CASE 8- 13 year old Hanoverian mare with Acute Grade III and IV. 





Prior to presentation to Serenity Equine, the owner tried to treat the coronary band rupture following a severe Grade IV attack of laminitis. The hoof wall has pulled away from the sensitive lamina and is necrotic. This was the mare's second attack of laminitis. The first attack left her with minor distortion and prone to a more severe reaction. The mare was Hyperinsulinemic and overweight.







Day 1- Left Fore- Grade IV laminitic event. Upon presentation to Serenity Equine: an elevated cuff was applied prior to shipping. There is no attachment  of the P3 to the dorsal hoof wall. The P3 is prolapsed through the sole and this foot has the coronary band rupture. 





Day 1- Right Fore Grade II laminitic event. This foot was considered a Grade III because there was no outward pathology. Had the foot not been treated rapidly, it would have progressed to a Grade IV. There is an internal shadow of hemorrhage in the dorsal hoof wall where the P3 has pulled away from the hoofwall. The rotation is not as severe and there is adequate sole depth. We elected to continue treatment with raised heels and monthly digital realignment.







90 days Post Treatment of the Right Fore. Notice the destruction of the dorsal hoof wall lamina that can be seen in the radiograph above.







Radiograph taken prior to the 90 day trim of the Right Fore, notice the destruction around the tip of the P3 bone. Both the dorsal hoof wall and underlying sole show major trauma, but there is healthy new sole and new hoof wall forming. 






90 day shoeing of the Left Fore. This foot was subjected to surgical correction and digital realignment. Note the healthy new sole under the tip of P3 and the new hoof wall growing out.







The Left Fore at 90 days post-op showing the healing coronary band rupture







The healing coronary band rupture 30 days after the photograph above, showing the cornification of the hoof wall. Also note the new hoof wall growth. 






Six months from the time of presentation, the Left Fore has healed and can be barefoot.







Six months later, the Right Fore is comfortable being shod with a modified pitch shoe.








This photograph was taken prior to the mare's first laminitic attack.The owner reports that today the mare is happy and just as sound as before. 




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