Have you heard of keratomas? These slow-growing, benign masses inside the hoof can cause significant discomfort for horses.
What is a Keratoma?
A keratoma is a benign epithelial tumor of the hoof capsule that forms between the hoof wall and the coffin bone. As it grows, it can put pressure on sensitive structures in the hoof. A keratoma might develop as a result of localized chronic irritation, inflammation, or trauma to the epithelium of the hoof.
Common Signs to Watch For:
• Recurrent or unexplained lameness
• A hoof abscess that keeps returning
• Abnormal hoof wall growth
A keratoma typically appears on radiographs as a distinct circular or oval lytic area on the solar margin or the coffin bone. It almost looks like the keratoma has “taken a bite” out of the coffin bone!
Treatment typically involves surgical removal, followed by a carefully managed rehabilitation plan to support proper hoof healing.
Good News!
With early diagnosis and appropriate treatment, most horses recover very well and return to full work!
If your horse has had repeated hoof issues or unexplained lameness, we’re here to help.
Call us today to schedule an evaluation, or message us with questions.
Thank you to Peter Gillespie for the excellent photos!

