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  1. #1
    Join Date
    Dec. 9, 2005
    Location
    North East, MD
    Posts
    4,356

    Default Keratoma?

    Here are pics of a hoof I trimmed today. Elderly pony, probably has Cushings (untreated). Odd growth inside the wall at the toe on his RH. I think it is a keratoma, but I've never seen pics and figured that people here have either seen one or know what one looks like.

    I took a side view pre trim. The opposite hind had normal angles, even though he's overdue for a trim. The next shot is after cleaning with a hoof pic, and it shows a cylinder of tissue poking beyond the sole to the height of the wall. Third shot is after the first couple of nipper cuts to show the tumor/growth. The fourth is of the hoof, not quite finished, but at least more normal. The last shot is how it looked after I'd taken the hoof down more to give him a better angle. Sorry they aren't in better focus. I've got vertigo today and my hands were shaking. Ugh.

    Please note that the trim shown isn't final. I got him close, then did the other feet and came back to finish after he'd had a chance to get used to it. He was standing more comfortably by the finish--he has a tendency to stand with that foot forward. This is the second time I've trimmed this pony, so I was prepared with my camera.
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    Last edited by matryoshka; Aug. 3, 2009 at 04:55 PM. Reason: Subject/Verb agreement. Ugh!



  2. #2
    Join Date
    Sep. 25, 2005
    Location
    The Land of the Frozen
    Posts
    13,787

    Default

    Overdue for a trim is the understatement of the year. Yikes.

    If it were me, I'd want a vet opinion, but you're a lot more experienced than I am.



  3. #3
    Join Date
    Dec. 9, 2005
    Location
    North East, MD
    Posts
    4,356

    Default

    Not experienced with this. I don't think a vet will be consulted. Pony is ancient and has bigger problems than this hoof. I'm sharing for my own edification and for others who may be interested in learning. I figure somebody here has seen one. Heck, there's probably nothing new on COTH. But it is new to me.

    I didn't say how long overdue he was. It is partly my fault, since she called a couple of months ago. The message got lost. Unfortunately, people have to be persistent with me.



  4. #4
    Join Date
    Jun. 17, 2000
    Location
    Durham/Chapel Hill nc
    Posts
    3,775

    Default

    Interesting! One of mine has a keratoma, found by my farrier, confirmed by my vet school. Hers presents as a black ring in the sole - almost like a very regular blown abscess outlined in black.
    Xrays showed a conelike keratinous structure up inside the hoof, but nothing visible to the eye. She is sound on it, vet school advised me that while they could remove it, it would take quite a while of keeping the feet completely clean while it grew out, so we are going with monitoring and benign neglect.

    Hmm. Would keratomas be at all related to melanomas? Keratoma pony had a lovely half brother, also grey, who got malignant melanoma last year.



  5. #5
    Join Date
    Feb. 18, 2006
    Location
    east central Illinois and working north to the 'burbs
    Posts
    3,836

    Default

    It looks like a keratoma to me, but I'm not a vet and I didn't stay at a Holiday Inn last night.

    I defer to the competent veterinary authority on site.



  6. #6
    Join Date
    Dec. 9, 2005
    Location
    North East, MD
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    4,356

    Default

    Quote Originally Posted by Rick Burten View Post
    I defer to the competent veterinary authority on site.
    Wish there was one!



  7. #7
    Join Date
    Feb. 21, 2009
    Posts
    1,871

    Default

    It looks typical of the hoofwall Keratomas I have seen in the past.
    There is nothing that can be done for it by a farrier or trimmer.
    If it gets large enough to impinge on inner structures and cause lameness , it must be surgically removed by a a vet. That usually involves resecting an area from coronary band to the ground.
    Patty Stiller CNBBT,CNBF,CLS, CE
    Natural Balance Certified Lameness Specialist ,instructor.
    www.hoofcareonline.com



  8. #8
    Join Date
    Dec. 9, 2005
    Location
    North East, MD
    Posts
    4,356

    Default

    Thank you.



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