Equine
Equine Flexural Limb Deformities

By Dr. Garrett Metcalf
Flexural limb issues can occur in different age groups of horses, starting with newborns up to two- to three-year-olds. These issues occur somewhat predictably in age groups and can be addressed rather quickly when needed. There are various treatments and methods that can be used to address flexural issues. This article will discuss the most common flexural abnormalities and treatment methods.
Foal Flexural Issues
Foal flexural issues are often considered congenital flexural limb abnormalities because they are born with them. We don’t fully understand why this occurs but there is some evidence in the human literature that lack of fetal activity in the womb causes club feet in babies. In foals, it is thought that uterine positioning is to blame for part of the contracted tendons. Other causes can be exposure of the mare to toxic plants or substances that may be toxic to the fetus.
The most common area that a foal will have contracture of limb is at the carpus or knee. These foals will not be able to fully extend the knee and often will affect both at the same time. These foals can have difficulty standing to nurse or will get fatigued quickly and will not be able to stand for longer periods of time. There can also be damage to the extensor tendons or even rupture of extensor tendons caused by the high strain placed on them when the foal tries to stay standing. The rupturing of these tendons is not overly concerning but the lack of extensor function can make the flexural limb deformity worsen.
Other common locations of flexural limb deformities can be at the fetlock or coffin joint level. These deformities are not usually as detrimental to allowing the foal to stand and nurse properly compared to carpal flexural deformities. These deformities can be addressed similar to carpal deformities with some exceptions.
Treatment of Flexural Deformities
Splints or casts can be used to stretch and support the effected limbs of foals. Splints are often preferred by most veterinarians because they can be repositioned or reset as needed. Splints are easier to place on the limbs of foals but they do need resetting every 24 to 48 hours. Casting of the limbs is more rigid but is not adjustable once placed. Casting is often needed in more severe cases and requires changing frequently. Whenever placing these devices, care must be taken to prevent splint or cast sores because foal skin is rather delicate.
Surgical intervention is needed in some cases of carpal flexural deformities. A study out of Australia found that cutting of two muscle/tendon groups on the back of the carpus greatly improved the ability to extend the carpus with splinting methods. Cutting of these tendons do not have consequence to future athletic function. The two muscles are called flexor carpi ulnaris and ulnaris lateralis.
An antibiotic called Oxytetracycline is helpful to treat flexural limb deformities because of its side effect of causing tendon laxity. The laxity is created by chelating calcium within the tendons and allows the relaxation of tendons. This method does have some risk because of the high dose required and renal injury that it can cause when not administered with IV fluids.
Toe extension shoes are used when it comes to dealing with lower limb flexural limb deformities. These shoes are often applied with adhesives and after the splinting or casting is no longer needed. The toe extension shoe allow foal to continue to stretch those tendons every time they take a step and prevent from becoming contracted again.
Older horses (six months or older) with contracted tendons often get acquired limb deformities and the horses need surgical intervention to correct these deformities. These surgeries cut or release check ligaments that allows the musculotendinous unit of the deep digital or superficial digital flexor tendon to elongate. The deep digital flexor tendon is responsible for causing club feet or a flexural limb deformity at the coffin joint. The superficial digital flexor tendon is responsible flexor tendon that causes a flexural limb deformity at the fetlock joint. The check ligaments attach the tendon to bone and do not allow the tendon to elongate past a certain point. By eliminating these ligaments the flexural limb deformity can be corrected by allowing the muscle to stretch since the tendon is much more rigid.
Flexural limb deformities can be caused by excessive laxity or weakness of the tendons. These deformities are often seen in premature foals or foals that are born at a much smaller birth weight. The excessive laxity will cause the toes of there feet to flip up in the air and the fetlocks to be touching the ground. The areas where the skin is contacting the ground will cause sores and abrasions. If these areas are note protected the wounds can get into deep structures causing serious infection and injury the flexor tendons.
