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Lameness:
                             from the
                                inside
                                 out…
                   …and the outside in.
Ernest Hovingh                                          eph1@psu.edu
Dept. of Veterinary & Biomedical Sciences   Pennsylvania State University
Is lameness important?

                               Death loss
                     Treatment                     Milk loss
                                  $24
                        $23                          $67

         Days open
            $56

ased
lity



                                            Culling $167

       Estimated cost per lame cow: $346 USD                   (C. Guard, Cornell)

                (Not included: “Frustration factor”)
The animal welfare „cost‟
Ethical/moral obligation
• “Dairy farming includes a contract with the
  cattle - a barter of housing, feeding, safety
  and comfort in exchange for milk and meat.”
  .                              (N. Anderson, OMAFRA)



• “Animal husbandry” has been replaced by
  “animal science”   (B. Rollin, Colorado State Univ.)
McDonald’s cares about the humane treatment of animals, and we
recognize that being a responsible purchaser of food products means
working with our suppliers to ensure industry-leading animal
husbandry practices.

Our approach is based on our Animal Welfare Guiding Principles,
which express our commitment to ensuring that animals are “free
from cruelty, abuse and neglect.”

…snip…
                                                 from: www.aboutmcdonalds.com
Animal rights groups
• Campaigns against animal agriculture,
  especially „factory farming‟
• HSUS (Humane Society of the United States), and
  PETA (People for the Ethical Treatment of Animals)
  – Use obvious animal abuse cases as a „hook‟ to
    get people interested in their cause
PA Dairy Farm – in the news
      Undercover Investigation Reveals Cows Suffer for Land O’Lakes
Is lameness important?
• YES!!
  – Expensive: reproduction, production,
    culling, market value, treatment costs…

  – Frustration / nuisance factor

  – Ethical / moral obligation

  – Retailer / Consumer concern
Dealing with lameness…
•The P-I-M approach
 –Prevent lame cows
 –Identify lame cows
 –Manage/treat lame cows
Preventing lame cows…
• Requires knowledge of the causes
  of lameness…
Where does lameness occur?
• Almost all lameness in cattle occurs in
  the feet.
  – Most often happens in the
    outside claw of the hind feet




     danaslowcarbforlife.com
Why does lameness occur?
• From the inside out…
  – „Internal factors‟ affecting
    hoof health

• From the outside in…
  – „External factors‟ affecting
    hoof health
Metabolic disorders                            Nutrition
                                            • Milk fever                      • Lack of effective fiber
                                              • Ketosis                    • Poor feeding management
                                                                       • Incorrect forage:concentrate ratio
                                                                              • Poor rumen buffering
                                                                                   • Weight loss
                     Death of “gram negative” bacteria

Infectious diseases               Endotoxin release                      Infectious claw disease
                                                                                 • Digital dermatitis
        • Metritis
                                Changes in blood circulation in claw               • Septic arthritis
        • Mastitis
                                                                                      • Foot rot

                                                Laminitis
                                                                                            Genetics
                                                     • Weakened claw capsule           • Conformation
  Environment &                                                                         • Horn quality
                                                   • Poor quality horn formation
   management                                • Breakdown of support system in the claw     Other?
   • Trauma & handling
         • Trimming
• Heat stress / cow comfort
       • Cleanliness
                                                                           LAMENESS
From the inside out…
• Internal factors affecting the
  quality/health of the hoof tissue:
  – Genetics
  – “Laminitis”
  – Loss of cushioning
  – Excessive pressure
    on corium
Internal factor: Genetics
• “Low foot angle, hocking in, and wide
  rumps were associated with clinical
  lameness.” (Boettcher et al, JDS 1998; also
  Boelling, 1999; van der Waaij, 2005; and others)




                                                     Source: O.M. Obike, PhD thesis`
Narrow          Wide
Internal factor: “Laminitis”
• What is the lamina/corium?
• What is laminitis/„coritis‟?
• What does it matter?
The anatomy of the bovine foot




