Evaluation of ultrasonography for measuring solar soft tissue thickness as a predictor of sole ulcer formation in Holstein–Friesian dairy cows

A prospective cohort study of factors associated with the digital cushion thickness in dairy cattle

Key factors such as stage of lactation, parity, and body fat reserves have been associated with the digital cushion thickness (DCT), however, there are discrepancies between the results of previously published studies. The objective of this study was to examine the association of stage of lactation, body fat reserves, parity, and lesion incidence with DCT in a large cohort of intensively monitored cows. Across 4 UK farms, 2,352 cows were prospectively enrolled and assessed at 4 time points: before calving (T1-Precalving), immediately after calving (T2-Calving), in early lactation (T3-Early), and in late lactation (T4-Late). At each time point, BCS was recorded, the presence of sole lesions (sole ulcers and sole hemorrhage) and white line lesions was assessed by veterinarians, and an ultrasound image was taken to retrospectively measure the backfat thickness (BFT) in the pelvic region and the digital cushion on the hind left lateral claw. Mixed effects multivariable linear regression models, with the cow as a random effect, were fit to examine the association between the explanatory variables and DCT. The explanatory variables tested were farm, parity, stage of lactation, BCS, BFT, height, the presence of a lesion at the time of measurement, the chronicity of a lesion during early lactation, the predicted maximum daily milk yield, and the rate of milk production rise in early lactation. Stage of lactation and farm were both associated with DCT; however, an interaction was present, and this DCT pattern of change was farm-dependent. Two distinct patterns emerged; one indicated the nadir to occur shortly after calving, the other indicated the nadir to occur during early lactation. Neither BFT nor BCS were significantly associated with DCT. Heifers displayed thinner digital cushions compared with multiparous cows; however, this effect was dependent on the stage of lactation, with heifers having a thinner digital cushion up until late lactation, by which time DCT was commensurate with multiparous animals. Sole lesions and white line lesions at the time of measurement were associated with DCT (sole lesion: estimate = -0.07 mm, 95% CI = -0.14-0.00; white line lesion: estimate = 0.28 mm, 95% CI = 0.15-0.42).

Evaluating the Effect of Preventative Trimming on Distance from the Sole Surface to the Distal Phalanx Using Ultrasonography for Lameness Prevention in Pasture-Based Dairy Cows

One common management strategy used to reduce the risk of lameness is prophylactic claw trimming. However, in pasture-based cattle, there is a concern that the immediate reduction in sole thickness resulting from sole trimming will lead to medium-to-long-term reductions in sole thickness, which may increase the risk of lameness. Nevertheless, there is a lack of data on sole thickness and trimming in pasture-based cows. Therefore, the aim of this study was to evaluate the effect of trimming on sole thickness over the medium-to-long term, as estimated using the ultrasound-measured distance from the external claw sole surface to the distal phalanx (DDP) and of DDP on the interval between calving and increased locomotion scores. A total of 38 cows were randomly selected from a 940-cow spring calving dairy farm in the North Island of New Zealand; 18 were allocated to the ultrasound hoof-trimming group and 20 were allocated to the ultrasound non-trimming group. Starting in May 2018, at the end of the 2017/18 lactation, ultrasound measurements of DDP of the right hind hoof were made on all 38 cows, and the hindlimbs of the trimming group cows were trimmed by an experienced professional hoof trimmer using the five-step Dutch method. This was repeated in October 2018 (early lactation) and May 2019 (late lactation). After calving, the cows were locomotion scored fortnightly until the end of lactation using the 4-point (0-3) scale DairyNZ system. The effect of DDP on the interval between calving and the first locomotion scores ≥1 and ≥2 was assessed using Cox proportional hazards models, and the association between trimming and DDP was explored using linear mixed models. The results suggest that DDP has no effect on the time to locomotion scores ≥1 or ≥2, although the wide confidence intervals of the latter suggest that more data are needed before any definitive conclusions can be drawn. The study failed to find any clinically important impact of prophylactic trimming on DDP. This is likely related to the finding that cows with the highest DDP at the first trimming were identified by the hoof trimmer as those needing the most trimming. The results of this study thus suggest that if the Dutch five-step method is properly applied, it is unlikely to affect sole thickness over the short-to-medium term in pasture-based cattle.

