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NORTHEAST ASSOCIATION of EQUINE PRACTIONERS Summer THE CLINICIAN SUMMER 2018 NORTHEAST ASSOCIATION OF EQUINE PRACTIONERS PRINCIPLES OF HORSE SHOEING LOWER RESPIRATORY TRACT HEALTH… EQUINE GASTRIC ULCER SYNDROME (1ST ARTICLE) PREVENTING AND MANAGING OUTBREAKS… MANAGING DYSTOCIA AND PREGNANCY…. MAKING REHAB REAL…. IMAGING THE AXIAL SKELETON ENHANCING YOUR RADIOGRAPHIC TECHNIQUE OTHER LESSONS LEARNED - IS SCINTIGRAPHY STILL ALIVE? Summer 2018 www.the neap.com The Clinician 1 for the Welcome Reception to celebrate the opening of the 10th Annual NEAEP Symposium “From Our Practice to Yours” Wednesday September 26th, 2018 beginning at 7:00 pm at the National Museum of Racing and Hall of Fame 191 Union Ave, Saratoga Springs NY 12866 (Shuttle transportation will be provided from the Holiday Inn) THE CLINICIAN SUMMER 2018 Volume 8, Number 2 Summer 2018 2018 Executive Committee Board Of Directors Veterinary Industry Council Rep Carli Progin MS President Sarah Cohen, DVM Territory Manager, Travis Blackwelder DVM MS Miller and Associates Boehringer Ingelheim Animal Health Statesville Equine Clinic Ronald B. Gaeta, DVM Vice President Dunbarton Equine Executive Director/CEO Raul J. Bras DVM, CJF, APF David G. Dawson Michele MacRae Podiatry Department Rood and Riddle Michele MacRae Farrier Services Equine Hospital Stuart Muir, CJF Treasurer Podiatry Department Rood & Riddle Jim Zeliff, DVM Equine Hospital Allegheny Equine Associates Christopher Penola, APF Past-President Robert Causey, DVM, Ph.D. Christopher Penola Farrier Services Department of Animal and Gregory S. Staller, DVM VeterinarySciences Running ‘S’ Equine Veterinary Services University of Maine contents 6 Principles Of Horse Shoeing 12 Lower Respiratory Tract Health 16 Equine Gastric Ulcer Syndrome (1St Article) 20 Preventing And Managing Outbreaks 30 Managing Dystocia And Pregnancy 34 Making Rehab Real 36 Imaging The Axial Skeleton 39 Enhancing Your Radiographic Technique 42 Other Lessons Learned - Is Scintigraphy Still Alive? The Clinician 3 THE CLINICIAN SUMMER 2018 President’s Letter Dear Friends, It is my pleasure to be able to invite you to join us in Saratoga Springs, NY in September for our 10th Annual Symposium - From Our Practice to Yours. Having recently toured the town of Saratoga Springs and the facilities we will be utilizing, I can say with complete confidence that you will not be disappointed! Saratoga Springs is a beautiful place to visit, and the variety of restaurants, spas and shopping is astounding for a small town. The downtown is vivid, and is quite walkable from the hotels in the area, and just a short cab ride from the outlying hotels. Please consider booking an extra day to enjoy the town and all of its amenities. The Program Committee Chairs have assembled an all star line up of speakers from around the world to provide only the highest quality of continuing education available in both the classroom and wet lab settings. New this year we will be offering daily combined sessions to allow veterinarians and farriers to exchange ideas and information on certain topics, as well as various engaging topics specific to our lameness, podiatry, internal medicine and reproduction programs. I look forward to welcoming you to the Annual Symposium in person at our Welcome Reception at the National Museum of Racing and Hall of Fame. The board and myself are incredibly excited for this year’s Symposium and we hope you are too! See you in September, Dr. Travis Blackwelder President The Clinician 4 WE BELIEVE GREATNESS NEVER RESTS, AND ‘GOOD ENOUGH’ IS NOT AN OPTION. FROM COMPETITION HORSES TO TRAIL COMPANIONS TO THE PEOPLE WHO CARE FOR THEM, EVERY MOMENT IS AN OPPORTUNITY. THAT’S WHY WE DELIVER ONLY EXCELLENCE IN EQUINE HEALTH SOLUTIONS AND SUPPORT. BECAUSE A HORSE DESERVES NOTHING LESS. WE DON’T BELIEVE IN LIMITS. WE BELIEVE IN ELIMINATING OBSTACLES AND UNBRIDLING POTENTIAL. Visit unbridleyourpotential.com By Merial By Merial By Boehringer Ingelheim By Boehringer Ingelheim Merial is now part of Boehringer Ingelheim. Prascend and Vetera are registered trademarks of Boehringer Ingelheim Vetmedica GmbH. Gastrogard and Ulcergard are UNBRIDLE YOUR POTENTIAL registered trademarks of Merial. ©2017 Boehringer Ingelheimi Vetmedica,a Inc. EQU-0332-GEN1117 l. Potent THE CLINICIAN SUMMER 2018 NEAEP Principles of Horse Shoeing - Doug Butler My Experience with Horse Foot Balance ©2017 Doug Butler PhD, CJF, FWCF Butler Professional Farrier School All competent farriers can recognize balance or lack thereof in This is different for each gait. Using a force plate, Bartel and the horse’s foot. It has been my experience in 50 years of teaching Schryver (1978) showed that the foot lands toe first at the walk, flat that those persons who say balance is controversial or subjective at the trot, and heel first at the gallop. Functional balance is have not spent the time to study and/or