Treatment for tendon laxity is to add heel extension shoes to keep the toes flat to the ground. The extension behind the foot forces the toe down under the foals own weight. As the foal becomes stronger from normal activity the muscle attached to the tendons can support the foal and the limb laxity will correct itself. Abrasions still can occur even with heel extension shoes are in place so bandages need to be applied to protect these areas.
Flexural limb issues are a common issue that horses and owners will face. It is best to have your horse evaluated by a veterinarian whenever these problems are suspected. Foal flexural limb deformities can be life threatening because of the limitation of standing on time to nurse colostrum. Without colostrum within the first hours of life the foal is a much higher risk of sepsis and death.
Read more in the August 2023 issue of Oklahoma Farm & Ranch.
Equine
Fly Control That Works: What’s Worth Your Money This Summer

By Ann Asher
Every year about this time, it feels like the flies start winning. No matter how clean I keep the pens or how many fly strips I hang, they show up in clouds. Over the past few summers, I’ve tried just about everything—feed-through supplements, predator bugs, DIY traps, and plenty of fly sprays. Some things helped. Some were a waste of money. If you’re battling flies this year, here’s what’s actually worked for me—and what research says can make a real difference on the farm or ranch.
Start with Cleanliness (But Know It’s Not Enough)
The first—and most repeated—advice is to stay ahead of the mess. Manure management is critical, especially around barns, pens, and loafing sheds. Flies lay eggs in fresh manure, and those eggs hatch into larvae in as little as 24 hours during warm weather.
I try to clean high-traffic areas at least every other day, but the truth is, even on the cleanest farms, flies can still be a problem because of moisture, standing water, and nearby neighbors.
Feed-Through Fly Control: A Solid Foundation
One thing that made a noticeable difference for my horses and cattle was starting a feed-through larvicide early in the season. These products add a growth regulator to the feed that passes through the animal and prevents fly larvae from developing in manure.
It’s not an instant fix—you won’t see fewer flies for several weeks—but once it kicks in, you’ll notice fewer new flies being born.
Tip: Feed-through products only work if all animals on the property are eating it consistently. Otherwise, you’re just treating part of the manure, and flies will keep breeding.
Fly Predators: Small, Mighty, and Surprisingly Effective
Last year, I tried fly predators for the first time. These are tiny, non-stinging insects that lay their eggs in fly pupae, stopping the next generation.
I was skeptical (and honestly a little creeped out at first), but I noticed that where I used predators around the barn and dry lots, the fly pressure dropped. Some companies even offer subscription services that send predators timed to your local climate.
Tip: Fly predators don’t kill adult flies—they stop future flies. So you still need to control the adults already buzzing around.
Good Old-Fashioned Fly Traps
In areas like the barn aisle and outdoor runs, nothing beats physical traps.
I like a combination approach:
- Sticky ribbons and strips for indoor areas
- Odor-baited traps placed away from livestock areas to draw flies away
Tip: Hang baited traps a good distance from barns or stalls. Otherwise, you’re luring flies right into your animals’ space.
Fly Sprays: Choose Carefully
Fly sprays are the first thing most of us reach for—and they do help—but they have limits.
For horses, sprays containing pyrethrins, pyrethroids (like permethrin), or natural oils tend to offer the best repellency. Even then, most sprays only last a few hours, especially if animals are sweating heavily.
Tip: Apply before morning turnout and again before evening if possible. Reapplication is important, especially after heavy exercise or rain.
Other Tools That Help
- Fly masks and fly sheets — particularly those with UV protection, to protect sensitive areas like the eyes and ears
- Fans in barns and run-in sheds — flies struggle to land in strong airflow
- Automatic sprayer systems — an investment, but highly effective for larger barns
The bad news? There’s no magic bullet for fly control.
The good news? Combining several methods—manure management, feed-through treatments, predators, traps, and targeted sprays—can actually make summer bearable for you and your livestock.
At the end of the day, I figure if I can cut the fly population by half, I’ve already made life better for my animals—and a lot less miserable for myself.
