Changes

==Introduction==

==Introduction==

The hoof is defined from a physiologic persepctive as the modified skin covering the tip of the digit and all enclosed structures. The hoof provides protection to the distal limb and is formed by keratinisation of the epithelial layer and modification of the underlying dermis. The keratin in the epidermis, when thickened and cornified, is referred to as [[Horn - Anatomy & Physiology|horn]].  Horn makes up the outer surface if the hoof and is particularly resistant to mechanical and chemical damage.

The hoof is defined from a physiologic perspective as the modified skin [[Skin - Anatomy & Physiology#Epidermis|(epidermis)]] covering the tip of the digit and all enclosed structures. The hoof provides protection to the distal limb and is formed by keratinisation of the epithelial layer and modification of the underlying dermis. The keratin in the [[Skin - Anatomy & Physiology#Epidermis|epidermis]], when thickened and cornified, is referred to as [[Horn - Anatomy & Physiology|horn]].  Horn makes up the outer surface if the hoof and is particularly resistant to mechanical and chemical damage.

 

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The origin of the hoof is as a form of protection to the distal phalanx and stems from local modifications of the [[Skin_-_Anatomy_%26_Physiology#Epidermis|epidermis]], [[/Skin_-_Anatomy_%26_Physiology#Dermis|dermis]] and subcutaneous layers. There is great variation in the shape and types of hooves across different species and this is often due to the multi-role nature of the hoof. In some species the hoof may play an important role in non-locomotion roles such as digging or being used as a weapon. The hoof also acts as a shock-absorber in that the hoof acts to reduce the concussion of foot impact on the structures of the distal limb. It has also been suggested in some species that the elastic nature of components of the hoof may aid the return of blood to the heart

The origin of the hoof is as a form of protection to the distal phalanx and stems from local modifications of the epidermis, [[Skin - Anatomy & Physiology#Dermis|dermis]] and subcutaneous layers. There is great variation in the shape and types of hooves across different species and this is often due to the multi-role nature of the hoof. In some species the hoof may play an important role in non-locomotion roles such as digging or being used as a weapon. The hoof also acts as a shock-absorber in that the hoof acts to reduce the concussion of foot impact on the structures of the distal limb. It has also been suggested in some species that the elastic nature of components of the hoof may aid the return of blood to the heart.  The following information relates primarily to the horse hoof.

==Five Segments of the Hoof==

==Five Segments of the Hoof==

===Wall===

===Wall===

The wall of the hoof is the element of the hoof that is visible. The wall of the hoof is widest at the dorsal aspect of the hoof, i.e. at the toe. The wall of the hoof decreases in width laterally and medially (around the quarters of the hoof). In most domestic species the wall of the hoof is between 5 - 10mm thick and consists of three layers. There is an '''outer layer''' of thin but dense horn that is shiny and acts to reduce evaporation from the horn and therefore prevent dehydration of the other layers of the horn. There is an '''intermediate layer''' which represents the main structure of the wall and is composed of amorphous horn reinforced with many tubular shaped horn rods. Finally there is an '''inner lamellar layer''' where there are interdigitating lamellae of horn and dermal lamellae which ensure the hoof itself is firmly anchored to the distal phalanx. The bond between the horn and the underlying dermis is a living bond that gradually allows the wall of the hoof to slide in a distal direction towards the ground where the distal border is worn away via contact with the ground.

The wall of the hoof is the element of the hoof that is visible. The wall forms the medial, lateral and dorsal aspect of the hoof and it can be further divided into the toe, quarters and heels. At the heel the walls reflect back on themselves at a point called the angles and in doing so forms the bars. The bars, although moving cranially, gradually fade along the edge of the frog and never actually meet.

The wall of the hoof is widest at the distal aspect of the hoof, i.e. at the toe. The wall of the hoof decreases in width laterally and medially (around the quarters of the hoof). In most domestic species the wall of the hoof is between 5 - 10mm thick and consists of three layers. There is an outer layer of thin but dense horn that is shiny and acts to reduce evaporation from the horn and therefore prevent dehydration of the other layers of the horn – the periople. There is an intermediate layer which represents the main structure of the wall and is composed of amorphous horn reinforced with many tubular shaped horn rods. Finally, there is an inner laminar layer where there are interdigitating laminae of horn and dermal laminae which ensure the hoof itself is firmly anchored to the distal phalanx. The bond between the horn and the underlying dermis is a living bond that gradually allows the wall of the hoof to slide in a distal direction towards the ground where the distal border is worn away via contact with the ground. Attached by the subcutis to the periosteum of the distal phalanx, the laminar corium suspends the entire weight of the animal by the distal phalanx within the hoof capsule via microscopic interdigitations with the epidermal laminae of the hoof wall.  Damage to the vasculature of the laminar corium can result in compromises in the integrity of the interdigitations.