had enough farrier considered important in performance and speed horses when a experience to understand balance. Seeing and achieving balance is a conformation defect causes limb interference or lameness. Lung- right brain activity learned by experience until it almost becomes witz (1884 – translated in 1898) showed the relationship between subconscious. conformation and gait. Balance as applied to farrier work is defined as equal weight or The three-dimensional views of the feet standing and in force distribution around the center of gravity of the horse’s limb. motion were first recognized by Goubaux and Barrier (1884 – Balance is three-dimensional. In the ideal horse, the center of gravity translated in 1892). Muybridge (1887) published photographs of the foot and the limb above it are identical. However, ideal horses showing the sequence of horse movement in two-dimensions, but exist only to compare to and describe those who are not. it wasn’t until recently that the movements of the foot were filmed, Balance implies equilibrium. The horse’s foot functions as an described and named by Fredrickson and Drevemo (1972). equalizer of the three-dimensional weight bearing forces exerted I, Butler (1992), used these three-dimensional views to describe between the horse and the ground. The laminae transfer vertical balance in my FWCF Thesis. forces to horizontal forces on the coffin bone (third phalanx). X-Balance. When the foot is viewed from in front (or the rear When the forces are not uniform, the blood supply is compromised when the foot is picked up), the center of gravity or plumb line of and remodeling of the bone according to Wolff’s Law (1898) and the limb of the ideal that we compare others to drops from the hoof distortion result. point of the shoulder to bisect the extensor process of coffin bone Balancing involves trimming the hoof and fitting the shoe. (the distal phalanx) and hoof base. When viewed from the rear, the Perfect balance is rarely achieved, but the closer we get to it the plumb line drops from the point of the buttocks bisecting the hoof better chance we have for maximizing performance and sustaining base. The axis of the pastern is perpendicular to the base of the soundness in the horse. coffin bone. This view is referred to as medial-lateral or X-balance. The sides of the hoof may need to be dressed (shaped with a rasp) There are two aspects to balance: to be made parallel to the sides of the coffin bone. 1. Geometric, or static balance, refers to plumb lines positioned Y-Balance. When the foot is viewed from the hoof bottom (or on limbs in the standing position. Consideration of geometric from above), the plumb line is identified by a point about 3/8 to ¾ balance only is sufficient for most sound horses. The joints of the inch (1 centimeter) behind the point of the trimmed frog. This lower leg are designed to accommodate uneven ground surfaces point is often called Duckett’s Dot (1990). It is directly below the and minor conformation defects. Function follows form. Therefore, center of the attachments of the extensor and flexor tendons on the geometric balance should always be considered first. coffin bone. A plumb line representing the center of gravity of the It may be all that is necessary on most horses. limb passes through this point. Farriers find this point useful in 2. Functional, or dynamic balance, refers to limb movement dressing and symmetrically shaping a distorted hoof and judging and foot placement on the ground. the fit of a shoe. This view is referred to as hoof form or Ybalance. 6 www.theneaep.com 585-205-5122 Principles of Horse Shoeing - Doug Butler From Our Practice to Yours My Experience with Horse Foot Balance ©2017 Doug Butler PhD, CJF, FWCF Butler Professional Farrier School 10th Annual NEAEP Symposium September 26th - 29th 2018 MEET THE SPEAKERS DISCOVER SARATOGA REGISTER TODAY! THE CLINICIAN SUMMER 2018 Ideally, more hoof base should be behind the dot than in front Balance is influenced by many things. First and foremost is of it. limb conformation. Nutrition, condition of the teeth, ability and Z-Balance. When the foot is viewed from the side, the center position of the rider, soreness, draft, speed, weight and configura- of gravity or plumb line drops from the center of the scapula tion of the shoe, can all affect balance. through the joint space behind the extensor process and bisects the Each time a horse is trimmed and shod, the farrier should feel hoof base. The center of the scapula is the mid-point of suspension challenged to come closer to the ideal stance and gait for that of the front limb by the serratus ventralis muscle. In the hind limb, particular animal. At the same time, the farrier must the place the the plumb line drops from the center of the hip joint (acetabulum) minimum amount of stress on the limb. The object is to sustain bisecting the hoof base.
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