       P3


                   P3
P3 & the claw capsule


    P3             Claw
                  capsule




    P3
Corium
• Tissue between
  P3 & claw
  capsule that
  „makes‟ the
  claw capsule




                   The corium is also on the sole
                                 Photo courtesy C. Mülling, Berlin
Different areas of the corium

          Coronary band & heel

        Hoof wall



      White line

                   Sole

                            Photo courtesy of C. Mülling
Laminae




          insensitive    sensitive lamina
            lamina      (“laminar corium”)
Laminae




          Photo courtesy C. Mülling
What is laminitis?
• Strictly, inflammation of the lamina
  – But, inflammation (irritation/injury) can
    occur in any part of the corium (“coritis”)
What is laminitis?
Inflammation/irritation/   Rumen acidosis, toxic mastitis,
    injury in corium       mechanical injury, etc.
         Reduced/altered
           blood flow
Altered blood flow in the feet
• Rumen acidosis  death
                              pH
  of bacteria in rumen




www.lhup.edu/smarvel
Nutrition & rumen acidosis*
  • Excessive carbohydrate/starch (Thoefner et al., 2004)
  • Sorting of ration, lack of effective fiber
  • Inability to buffer pH (esp. heat stress)




* This syndrome is often referred to as
SARA – Sub-Acute Ruminal Acidosis
Nutrition – it‟s not all bad for feet!
• Besides a balanced ration, supplements,
  additives, etc., may IMPROVE hoof
  quality/health…
• …but ask for „proof‟ before spending
  money!
Altered blood flow in the feet
• Death of bacteria in rumen,
  udder or uterus
• Dead bacteria release
  “vaso-active” substances
• Absorbed into bloodstream
                                www.lhup.edu/smarvel




   change blood flow in
  foot
What is laminitis?
Inflammation/irritation/               Rumen acidosis, toxic mastitis,
    injury in corium                   mechanical injury, etc.
            Reduced/altered
                                                    Death of cells in corium
              blood flow                              may also occur…


                             Reduced oxygen and
                              nutrients to corium
                                       Corium stops producing
                                       claw tissue*, or produces
                                       poor quality claw tissue*
                              * Claw tissue affected may be the sole,
      www.tcb-bagmfg.com      white line, hoof wall, heel, or coronary band
Why does it matter?
• Unhealthy/damaged corium = poor quality/
  defective claw tissue (sole, heel, wall, etc.) =
  more susceptible to infection, mechanical
  damage, etc.
Poor quality/defective lamina
• Poor quality/compromised white line
• Separation of sensitive/insensitive lamina
  – White line disease
  – P3 „sinks‟ in the claw
    capsule
  – “Pancake feet”

                             Sensitive lamina
                                                Sole
P3                   Outer hoof wall
     This is a defective                 Lamina (corium)
   area in the white line

Corium



                            White line
White line disease
                                     This is a defective
• White line widens &              area in the white line
  separates
  – Bacteria can enter and
    cause infection of lamina
  – Infection can “break out” at
    the coronary band
White line infection that has
opened up at the coronary band




                       Travels up inside
                         of hoof wall




                         Infection entered
                          ‘white line’ here
„Sinking‟ of P3 due to laminitis
   Insensitive lamina Sensitive lamina
                           Edge of P3 bone


                                  Weight




                                           Increased pressure
 Laminae do
                                           on corium of the sole
not hold tightly
   together                      Hoof wall can move outwards

                                               Image courtesy of C. Lischer, Sweden (with modifications)
“Pancake feet”
• Significant separation
  of lamina/white line
  – Hoof wall is not held
    „tight‟ to the P3 bone
  – Permanent condition
  – Can be trimmed to be
    functional – but
    requires frequent
    trimming!
                                            Normal

