Treatment of Punctured Sole Inflammation
Diffuse or localized septic inflammation of the solear corium causing lameness, signs include sudden onset of pain with under-running and pus production. Treatment involves surgical removal of foreign bodies, drainage, dressing, and tetanus prophylaxis. Prophylaxis includes avoiding predisposing causes such as poor quality solear horn and maintaining good hygiene practices.
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PUNCTURED SOLE DR MITHILESH KUMAR ASSISTANT PROFESSOR DEPARTMENT SURGERY AND RADIOLOGY BVC, PATNA-800014
Definition: diffuse or localised septic inflammation of solear corium, causing moderate to severe lameness if purulent. Incidence: sporadic Predisposition: thin solear horn from preceding laminitis (coriosis) excessive abrasion from rough concrete, rough tracks. Corium (pododerm) has no fatty tissue in toe area, making entry of infection into distal phalanx easier.
Signs sudden onset of lameness (LS 2), usually in hindlimb, with solear penetration site often near toe or adjacent to white line defect in horn extends to solear pododerm, with variable under-running and pus production (black colour) localised pain.
Treatment: primarily surgical: identify and remove FB; drain after exposure of under-run horn local astringent dressing curette distal phalanx if involved possibly elevate sole by block on other digit Lameness single injection of long-acting oxytetracycline if soft tissue (corium) is severely damaged tetanus prophylaxis indicated in known tetanus environment
Prophylaxis: avoid predisposing causes contributing to poor quality of solear horn, i.e. laminitis (coriosis) good hygiene (foreign body disposal) if track to pasture is hazardous due to flints, consider installation of friendly cow track
