Xray fun

I think its an excellent thread and good on you Kim for posting it, going to the effort of having it x-rayed to try and match up external views with internal pathology. if we all tried to learn like that then our basic knowledge would be improved on a daily basis.
with better understanding of the clinical signs then a better shoeing rationale can be adopted the better the biomech consequences of what we do is understood.
As for the x-rays in post one, P3 seems to of compressed the sole and lead interuption to the circumflex region and to some form of traumatic chronic laminitic (usually in conjunction with concussive related conditions or as a direct consequence of concussion) this probly would be backed up with the distal fringe micro fractures that Kim has high lighted, and fit with previous clinical history.
As for how to shoe it some form of caudal support such as a heart bar shoe with good seating out with a possitive frog pressure and in conjunction with a caudal sole pack or impression material to relieve some of the peripheal loading. while there will be other views on shoeing rational what I try to do is take the pathology and suggest to the vet who is taking the x-ray what each ancillary feature of the shoe or modern material choice will help ameliorate the seat of pain. You wont cure it.
But I might be wrong and welcome all other diognosis and views.