Genetic parameters and genome-wide association study of digital cushion thickness in Holstein cows

The digital cushion is linked to the development of claw horn lesions (CHL) in dairy cattle. The objectives of this study were to (1) estimate genetic parameters for digital cushion thickness (DCT), (2) estimate the genetic correlation between DCT and CHL, and (3) identify candidate genes associated with DCT. A cohort of 2,352 Holstein dairy cows were prospectively enrolled on 4 farms and assessed at 4 time points: before calving, immediately after calving, in early lactation, and in late lactation. At each time point, CHL was recorded by veterinary surgeons, and ultrasonographic images of the digital cushion were stored and retrospectively measured at 2 anatomical locations. Animals were genotyped and pedigree details extracted from the national database. Genetic parameters were estimated following a single-step approach implemented in AIREMLF90. Four traits were analyzed: the 2 DCT measurements, sole lesions (sole hemorrhage and sole ulcers), and white line lesions. All traits were analyzed with univariate linear mixed models; bivariate models were fit to estimate the genetic correlation between traits within and between time points. Single-marker and window-based genome-wide association analyses of DCT traits were conducted at each time point; candidate genes were mapped near (<0.2 Mb) or within the genomic markers or windows with the largest effects. Heritability estimates of DCT ranged from 0.14 to 0.44 depending on the location of DCT measurement and assessment time point. The genetic correlation between DCT and sole lesions was generally negative, notably between DCT immediately after calving and sole lesions in early or late lactation, and between DCT in early or late lactation and sole lesion severity in early or late lactation. Digital cushion thickness was not genetically correlated with white line lesions. A polygenic background to DCT was found; genes associated with inflammation, fat metabolism, and bone development were mapped near or within the top markers and windows. The moderate heritability of DCT provides an opportunity to use selective breeding to change DCT in a population. The negative genetic correlation between DCT and sole lesions at different stages of production lends support to current hypotheses of sole lesion pathogenesis. Highlighted candidate genes provide information regarding the complex genetic background of DCT in Holstein cows, but further studies are needed to explore and corroborate these findings.

Development of an equation to screen for solar hemorrhages from digital cushion ultrasound texture analysis in veal calves at slaughter

Claw disorders are a relevant welfare issue in the cattle industry, fast and accurate diagnoses are essential for successful treatment and prevention. The present study aimed to develop an equation to assess the presence of solar hemorrhages from real-time ultrasound images texture analysis at slaughter. Eighty-eight hind feet were collected at the slaughterhouse from 44 Holstein male veal calves. The claws were trimmed by a veterinarian hoof-trimmer, approximately 30 min after the calves' slaughter, and classified into healthy and affected by solar hemorrhages. At the same time, ultrasound images were collected for each claw. Sole soft tissues' thickness was measured, and texture analysis was performed using MaZda software. The resulting parameters from sole soft tissues' measurements and texture analysis were screened with a stepwise linear discriminant analysis using the absence or presence (0/1) of solar hemorrhages as the dependent variable. Results from the stepwise analysis identified 9 variables (among 279) as predictors, and an equation was developed and used to predict the presence or absence of solar hemorrhages on the scanned claws by binary measure: values ≤0.5 counted as 0, while those >0.5 as 1. Validation of the equation was performed by testing predicted lesions (LESpred) against the clinically evaluated lesions (LESeval) with a confusion matrix, a ROC analysis, and a precision-recall curve. Results of the present study suggest that the equation proposed has a good potential for detecting effectively hemorrhages of the sole by ultrasound imaging texture means, and could be used to monitor unsatisfactory housing and management conditions at the farm level, and for early management intervention and prevention.

