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Coronary Band Injury and Quarter Crack Rehabilitation

Laura Evans
Sep 29
2 min read

Equine Podiatrist: Laura Evans


Horse: 7-year-old Thoroughbred gelding


Seven-year-old Thoroughbred gelding in quarter crack rehabilitation case study.
The 7-year-old Thoroughbred gelding featured in this case study.

Background

This gelding galloped over fixed field harrows in his field, resulting in a penetration wound that damaged the coronary band and the soft tissue above it. This subsequently led to a large crack developing in the hoof wall at the lateral quarter.


Coronary band injury and quarter crack in a Thoroughbred gelding
The coronary band injury and quarter crack during the early stages of treatment.

The open wound was initially treated by a local vet. The horse was then shod by a farrier using a traditional single toe clip to avoid putting pressure on the quarters. When this was unsuccessful, the shoeing approach was changed to use a bespoke toe clip on either side of the quarter crack in an attempt to stabilise the hoof wall.


The owner remained concerned about the stability of the hoof wall and, after discussion with the farrier, it was agreed that the shoes would be removed with the assistance of an Equine Podiatrist and a barefoot approach would be tried.


Thoroughbred hoof following shoe removal during quarter crack rehabilitation
The hoof in November 2023 following shoe removal and the beginning of the barefoot rehabilitation programme.

Beginning the Barefoot Rehabilitation

Laura removed the shoes in November 2023. At this stage, the gelding had very thin inner and outer hoof walls on each foot, together with very flat soles. Deep central sulcus infections were also noted in each foot. As an ex-racehorse, he had been shod from a young age, which may have contributed to some of the hoof characteristics seen at this stage.


His environment also played an important part in the rehabilitation. The horse lived out all year in a very wet, marshy 100-acre field. Hoof boots were initially attempted but proved impractical, as he repeatedly lost them in the field regardless of the model or pads used.

The consistently wet conditions also made progress more difficult, particularly while the soles remained very thin. At times, rehabilitation therefore involved progress followed by setbacks depending on the weather and ground conditions.


Regular Trimming and Reducing Pressure on the Crack

For the first six months, Laura trimmed the gelding every three weeks, removing only minimal material at each visit. This allowed small, repeated bevels to be applied while gradually improving hoof balance.


The quarter containing the crack was carefully scooped to reduce ground pressure in that area, while flare was removed and the remainder of the foot was balanced.


Quarter crack hoof rehabilitation progress in January 2024
Progress in January 2024 following regular three-weekly trimming.

Six Months of Progress

After approximately six months, the newly grown hoof w.all was of noticeably better quality and the trimming cycle was extended from three weeks to six weeks.

The quarter continued to be relieved until the crack was no longer visible and the new horn growth had become more closely knit.


Hoof after six months of barefoot quarter crack rehabilitation
The hoof in July 2024 following regular trimming and continued rehabilitation.

Returning to Work

The gelding has now returned to ridden work and remains barefoot. Hoof boots are used on his front feet when required to provide additional comfort and support.


Quarter crack recovery from March 2023 to July 2024
The progression from the quarter crack in March 2023 to the improved hoof wall in July 2024.

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