Abnormality of gait is a sign common to many diseases and conditions. A complete history is important for diagnosis and should include incidence and duration in the herd, nutrition, feed changes, method of rearing, and recent introductions to the herd. (Also see Goats.)
Some causes of lameness may be associated with systemic disease. Therefore, a thorough physical examination should always be performed, followed by a specific assessment of gait and mobility in an attempt to localize locomotor problems and by a detailed examination of the limbs. In goats, as in other species, locomotor difficulties usually involve the musculoskeletal system directly, but conditions of the nervous system can mimic musculoskeletal disease and should be considered during the clinical examination.
The hoof of the affected leg(s) should be examined, and excess horn material removed to leave a level weight-bearing surface. If the feet have not been trimmed for a long period, or the goats have been on soft ground or bedding, excess horn commonly overgrows from the walls, toes, and heels, and folds over the sole. With severe neglect, “sled-runner”- or “Turkish slipper”-type hooves (elongated toes) may cause the goat to walk on its heels. The following should be noted during foot paring: any portion of the horn that is abnormally thickened, any underrunning of the heel or sole, any abnormal wear of one claw, or any abnormal or necrotic smell.
After paring, the feet should be scrubbed clean and inspected for puncture wounds, foreign bodies (eg, stones or clover burrs caught in the interdigital area), or pus from a discharging abscess—especially about the coronet.
The rest of the leg should be palpated carefully, including the bones, tendons, and muscles. Any muscle atrophy or restriction of movement should be noted. The joints also should be checked for heat, swelling, or pain. Contralateral limb structures should be compared for signs of asymmetry.
If the clinical examination suggests joint involvement, it may be necessary to aseptically collect some joint fluid from an affected joint (usually the carpus) for visual examination, cytology, Gram's stain, and culture and sensitivity tests. Joint fluid containing pus alone, or with Gram-stained bacteria, indicates joint-ill; fibrin and pus combined suggest Mycoplasma spp; clear or cloudy joint fluid with many mononuclear cells suggests caprine arthritis-encephalitis virus (CAE, see Overview of Caprine Arthritis and Encephalitis).
A blood or serum sample may also be useful in establishing the underlying cause of lameness. In joint-ill, the WBC count is high, with neutrophilia. Blood calcium, phosphorus, and vitamin D levels may help diagnose bent leg or rickets, although blood levels often return to normal before the affected goat is examined. If CAE is suspected, the presence of antibody can be checked; however, false negatives may be seen during severe stress, and positive tests may be coincidental to another cause of lameness if seroprevalence is high in the herd of origin.
Radiography may be helpful. In “bent leg,” the growth plates should be checked; there is also lateral deviation of the radii and occasionally thinness of the bone. In CAE virus infection, the initial swelling of the soft tissue surrounding the affected joint is followed by calcium deposits in the swollen periarticular tissue, joint capsule, ligaments, tendons, and tendon sheaths. Later changes consist of mild periarticular osteophyte production, “joint mice,” and rough extensions of the periarticular bone proximally and distally.
Some of the more important conditions that cause lameness in goats are discussed below, listed in alphabetical order. The differential diagnosis in any case of lameness is influenced by geographic location, herd history, management practices, and other relevant factors.
Last full review/revision March 2012 by David M. Sherman, DVM, MS, DACVIM