By J. D. Pagan, R. J. Geor
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Extra resources for Advances in Equine Nutrition III
As time went on and more venograms were done, the technique became useful to indicate when more aggressive therapy could be initiated to treat laminitis. It has also come into use to monitor the progress of the recovery and response to different types of corrective shoeing and application of foot devices such as clogs. Over the last 15 years, venograms have been the only additional information, besides the standard radiograph, to evaluate the circulation of the foot of horses with laminitis. Today, with the availability of computed tomography and magnetic resonance imaging, much more information is becoming available to help evaluate circulation in feet, but it has had no significant effect on improving treatment as yet.
Diet and exercise are the best treatment for insulin resistance, but equine Cushing horses need pergolide to control their insulin levels. Thyroid medication has also been used for years to treat the obesity in these animals with some success. If affected animals can lose weight, this seems to improve their insulin resistance and reduce the frequency of recrudescent bouts of laminitis. Many of these cases are given supplements containing magnesium and chromium, but no scientific study has proven them to be effective.
The terminal medial and lateral branches of the digital artery enter the solar canal of the distal phalanx via foramina and unite with the artery of the opposite side to form the terminal arch deep within the bone. Branches of the terminal arch (4–5 middorsally and 8–10 distally, near the solar border) radiate outwards through foramina in the dorsal surface of the distal phalanx and supply the lamellar corium and, after forming the circumflex artery, the corium of the sole. In addition to the 12 to 15 main foramina, the dorsal surface of the distal phalanx is perforated by numerous finer foramina (the bone in this region is porous).
Advances in Equine Nutrition III by J. D. Pagan, R. J. Geor