 

 

 

 

===Periople===

===Periople===

The periople is a small band of soft tissue found over the proximal surface of the wall of the hoof. The periople represents the junction between the wall and the skin of the limb. The periople is responsible for the production of the outer layer of the wall (above). The periople segment extends around the proximal edge of the wall and in horses covers the bulb of the heel and part of the frog. In ruminants is forms part of the join between both hooves of the foot.

The periople is a small band of soft tissue found over the proximal surface of the wall of the hoof. The periople represents the junction between the wall and the skin of the limb. The periople is responsible for the production of the outer layer of the wall (above). The periople segment extends around the proximal edge of the wall and in horses covers the bulb of the heel and part of the frog. In ruminants it forms part of the join between both hooves of the foot.  The perioplic corium, proximal to the coronary band and continuous with the skin, it produces the thin, shiny layer (stratum externa) of the hoof wall.

===Coronary Dermis Segment===

 

 

===Coronary Segment===

The wall of the hoof is created at the coronary dermis and grows in a distal direction from the coronary dermis. The coronary dermis is studded with many papillae which are directed towards the ground in the direction of growth. The epidermis covering these papillae produce horn tubules which are embedded into amorphous inter-tubular horn. This inter-tubular horn is created by the spaces between the papillae within the coronary dermis. The combination of both of these horn types ensures the horn has sufficient strength.

The wall of the hoof is created at the coronary dermis and grows in a distal direction from the coronary dermis. The coronary dermis is studded with many papillae which are directed towards the ground in the direction of growth. The epidermis covering these papillae produce horn tubules which are embedded into amorphous inter-tubular horn. This inter-tubular horn is created by the spaces between the papillae within the coronary dermis. The combination of both of these horn types ensures the horn has sufficient strength.

The pigmentation of the hoof is derived from melanocytes found in the coronary epidermis. Any pigmentation in the hoof will be most pronounced in the outer part of the hoof wall as the deeper layers of the hoof usually contain fewer melanocytes. It is this unpigmented element of the hoof that forms the 'white line' in the sole of hoofs and is particularly important in horses as a landmark for shoeing.

The pigmentation of the hoof is derived from melanocytes found in the coronary epidermis. Any pigmentation in the hoof will be most pronounced in the outer part of the hoof wall as the deeper layers of the hoof usually contain fewer melanocytes. It is this unpigmented element of the hoof that forms the 'white line' in the sole of hoofs and is particularly important in horses as a landmark for shoeing.

===Sole Segment===

===Sole Segment===

The sole represents the part of the foot in contact with the ground and its composition differs between species. The keratin found in the sole is formed from the epidermis on the underside of the third phalanx and can grow to a thickness of around 10mm in domestic species. The keratin found on the sole is much more easily worn down or abraded than that of the wall of the hoof. The equine sole has a central frog structure whilst ruminants and pigs have a bulb structure to the sole.

The sole represents the part of the foot in contact with the ground and its composition differs between species. The keratin found in the sole is formed from the epidermis on the underside of the third phalanx and can grow to a thickness of around 10mm in domestic species. The keratin found on the sole is much more easily worn down or abraded than that of the wall of the hoof. The equine sole has a central frog structure whilst ruminants and pigs have a bulb structure to the sole.

===Frog-Bulb Segment===

===Frog-Bulb Segment===

==Structure and Function==

==Deeper structures of the foot==

===Equine Hoof===

===Ungual (collateral) cartilages===

<font color ="red">The horny material encasing the distal phalanx is known as the '''hoof'''. It is continuous with the skin at the coronary region. The hoof can be divided into three topographical regions; the '''wall''', the '''frog''' and the '''sole'''. The '''wall''' forms the medial, lateral and dorsal aspect of the hoof. It can be further divided into the '''toe''', '''quarters''' and '''heels'''. At the heel the walls reflect back on themselves at a point called the '''angles''' and in doing so forms the '''bars'''. The bars fade out before they meet cranially. The '''frog''' sits between the bars and has an apex facing dorsally, with 2 crura flanking a central sulcus. Between the crus and bar of each half lies the '''collateral sulcus'''. Opposite the apex the frog expands forming the '''bulbs of the heel'''. The '''sole''' is the area dorsal to the bars and apex of the frog enclosed by the hoof wall. The area where the bars and wall enclose it is known as the '''angle of the sole'''.  

