Medial displacement followed by quarter crack

Discussion in 'Shoeing Horses with Lameness Issues' started by scruggs1, Jan 14, 2013.

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    Justin Decker Active Member

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    Do you have any proof? There is no such thing as everyone or all of them in horseshoeing.

    How does a foot with a generally compromised blood supply grow 3 times faster? I've found they usually grow a little slower in certain areas until you get things lined out.

    What is a normal foot?
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    Justin Decker Active Member

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    Because you keep beating the same dead horse about the x-rays, he told you he had requested them but did not have them at this time.
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    Mr. Perry Active Member

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    Loaded up one that had minumal displacement. I can load up about a hundred with different severities. Scruggs has shown what to LOOK FOR when circumstances negate rads. Some people have to be "hand held"!:confused:
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    Eric Russell Active Member

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    Maybe not in your world but in my world the front have of the hoof capsule holds p3 off the ground. If 2/3 of it are compromised, that's a problem.
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    Mr. Perry Active Member

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    In my world the toe just gets in the way. The caudual potrion of the foot is the business end. Where is most lamness diagnosied in the foot? ooppps! My bad:confused:
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    Eric Russell Active Member

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    Probably explains why you have so much lameness in your business.

    I didn't go on fact checker or anything but I'd be willing to bet most diagnosed lameness is at the toe or by a nail.
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    Tom Bloomer Well-Known Member

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    Just some food for thought. This is where I wound up with a stable baseline after chasing the foot around for 3 or 4 cycles. She is a high $$$$$ dumblood half breed crossed with one of these . . . [IMG]
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    scruggs1 Active Member

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    What do you mean by this?



    The medial toe is where the displacement is according to the white line. If I fit the dorsal wall there instead of cheating it, I would be placing shoe beyond where the foot would be if it's laminae were not compromised...essentially fitting a flare...and adding more leverage over an area that is already suffering.

    So are you saying you fit the toe in laminitic cases? I guess I don't follow you here.
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    scruggs1 Active Member

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    This one has a bit of that as well. :)
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    Tom Bloomer Well-Known Member

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    Maybe it is difference in terminology?

    I think of caudal foot "syndrome" as something that is undiagnosed = root cause undetermined. Getting a definitive diagnosis may involve greater expense - MRI ain't cheap.

    Lameness in the toe is easier to diagnose definitively due to having fewer variables that are easier (and cheaper) to isolate and check in the field with rads, nerve blocks, and hoof testers.
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    Tom Bloomer Well-Known Member

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    Is her name "Rosie?" LOL!
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    Eric Russell Active Member

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    I think it comes down to dressing as much wall as we can without completely compromising the integrity. You can always modify the shoe to reduce leverage while also utilizing the wall for support.



    Yes and No. Leverage and fit are two separate things.

    I think you can take a messed up foot and set the shoe back and make good progress. Depending on the foot and what's going on I think the good process will stop after awhile and you will need to use the wall to make further process.

    In the foot you've shown I believe setting the shoe back adds extra stress to the compromised medial toe quarter. I would expect the foot to settle, most likely right in the medial quarter where it's already compromised.
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    scruggs1 Active Member

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    photo copy 4 cropped.jpg

    This wall was dressed then rounded at the toe. You think that was over done to the point of compromising the integrity?

    Agreed. Any attachment (shoe) and subsequent modification thereof changes the vectors in the foot.

    This was my goal here.

    What specifically do you see that gives you this opinion? I didn't think I over dressed the wall or set the shoe back too far...not saying I disagree with your line of thinking, I just don't see that being the case on this foot...but I might be wrong.
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    Eric Russell Active Member

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    Let me clarify, I've mainly been concentrating on the medial toe quarter fit. I responded to your question about setting shoes back off the toe and I believe it's the same principle as the toe quarter but it wasn't really what I was focusing on.



    The first solar pic of post #1 shows the medial wall dress fairly thin.

    Then you go onto say:

    I think thinning the wall and cheating the medial toe set that area of the foot up for failure.
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    scruggs1 Active Member

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    I removed as much flare as I felt confident to take...dressing is flare is thinning the wall, is it not? Fit the shoe to where I thought it would have the best mechanical advantage for the compromised foot. Rounded the toe off instead of dressing it down further to leave mass of wall.

    I guess time will tell if this protocol set this foot up for failure. I don't think so...but that is my opinion.

    I'll keep posting the pics; good, bad, or indifferent.
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    Justin Decker Active Member

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    ImageUploadedByTapatalk1358354894.242121.jpg
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    Eric Russell Active Member

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    david a hall Moderator

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    I have to go and drink beer tonight, so quickly I will explain. If trimming wont allow then I alter the shoe to mirror the desire of the foot.If you start with a pieace of 7/8/7 /16 or 12 mm for the medial heel (a half heart bar would be good) down to 6mm medial toe 3mm lateral toe and 9mm lateral heel.
    P3 in this capsule is like a lemon on a squeezer. The Palmer angle has a wide range between upper and lower movement (palmer angle should be viewed in its dynamic state not static) and with the torsion of P3 inside the capsule the range of movement of the palmer angle is different between medial and lateral wing of P3. This is to do with the center of mass having a wide abaxial movement (Body role) with the ginglimus joint holding the lower bone colunm rigid, the capsule deforms beyond its elastic capabilities. Laminal interdigitation is compremised, quater crack etc.
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    chris bunting Well-Known Member

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    how would you dress the foot ?
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    gary evans old and slow

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    Dave is preoccupied in his local hostelry at the moment, but he says that he would trim it level.
    :)

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