Changes in the soft-tissue thickness of the claw sole in Holstein heifers around calving

Claw horn disruption lesions are a common cause of lameness in dairy cattle. It is commonly agreed that they develop due to excessive pressure from the distal phalanx on the horn-producing tissue in the sole. The distal phalanx is supported by the suspensory apparatus, a large proportion of which is made up of connective tissue. It has been hypothesized that increased laxity of the connective tissue due to hormonal changes around calving may lead to decreased support of the distal phalanx, resulting in a sinking of the bone and increased pressure on the horn-producing tissue. In this longitudinal study, our first objective was to determine whether the thickness of the soft tissue related to the claw sole (the combined depth of the digital cushion and corium; soft-tissue thickness, STT) in the weight-bearing hind claws of live heifers changed around calving (the period from approximately 3 wk before calving to 2 wk after calving). Our second objective was to evaluate the relationship between the body condition score (BCS) of recruited heifers and the STT estimates we obtained. We measured STT (defined as the distance between the distal phalanx and the sole horn) in the apex and the posterior part of the sole of the hind claws of 34 Holstein heifers 4 times over 3 to 4 wk around calving. We determined STT by ultrasonographic measurements through the sole horn on weight-bearing claws. The overall mean STT at site 1 was 3.3 mm [minimum-maximum (min-max): 1.8 to 5.2 mm], and the mean at site 2 was 3.7 mm (min-max: 2.2 to 5.8). The overall mean STT was thickest in the first examination before calving [site 1: 3.4 mm (min-max: 1.9 to 4.7); site 2: 4.1 mm (min-max: 2.7 to 5.8)] and thinnest at site 1 in the second examination after calving (3.2 mm, min-max: 1.8 to 5.2) and at site 2 at the first examination after calving (3.5 mm, min-max: 2.2 to 5.0). We observed an average reduction in STT of -0.2 mm (min-max: 0.8 to -0.9 mm) at site 1 during the study period, but we did not observe this reduction in all animals. At site 2, we found an average reduction in STT of -0.6 mm (min-max: 0.8 to -1.3 mm) from 10 d before calving to 5 d after calving, corresponding to a decrease of approximately 15% (min-max: 0 to 31%). We suggest that this reduction was caused by a rotation of the distal phalanx toward the posterior part of the sole horn in the weeks around calving. During the same period, heifer BCS decreased between 0.25 and 0.5 increments in the BCS scale, but we found no correlation between BCS and STT. However, the heifers experienced many changes related to management, feeding, and time budget during the study period, and the rotation of the distal phalanx and reduction of the STT might be explained not only by calving but also by other factors that affect heifers and their claws during the transition period.

A Prospective Cohort Study on the Development of Claw Horn Disruption Lesions in Dairy Cattle; Furthering our Understanding of the Role of the Digital Cushion

Claw horn disruption lesion (CHDL) is the collective term used to describe non-infectious foot lesions such as sole ulcers (SU), sole hemorrhage (SH), and white line disease (WLD) that commonly affect dairy cattle. The potential role of the bovine digital cushion, an anatomical structure located under the pedal bone and composed mostly of adipose and connective tissue, in the aetiopathogenesis of CHDL has recently been the subject of several studies. The aim of this prospective cohort study is to identify risk factors associated with the development of CHDL and to add further evidence regarding the role of the digital cushion. In order to achieve that we collected data from 500 lactations; 455 dairy cows from 3 farms were enrolled in this study. Data were collected from each animal on three occasions: 3–4 weeks before expected calving date, 1 week post calving, and 8–10 weeks post-calving. At each occasion, sole soft tissue thickness (the combined depth of the digital cushion and corium, SSTT) was measured using B-mode ultrasonography. At 8–10 weeks post-calving foot trimming was undertaken and the presence of CHDLs was recorded. Univariable analysis was undertaken between variables of interest, before multivariable regression models were constructed. Mixed effects multivariable linear regression models were created to describe the changes in SSTT and associations with various explanatory variables. Multivariable logistic regression models with the presence of SU, SH, or WLD as an outcome were also built. SSTT was shown to decrease from calving to early lactation (EL). Primiparous animals were found to have smaller SSTT, than multiparous animals. Animals with greater BCS had greater SSTT. Cows with a SU in early lactation had lower SSTT both at pre-calving and calving inspections comparing to cows without a SU. Cows that developed mastitis within 30 days of calving had approximately four times higher odds of developing SU compared to cows that did not develop mastitis. Our study advances our understanding of animal level risk factors associated with the development of CHDL and highlights the importance of the periparturient period.