The ungual cartilages are extensions of the [[Phalanges_-_Horse_Anatomy#Distal_Phalanx|distal phalanx]] (Plll) that extend caudally and dorsally from the medial and lateral margins of the [[Phalanges_-_Horse_Anatomy#Distal_Phalanx|distal phalanx]], curving inwards towards each other in the heel region. The cartilages extend just beyond the confines of the hoof capsule making them palpable just above the coronary band at the lateral and medial edges of the foot. The ungual cartilages can ossify resulting in ‘side bones’ which have the potential for fracturing. The cartilages can also become infected resulting in the condition known as ‘quittor’.  

 

The cartilages are securely attached to the other internal structures of the foot by a series of ligaments that extend from the medial and lateral cartilages to the distal and middle phalanx, the [[Phalanges_-_Horse_Anatomy#Distal_Sesamoid_.28Navicular.29_Bone|distal sesamoid bone (navicular)]], and the digital cushion.

The dermis of the distal phalanx is arranged in hundreds of leaves or '''laminae''', which have microscopic '''secondary laminae'''. The coronary region has a germinative layer associated with papillae that is responsible for producing the horn tubules that make up the hoof wall. This wall glides distally at a rate of 5-6mm a month and by forming epidermal laminae itself it interdigitates with the underlying dermal laminae. Neither of these laminae are pigmented so when the epidermal laminae appear on the solar surface, a non-pigmented region known as the '''white line''' appears. The white line is used as important landmark in farriery as structures central to the line will be dermal and so vascular and sensitive. The dermis in the frog is also arranged in papillae and produces incompletely keratinised flexuous horn tubules resulting in a soft, elastic horn. The hypodermis of the region of the frog forms the '''digital cushion'''. This lies between the ungual cartilages and is collagenous, elastic tissue infiltrated by adipose tissue. At the bulbs of the heel it is subcutaneous and is soft and loose in texture. The sole area also has papillae that produces superficially flakey horn. The coronary part of the wall is surrounded by a bony prominence called the '''periople'''. This soft, lightly coloured area is restricted to this proximal area and is produced by the germative layer covering the papillae. The rest of the hoof is covered by the '''tectorial layer''', this is a very thin layer of horn that is covered distally by the growth of the horn.

 

[[File:Lateral view hoof internal structures.jpg|thumb|Internal hoof structures]]

 

A well-trimmed foot should weight bear on its walls, bars and frog. This occurs as the weight applied to the distal phalanx is then transferred across the interdigitating laminae to the hoof wall. Thus an injury resulting in damage to the laminae is of extreme importance to the horse.

===Collateral ligaments.===

The distal interphalangeal joint is enclosed within the hoof capsule.  It is stabilised by the medial and lateral collateral ligaments which form part of the joint capsule, connecting the distal end of Pll with the proximal edge of the [[Phalanges_-_Horse_Anatomy#Distal_Phalanx|distal phalanx]].

The epidermis of the horny hoof is termed the '''coronary epidermis'''.  Its surface has a plantar aspect and newly formed hoof grows distally towards the plantar surface of the structure.  Hoof wall is generally 5 - 10 mm in thickness and consists of 3 layers:

 

* A thin outer layer or "'''wall'''" of shiny, dense horn, which effectively seals the hoof against dehydration and penetration.

[[File:Oblique view.jpg|thumb|Internal hoof structures]]

* A thicker, intermediate layer of '''amorphorous''' horn, interspersed with '''tubular horn''' which provides reinforcement.  This layer makes up the bulk of the hoof.

* An inner, lamellar layer, where epidermis and dermis interdigitate, anchoring the dead portion of the hoof to the living surface of the third phalanx.

