laminitis

This article provides an overview of initial assessment and management of common emergency presentations in donkeys and mules. The principles are similar to those in horses (and ponies), but clinicians must be aware of differences in recognition of signs of pain/disease, approach to handling, pharmacology of some drugs, and subtle differences in the physiology and local anatomy in donkeys and mules. The epidemiology of common disease presentations will vary between pet/companion or working/farmed donkeys and mules. Regular dental checks, deworming, vaccination, and monitoring of behavior and quality of life are important aspects of preventive care.

Laminitis is a commonly occurring, painful condition of the foot that can have a major impact on the welfare of affected donkeys. When faced with a donkey suspected to have laminitis, the approach is broadly similar to that in the horse, however there are certain factors unique to donkeys that this article aims to highlight including: the differences in use, behaviour, anatomy, therapy and management.

Reason for study

Anatomical change within a laminitic foot is of diagnostic and prognostic importance. A lateromedial radiograph represents the current 'gold standard' by which these changes are identified. Detection of anatomical change is dependent upon a priori knowledge of normality and subjective assessment alone may not identify modest change. Normal baseline data is, therefore, needed against which objective comparisons can be made. There is little information regarding the radiological anatomy of the donkey foot, hence an equine model has been widely adopted. However, descriptive accounts suggest fundamental anatomical differences between these 2 species.

Objectives

To characterise objectively the radiological anatomy of normal donkey feet and define the nature and extent of anatomical change associated with laminitis.

Methods

The anatomy of the forefoot was quantified from lateromedial radiographs of 83 normal and 74 laminitic donkeys, using a computer based imaging system. Data were analysed using univariate and bivariate statistical methods.

Results

Baseline data were established that define the radiological characteristics of the anatomy of normal donkey feet. The key hoof, bone and weightbearing stance parameters of lateromedial radiographs have been evaluated. Laminitis was associated with significant rotation and distal displacement of the distal phalanx, increases in integument depth and morphometric change to the distal phalanx (P<0.05).

Conclusions

This study challenges the validity of applying an equine model to the radiological anatomy of donkey feet. Hence, the diagnosis of anatomical change cannot be based on baseline data previously given for the horse and guidelines should be revised accordingly for the donkey.

Potential relevance

This study provides an objective basis for the identification of anatomical change associated with laminitis in donkey feet.

Background

Laminitis is a painful disease of equines. Radiographic and post-mortem evaluations of feet are often an important part of welfare investigations, and professional opinions by veterinarians are necessary in resulting legal cases. Any difference in measurements between the two modalities can cause uncertainty, potentially affecting the legal decision.

Objectives

To quantify the difference between radiographic and postmortem pre-mortem vs. post-mortem effects.

Study design

Case series.

Methods

Seven donkeys with laminitis confirmed via standard workup, euthanased for reasons unrelated to the study, were selected. Weight-bearing and non-weight-bearing lateral radiographs were taken of both front feet within 24 h pre-mortem. Feet were removed and sagitally sectioned between 48 and 72 h post-mortem. Lateral radiographs were taken of the feet immediately following sectioning. Founder distance and rotation were evaluated at each time point and compared using paired t-tests (P < 0.05).

Results

Compared with pre-mortem weight-bearing radiographs, nonweight-bearing feet had a decreased founder distance and decreased rotation. Compared with pre-mortem non-weight- bearing radiographs, post-mortem feet had increased rotation and no change in founder distance. There were no significant differences between post-mortem direct measurements and post- mortem radiographs. Compared with standard weight-bearing radiographs, post-mortem measurements had a decreased founder distance and increased rotation.

Main limitations

Small sample size. Further samples are needed to confirm these initial conclusions.

Conclusions

Measurements of post-mortem feet have a decreased founder distance and an increased rotation compared with standard radiographic images. Changes in founder distance are seen due to changes in weight-bearing. Changes in rotation are seen post-mortem, and can be explained by autolysis of the laminae and/or rigor mortis causing tendon contracture. Most studies have focused on indications and severity of laminitis in living animals using radiographs: postmortem measurements should therefore be interpreted with caution.

Competing interests

None declared.

Ethical animal research

Approved by The Donkey Sanctuary. Donkeys were owned by The Donkey Sanctuary and were used with consent.

Sources of funding

The Donkey Sanctuary.

This article provides a review of hoof anatomy and care in donkeys and mules. Hoof disease is a major cause of poor welfare and mortality globally. Problems associated with hoof disease are discussed in the context of behavior, diet, treatment, and prevention. The most common conditions encountered are discussed, including laminitis, the overgrown unbalanced hoof, white line disease, flexural deformities, and other significant issues. Differences between donkey and horse hoof anatomy are described.

Published online ahead of print.

Disorders of the hoof have important health and welfare implications in donkeys. Clinical conditions that affect the donkey hoof include laminitis, which is one of the most common causes of lameness in donkeys in the UK, as well as white line disease/abscess, and chronic conditions such as overlong hooves. This article reviews the normal anatomy and function of the donkey’s foot, before discussing in more detail the diseases that can arise and their treatment.

Objective

To establish and validate an objective method of radiographic diagnosis of anatomic changes in laminitic forefeet of donkeys on the basis of data from a comprehensive series of radiographic measurements.

Animals

85 donkeys with and 85 without forelimb laminitis for baseline data determination; a cohort of 44 donkeys with and 18 without forelimb laminitis was used for validation analyses.

Procedures

For each donkey, lateromedial radiographic views of 1 weight-bearing forelimb were obtained; images from 11 laminitic and 2 nonlaminitic donkeys were excluded (motion artifact) from baseline data determination. Data from an a priori selection of 19 measurements of anatomic features of laminitic and nonlaminitic donkey feet were analyzed by use of a novel application of multivariate statistical techniques. The resultant diagnostic models were validated in a blinded manner with data from the separate cohort of laminitic and nonlaminitic donkeys.

Results

Data were modeled, and robust statistical rules were established for the diagnosis of anatomic changes within laminitic donkey forefeet. Component 1 scores ≤ −3.5 were indicative of extreme anatomic change, and scores from −2.0 to 0.0 denoted modest change. Nonlaminitic donkeys with a score from 0.5 to 1.0 should be considered as at risk for laminitis.

Conclusions and clinical relevance

Results indicated that the radiographic procedures evaluated can be used for the identification, assessment, and monitoring of anatomic changes associated with laminitis. Screening assessments by use of this method may enable early detection of mild anatomic change and identification of at-risk donkeys.