In vitro biomechanical properties of sole tissues: Comparison between healthy and ulcerated bovine claws

Sole ulcers are reportedly one of the most prevalent diseases associated with lameness in dairy cattle, significantly affecting animal welfare and farm profitability. The degree to which sole soft tissues, healthy or ulcerated, are able to maintain their structure and function when subjected to compressive forces remains unknown. Therefore, the aims of the present study were to assess sole tissue biomechanics in healthy and ulcerated claws and to describe correlated histology. Cylindrical samples were harvested from zones 4 and 6, as described by the international foot map, from hind lateral healthy (n = 12) and ulcerated bovine claws (n = 8; animals n = 12). Tissue biomechanics and morphology were evaluated via compressive tests and hematoxylin-eosin-phloxine-saffron staining, respectively. A 2-sample t-test was used to compare zones' mechanical properties between healthy and ulcerated tissues, and the Cochran-Mantel-Haenszel test was used to measure the effect of claw zone on histology. The fibril modulus (E_f) and permeability (k) respectively increased and decreased in ulcerated claws (E_f = 0.201 ± 0.104 MPa; k = 0.128 ± 0.069 mm²/MPa·s) compared with healthy claws (E_f = 0.105 ± 0.050 MPa; k = 0.452 ± 0.365 mm²/MPa·s) only for zone 6. Histology scores equal to or greater than 3 were associated with macroscopic presence of ulceration. A higher proportion of adipose tissue (30% or more) was associated with zone 6 compared with zone 4, but no difference was seen between healthy and ulcerated claws. Ulcerated claws had a higher prevalence of exostoses compared with healthy ones (33% vs. 8%). Sole soft tissues showed, as hypothesized, a viscoelastic behavior using unconfined compression testing, which, however, may not reflect in vivo loading conditions. Clinical and histological signs of sole ulceration were not associated with decreased strength of the supportive apparatus of the distal phalanx in zone 4 in this study.

Ultrasonographic alterations of bovine claws sole soft tissues associated with claw horn disruption lesions, body condition score and locomotion score in Holstein dairy cows

Claw Horn Disruption Lesions (CHDL) negatively affect the sole soft tissue structures located beneath the sole horn. The aim of the present study was to investigate the effect of CHDL on sole soft tissues by ultrasound means, correlating Body condition score (BCS), locomotion score and CHDL with ultrasonography evaluations of sole soft tissues in Holstein dairy cows. 100 Holstein dairy cows were enrolled in the study. BCS and locomotion score were assessed and functional trimming was performed on all animals. 84 healthy claws and 174 claws with solely one CHDL per claw were evaluated both clinically and with ultrasound, and CHDL were identified and recorded. Sole soft tissues thickness (mm) and echogenicity was determined, and ultrasonographic alterations, related to CHDL presence, where measured long their vertical (L1) and horizontal (L2) axis. Statistically significant (P < .001) differences were found in echogenicity between healthy claws and all the affected ones, with the healthy ones being mainly anechoic. Statistically significant (P < .001) differences were found for vertical (L1) and horizontal (L2) axis measures between the diverse CHDL, confirming ultrasonography as a useful tool to distinguish lesions and their extension by measuring L1 and L2. BCS had an influence both on sole soft tissues ultrasonographic appearance and on CHDL insurgency. These results confirm ultrasonography as a reliable tool for detecting an increase in sole soft tissues echogenicity, that was seen to occur with CHDL insurgency, and in determining lesion extension.

