Showing posts with label separation. Show all posts
Showing posts with label separation. Show all posts

Monday, August 27, 2012

Research Update: Hoof Wall Separation Syndrome in Connemara Ponies



A slide show of affected hooves from around the world; these hooves are all on Connemara ponies, although it is not known if this particular type of wall separation is limited to that breed.

Few hoof problems have been as compelling as the relatively-recent one known around the hoof world as "Connemara hoof wall separation syndrome". Owners of the affected horses would prefer that it be called "hoof wall separation syndrome".

Wall separations are commonly seen in the heel area of hooves, but this is different.

At first, it was easy to dismiss the communications as white line disease or just poor hoof maintenance. But they kept coming back. Soon they had amassed evidence of Connemara ponies with this problem from places as far afield as New Zealand, Finland, and Canada.

Robert Eustace of the Laminitis Clinic in England described the problems as "coconut matting hooves". I thought that was an apt description; in some cases, the inner, exposed hoof wall looked like steel wool fibers. Many cases of this type of dorsal hoof wall separation deteriorate to a diagnosis of laminitis.

According to the owners' group, hoof samples of affected Connemara ponies referred to Eustace for treatment were analyzed by the University of Edinburgh, where they found a malfunction of lipid metabolism in the extracellular matrix of the hoof wall between the tubular structures of the hoof wall.

In simple terms: there seems to be a lack of the 'waterproof glue' or 'cement' that holds the hoof wall tubules together, but the findings have not been documented. Nothing about the condition has been documented, other than by horse owners comparing notes.
This image from UC Davis shows a ruler used to measure the extent of a separation lesion on a foot from a cadaver.
Soon, the inevitable Facebook discussion group popped up. It became part of a web of information and communication that included a blog, press releases, and many promises that they would get to the root of the problem.

They may not have reached the root but they are cracking the case. If you have a pet problem in the hoof world and you are sure that there has to be an answer, let this group of dedicated horse owners give you a model to follow.

This hasn't been easy. On  November 11, 2011, I interviewed a regional president and another officer of the American Connemara Pony Society who assured me that they had never heard of the problem and it was surely just a misunderstanding. A veterinarian concurred.

In their defense, this problem is widespread geographically but still relatively uncommon. Since then, owners tell me, the Society has become aware of the problem. It is also possible that owners whose young stock exhibit this problem are not likely to bring them to shows or to comment much about the problem, in the interest of the value of their other horses.

The Connemara owners scattered around the world with lame young horses on their hands eventually found each other, thanks to the Internet. They also found someone who would listen to them. The unraveling of the horse genome has meant that equine disorders that seem to be breed-specific can be examined on the genetic level, so researchers at the Bannasch Laboratory at the University of California at Davis were able to tackle the problem from that angle. (See below for specifics of the genetic assay.)

When a case cropped up near the university and they saw the problem firsthand, they were even more interested.

Is this problem really limited to a single breed? I remember old farrier texts that complained about mice nibbling on the hooves of certain horses at night in the stable--that was a convenient explanation to owners for a problem that looked like the photos you see in the slide show.

A confounding aspect of the problem is that it occurs in radically different environments, without respect to wet or dry, hot or cold, and appears early in the pony's life.

One Connemara owner remarked, "I am seriously starting to think that this issue is probably quite widespread in the general horse population but appears so randomly that it is acknowledged just as 'bad feet with no known cause'. It is only when one has a small inbred population with the over use of certain bloodlines in an already contracted gene pool that the problem becomes more common and obvious.

"Once there is a commercial gene test available, it will be interesting to see whether there is the same or similar problem in other breeds."

Because the cases are farflung, documentation of treatment is sparse. In most cases, some combination or variation of supportive hoof orthotics, foot casts and glue-on shoes along the lines of laminitis treatment are used. Various topical treatments and nutritional supplements have been used. These efforts are under the heading of managing the condition; euthanasia is common.

An example of the type of hoof wall undermining labeled "Hoof Wall Separation Syndrome" by the University of California at Davis, where research is continuing into this problem.

