The objectives of this cross-sectional study were to determine herd-level and cow-level prevalence estimates for 11 foot lesions in Ontario dairy cattle. Foot lesions were recorded by 5 hoof trimmers on 13,530 cows in 204 Ontario dairy herds from March 2004 to May 2005. Significant differences existed between free-stall and tie-stall housing. In free-stall housing systems, 46.4% of cows had a foot lesion, compared with 25.7% of cows in tie-stall barns. Digital dermatitis was the most common lesion in tie stalls, occurring in 9.3% of cows and 69.7% of the herds, whereas in free-stall herds, 22.7% of cows and 96.7% of the herds were affected. The most common hoof horn lesions were hemorrhages and ulcers, at 7.7 and 4.7% in tie-stall housing and 11.0 and 9.2% in free-stall housing, respectively. Foot blocks were used to treat 2.2% of cows in free stalls and 0.3% in tie stalls. Intraclass correlation coefficients ranged from 9.5 to 17.3 for hoof horn lesions and 28.0 to 38.7 for infectious lesions. In summary, foot lesions diagnosed at the time of hoof trimming are common in Ontario, and appropriate treatment for hoof horn lesions is low.

Two studies were conducted to evaluate visual locomotion scoring (VLS) and Stepmetrix locomotion scoring (SLS) in detecting painful digit lesions. In study 1, one veterinarian performed VLS. Cows with VLS > or = 3 were hoof trimmed and the presence or absence of a painful lesion (PL), defined as a reaction to digital pressure, was recorded. A strongly increasing pattern in the proportion of cows with PL was detected as VLS increased. The proportions of cows with painful lesions were 5.6% (n = 53), 20.1% (n = 78), 55.5% (n = 164), 79.9% (n = 159), and 100% (n = 5) for VLS 1 to 5, respectively. Study 2 was conducted on a different farm. The entire farm was visually locomotion scored by 3 veterinarians on the same day, and the cows were Stepmetrix locomotion scored by walking through the Stepmetrix system. Every cow was trimmed during the following 2 d by 1 of 8 professional hoof trimmers. The 3 veterinarians identified, scored, and recorded any PL. Interobserver agreement for the 3 veterinarians had a kappa coefficient of between 0.45 and 0.48 +/- 0.05. In total, 518 cows were used in the analysis, from which 11.2% were identified with a PL. Of the cows diagnosed with a PL, 32.8% were detected with a sole ulcer, 25.9% with white line disease, 13.8% with white line abscess, and 27.5% with other diseases. A receiver operating characteristic analysis was performed; the area under the curve was larger for VLS (0.80; 95% confidence interval, 0.76 to 0.83) than SLS (0.62; 95% confidence interval, 0.57 to 0.66). When performed by trained veterinarians, VLS performed better than SLS in detecting PL.

Worldwide, there is considerable between-herd variation within individual foot lesion prevalence studies. This variation suggests that herd-level risk factors are important from a prevention perspective. The objective was to determine the effect of selected risk factors on the prevalence of 7 foot lesions in both tie-stall and free-stall housing systems. As part of a cross-sectional foot lesion study 5 hoof trimmers recorded lesions for all cows that were foot trimmed in a herd. In addition, they completed a risk factor questionnaire for each herd. The impact of specific risk factors was evaluated using separate multi-variable models for both free-stall and tie-stall herds. The lesions evaluated were digital dermatitis, sole ulcer, sole hemorrhage, heel horn erosion, white line separations, white line abscess, and interdigital fibroma. Model types were selected based on herd-level lesion distribution. Detrimental risk factors identified in free-stall housing included increased alley scraping frequency (2.2- to 2.4-fold for sole ulcers) and trimming in summer or fall (-0.2-fold vs. spring and winter for digital dermatitis). Protective risk factors in free stalls included intermediate bedding depth (0.4-fold for 2.5 to 7.5 cm vs. more or less bedding for interdigital fibroma) and trimming heifers before calving (0.1-fold for white line abscess). In tie-stall herds no protective risk factors were identified. Detrimental risk factors for lesions in tie stalls included year-round access to outside areas (2.1-fold increase in digital dermatitis, 3.5-fold for white line separation, and 7.0-fold for interdigital fibroma vs. no or only seasonal exercise access), routine spraying of feet (2.0-fold increase in digital dermatitis), larger herds (3.0-fold increase in interdigital fibroma vs. <41 cow herds), and the use of wood bedding material (6.5-fold vs. straw bedding for interdigital fibroma). The risk factors identified need further evaluation to determine the temporal relationships, as well as whether the relationships with foot lesions are causal.

