall rating for each foot may be
            structures that most commonly distort the foot (Table 11.3   achieved, individual attention to primary hoof structures is
            and Figure 11.58).  The goal of the ELPO Hoof Evaluation   the key. Through the systematic evaluation of the external
                           1
            Protocol is to accurately and consistently, in accordance   hoof anatomy, a more accurate and meaningful evaluation
            with established standards, be able to determine the   of the foot can be achieved, as well as a determination of
            amount and/or location of hoof distortions in individual   the overall health and soundness of the horse. 1
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