Updated research summary provided by the University of California at Davis School of Veterinary Medicine

Researchers at the Bannasch Laboratory at UC Davis report:

Hoof Wall Separation Syndrome (HWSS) is an inherited condition seen in Connemara ponies and typified by the dorsal hoof wall splitting away from underlying structures.

This hoof defect develops in young foals between one to six months of age. The condition results in afflicted ponies having to support weight on the sole of the hoof instead of the dorsal hoof wall. 

Affected animals can become severely painful despite careful management; their quality of life can diminish and euthanasia may be necessary. Even if the condition is initially controllable, ponies may still develop laminitis over time.

HWSS is particularly troubling for the Connemara community because the parents of affected ponies are themselves completely unaffected. 

Although affected individuals do share common bloodlines, it is problematic to predict whether a particular breeding will produce a foal with unhealthy hooves. Investigation into the underlying genetic cause of HWSS has the potential to inform these breeding decisions, and could also provide insight into the disease pathophysiology.

To investigate the underlying genetic cause of HWSS, a genome-wide association study was performed and a strong association between disease status and polymorphisms in a two-megabase (Mb) region of the genome was observed. Sequencing of candidate genes within this region is currently underway, and any functionally relevant genetic differences identified will be validated using a larger sample set.

Consequently, we are still collecting DNA samples from both affected and unaffected Connemara ponies. If you are interested in submitting a sample, please contact Carly Stevens (cstevens@ucdavis.edu) or Kartika Jayashankar (kjayashankar@ucdavis.edu) for more information.

Funding for this research has been provided by the Morris Animal Foundation, UC Davis Center for Equine Health, and Merial.

Information for this research summary was provided by the Bannasch Laboratory at the University of California at Davis.

Thanks to all the heartbroken Connemara pony owners who faithfully documented their horses' problems and to all the vets and farriers who have tried to help them, even if they couldn't explain the problem. Maybe someday they will.


Click on the ad for more information about this anatomy chart that shows the zones and structures affected by HWSS.

To learn more:
Connemara pony research into hoof wall separation syndrome blog
California case seen by veterinarians at UC Davis 
Functional design of horse hoof keratin by Bertram and Gosline
Isolation, characterization and pressure response of equine hoof keratinocytes by Alanna Chaudhry
Click to download full details and ordering information.



© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
Read this blog's headlines on the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Tuesday, April 22, 2008

Derby Update: Video of Thoroughbred Wall Separation, Shoe Procedure



Ok, racing fans! Things are coming together now! Unless this video crashes the blog once and for all, here is a complete video showing Ian McKinlay's procedure for reconstructing a blown heel quarter / subsolar abscess in a Thoroughbred racehorse. This is very similar to the procedure he used on Big Brown, Richard Dutrow's colt favored in next week's Kentucky Derby.

The second part of this video shows a top Standarbred with a similar problem.

You will also see a lot of detail on the shoe and Ian has provided a voiceover to explain what he's trying to do.

Assembling this information has been a work in progress, but this video puts it all together. Previous posts from this week and last week (scroll down the blog to read more) included a video of quarter cracks, the difference between quarter cracks and wall separations, glue-on shoes worn by Kentucky Derby contenders, and the direct rim glue application technique with copper clips and heel cushions.

Thanks again to Ian McKinlay, along with Conny Svensson, Jimmy Takter, and Richard Dutrow, and to Big Brown's owners, IEAH, for working with us to provide this information that may be helpful to other horses.

The end of the video has a link to the Tenderhoof web site, which has not gone live yet, so save that URL for future reference. This video is not an advertisement for any commercial product; Hoofcare and Lameness has no business arrangement with the shoe or the new company.

This is provided for educational purposes and to hear feedback from other professionals.

Disclaimer: Obviously, Ian McKinlay is a highly skilled hoof repair and quarter crack specialist. That is all he does and he works as a consultant to the trainer, supplementing the work of the regular horseshoer and veterinarian.