The objectives were (1) to estimate the genetic parameters and breeding values of hoof lesions, (2) to estimate the phenotypic effect of each feet and legs conformation traits on hoof lesions, and (3) to estimate genetic correlations between hoof lesions with feet and legs conformation traits. The presence or absence of specific hoof lesions was recorded for each hoof. Lesions were classified into infectious (digital and interdigital dermatitis, foot rot, and heel erosion), horn (sole and toe ulcer, sole hemorrhage, and white line disease), and other lesions (interdigital hyperplasia, fissures, thin soles, and corkscrew claw). A total of 34,905 hoof health records from 27,179 cows and 365 herds, collected by 18 different hoof-trimmers in Ontario, Alberta, and British Columbia, were analyzed using linear animal models. In addition, 5 feet and leg conformation traits (foot angle, heel depth, bone quality, rear leg side view, and rear leg rear view) and locomotion from primiparous cows were considered (n=11,419 and 6,966 cows, for conformation traits and locomotion, respectively). At least one lesion was found in nearly 40% of the hoof trimming records. The heritability estimates for hoof lesions ranged from 0.01 for front horn lesions to 0.09 for rear infectious lesions. Despite the low heritability estimates, we observed large variability in sire estimated breeding value (EBV) for resistance to hoof lesions. Positive genetic correlations were found between the occurrence of front and rear infectious lesions (0.77) and between front and rear horn lesions (0.61), but not between infectious and horn lesions (0.08). For most of the conformation traits, low scores were phenotypically associated with higher incidence of horn lesions, whereas we found no evidence of a phenotypic effect of feet and leg traits on infectious lesions. The heritability of the conformation traits ranged from 0.04 for rear leg rear view to 0.22 for bone quality, whereas that for locomotion was 0.03. The genetic correlations between hoof lesions and conformation traits were low to moderate, yet most of the estimates were associated with high standard errors. In conclusion, although hoof lesions are lowly heritable traits, sufficient genetic variation exists (as evidenced by large variability in sire EBV) for genetic improvement through direct selection in the long term. Standardization of hoof health data collection is encouraged.

Digital dermatitis is an infectious disease that causes lameness in dairy cattle, a primary welfare concern of the dairy industry. One of the common treatments for this painful hoof disease is through the application of an antibiotic bandage that must be removed following treatment. The objectives of this randomized clinical trial were to determine if topical application of tetracycline hydrochloride in a paste would be as therapeutically effective for the treatment of digital dermatitis as a powdered form of tetracycline hydrochloride held in place by a bandage, and to quantify pain associated with digital dermatitis lesions. Two hundred and fourteen Holstein cow hooves with digital dermatitis lesions were randomly assigned to 1 of 3 treatments: a tetracycline hydrochloride paste, tetracycline hydrochloride powder held in place with a bandage for 2 d, or a negative (untreated) control. Lesions were examined at 2 time periods: 3 to 7 d posttreatment and 8 to 12 d posttreatment to determine healing rates. Nociceptive thresholds were measured using a pressure algometer to quantify the pain at the lesion site. The tetracycline hydrochloride paste was as effective as the powdered bandage treatment in terms of healing rates, with 47.4 and 57.1% hooves healed at 8 to 12 d posttreatment, respectively. Both treatments were more effective than the control, in which no lesions healed 8 to 12 d following initial examination. Mean (±SE) nociceptive thresholds for active, healing, and healed lesions differed, with limb-withdrawal response occurring at 7.45 (±0.67) kg, 12.84 (±1.85) kg, and censored to 25 kg (maximum value of algometer) of force applied, respectively. However, active lesions were not consistently associated with pain, as maximum force was tolerated when applied to 19% of active lesions, perhaps due to variability in stoicism between individual cattle or due to changes in pain during the progression of infection. In conclusion, tetracycline hydrochloride paste was as effective as tetracycline hydrochloride bandage, eliminating the need for bandage removal following treatment application. Digital lesions can be painful during both active and healing stages, suggesting the need for treatment and husbandry interventions for pain mitigation.

The objective was to determine the association between specific foot lesions and culling in dairy cows. Using 5 trained professional hoof trimmers, data from 6,513 cows in 157 herds were recorded for analysis. During the study period, 1,293 cows (19.9%) were culled. Infectious lesions were most frequent in nonculled cows, whereas hoof horn lesions were most common in the culled cows. Median time to culling was 188 d [95% confidence interval (CI): 175-198 d] for cows without a lesion and 157 d (CI: 149-168 d) for cows with a lesion. Time from hoof trimming to culling was used to model the association between foot lesions and culling hazard. The final multivariate Cox proportional hazards model included heifers, infectious lesions, white line lesions, hemorrhages, sole ulcers, other lesions, and free-stall housing as covariates. Results of the final model showed that infectious hoof lesions had no significant association with culling. Yet, the hazard ratios for white line lesions, ulcers, and hemorrhage were 1.72 (CI: 1.39-2.11), 1.26 (CI: 1.05-1.52), and 1.36 (CI: 1.16-1.59), respectively. The association with culling for the grouped variable "other lesions" was time dependent and decreased with time. These results illustrate that there were significant associations with cow productivity for hoof horn lesions found at routine hoof trimming and that emphasis should be placed on proper treatment and earlier detection of these foot lesions.