[[image: X-section through hoof.jpg|thumb|200px|right|A X-section through a typical hoof.  ©Rachael Wallace2008]]

The annular ligament has its origins on the medial and lateral surfaces of distal Pl. It is the most superficial structure in the region, lying just beneath the skin and fusing with the [[Tendons_-_Horse_Anatomy#Flexorsdeep|digital flexor tendon]] where it enters the hoof capsule. Once inside the hoof the annular ligament merges with the fibrous attachments of the ungual cartilages and digital cushion, and continues with the [[Tendons_-_Horse_Anatomy#Flexorsdeep|digital flexor tendon]] down to its insertion onto the [[Phalanges_-_Horse_Anatomy#Distal_Phalanx|distal phalanx]].

The pigmentation in the outer layer of hooves is derived from melanocytes in the coronary epidermis.  Deeper layers contain little melanin and therefore appear lightly coloured or white.  The unpigmented layer of keratin forms a '''white line''' on the sole of the hoof, which delineates the sole from the wall when the solar surface is viewed.

The [[Phalanges_-_Horse_Anatomy#Distal_Sesamoid_.28Navicular.29_Bone|distal sesamoid bone (navicular)]] lies between the middle and distal phalanges and the deep digital flexor tendon.  Associated with it is a fluid-filled sac that reduces friction between the bone and the [[Tendons_-_Horse_Anatomy#Flexorsdeep|digital flexor tendon]] that lies over the top of it— the navicular bursa.  Inflammation in the region is involved in navicular disease which is a common cause of lameness.  

The keratin in the sole is formed by the epidermis of the plantar aspect of the third phalanx and reaches a maximum thickness of 1 cm.  It is less resistant to abrasion than that of the outer layer of the hoof.  The central '''frog''' of the sole of a horse is located between the sharply inflected '''bars''' of the wall and is softer and less rigid than the keratin of the wall of the hoof. Its elasticity is particulary important in the horse as pressure on the frog changes the angle of the walls when the horse stands on that foot.  The change in angle, termed the '''hoof mechanism''' increases the blood circulation in the hoof, increasing the supply of nutrients to the coronary epidermis.  This is closely correlated to hoof wall quality.

The digital cushion is the internal tissue deep to the frog.  It lies between the ungual cartilages and is comprised of collagenous, elastic tissue infiltrated by adipose tissue. At the bulbs of the heel, it is subcutaneous and is soft and loose in texture. It has connection with the digital annular ligament and, at the apex to the deep digital flexor tendon at its point of insertion on the distal phalanx. It acts as one of the major shock absorbers of the foot.  When the limb is weight bearing, the increase in pressure and change in shape of the digital cushion and the frog compress the veins in the foot aiding venous return.  

A band of soft, pliable horn termed the '''periople''' (analagous with the cuticle of human nails) lies over the proximal outer surface of the wall. This band widens at the back of the hoof to also cover the '''bulbs of the heels''' and part of the '''frog'''.

The main vessels supplying the digit in the forelimb are the medial and lateral palmar digital aa, both of which arise from the median a.  In the digit of the hind limb the medial and lateral digital aa. are a continuation of the metatarsal a. and are also contributed to by the medial and lateral plantar aa. which branch from the sapheneous a.

The digital arteries give rise to numerous branches forming rich networks for the vascular tissues. Many anastomoses occur. The terminal branches of the main vessels finally enter a bony canal in the distal phalanx. Venous drainage is similar with the most distal vessels being the medial and lateral palmar/plantar digital veins. The compressive action of the hoof on the soft tissues within during locomotion generates an important function promoting venous return.  

For further detail see the [[Equine Phalanges - Anatomy & Physiology|equine phalanges]] page.

Loss of perfusion to the lamella vessels, circumflex vessels, and terminal arch indicates a poor prognosis without aggressive therapy.

===Ruminant Hoof===

===Microcirculation in the dermal laminae===

Although the hooves of these species resemble the equine hoof, they differ in several ways:

The digit of the forelimb is innervated by the medial and lateral digital nerves. The medial digital n. is a continuation of the median n. and the lateral digital n. is derived from both median and ulnar nerves. These run on the palmar aspect of the digit in close proximity to the main arteries and veins. They give rise to several dorsal branches which supply dorsally located areas.

The pelvic limb digit is innervated on the dorsal aspect by the common digital nn.  Derived from the fibular n.  The plantar aspect is innervated by the medial and lateral digital nn which originate from the tibial n. 

* The wall is bent to form a dorsal border

In addition to their normal importance in supplying innervation to the sensitive tissues of the equine digit these nerves are also of considerable clinical importance as they are utilized for the procedure termed diagnostic nerve blocks.

