By J. D. Pagan, R. J. Geor
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Extra info for Advances in Equine Nutrition III
All of the arterial blood supply of the sole (except for the angle between the bars and the heels) comes from axially directed arteries branching inwards from the circumflex artery (Fig. 13). There are no vascular foramina perforating the solar surface of the distal phalanx (except over the palmar processes), which means that almost the entire corium of the sole depends on a blood supply that arises first on the dorsal surface of the distal phalanx and then curls under the margin of the distal phalanx.
Suspensory Apparatus of the Distal Phalanx adding to the proximal hoof wall. 3 Although mitotic figures among the basal cells of the proximal lamellar zone are easily observed, there is no convincing evidence that the more distal lamellae proliferate at all. The fundamental question is: how do the inner hoof wall lamellae remain attached to the connective tissue embedded on the surface of the stationary distal phalanx, while one moves over the other? Is it by continuous proliferation of the lamellar epidermis (laminar flow) or by some other remodeling process (which may somehow be involved in laminitis pathogenesis)?
In addition to the 12 to 15 main foramina, the dorsal surface of the distal phalanx is perforated by numerous finer foramina (the bone in this region is porous). 17 The many interconnected bony canals in the body of the distal phalanx contain numerous blood vessels that seem to anastomose with the sublamellar and lamellar circulation, forming an interconnecting network. This unique anatomic relationship offers a practical way to access, and deliver drugs to, the lamellar circulation. Intraosseous infusion of the distal phalanx has the potential to deliver antilaminitis therapeutic agents directly to the hoof lamellar region.