The disintegration of the inner hoof wall accompanying acute laminitis is initially invisible to the naked eye. With the passage of time, however, the hoof begins to display the effects wrought upon on it by the pathology of the acute phase. If lameness persists and worsens there is likely to be on-going displacement of the distal phalanx within the hoof capsule and lysis of its cortex. To care for foundered horses effectively the chronic phase needs to be better understood.
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