[Bovine sole ulcer: a literature review]

Sole ulcers are the most frequently encountered lesion in lame cattle. They are of growing concern to the dairy industry since the incidence of ulcers is increasing. Ulcers cause financial losses, the animal's wellbeing is disturbed to a high degree and they harm the image of the industry in general. Biomechanic factors and laminitis are of particular significance in the pathogenesis of the sole ulcer. The development of sole contusions and ulcers is assumed to occur in 3 phases (Sinking theory). In the first phase there is a general disturbance in the vascular system of the corium. The second phase follows when the structures that suspend the claw bone within the horn shoe give way. The locus minoris resistentiae has yet to be identified. The claw bone sinks and causes various lesions when it pinches the underlying sole or heel corium. The third phase begins when haemorrhages become visible on the horn surface of the sole or when the sole ulcerates; socalled third phase lesions. The relationship between the development of sole ulcers and anatomical structures such as the claw bone's tuberculum flexorium or the fat bodies under the bone are unclear. Epidemiological studies have shown that sole ulcers have a high rate of recurrence. The healing processes and the factors that influence them have hitherto not been studied.