The following symptoms may be noted. Farm horses that have side-bones seldom show lameness. This is because they are worked on soft ground and not on a hard street or road. Driving and dray horses may step short with the front feet, or show a stilty action. This may disappear with exercise. The lameness is sometimes marked. The local diseased changes are the greatest help in the recognition of side-bones. Horses should not be passed as sound without making a careful examination of the lateral cartilages. This examination is made by pressure over the region of the cartilage with the thumb or fingers. This is for the purpose of testing its elasticity. If it feels rigid and rough, the cartilaginous tissue has been replaced by bony tissue, and the animal should be classed as unsound.

The treatment is largely preventive. Horses with side-bones should not be bred. It is not advisable to use horses with side-bones on the road or city streets. Shoeing with rubber pads may help in overcoming the concussion and relieve the lameness. Sectioning the sensory nerves going to this portion of the foot is advisable in driving horses. Rest and counterirritation relieve the lameness for a short time.

NAVICULAR DISEASE.—In navicular disease the bursa, flexor tendon, and navicular bone may become chronically inflamed. Because of the seat of the lameness, it is commonly known as "coffin-joint" lameness. This disease affects standard and thoroughbred horses more often than it does the coarser breeds. One or both front feet may be affected (Fig. 39).

Hereditary causes are largely responsible for navicular disease. The tendency toward this disease probably depends on such peculiarities of conformation as narrow, weak, high heels, long pasterns and too long a toe. The character of the work is an important factor. Hurried, rapid movements throw considerable strain on the navicular region, increasing the danger from injury. This is, no doubt, one reason for "coffin-joint" lameness being more common in driving and speed horses than in slow-going work animals. Rheumatic inflammation, bad shoeing and punctured wounds in the region of the bursa many cause it.

[Illustration: FIG. 39.—A case of navicular disease involving one front foot. The diseased foot is the smaller.]

The first symptom usually noted is a tendency to stumble. When standing in the stable, the animal "points" or rests the diseased foot. Sometimes it rests the heel of the lame foot on the wall of the opposite foot. If both feet are affected, the animal may rest them alternately, or take a position with both feet well in front of the normal position. The inflamed structures are so covered by other tissues that it is difficult to detect the local inflammation, or cause the animal to flinch by applying pressure over the region. As the disease becomes more advanced, the lameness becomes permanent. The limb is carried forward stiffly and rapidly and the animal stumbles when travelling over rough ground. In time, because of the little weight thrown on the posterior portion of the foot, the quarters may become higher, contracted and more upright and the frog smaller. If one foot is diseased, it becomes smaller than the opposite foot.

The following preventive measures may be recommended. We should not use animals having faulty conformation of the feet for breeding, because the offspring of such individuals have an inherent tendency toward navicular and other foot diseases. Animals that have "coffin-joint" lameness should be allowed to run in pasture as much as possible, because natural conditions help to keep down the inflammation and soreness and promote a more healthy condition of the foot. In shoeing the horse it is best to shorten the toe and raise the heel. It is advisable in the more favorable cases to cut the sensory nerves of the foot. This operation destroys the sensation in the foot, and should not be performed on feet with weak heels, or that are wide or spreading.

[Illustration: FIG. 40.—An improperly shod foot; note the manner in which the wall is cut away at the toe.]

CONTRACTED QUARTERS.—This condition of the feet is characterized by the foot becoming narrow in its posterior portion. One or both of the quarters may be affected. It is principally observed in the forefeet.

The causes of contraction of the foot may be classed as predisposing, secondary and exciting. It may accompany chronic diseases of the foot, such as navicular disease and side-bones. Weak heels is the principal predisposing factor. Any condition that tends to prevent the hoof from taking up moisture, or causes it to lose moisture, may cause the horn to lose flexibility and contract. This is one of the reasons why horses that are worked continuously in cities, or used for driving, frequently develop contracted feet. Ill-fitting shoes, excessive rasping of the wall and bars, and allowing the shoes to stay on the foot for too long a time are responsible to a very large degree for this disorder of the foot (Fig. 40).