Malpositions

Definition: Malpositions in the fetlock joint are known as toed-in and toed-out positions, whereby we have to differentiate between a rotation, a flexion or a combination of both. Carpal or tarsal malpositions are characterized by flexion in the axis towards the outside (bowlegged) or inside (knockkneed). The bowlegged form is also known as varus deformation, the knockkneed variety as valgus deformation.
Orthopaedic therapy with the DALRIC Extension Shoe has proven its worth in correcting malpositions. The one-sided extension of the hoofshoe’s foot surface must be fitted on the opposite side of the direction of toeing or rotation. Toed-in horses tend towards a “bowing” gait, i.e. the hoof swings forward in a bow around the supporting limb and lands first of all on the outer edge of the hoof. The hoof of a toed-out horse swings forward in a bow against the supporting limb. Horses thus affected land fi rst of all on the inner edge of the hoof. In the case of a toed-out position with outer rotation, the extension must be fitted on the inside; if a toed-in position occurs in conjunction with inner rotation, the opposite applies. In response to propulsion on the inner edge of a toed-out foot, the foot is aligned during propulsion by the inward-directed extension of the sole platform on the Extension Shoe.
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