03/26/2025
Ground parallel palmar and plantar pedal bone angle – pathological or healthy?
And should we base hoof trimming on the wild hoof model?
The debate continues as to whether or not the palmar (PA) or plantar P3 angle (PLA) should sit at 0 degrees to the ground, or at a positive angle. And if it is to sit at a positive angle then what angle? (see the end of the post for abbreviations/glossary and references/resources)
Trimming to achieve ground parallel PA/PLA is often associated with the wild hoof model – a trimming and management approach based on feral or wild horses.
Some claim observations of wild horses and domestic horses thought to be free from foot pain with ground parallel pedal bones as empirical evidence for 0 degree PA/PLA. Trimmers that believe in this theory deliberately trim horses or force/allow wear patterns to achieve this.
There exists a direct relationship between the dorsal hoof wall angle (HA) and PA/PLA due to the direct connection between the wall and its foundation (the pedal bone).
A low HA is associated with a low or ground parallel PA/PLA, whereas a high HA is associated with a positive and higher PA/PLA.
What is deemed ‘low’ or ‘high’ isn’t agreed upon, like much of the study of the equine hoof in the industry.
Let’s look to the wild and feral horse. Studies have shown a variety of results indicating that contrary to popular belief, the feral horse foot type should not be used as an ideal model for the domestic horse foot.
Evidence from a Kaimanawa feral horse foot study found that a ground parallel or negative PA was linked to foot pathology in this population (1)
In another study featuring feral populations of Australian Brumby’s, it was suggested that the PA of horses living in a “natural” environment, with an absence of human intervention, is close to 6° (2)
It has also been suggested that the substrate upon which horses walk over in their daily life plays a role in shaping the hoof and influencing PA/PLA, with softer, less abrasive substrates associated with lower HA and therefore PA/PLA and harder, more abrasive substrates are associated with higher HA and therefore PA/PLA (3)
In these studies, it was observed that distances travelled daily also played a role in shaping hooves, and overall, that a combination of high travel and hard substrate was associated with more serious foot pathologies observed, which were common - eg. 377 abnormalities identified in a health survey of the left forefeet of 100 Australian brumbies from five different populations, only 3 feet considered healthy out of 100 assessed, a 67% chance of chronic laminitis and a 70% incidence of ungular cartilage ossification (4).
The wild hoof model is often chosen as an ideal model upon which to trim the domestic horse, however a more thorough investigation of internal foot structures using radiographic and lamellar histological assessment of feral horses, revealed significant pathology. As such, hoof care methods based on the wild hoof model may need to be carefully re-considered.
Let’s consider domestic horses. Like feral and wild populations, the conditions in which they live are varied, making it tricky to identify what is ‘healthy’ hoof morphology. However, it is easier to study domestic horses and they are of course, vulnerable to pathologies.
In the past decade or so, the widely accepted norm for an ideal PA/PLA is between 2 and 7 degrees, however there is a growing body of evidence suggesting the PA/PLA shouldn’t be used to identify optimum function and balance. What is becoming more apparent is that balance, form and function of the hoof is related to healthy or ideal alignment of the phalanges. Furthermore, the alignment of the phalanges is seemingly connected to posture, with misalignment of the phalanges being related to pathological, compensatory posture and development of the horse (5).
In addition, there is a growing body of evidence to suggest that NPA/NPLA (negative palmar/plantar P3 angles) is associated with lameness and pathology in the digit, hind limb and in fact, anywhere along the superficial dorsal myofascial line. There is only 1 degree between ground parallel and negative angle… maybe one swipe of a rasp on a hoof… so if you believe a ground parallel pedal bones are healthy, and you seek to impose this on a horse, then you are placing a horse at risk of lameness by the potential to inadvertently create a negative pedal bone angle, with such small error margins. (6-13)
Instead of arguing about palmar angles, hoof care providers and researchers should instead be asking what is perhaps the most important question of all - how do we know if the management and hoof care imposed upon the horse is in the horse’s best interest and how can we measure this?
It has been suggested that objective assessment of welfare conditions of equines should can be achieved via study of:
1. Physiological
2. Postural
3. Behavioural
parameters (14).
This can be achieved in the field and lab via accurate, repeatable and science backed hoof and posture mark ups, equine ethograms and if necessary, veterinary investigative work and diagnostics such as blood work and radiographs.
For myself, after many years of research, trying out various trimming and hoof care methods, management systems and documenting objectively the results of such stimulus imposed upon the horse; I now assess welfare parameters and let the horse tell me if it is feeling safe and sound, and whether or not the impact of the intervention I have imposed or recommended has improved their welfare and well-being, or not.
The results gathered seem to indicate that horses respond to my approach well (prioritizing neuro-muscular health and comfort) and that there is a direct relationship between positive welfare indicators and neutral posture, ideal hoof morphology, balance and yes, a straight HPA (hoof-pastern axis) and phalangeal alignment. The palmar or plantar angle doesn’t matter, but it is always positive, and above 6 degrees.
It is also apparent that horses don’t care how this is achieved, and I have successfully used just a trim, or trim plus hoof boots and up to 6 degree wedges to temporarily create an artificially straight or straighter HPA, and at times I recommend shoes with a wedge and 3D support to achieve the same, where a reductive method and hoof boots simply aren’t practical within the horses environment (I work in the UK where many horses are exposed to mud a lot of the year). Wedging is another contentious topic for another time...