This is NOT a how-to video. Also, the problems of these racehorses are well documented, as Ian mentions, and very common. You would probably not see these problems in horses competing at other sports, and if you did, the recommended solution might be very different. Those horses might enjoy the luxury of a layup. Racehorses have work to do.

Thanks to all!


All HoofBlog text and images © Hoofcare Publishing 2008 unless otherwise noted. Video courtesy of Ian McKinlay.

To learn more about new research, products, and treatments for the horse's hooves and legs as reported to veterinarians and farriers in the award-winning "Hoofcare & Lameness Journal",
go to http://www.hoofcare.com

Direct “subscribe now” link to receive the "real magazine" Hoofcare & Lameness Journal: http://www.hoofcare.com/subscribe.html

Contact Hoofcare Publishing anytime:
tel 978 281 3222 fax 978 283 8775 email bloginquiry@hoofcare.com

Sunday, April 20, 2008

Kentucky Derby Hoof Tech: Calculated Hoof Repair for Heel-Quarter Blow-Outs in Racehorses

Last week we showed you Ian McKinlay's video clip of a quarter crack, and tried to paraphrase Ian's description of the various types of "blowouts" that can fracture a racehorse's hoof wall, and showed a foot with a wall separation ready for repair. That photo showed a foot that might look something like what Kentucky Derby favorite Big Brown's feet looked like when his injuries occurred. They have now been repaired and the horse's trainer, Richard Dutrow, commented to the press today that he is pleased with the condition of his horse's feet and the recovery that has been made possible by a combination of hoof repair and cushioning of the injured area, coupled with glued on "gasket" shoes.

The shoe design and rationale has already been explained in previous posts but this serious of photos will show you a horse that is NOT BIG BROWN, but that received a similar shoeing solution. Ian McKinlay has provided these additional photos to give people a broader view of how streamlined and non-intrusive the repair process is, compared to the older ways of bar shoes and laced and layered patches.

A blog comment last week brought up a good question, regarding his ignornance that Pyro had won his two previous starts wearing glued-on shoes. A few years ago this might have been a handicap, but that racing observer wondered if shoes shouldn't be disclosed to the betting public because high-tech enhancements might offer an advantage to a horse, similar to the new Speedo "skin suits" with ultrasonic welds instead of seams, which will be used in the 2008 Olympic swimming competitions. That is, unless they are ruled to be performance-enhancing equipment.


The shoe (race plate) package ready for application. The heels are fully cushioned where the wall has been removed. The copper "clips" are not clips in the sense of those used on steel shoes; they are providing more surface area for the adhesive. They are just thin tab-like strips of copper. Remember that this shoe will be glued on, there is no issue with nails having to penetrate the rubber.


The heel is rebuilt and the shoe is on. The temptation is probably to incorporate the heel repair into the shoe but the two have to maintain separate entities so that the shoe can be removed. The artificial heel will be trimmed as it grows down. Only the copper tab crosses the frontier between the shoe and the real/artificial wall. Remember that the padding under the heel is the full width of the shoe only in the heel area, which is why you see the black line fill with adhesive in the quarter.


I am not sure whether or not this horse had blowouts (wall separations) in both heels, possibly caused by subsolar abscesses, hard racetracks, or gait changes, so both heel walls were trimmed out and replaced with artificial wall. It's also possible that the the adhesive and heel cushion were used on both heels to provide symmetrical heel architecture and encourage normal gaits and stride characteristics.

The finished feet. This horse will have the benefit of pain relief from the cushioning and the realigned support of the artificial heel wall to stabilize weightbearing over the entire foot (or where the foot would be). This procedure hopefully encourages normal circulation and a normal gait pattern. The finished job does not look very different from a patch for a quarter crack or a wall rebuild for a thin-walled horse so you can see why a trainer would just refer to the injury as a "quarter crack".

Thanks to Ian McKinlay for sharing this technique, and for interrupting his work to take these photos. Racetrack repair technology is continuing to evolve as more horses are being shod and supported as their needs dictate. Ian is a career specialist in quarter crack repair and is bringing new ideas and materials to the racetrack to help horses stay in training. He is very generous to share information from the racetrack with the world through this blog.