* The bulb of the heel covers the entire caudal surface of the hoof and most of the plantar surface, leaving a small area of sole visible

* The interdigitating lamellae are smaller and less well developed.

The horn of the hoof generally grows at a rate of 5 mm per month, and in cattle allowed to move freely, growth should equal wear. In intensively kept cattle, growth exceeds wear, and foot trimming is required to maintain optimal shape and angle. The optimal angle of the toe from the ground is 50 degrees.

The hooves of the main digits curve medially towards each other. The lateral digit carries more weight than the medial digit, and is larger. On the abaxial wall, the distal border makes contact with the ground along its entire length, whereas, on the axial wall, only does so toward the toe.  The thickness of the wall increases towards the apex and the plantar surface. The horn of the hoof generally grows at a rate of 5 mm per month, and in cattle allowed to move freely, growth should equal wear. In intensively kept cattle, growth exceeds wear, and foot trimming is required to maintain optimal shape and angle. The optimal angle of the toe from the ground is 50 degrees. Where horn overgrowth occurs, the coffin joint is gradually overextended and the deep flexor tendon tensed. This results in greater weight being placed over the caudal part of the hoof and can cause pain and lameness.

'''Dewclaws''' are present in most ruminants but do not make contact with the ground. They consist of wall and bulb and have no practical importance.  

For further detail see the [[Bovine Lower Limb - Anatomy & Physiology|bovine lower limb]] page.

See the [[Bovine Lower Limb - Anatomy & Physiology|bovine lower limb]] for further detail.

===Porcine Hoof===

===Porcine Hoof===

The hooves of pigs are principally similar to those of ruminants, however the wall is straight, not bent medially at the toe, and have a soft bulb that is well distanced from the wall and sole. The hooves of the accessory digits are of the same structure as the principal digits, but only bear weight on soft ground.

The hooves of pigs are principally similar to those of ruminants, however the wall is straight, not bent medially at the toe, and they have a soft bulb that is well distanced from the wall and sole. The hooves of the accessory digits are of the same structure as the principal digits, but only bear weight on soft ground.

Hoof trimming in pigs is rarely required due to the short lifespan of the farmed pig.

Hoof trimming in pigs is rarely required due to the short lifespan of the farmed pig.

 

{{Learning

{{Learning

|flashcards = [[Hoof flashcards - Anatomy & Physiology|Hoof Flashcards]]

|flashcards = [[Hoof flashcards - Anatomy & Physiology|Hoof Flashcards]]

|full text = [http://www.cabi.org/cabdirect/FullTextPDF/2005/20053192986.pdf ''' The growth and adaptive capabilities of the hoof wall and sole: functional changes in response to stress.''' Bowker, R. M.; American Association of Equine Practitioners (AAEP), Lexington, USA, Proceedings of the 49th Annual Convention of the American Association of Equine Practitioners, New Orleans, Louisiana, USA, 21-25 November 2003, 2003, pp 146-168, 32 ref.]<br>[http://www.cabi.org/cabdirect/FullTextPDF/2005/20053192988.pdf  '''Contrasting structural morphologies of "good" and "bad" footed horses.''' Bowker, R. M.; American Association of Equine Practitioners (AAEP), Lexington, USA, Proceedings of the 49th Annual Convention of the American Association of Equine Practitioners, New Orleans, Louisiana, USA, 21-25 November 2003, 2003, pp 186-209, 73 ref.]

|full text = [http://www.cabi.org/cabdirect/FullTextPDF/2005/20053192986.pdf ''' The growth and adaptive capabilities of the hoof wall and sole: functional changes in response to stress.''' Bowker, R. M.; American Association of Equine Practitioners (AAEP), Lexington, USA, Proceedings of the 49th Annual Convention of the American Association of Equine Practitioners, New Orleans, Louisiana, USA, 21-25 November 2003, 2003, pp 146-168, 32 ref.]<br>[http://www.cabi.org/cabdirect/FullTextPDF/2005/20053192988.pdf  '''Contrasting structural morphologies of "good" and "bad" footed horses.''' Bowker, R. M.; American Association of Equine Practitioners (AAEP), Lexington, USA, Proceedings of the 49th Annual Convention of the American Association of Equine Practitioners, New Orleans, Louisiana, USA, 21-25 November 2003, 2003, pp 186-209, 73 ref.]

}}

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