Ultimately, it is up to the owner to become aware and educated enough to make informed decisions in order to make the best choices, and be the best advocate for their horse. It pays to ask questions and learn more about the evidence for and against a particular belief, method, or system being advocated for or recommended by any professional. Just because you have been told something as fact, doesn’t necessarily make it so…
Personally and professionally, I am open to learning any new information and approaches which support equine welfare and as a result, I am not attached emotionally, energetically, or mentally to any belief system, method, or approach which may interfere with my aim of always placing the horse and owners needs before my own ego.
Can your hoof care provider or mentor say the same?
Beccy Smith - Hoof Care Myth Buster contributor.
Professional Integrative Equine Podiatrist and therapist at Holistic Equine.
Abbreviations and glossary of terms
Ground parallel PA/PLA: the angle between the pedal bone palmar processes and ground is 0 degrees.
HA hoof angle: refers to the dorsal hoof wall angle which is measured at the top third or proximal dorsal wall when viewed laterally.
HPA or hoof pastern axis: an external reference indicating phalangeal alignment (which can only be assessed from radiographs) and refers to the relationship between the hoof and the pastern, specifically the angle of the pastern and angle of the dorsal hoof wall, when viewed laterally. In a straight HPA, the angles are the same and indicate correct phalangeal alignment.
NPA/NPLA or negative plantar or plantar P3 angle: when the distal border P3 palmar processes are sitting lower to the ground than ground parallel. In a healthy hoof, it is considered that there should be a positive (PA/PLA) angle.
PA or Palmar angle: the angle between the distal border of the distal phalanx (pedal bone or P3) palmar processes and the ground, as reviewed on a lateral hoof radiograph. Palmar refers to the front hoof.
Phalanges: the last 3 bony column bones in the distal limb comprising the 1st, 2nd and 3rd phalanx, otherwise known as P1, P2 or P3 or colloquially, the long pastern, short pastern and coffin bone.
PLA or Plantar angle: as PA but referring to the hind hoof.
References/resources:
(1) Hampson, B. A., Ramsey, G., Macintosh, A. M., Mills, P. C., de Laat, M. A., & Pollitt, C. C. (2010). Morphometry and abnormalities of the feet of Kaimanawa feral horses in New Zealand. Australian veterinary journal, 88(4), 124–131. https://doi.org/10.1111/j.1751-0813.2010.00554.x
(2) Hampson, B. A., de Laat, M. A., Mills, P. C., Walsh, D. M., & Pollitt, C. C. (2013). The feral horse foot. Part B: radiographic, gross visual and histopathological parameters of foot health in 100 Australian feral horses. Australian veterinary journal, 91(1-2), 23–30. https://doi.org/10.1111/avj.12017
(3) Hampson, B. A., de Laat, M. A., Mills, P. C., & Pollitt, C. C. (2013). The feral horse foot. Part A: observational study of the effect of environment on the morphometrics of the feet of 100 Australian feral horses. Australian veterinary journal, 91(1-2), 14–22. https://doi.org/10.1111/j.1751-0813.2012.00995.x
(4) HAMPSON, B.A. & POLLITT, C. C. (2011) Improving the foot health of the domestic horse. The relevance of the feral horse foot model. Pub no 11/140 Australian Government - Rural Industries Research and Development Corporation
(5) Sharp, Y (2020). Updated February 1st 2023. Palmar Angles. The Equine Documentalist.
https://www.theequinedocumentalist.com/post/palmar-angles
(6) Dyson, S.J.; Tranquille, C.A.; Collins, S.N.; Parkin, T.D.H.; Murray, (2011) R.C. External characteristics of the lateral aspect of the hoof differ between non-lame and lame horses. Vet. J. 2011, 190, 364–371.
(7) Dyson S, Pollard D. Application of the Ridden Horse Pain Ethogram to 150 Horses with Musculoskeletal Pain before and after Diagnostic Anaesthesia. Animals (Basel). 2023 Jun 9;13(12):1940. doi: 10.3390/ani13121940. PMID: 37370450; PMCID: PMC10295347.
(8) Gellman, K. (2010). Living With Gravity: Posture and the Stomatognathic System by Karen Gellman, DVM, PhD.http://www.equinesportsmed.com/.../Gellman%20IAED%202010.pdf
(9) Mansmann, R.A.; James, S.; Blikslager, A.T.; vom Orde, K. (2010) Long Toes in the Hind Feet and Pain in the Gluteal Region: An Observational Study of 77 Horses. J. Equine Vet. Sci. 2010, 30, 720–726.
(10) Pezzanite, L.; Bass, L.; Kawcak, C.; Goodrich, L.; Moorman, V. (2019) The relationship between sagittal hoof conformation and hindlimb lameness in the horse. Equine Vet. J. 2019, 51, 464–469
(11) P. E. Clements, I. Handel, S. A. McKane, R. P. Coomer (2019) An investigation into the association between plantar distal phalanx angle and hindlimb lameness in a UK population of horses. Equine Vet J. 2020, Volume 32, Issue S10, pages 52-59
(12) Sharp, Yogi, and Gillian Tabor (2022). An Investigation into the Effects of Changing Dorso-Plantar Hoof Balance on Equine Hind Limb Posture. Animals 12, no. 23: 3275. https://doi.org/10.3390/ani12233275
(13) Walmsley EA, Jackson M, Wells-Smith L, Whitton RC. (2019) Solar angle of the distal phalanx is associated with scintigraphic evidence of subchondral bone injury in the palmar/plantar aspect of the third metacarpal/tarsal condyles in Thoroughbred racehorses. Equine Vet J. 2019 Nov;51(6):720-726. doi: 10.1111/evj.13086. Epub 2019 Mar 19. PMID: 30793363.
(14) Lesimple, C. (2020). Indicators of Horse Welfare: State-of-the-Art. Animals, 10(2), 294. https://doi.org/10.3390/ani10020294