Hoefbevangenheid

Hoefbevangenheid, also known as laminitis, is a painful inflammatory condition affecting the laminae within a horse's hoof. The laminae are sensitive tissues that bond the hoof wall to the underlying coffin bone (P3). When these tissues become inflamed, they can weaken and even lose their attachment, leading to severe lameness and potential structural damage to the hoof.

The causes of hoefbevangenheid are multifaceted. Common triggers include excessive consumption of rich pasture or grains, which can lead to a metabolic disturbance, particularly related to insulin resistance. Other contributing factors can be prolonged exposure to concussion, such as from hard work on hard surfaces, or certain systemic illnesses like retained placenta after foaling. Obesity is also a significant risk factor.

Symptoms of hoefbevangenheid can vary in severity. In acute cases, a horse may appear reluctant to move, stand with its front feet extended forward to relieve pressure on the hind feet, and show signs of distress. The hooves may feel warm to the touch, and a pulse may be readily felt in the lower leg. Chronic cases can result in characteristic changes to the hoof shape, such as a "dished" appearance of the hoof wall.

Treatment aims to reduce inflammation, alleviate pain, and address the underlying cause. This often involves veterinary intervention, including pain medication, anti-inflammatory drugs, and supportive hoof care such as special shoeing. Dietary management and strict pasture control are crucial for horses susceptible to or recovering from the condition. Prognosis depends on the severity and duration of the episode, as well as the promptness and effectiveness of treatment.