References:
- Texas A&M AgriLife Extension – Managing Flies on Livestock
- University of Kentucky Entomology – Controlling Flies Around Livestock
- North Carolina State Extension – Livestock Pest Management
- USDA Agricultural Research Service – Fly Management Resources
- Spalding Labs (for info on biological control programs) – Fly Predators Information
Equine
Horse Pasture ManagementBy OKFR Staff

As spring weather arrives, horse owners are often eager to turn their horses out to graze and exercise—but is the pasture truly ready?
With proper management, pastures can serve as a high-quality forage source and a safe space for exercise. Effective management can even extend the forage production season, helping to reduce hay expenses. On the other hand, unmanaged pastures often develop weed problems, lack nutritional value, and can pose health risks for horses.
Here are five key steps to help improve and maintain horse pastures:
1. Soil Testing, Fertilizing, and Liming
Annual soil testing is ideal, but due to cost, testing every five years for grazing pastures and every three years for hay fields is a reasonable alternative. Grazing pastures tend to lose nutrients more slowly than hay fields because some nutrients are returned to the soil through horse waste, whereas nutrients in harvested hay are removed entirely.
For guidance on soil testing, fertilization, and liming, producers can refer to the Oklahoma Forage and Pasture Fertility Guide, available through Oklahoma Cooperative Extension and OSU’s Division of Agricultural Sciences and Natural Resources.
2. Over-Seeding and Renovating Bare Spots
Over-seeding helps replenish forage stands and prevent weed invasion. Use a high-quality pasture seed mix, limiting legume content to no more than 25 percent to avoid excessive salivation in horses.
3. Sacrifice Area
Creating a sacrifice area—a small, fenced section (approximately 300 square feet per horse)—gives overgrazed pastures time to recover during periods of heavy grazing or adverse weather. Horses kept in sacrifice areas should always have access to clean water, adequate hay, good drainage, and waste management.
4. Rotational Grazing
Horses are more selective grazers than cattle and will often overgraze their preferred plants, eventually killing them. This leads to spot grazing and pasture degradation. Rotational grazing allows plants time to regrow and helps reduce waste due to trampling.
Manure concentration in preferred areas also decreases grazing efficiency and nutrient distribution, making rotation an essential tool. Horses should be moved to a new pasture when forage is grazed down to 3–4 inches in height.
5. Weed Control
Chemical herbicides are commonly used to manage weeds, but identifying the specific weeds present is essential for selecting the right treatment. To prevent herbicide resistance, avoid long-term use of the same active ingredient and consider complementary methods such as mowing.
Maintaining healthy pasture also includes proper fertilization and rotational grazing, which both help minimize weed invasion.
Forage Selection and Toxic Plant Awareness
Selecting the right forage species depends on factors like land resources, management goals, and available capital. A mix of cool- and warm-season forages generally provides the most cost-effective year-round grazing.
Warm-season grasses, such as Bermuda grass, are commonly used for their high yield, good nutritional value, durability, and responsiveness to nitrogen fertilization. Alternatives include old world bluestem and crabgrass.
Alfalfa, a warm-season perennial legume, is widely used as hay in Oklahoma and can be grazed, though grazing may not always be economical.
Cool-season grasses such as wheat, rye, oats, barley, and ryegrass can be sod-seeded into dormant warm-season pastures to extend the grazing season. Combining ryegrass with small grains often allows grazing later into the spring. Cool-season clovers like red, white, and rose clover also thrive in Oklahoma and provide excellent nutrition.
However, it’s important to recognize and remove potentially toxic plants from horse pastures. These include bitterweed, black locust, cocklebur, horsetail, milkweed, ornamental yew, pigweed, snakeroot, St. John’s wort, wild parsley or carrot, and yarrow. Grasses in the Sorghum genus can contain prussic acid, which may cause severe health issues and even death. Clovers and small grains in humid conditions may also develop mold, which can be dangerous to horses.
Equine
No Foot, No Horse

By Dr. Garrett Metcalf, DVM
There is a wise old saying no foot no horse and that is absolutely true. Horses of all breed, discipline and size must have good healthy feet or they will suffer poor performance, chronic pain or worse succumb to diseases of the foot. There are several medical conditions that require surgical treatment within the hoof wall of the horse and this article will highlight the most common conditions that require surgical treatment and specialty farrier care.
