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The
Liphook Equine Hospital
HOOF WALL CRACKS
(GRASS CRACKS, SAND CRACKS)
What are hoof cracks?
Cracks may form in
the horse’s hoof wall, usually in a vertical direction,
and either originate from the ground surface (sometimes
called grass cracks) or, less commonly, from the coronary
band (sometimes called sand cracks). They may be complete
(from ground surface to coronary band or vice versa) or
incomplete (extending part-way up or down the hoof wall
from ground surface or coronary band). Incomplete grass
cracks seldom cause lameness unless secondarily infected
(see our handout on pus in the foot), whereas cracks involving
the coronary band often do.
What causes hoof cracks?
Grass cracks usually
occur in unbalanced and/or dry brittle feet and are predisposed
by overlong hoof walls, which can lead to traumatic injury.
Sand cracks usually
occur following traumatic injury to the coronary band or
as a result of abnormal stress at the coronary band caused
by unbalanced feet, overlong concave hoof walls or excessive
and repeated concussive stress.
How are hoof cracks
diagnosed?
Hoof wall cracks are
visibly obvious, but their significance must be determined
in terms of their extent and whether or not they involve
the coronary band or whether they have introduced hoof infection.
In lame horses, a crack
through the coronary band may be painful to palpate and
the edges may move apart when the horse bears weight, signifying
instability. The pain is caused by pinching and inflammation
of the sensitive hoof laminae at the edge of the crack.
Alternatively, a crack through the ground surface may be
associated with a localised area of pain on palpation, signifying
infection and abscess formation.
In long-standing hoof
cracks, radiographic (x-ray) examinations may reveal secondary
pedal bone damage.
How are hoof cracks
treated?
Ground surface cracks
which are not associated with lameness should be removed
or stabilised by hoof wall trimming and shoeing where necessary.
Where the crack is deep or extensive, further stabilisation
may be achieved by shoeing with toe or quarter clips either
side of the crack or, usually less successfully, by grooving
a horizontal line or lines across the end of the crack,
as deep as the crack.
Where there is a solar
abscess, this should be located, cut out and treated (see
our handout on pus in the foot) and the crack removed or
stabilised by hoof wall trimming.
Where the coronary
band is involved, the crack should be cut out along its
length to minimise pinching of the laminae and to prevent
perpetuation by overlapping edges, then stabilised using
a variety of methods depending upon the nature of the crack
and the experience and preference of the farrier:-
• For recent
and uncomplicated cracks, stabilisation may be best achieved
by wiring or lacing the crack together through horizontal
holes drilled through the hoof and then further stabilised
with fibreglass or acrylic patches stuck over the crack
and wires or laces. The foot should then be shod with a
full-bar shoe with clips.
• For long-standing
and complicated cracks, the edges of the crack should be
held apart by filling the crack with acrylic hoof repair
material and further stabilised with fibreglass or acrylic
patches stuck over the crack and wires or laces. The foot
should then be shod with a full-bar shoe with clips.
Afterwards, stable
rest is required until the crack is stabilised and healing.
The foot should be trimmed and the stabilisation re-applied
as the hoof grows (approximately 0.6 cm per month) and the
crack changes position.
How are hoof cracks
prevented?
Horses feet should
be regularly trimmed and shod at all times but especially
during times of dry weather.
Feed supplements containing
biotin and methionine may help to aid good quality hoof
growth, especially for those horses with naturally brittle
feet. Those with naturally brittle feet may also benefit
from being fed gelatine.
Caution
Always ask your veterinary
surgeon to see a lame horse or one with coronary band damage
as many different problems may cause lameness and a precise
diagnosis must be made as early as possible if the horse
is to receive the correct treatment.
Infection, if present,
must always be treated before attempting to stabilise a
hoof crack.
Coronary band damage
can often lead to unpleasant complications. Long-standing,
complicated cracks which involve the coronary band are often
difficult to repair completely and will need constant care
and supervision.
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