MSK Equine Developmental Orthopedic Diseases Practice Test

When the deformity arises from uneven growth at the growth plate, the goal of conservative management is to rebalance how load is carried across the limb so the limb grows more symmetrically and the angular deviation progresses less. Correct hoof balance using hoof manipulation, corrective trimming, and appropriate shoeing or hoof extensions changes the direction and magnitude of ground-reaction forces transmitted through the limb. This mechanical adjustment influences the forces at the physis and can steer growth toward straightening the limb over time, while keeping the limb noninvasive and adaptable as the animal grows.

Relieving pain with blocks or rest doesn’t address the abnormal growth pattern itself, and bone osteotomy would be surgical correction rather than conservative management. Growth-modulating hormone therapy isn’t a standard, proven conservative treatment for angular limb deformities in horses.