Foot Abscesses –
Foot abscesses are a very common issue that nearly every horse may experience at some point in their lifetime. Abscesses are often minor issues that can be easily corrected by a farrier or veterinarian getting access to the abscess to allow drainage but they can be rather debilitating and sometimes rather serious. Abscesses in general are localized pockets of infection that found its way into the sole or white line of the foot. These abscesses often form because there is some structural abnormality of the foot, trauma that led to bleeding under the sole or improper hoof care that has led to abnormal forces being applied to the foot and of course the old hot nail. For example trimming of the foot without relieving enough sole pressure can lead to overloading the sole and in turn sole bruising setting up for an abscess. Other common abnormalities of the foot that leads to abscessation are laminitis and club feet. These two conditions can cause tearing and stretching of the white line and allow bacteria plus moisture to enter deeper into the foot which in some cases can further destabilize an already unhealthy foot, leading to a life threatening situation. Deep abscess that go untreated for days or weeks can continue to invade and dissect through tissue planes leading to larger abscesses. These large abscess sometimes require surgical intervention to keep them from spreading and to eliminate the abscess all together.
Pedal Bone Osteitis
Pedal bone or the coffin bone is a very unique bone compared to others in the horse. The coffin bone is a rather porous bone that has intimate attachment to the foot capsule and sole. The bone and the hoof tissue has a very high amount of blood supply rightly so because of the vast amount of metabolic rate energy it uses to keep the foot supplied with nutrients. Whenever the hoof is diseased or compromised from laminitis or infection the blood supply can be compromised as well spelling disaster. The disaster that can ensue from these conditions is an infected portion of the coffin bone or sequestration of bone. Bone sequestrums are when bone lacks blood supply and is also infected by bacteria that thrive off of dead tissue. Bone sequestrums are generally rather treatable conditions because once removed the bone can heal but the coffin bone is not the same as other bones in the horse. The coffin bone lacks an outer soft tissue coating called periosteum. Periosteum is a very robust membrane outside of almost all bones that provide blood supply and support healing with progenitor cells and stem cells. The uniqueness of the coffin bone without this important layer leads to poor healing, a more delicate blood supply and makes is more prone to infectious insults.
Treatment of an infected piece of the coffin bone requires aggressive steps in order to prevent spread and destruction of the rest of the coffin bone. Further spread into the coffin bone can lead to further damage to the blood supply to the bone and hoof as well as weakening the bone to the point of fracture under the weight of the horse. Aggressive surgical debridement or removal of infected tissue and bone is the first required step to reduce the amount of infection present in the foot. Secondly is aggressive antibiotic therapy using local delivery methods and systemic routes of administration. Local antibiotic delivery is by means of antibiotic beads, pastes or ointments and by means of regional limb perfusions. Regional limb perfusions are 20-30 minute treatments where antibiotics are delivered to the affected limb via blood vessels in that limb. The antibiotic is held in the limb by a tourniquet above the application site to allow higher concentration of the drug to enter the target tissue or region of the limb. Lastly is proper support of the remaining hoof while still maintaining access to the infected areas to allow local treatment. This step cannot be overlooked and requires the work of a talented farrier to make it possible.
Quittor
Quittor is a chronic deep infection within one of the collateral cartilages of the coffin bone. The collateral cartilages are attached on both wings of the coffin bone and are often referred to on x-ray films as side bone. Lacerations, puncture wounds, trauma and abscesses of the foot can lead to infection of the collateral cartilage. To most people quittor doesn’t sound like a big deal and seems like it would be easily addressed with a few days of antibiotics but that is not the case. This infection deep in the foot can be like a smoldering fire that cannot be put out until the infected cartilage is removed. The diagnosis is usually straight forward because there is often a draining tract with swelling, heat and proud flesh centered over one of the collateral cartilages. The difficulty lies in finding and removing all of the infected tissue not to mention that you have to go through the hoof wall to get there. A hoof wall resection or a window cut in the side of the foot is often needed to access the infected tissue, allow drainage and local treatment at the same time. Quittor can be rather difficult and sometimes require multiple surgeries in order to get the infection cleared up. After the hoof wall resection is made often a specialized shoe will be needed to help protect and keep the foot stable until the hoof grows out the defect in the hoof wall.