Links to previous stories from last week on Kentucky Derby hopefuls' feet:
Click here for quarter crack explanation and Ian McKinlay's video
Click here for glue shoes on Kentucky Derby favorites and Ian McKinlay's explanation of heel separation
Click here for interview with Big Brown trainer Richard Dutrow about the horse's feet.

Tuesday, April 08, 2008

Big Brown’s Trainer Richard Dutrow Says Kentucky Derby Favorite Benefited from Expert Farrier Care Before Florida Derby


In this fun video, you can watch Big Brown gallop nimbly around the track at Gulfstream Park, winning the 2008 Florida Derby in near-record time last week while wearing glue-on shoes to help his front feet, both of which have suffered painful wall separations. What could he have done that day if he was 100 percent? Listen closely to the altered-lyrics of this familiar Jim Croce song; glue-on shoes are having their praises sung!

In an interview today with Hoofcare and Lameness Journal editor Fran Jurga, trainer Richard Dutrow shared some insights into the hoof problems that have been in the headlines lately.

If his horse Big Brown, owned by IEAH Stables Inc., can win the Florida Derby in near-record time from the outside post position with two hoof wall separations and special shoes glued on his feet, what might this horse be able to do if he was sound?

Dutrow said that when he arrived at his barn, Big Brown already had suffered one quarter crack, or wall separation, which was repaired in New York by hoof repair specialist Ian McKinlay. Later, the horse developed a second separation, in his “good” foot, after being shipped to Florida. This repair was handled by Tom Curl, a Florida-based hoof problem specialist who works with Ian McKinlay.

Among the horses on Curl’s resume are Belmont Stakes winner Touch Gold and famed leading money-earner Cigar. He also helped Afleet continue his racing career as he ran in stakes races with the first glue-on race plates back in the mid-1980s.

Dutrow consulted his calendar and said that it has been 40 days since Curl repaired the second foot. He said the first one is all but “history”, but on the second (newer) one, the problem is still visible above the glue holding on the shoe.

On his hind feet, Big Brown wears normal shoes, but with turndowns. A turndown is an exaggerated heel calk, formed by twisting the heel of the shoe toward the ground like a spike. Turndowns are not allowed in New York.

Big Brown will not be in the spotlight at Churchill Downs and Keeneland, where most of the other Kentucky Derby candidates are training.

Dutrow said that Big Brown will stay in training at Palm Meadows in Florida, almost right up until the Kentucky Derby. He will fly to Louisville on the 28th of April, according to Dutrow’s current plans. The Kentucky Derby will be run on May 3rd.

“I see no reason to move him,” Dutrow said. “He’s better off. I’m happy to get him ready right where he is. He’s happy here.”

Dutrow had nothing but praise for McKinlay, who he said has helped him with hoof repair situations before, and Curl, who is close by in Florida. He said that it was great to have experts like them to turn to. “This horse is dodging his problems,” he said. “And he’s going to keep doing that.”

Please click here to learn more about quarter cracks and see a short video from Big Brown's consulting specialist Ian McKinley of a horse with a quarter crack.

Note: Most of the information published so far on Big Brown's glue-on shoes are about their very high cost. I am not sure how or why that information was given to the racing press, or if it is correct and whether or not that price included the patching, which is an involved procedure. There are many expenses involved in treating a complex wall separaton or crack and in gluing on special shoes. What matters is what the care and shoeing and patching allowed the horse to do. I hope to have more details about the shoes to post shortly.

All HoofBlog text and images © Hoofcare Publishing 2008 unless otherwise noted.

To learn more about new research, products, and treatments for the horse's hooves and legs as reported to veterinarians and farriers in the award-winning "Hoofcare & Lameness Journal",
go to http://www.hoofcare.com

Direct “subscribe now” link to Hoofcare & Lameness Journal: http://www.hoofcare.com/subscribe.html

Contact Hoofcare Publishing anytime:
tel 978 281 3222 email bloginquiry@hoofcare.com