Risk Factors and Detection of Lameness Using Infrared Thermography in Dairy Cows – A Review

Lameness in dairy cows is a worldwide problem, usually a consequence of hoof diseases. Hoof problems have a negative impact on animal health and welfare as well as the economy of the farm. Prevention and early diagnosis of lameness should prevent the development of the disease and consequent high costs of animal treatment. In this review, the most common causes of both infectious and noninfectious lesions are described. Susceptibility to lesions is primarily influenced by the quality of the horn. The quality of the horn is influenced by internal and external conditions such as hygiene, nutrition, hormonal changes during calving and lactation, the animal’s age or genetic predisposition. The next part of this review summarizes the basic principles and possibilities of using infrared thermography in the early detection of lameness in dairy cows.

Evaluation of arterial digital blood flow in dairy cows with claw horn disruption lesions using Doppler ultrasonography

Vascular changes play an important role in the pathogenesis of claw horn disruption lesions in cattle. The aim of the study was to measure arterial blood flow in the hind limbs of German Holstein cows with claw horn disruption lesions. A 10-MHz linear transducer was used to assess blood flow in the interdigital artery in the dorsal pastern region in the hind limbs of 11 non-lame and 33 lame German Holstein cows in which lameness was scored clinically. Qualitative and quantitative blood flow parameters were compared in affected limbs and unaffected contralateral hind limbs in lame cows and in the hind limbs of lame cows and non-lame cows. A pulsed-wave Doppler signal suitable for analysis was obtained in 78 of 88 limbs (33 affected and contralateral limbs, 22 limbs of control cows). Blood flow curve types 1 and 2 were predominant in the hind limbs of lame cows. Vessel diameter, end-diastolic velocity, and blood flow rate were significantly greater in lame cows than in non-lame cows and were numerically greater in moderately lame cows than in mildly lame cows. The differences in the qualitative and quantitative parameters between lame and non-lame cows were most likely caused by inflammation of the pododerm. The role of weight distribution between the paired hind limbs and the existence of claw horn disruption appeared to have an effect on the differences in local circulation in the affected and unaffected contralateral hind limbs in lame cows.

Ultrasonographic findings in cows with left displacement of abomasum, before and after reposition surgery

Background

The natural incidence of left displacement of abomasum (LDA) in dairy cows was high. The diagnosis of LDA usually relies on characteristic physical exam findings but that transabdominal ultrasound is a useful technique that has been applied to the diagnosis of gastrointestinal diseases of dairy cows in equivocal cases.

Methods

Forty dairy cows with LDA were clinically and ultrasonographically examined to determine the position and the echogenic property of the abomasum. The cows were examined ultrasonographically on the left side, from the 9th intercostal space (ICS) to the 12th ICS as well as the ventral left abdomen before and after reposition surgery.

Results

The vital signs were within normal range in most of the cows and the ‘pinging’ were clearly heard in 37 cows. The abomasal gas cap was visualized from the 9th to 12th ICS in 37 cows and characterized by reverberation artifacts. The abomasal ingesta appeared as homogeneous hypoechoic fluid with scattered hyperechoic foci and were mainly visible in the median region and ventral region of the 9th to 11th ICS in 35 cows. The pyloric canal was detected from the ventral left abdomen wall in 30 cows and appeared as a loop with hypoechogenic wall and echogenic luminal contents in cross section.

Conclusion

These typical ultrasonograms, including reverberation artifacts, homogenous hypoechoic structures, are important diagnostic feature in ultrasonography of LDA. Furthermore, the circular acoustic image structure of the pyloric canal is an important characteristic of LDA, so it can be used as an important diagnostic basis of LDA.