Keratoma
Keratoma is a benign tumor like growth that arises from the hoof wall or laminar tissue of the foot called keratin. Keratin is what makes up our hair and nails. This growth continues to expand between the foot wall and the coffin bone leading to pressure necrosis and damage to the coffin bone. This abnormal keratin tissue is usually located at the toe region of the foot and is thought to be triggered by trauma to the hoof tissue. The most common signs of a keratoma are reoccurring foot abscesses in the same location and same foot, plus lameness that are localized to the foot. X-ray, CT and MRI can be used to diagnose keratoma formation within the foot. Often the keratoma is well formed enough to be seen with x-ray but sometimes advance imaging is necessary to make the diagnosis.
The only treatment and cure for a keratoma is surgical removal through the hoof wall. This requires a hoof wall resection with either an oscillating saw or drill bit to removal the hoof wall without damaging the coffin bone. A keratoma has an often distinct appearance by this off white crumbly type tissue that is often easily removed from the surrounding healthy hoof wall. After surgical removal a specialized shoe is needed to protect the foot and allow access to treatment of the surgical site to prevent infection.
Coffin Bone Fractures –
There are many different patterns or ways that a coffin bone can be fracture and some are more serious than others. To keep it simpler we break them down into articular or non-articular meaning do they enter the coffin joint or do they not. Non-articular coffin joint fractures generally are much less serious and can be healed without major surgery. Often times non-articular fractures are stabilized with a special shoe and casting tape placed around the foot to make the hoof itself the “splint” for the coffin bone nestled inside the hoof wall.
Articular fractures of the coffin bone are a much more serious problem because of the damage that is done to the coffin joint. A fracture into any joint is a serious threat to the health of the joint and requires surgical reconstruction as soon as possible to keep the joint from developing crippling arthritis. The trouble again with any surgery on the foot is that the bone is inside the foot making it difficult to access. There are techniques to place screws into the coffin bone through small hoof wall resections to allow stabilization of coffin bone fractures. It does require the right fracture pattern and location to make this surgical treatment a plausible option.
Street Nail
A street nail surgery is used to treatment of deep penetrating injuries that occur at the frog or sole that leads to infection of the bottom of the coffin bone, navicular bone and closely related surrounding soft tissue structures. Street nail procedures are often needed when a metal object such as a nail or screw penetrates and infects the one of the vital structures of the bottom of the foot. This window allows flushing of the synovial structures and removal of damaged/infected tissue. This procedure success is greatly improved with the use of an arthroscopic camera placed in the navicular bursa or coffin joint depending on what area the puncture wound involves. The arthroscope allows better visualization and more thorough flushing of debris and infection out of these tight spaces. Again this surgery cannot be successful with the application of a special shoed called a hospital treatment plate shoe that allows access to the bottom of the foot while keeping the foot clean and protected.
As you can see there is a pretty clear pattern to these hoof conditions: infection and the need for specialized farrier care. In order to be successful in treating these conditions the veterinary surgeon and farrier must work hand in hand to provide the best care for the horse. Although performing surgery on the foot of a horse is challenging and sometimes limited, it is often possible to have successful outcomes with a variety of different conditions.
-
Attractions8 years ago
48 Hours in Atoka Remembered
-
Country Lifestyle10 months ago
July 2017 Profile: J.W. Hart
-
Country Lifestyle9 years ago
The House a Treasure Built
-
Country Lifestyle4 years ago
The Two Sides of Colten Jesse
-
Outdoors7 years ago
Grazing Oklahoma: Honey Locust
-
Equine8 years ago
Umbilical Hernia
-
Outdoors5 years ago
Pecan Production Information: Online Resources for Growers
-
Farm & Ranch7 years ago
Hackberry (Celtis spp.)