The relationship of frog pressure to heel expansion.

A study was carried out on five horses and four ponies to assess the effect of altering frog pressure on hoof expansion. Measurements of hoof expansion were made using strain gauges. It was concluded that whereas frog pressure affects hoof expansion, it is only one of several factors. Increasing frog pressure may result in increased expansion, or contraction, or may have virtually no affect. The variable results of changing frog pressure should be taken into account when considering therapeutic shoeing.

A technique for assessing hoof function in the horse.

This paper describes the application of foil strain gauges to the hoof wall, and the use of measuring equipment to monitor weightbearing and changes in hoof shape in shod and unshod horses. It concludes that the systems can detect hoof movement and that results are reproducible. It is also concluded that the use of a conventional nailed on iron shoe restricts flexion and spreading of the hoof wall at the ground surface, but has little effect on the degree of expansion of the heels of the foot.

Effects of warfarin on blood rheology in navicular disease.

A preliminary investigation has been undertaken of blood rheology in horses and ponies, its variation in navicular disease and the changes following treatment with warfarin. Erythrocyte flexibility, measured by a centrifuge packing technique, is higher in horses (30 per cent min-1) than in ponies (23.8 per cent min-1). There are corresponding differences in blood viscosity. The high erythrocyte flexibility in horses is caused by an unknown factor present in plasma. The erythrocyte flexibility in horses with navicular disease is even higher, at 38.5 per cent min-1. Treatment with warfarin reduces the flexibility to just below the normal value. A significant fall in plasma viscosity and erythrocyte flexibility was found after treatment of four ponies with 6 mg warfarin daily for one week.

Carotid and cerebral angiography in the horse.

Carotid and cerebral angiography has been found to be a relatively simple technique to carry out in the horse. At most it involves a cutdown approach to the carotid artery, followed by catheterisation of the artery and selective catheterisation, if necessary, of one of its three branches. The technique can be carried out with standard equipment normally available within equine hospital facilities. The authors have employed angiography as a routine aid to diagnosis over the past nine years, without encountering any serious complications or adverse reactions. Carotid angiography has been especially valuable in the investigation of horses with guttural pouch mycosis. The technique has permitted the presence of aneurysms to be detected in many cases and significant vascular abnormalities in four cases. This information is valuable for the surgical treatment of horses with guttural pouch mycosis by ligation of the appropriate artery. Other indications for the use of carotid angiography include the investigation of ethmoidal haematoma, idiopathic Horner's syndrome, neoplasia of the head, venous aneurysms and arterial aneurysms in sites not associated with the guttural pouch. There are fewer occasions for the use of cerebral angiography in the horse, but it is indicated as an aid to the differential diagnosis of some abnormalities of the central nervous system.

Insulin tolerance in laminitic ponies.

Sensitivity to insulin was assessed in ponies episodically affected with chronic laminitis by measurement of blood glucose and arterial blood pressure during insulin tolerance tests. In terms of blood glucose values, laminitic ponies were significantly less sensitive to insulin than controls. Conversely, a post-insulin decline in diastolic, systolic and mean blood pressure values was significantly greater in laminitic ponies than in controls.

A preliminary report on the use of warfarin in the treatment of navicular disease.

Twenty horses suffering from navicular disease were treated with warfarin given orally. The dosage was to effect, to give a 2 to 4 second prolongation of the one stage prothrombin time (OSPT). Dosage was initially at a rate of 0.018 mg/kg, changing the dose by amounts of 20 per cent until the required dose was achieved. Final dose rates varied from 0.012 mg/kg to 0.75 mg/kg. All the cases treated received warfarin daily throughout the trial. Seventeen of the animals became sound and the remaining 3 showed a marked improvement in their gait. The mean of the ages of the horses was 7.5 years, the mean of the periods of lameness 9 months and the mean of the time taken to recovery one treatment was commenced was 7 weeks.

Ischaemic necrosis of the navicular bone and its treatment.

In a survey of 95 control horses and 16 horses with navicular disease, the incidence of erosions and discoloration of the flexor cartilage of the navicular bone was no different between the control horses and those with navicular disease. All cases of navicular disease showed thrombosis of the distal navicular nutrient arteries and this could be related to a change to a rounded or flask shape of the distal nutrient foramen of the navicular bone. Erosions and discoloration of the navicular bone are therefore of no significance in navicular disease. Previously described lines of treatment are of little value in the treatment of navicular disease. Preliminary experience with the use of anticoagulant therapy may indicate another alternative form of treatment, but the long term results have yet to be assessed.

The arterial supply of the navicular bone and its variations in navicular disease.

Macroscopic, microscopic and radiological examinations of the navicular bones of 83 horses and ponies showed that the navicular bone in the adult horse has 2 principal routes of blood supply. One supply is present at birth, the other develops within the first 2 to 3 years of life, in response to increasing activity. The size of the nutrient foramina, as seen on radiographs, is related to the type, frequency and regularity of work done by the horse. These foramina are normally conical in shape, alteration to a circular, or mushroom-shape being evidence of occlusive vascular disease in the navicular bone. These changes are visible on a standard antero-posterior radiograph of the navicular bone. A common cause of lameness in the horse is ischaemia of the navicular bone, due to progressive arterial occlusion. Occlusion of at least 2 primary arteries, and some involvement of the compensating collateral blood supply must be present before lameness results.

Phenylbutazone and the horse--a review.

The clinical uses and side-effects of phenylbutazone in man, horses, and other animals are reviewed. The blood dyscrasias commonly described in man have not been reported in the horse, although several of the more minor side-effects have occasionally been seen (e.g. water retention, depression, transient staggering and phlebitis). Despite the lack of documented evidence, the toxicity of phenylbutazone in the horse is considered to be lower than that in man. This may be associated with the lower dose rates normally used, the more rapid plasma clearance rate and the comparatively younger age of most horses under treatment. The following guidelines for the use of phenylbutazone in practice are put toward. It should only be used under strict veterinary control and then only if there are clear clinical indications. It should not be given if there are signs of gastro-intestinal ulceration, clotting defects or any cardiac, renal or hepatic dysfunction. Dose rates should be kept to a minimum and the drug withdrawn immediately if any side-effects occur or if there is no clinical response within 4 days. If prolonged therapy is necessary, periodic haematological analyses should be carried out.

Laminitis in the horse.

Much has been written on laminitis and its treatment over the past 200 years. This article makes a brief review of the practical essentials of the disease and considers some of the recent trends in therapy. Knowledge of the pathogenesis and aetiology of equine laminitis is still very incomplete but recent work in the United States by Coffman and his colleagues has been particularly productive.

Fetal electrocardiography in the mare as a practical aid to diagnosing singleton and twin pregnancy.

Fetal electrocardiography (FECG) in the mare has been investigated by several workers (Holmes and Darke 1968, Kanagawa and others 1967). This short paper seeks to evaluate previous work, present new findings, and provide a practical technique enabling veterinary surgeons to diagnose singleton and twin pregnancies in the latter part of pregnancy.