12/23/2025
Here is an example of the ELPO Distortion Grading Scale applied to frog distortions. The frog is a good window to how the overall health of the foot. Here is a good evaluation tool for determining the health of your horses frogs.
#0 – Optimal Frog
Wide, well-developed frog with healthy buttresses and good ground contact. Normal shock absorption capacity and stability.
#1 – Mild Distortion
Mostly functional frog with slight narrowing, or stretching. Mild dirt traps. Changes resolve with routine trimming and hygiene.
#2 – Moderate Distortion
Clear narrowing and loss of mass with deeper sulci and reduced ground contact. Frog and digital cushion function begin to decline; performance may be subtly affected.
#3 – Compromised Frog
Significant atrophy or chronic sulcus infection. Minimal ground contact, reduced caudal support, altered landing patterns, and increased stress to the caudal foot and DIP joint.
#4 – Severe Distortion
Severe contraction, recession, or even necrosis of the frog with poor caudal support. Lameness can be common and long-term pathology is could be likely. Corrective trimming, shoeing, and frog support are usually required.
#5 – End-Stage Pathology
Severely degraded or nonfunctional frog with digital cushion and deeper structure involvement. Horses are often lame; advanced therapeutic intervention may be needed.