|The Most notable change here is the terminal papillae are getting longer. These are the little finger like projections.|
In this view the terminal papillae continue to become longer and more robust. This will continue as sole depth increases. When we achieve a healthy sole depth of closer to 20 mm we should have a very prominent terminal papillae and a vascular depth of around 10 mm.
Below I am going to post a recent venogram on a chronic laminitis case. This gives something to compare to. Note the severe lack of contrast over to face of the coffin bone and below the apex of the coffin bone. Just to refresh the memory the white tree branch like things you are seeing are the arteries and veins within the hoof. In the image below there is no blood flow below the coronary band in the front (to the left). There is still slight filling of the terminal arch which is supplying the coffin bone its nutrients and is keeping it from completely dying. There is considerable bone resorption as almost 1/2 of the coffin bone is gone due to the lack of normal blood supply.
Keep checking the blog as next week I will be rechecking the Severe white line disease case that I have already posted. We will be repeating radiographs and evaluating response to the rocker rail application.
We hope everyone is enjoying the Spring.
We are in the planning stages of hosting Dr. Ric Redden of International Equine Podiatry Center of Versailles, Ky for a 2 day lecture and live demonstration on October 14 and 15. I will post the details when we get them nailed down.