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Pressure distribution between the deep digital flexor tendon and the navicular bone, and the effect of raising the heels in vitro

Journal:Veterinary and Comparative Orthopaedics and Traumatology (VCOT)
ISSN:0932-0814
DOI:http://dx.doi.org/10.3415/VCOT-08-05-0043
Issue:2009: Issue 4 2009
Pages:278-282

Pressure distribution between the deep digital flexor tendon and the navicular bone, and the effect of raising the heels in vitro

M. P. Weaver (1), D. J. Shaw (2), G. Munaiwa (3), D. P. FitzPatrick (4), C. R. Bellenger (3)
(1) University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; (2) Royal (Dick) School of Veterinary Medicine, University of Edinburgh, Roslin, UK; (3) University College Dublin, School of Agriculture, Food Science and Veterinary Medicine, Belfield, Dublin, Ireland; (4) University College Dublin, School of Electrical, Electronic and Mechanical Engineering, Belfield, Dublin, Ireland

Summary

The objectives of this study were to topographically map pressure distribution across the palmar surface of the navicular bone in response to forces applied by the deep digital flexor tendon (DDFT), and evaluate the effect of raising the heels in vitro. A rig was constructed to hold an equine cadaver limb and apply controlled pressure to the navicular bone from the DDFT. Pressure-sensitive paper was used to quantify and map the resultant pressure. Changes in response to heel wedges (5° and 10°) were recorded. The areas subject to maximum pressure from the DDFT were: the central ridge, the paired symmetrical areas adjacent to the ridge and the distal edge of the palmar bone surface. These regions correspond to the known sites of navicular pathology. Heel wedges redistributed the pressure exerted on the palmar surface of the navicular bone, with measurements varying depending on fetlock angle and wedge angle. These in vitro results support the hypothesis that inappropriate forces exerted via the DDFT on the bone cause navicular disease. However, they throw doubt on the practice of shoeing such horses with heel wedges as the redistribution of pressure may increase the force exerted on regions predisposed to disease.

Keywords

horse, Navicular bone, pressure, heel wedges

DOI

http://dx.doi.org/10.3415/VCOT-08-05-0043

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