Patient: Mister Chips
Breed/Type: Clydesdale–Warmblood cross
Presenting complaint: Acute lameness following discovery of a nail in the hoof
History: Mister Chips’ owners found a nail embedded in his foot and brought him into Sunshine Coast Equine Veterinary Clinic immediately for assessment. Puncture wounds to the sole of the hoof can be deceptively dangerous, particularly if they involve deep or sensitive structures such as joints, tendons or the navicular bursa.
Clinical Findings: On arrival, Mister Chips underwent a thorough physical examination. Radiographs (X-rays) were taken to assess the position and depth of the puncture. To determine whether critical internal structures had been affected, contrast material was injected into the puncture site. This imaging technique helped visualise the full extent of the wound and confirmed that no synovial structures had been compromised.
Management and Outcome: Equine surgeon Dr Massimo performed a minor surgical procedure to remove a 2cm x 2cm section of tissue around the nail tract. This allowed for the removal of unhealthy tissue and created an adequate channel for drainage, helping reduce the risk of infection.
Mister Chips was then fitted with a specialised hospital shoe featuring a removable plate – this kept the sole protected and clean while still allowing access for daily inspection and treatment. He remained in hospital for several days, where he received anti-inflammatory medication, pain relief, and dedicated care from our nursing team.
He was discharged once his condition stabilised and continues to receive follow-up care at home to ensure ongoing healing and comfort.
Discussion: This case underscores the importance of early veterinary assessment when hoof punctures occur. Even small wounds can penetrate deep structures and pose serious risks if not properly assessed and treated. Use of contrast radiography is a valuable diagnostic tool in these cases, allowing us to make informed decisions about surgical and medical management.
Prompt intervention, skilled surgical care, and attentive post-operative management were key to Mister Chips’ successful recovery.
Key Takeaway: Hoof punctures are an equine emergency. If you notice your horse is lame or suspect a foreign object has penetrated the foot, seek veterinary attention straight away.
Quick action can make all the difference in ensuring a full recovery and avoiding complications.