                             Pancake claw
The sensitive lamina (exposed
due to hoof wall being broken)
Poor quality/defective hoof wall
• Hoof wall growth
  slows down or stops
  – hardship groove
                        Hoof wall




                                    Sole
Hardship groove


             Make your very own
             “hardship groove!”
“Thimble toe”
Poor quality heel/coronary band
• Poor quality heel horn
  – Erosion
                           Coronary band &
                                      heel




                               Sole
Heel horn erosion

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Lameness, Hoof, and Leg Issues in Dairy Cattle- Ernest Hovingh

  • 1. Lameness: from the inside out… …and the outside in. Ernest Hovingh eph1@psu.edu Dept. of Veterinary & Biomedical Sciences Pennsylvania State University
  • 2. Is lameness important? Death loss Treatment Milk loss $24 $23 $67 Days open $56 ased lity Culling $167 Estimated cost per lame cow: $346 USD (C. Guard, Cornell) (Not included: “Frustration factor”)
  • 3. The animal welfare „cost‟
  • 4. Ethical/moral obligation • “Dairy farming includes a contract with the cattle - a barter of housing, feeding, safety and comfort in exchange for milk and meat.” . (N. Anderson, OMAFRA) • “Animal husbandry” has been replaced by “animal science” (B. Rollin, Colorado State Univ.)
  • 5. McDonald’s cares about the humane treatment of animals, and we recognize that being a responsible purchaser of food products means working with our suppliers to ensure industry-leading animal husbandry practices. Our approach is based on our Animal Welfare Guiding Principles, which express our commitment to ensuring that animals are “free from cruelty, abuse and neglect.” …snip… from: www.aboutmcdonalds.com
  • 6. Animal rights groups • Campaigns against animal agriculture, especially „factory farming‟ • HSUS (Humane Society of the United States), and PETA (People for the Ethical Treatment of Animals) – Use obvious animal abuse cases as a „hook‟ to get people interested in their cause
  • 7. PA Dairy Farm – in the news Undercover Investigation Reveals Cows Suffer for Land O’Lakes
  • 8. Is lameness important? • YES!! – Expensive: reproduction, production, culling, market value, treatment costs… – Frustration / nuisance factor – Ethical / moral obligation – Retailer / Consumer concern
  • 9. Dealing with lameness… •The P-I-M approach –Prevent lame cows –Identify lame cows –Manage/treat lame cows
  • 10. Preventing lame cows… • Requires knowledge of the causes of lameness…
  • 11. Where does lameness occur? • Almost all lameness in cattle occurs in the feet. – Most often happens in the outside claw of the hind feet danaslowcarbforlife.com
  • 12. Why does lameness occur? • From the inside out… – „Internal factors‟ affecting hoof health • From the outside in… – „External factors‟ affecting hoof health
  • 13. Metabolic disorders Nutrition • Milk fever • Lack of effective fiber • Ketosis • Poor feeding management • Incorrect forage:concentrate ratio • Poor rumen buffering • Weight loss Death of “gram negative” bacteria Infectious diseases Endotoxin release Infectious claw disease • Digital dermatitis • Metritis Changes in blood circulation in claw • Septic arthritis • Mastitis • Foot rot Laminitis Genetics • Weakened claw capsule • Conformation Environment & • Horn quality • Poor quality horn formation management • Breakdown of support system in the claw Other? • Trauma & handling • Trimming • Heat stress / cow comfort • Cleanliness LAMENESS
  • 14. From the inside out… • Internal factors affecting the quality/health of the hoof tissue: – Genetics – “Laminitis” – Loss of cushioning – Excessive pressure on corium
  • 15. Internal factor: Genetics • “Low foot angle, hocking in, and wide rumps were associated with clinical lameness.” (Boettcher et al, JDS 1998; also Boelling, 1999; van der Waaij, 2005; and others) Source: O.M. Obike, PhD thesis` Narrow Wide
