I'd like to know exactly what causes hoof
wall separations. I can delineate the
obvious, the same factors sometimes cause
cracks in the hoof wall: poor farriery,
genetics, imbalance, mechanical pressure,
failure to maintain moisture equilibrium,
trauma, and pathology. But, what
triggers the phenomenon?
Why is it that two horses standing side-by-side,
full siblings and indistinguishable
in most all respects, often have feet
so different from one another that they might
as well belong to horses from different
planets? ¿Quién sabe?
We do know a little about how hoof wall
separations are formed after whatever
triggering mechanism has occurred.
The horny covering of the horse's hoof
capsule we call "hoof wall" is anatomically
analogous to a human's middle fingernail.
The hoof wall consists of three main
layers, the stratum externum, the stratum
medium and the stratum internum.
Technically, the hoof wall consists of
parallel strands of keratinized epithelial cells
that arise on the coronary corium of the
coronary band. The hoof wall has no nerves
or blood vessels. Put another way,
the hoof wall is a modified hair.
The stratum externum is the outermost layer
and serves mainly to help maintain
moisture equilibrium within the inner
layers of the wall by retaining moisture. Most
of this layer is routinely rasped off
in show horses, worn off in horses at liberty,
seemingly without ill effect.
The middle layer of hoof wall, the stratum
medium, forms the bulk of the wall. It
plays an important role in the way the
horse disperses shock and in the horse's
blood circulation.
The innermost layer of wall is called the
stratum internum. This structure provides
the means, laminae, by which the coffin
bone is attached to the hoof capsule.
For whatever of the reasons mentioned,
and goodness knows how many others,
the rows of parallel epithelial cells
in the stratum medium sometime part company.
This phenomenon is called a "wall separation."
Wall separations can have far-
reaching consequences and, if not addressed
on a timely basis, can compromise
the hoof's ability to function normally.
Wall separations can and do occur in both
shod and unshod horses, but are more often
found in barefoot horses. The most
insidious part about wall separations
is that they very seldom get better without
mechanical treatment because, once begun,
their growth is accelerated by
mechanical means. Once started,
the separation, however tiny, fills with dirt, rocks,
fecal matter, etc. Whatever the
material filling the crack, when the foot is weighted
("loaded"), the material exerts mechanical
pressure on the strands of keratinized
epithelial cells forming the wall, which
causes more tearing, allowing more dirt,
rocks, fecal matter, etc., to enter the
crack, causing more mechanical pressure,
ad nauseam.
In addition to becoming somewhat of a self-perpetuating
phenomenon, wall
separations create the anaerobic conditions
conducive to the growth and
proliferation of
the pathogens responsible for the pathology sometimes called
"White Line Disease."
Actually, this pathology does not affect the white line, it
affects only the stratum
medium of the hoof wall, and is much more accurately
described as "Hoof Wall Disease."
HWD is epidemic on the Texas Gulf.
Wall separations are most often successfully
treated mechanically by unloading
the affected area. "Unloading",
translated from farrierspeak, means that the affected
portion of the hoof wall is not allowed
to bear weight ("load") when the wall bears
weight (is "loaded").
How is this accomplished?
One unloads a portion of the hoof wall
by cutting it away until that portion of the hoof
wall affected is no longer an integral
portion of the perimeter of the ground surface of
the hoof. In other words, hoof separations
are treated by stopping their tendency to
self-perpetuation by negating the mechanical
forces which separate the strands of
epithelial cells and push them outward.
The extent of this cutting away, or debridement,
is governed by the following axiom:
"New growth follows old." Unless
all the aberrant growth is removed, all new growth
will follow the old; therefore, the wall
must be removed to a point above the separation
or the treatment will be unsuccessful.
If known, the original cause of the separation
is not addressed until after mechanical
treatment is initiated. Most
often, the affected
hoof is shod in order to better distribute
the stresses normally taken by the portion of
the wall debrided and, in the case of
extensive debridement, to maintain the structural
integrity of the hoof capsule. In
the case of small separations, especially at the
quarters, the foot is sometimes left bare
after debridement.
At times, the separation is so extensive
that the affected area of the wall cannot
be debrided without compromising the function
of the hoof capsule and the procedure
must be done in stages, with the most
affected portion of the wall usually debrided first.