  • 16. Internal factor: “Laminitis” • What is the lamina/corium? • What is laminitis/„coritis‟? • What does it matter?
  • 17. The anatomy of the bovine foot P3 P3
  • 18. P3 & the claw capsule P3 Claw capsule P3
  • 19. Corium • Tissue between P3 & claw capsule that „makes‟ the claw capsule The corium is also on the sole Photo courtesy C. Mülling, Berlin
  • 20. Different areas of the corium Coronary band & heel Hoof wall White line Sole Photo courtesy of C. Mülling
  • 21. Laminae insensitive sensitive lamina lamina (“laminar corium”)
  • 22. Laminae Photo courtesy C. Mülling
  • 23. What is laminitis? • Strictly, inflammation of the lamina – But, inflammation (irritation/injury) can occur in any part of the corium (“coritis”)
  • 24. What is laminitis? Inflammation/irritation/ Rumen acidosis, toxic mastitis, injury in corium mechanical injury, etc. Reduced/altered blood flow
  • 25. Altered blood flow in the feet • Rumen acidosis  death pH of bacteria in rumen www.lhup.edu/smarvel
  • 26. Nutrition & rumen acidosis* • Excessive carbohydrate/starch (Thoefner et al., 2004) • Sorting of ration, lack of effective fiber • Inability to buffer pH (esp. heat stress) * This syndrome is often referred to as SARA – Sub-Acute Ruminal Acidosis
  • 27. Nutrition – it‟s not all bad for feet! • Besides a balanced ration, supplements, additives, etc., may IMPROVE hoof quality/health… • …but ask for „proof‟ before spending money!
  • 28.
  • 29. Altered blood flow in the feet • Death of bacteria in rumen, udder or uterus • Dead bacteria release “vaso-active” substances • Absorbed into bloodstream www.lhup.edu/smarvel  change blood flow in foot
  • 30. What is laminitis? Inflammation/irritation/ Rumen acidosis, toxic mastitis, injury in corium mechanical injury, etc. Reduced/altered Death of cells in corium blood flow may also occur… Reduced oxygen and nutrients to corium Corium stops producing claw tissue*, or produces poor quality claw tissue* * Claw tissue affected may be the sole, www.tcb-bagmfg.com white line, hoof wall, heel, or coronary band
  • 31. Why does it matter? • Unhealthy/damaged corium = poor quality/ defective claw tissue (sole, heel, wall, etc.) = more susceptible to infection, mechanical damage, etc.
  • 32. Poor quality/defective lamina • Poor quality/compromised white line • Separation of sensitive/insensitive lamina – White line disease – P3 „sinks‟ in the claw capsule – “Pancake feet” Sensitive lamina Sole
  • 33. P3 Outer hoof wall This is a defective Lamina (corium) area in the white line Corium White line
  • 34. White line disease This is a defective • White line widens & area in the white line separates – Bacteria can enter and cause infection of lamina – Infection can “break out” at the coronary band
  • 35. White line infection that has opened up at the coronary band Travels up inside of hoof wall Infection entered ‘white line’ here
  • 36. „Sinking‟ of P3 due to laminitis Insensitive lamina Sensitive lamina Edge of P3 bone Weight Increased pressure Laminae do on corium of the sole not hold tightly together Hoof wall can move outwards Image courtesy of C. Lischer, Sweden (with modifications)
  • 37. “Pancake feet” • Significant separation of lamina/white line – Hoof wall is not held „tight‟ to the P3 bone – Permanent condition – Can be trimmed to be functional – but requires frequent trimming! Normal Pancake claw
  • 38.
  • 39. The sensitive lamina (exposed due to hoof wall being broken)
  • 40. Poor quality/defective hoof wall • Hoof wall growth slows down or stops – hardship groove Hoof wall Sole
  • 41. Hardship groove Make your very own “hardship groove!”
  • 43. Poor quality heel/coronary band • Poor quality heel horn – Erosion Coronary band & heel Sole