Distribution pattern of claw lesions in dairy cattle
A total of 215 animals were examined, with an animal-level prevalence of claw lesions of 91.63% (197 animals) (Table 2). Most animals (65.0%) had lesions in all four hooves, while 13.2%, 12.7% and 9.1% had lesions in two, three and one hoof, respectively. Additionally, 79.7% of animals had four or more lesions per animal. This high prevalence and multi-limb involvement indicate chronic, systemic influences, likely related to management and environmental conditions, consistent with previous reports
(Seixas et al., 2024; Sadiq et al., 2017).
Lesions were slightly more frequent in hind limbs (51.45%) than those of forelimbs (48.55%), likely due to greater mechanical load and increased exposure to moisture and slurry
(Relun et al., 2013; Nuss et al., 2019; Lischer and Ossent, 2002). The near-symmetrical distribution between right and left limbs suggests systemic rather than limb-specific risk factors
(Relun et al., 2013). The presence of multiple lesions per animal reflects prolonged exposure to predisposing conditions and possible compensatory weight redistribution. Poor hoof care practices, including inadequate trimming, may further aggravate lesion development
(Solano et al., 2015). These findings emphasize the need for routine hoof health monitoring and improved hygiene management to prevent lameness.
Baseline characteristics of study animals
The mean body condition score (2.95±0.34) and milk yield (8.37±3.97 kg/day) characterized the study population. Locomotion scoring showed that 44.7% of animals were normal (MS 0), while 19.5% exhibited moderate to severe lameness (MS≥2), indicating notable mobility issues. Maintaining optimal BCS supports digital cushion function and reduces the risk of claw horn lesions
(Sadiq et al., 2017), whereas lower BCS in older cows increases lameness risk
(Machado et al., 2010). The observed prevalence is consistent with comparable systems
(Sadiq et al., 2017). Regular mobility scoring and timely hoof trimming are essential to detect subclinical cases early and prevent progression to severe lameness, which can adversely affect feeding behaviour and productivity (
Havlicek et al., 2026).
Prevalence of claw lesions at the leg level
The prevalence of claw lesions at the leg level is presented in Fig 1 (forest plot with 95% CI). Hoof discolouration (38.84%, 95% CI: 35.56-42.19) and heel horn erosion (38.72%, 95% CI: 35.45-42.07), followed by double sole (33.14%, 95% CI: 30.00-36.40), were the most prevalent lesions. Hoof discolouration indicates early haemorrhage within the sole horn
(Sadiq et al., 2017), while heel horn erosion is associated with bacterial degradation under moist, unhygienic conditions
(Sogstad et al., 2005; Relun et al., 2013). Double sole reflects disruption of horn formation due to mechanical or metabolic stress
(Seixas et al., 2024; Ossent and Lischer, 1998). Structural abnormalities such as asymmetrical claw (14.07%, 95% CI: 11.81-16.57) and concave dorsal wall (8.26%, 95% CI: 6.50-10.30) indicate poor hoof management (
Parés-Casanova et al., 2020;
Burgstaller et al., 2016). Less frequent lesions, including white line fissure (3.84%), interdigital hyperplasia (3.72%) and vertical horn fissure (3.26%), may still impact productivity due to their progressive nature (
Mülling, 2002;
Angelos et al., 2019; Pirkkalainen et al., 2022).
Association of claw lesions with mobility score thresholds
The association between claw lesions and locomotion score thresholds was assessed using Fisher’s exact test and GLMM (Table 3). Several lesions showed significant associations with lameness. Vertical horn fissure was associated with MS 1 (OR = 3.9; p = 0.0033) and MS 2 (OR = 3.24; p = 0.0055) and interdigital hyperplasia with MS 1 (OR = 4.62; p < 0.001) and MS 2 (OR = 3.40; p = 0.0021), indicating their role in impaired locomotion (
Greenough, 2007;
Hӓssig et al., 2018). Horn-related lesions, including hoof discolouration (MS 1: OR = 4.13; MS 2: OR = 1.77) and heel horn erosion (MS 1: OR = 3.91; MS 2: OR = 2.41), were also strongly associated with lameness, suggesting that compromised horn quality may precede clinical signs
(Solano et al., 2016; Singh et al., 2016). White line fissure showed a strong association with MS 1 (OR = 13.48; p < 0.001), highlighting its importance in claw integrity (
Mülling, 2002). Double sole was associated only with MS 1 (OR = 1.48; p = 0.0087) and not with higher scores, indicating that not all lesions lead to severe lameness
(Tadich et al., 2010). GLMM identified fewer significant associations, likely due to adjustment for clustering effects.
Risk factors associated with claw lesions
The association between risk factors and claw lesions was evaluated using multi variable GLMM (Table 4). Age, parity and mobility status were significant determinants. Multiparous animals had higher odds of vertical horn fissure (OR = 12.87; p = 0.048), while concave dorsal wall was associated with multiparous (OR = 15.89; p = 0.020), primiparous (OR = 15.75; p = 0.017) and older animals (OR = 54.56; p = 0.002). Older animals also showed increased odds of heel horn erosion (OR = 34.64; p < 0.001), likely due to cumulative mechanical stress and prolonged exposure
(Seixas et al., 2024; Magrin et al., 2022). Mobility score was another significant factor, with MS 1 animals showing higher odds of heel horn erosion (OR = 2.87; p = 0.006), indicating that early gait changes may reflect underlying claw pathology
(Tadich et al., 2010).
Effects of claw lesions and animal-level covariates on milk yield
Linear mixed model analysis (Table 5) revealed that milk yield was significantly driven by animal-level covariates-specifically age, parity, body condition score (BCS) and locomotion score-rather than the presence of individual claw lesions. Nutritional status and physiological maturity were strong positive determinants of production. BCS exhibited a significant positive relationship with milk yield (β = 2.25; p = 0.0018), reflecting the benefits of optimal nutritional reserves (
Bédéré et al., 2018). Similarly, both primiparous (β = 1.74; p = 0.0031) and multiparous animals (β = 1.84; p = 0.0116) demonstrated higher yields compared to the reference cohort. The influence of parity was consistent with expected physiological maturity effects (
Berry and Downing, 2025), showing positive associations at parity 1 (β = 1.72; p = 0.0101) and parity 11 (β = 9.78; p = 0.0248), alongside a negative association at parity 6 (β = 1.90; p = 0.0215). Crucially, the model indicated no direct, significant effect of individual claw lesions on milk yield. This lack of association suggests that production losses are primarily mediated by the overall severity of the lameness rather than the mere presence of localized hoof damage (
Kibar and Çağlayan, 2016). Furthermore, while lameness generally depresses yield, the relationship is complex; high-yielding animals frequently experience heightened metabolic stress, which can inherently predispose them to locomotion issues
(Seixas et al., 2024).
Relationship between locomotion score and milk yield
Milk yield was peak in animals with a mobility score of 1 (MS 1) and progressively declined as lameness severity increased (Fig 2). Severely lame animals (MS 3) produced the least milk, consistent with reduced feed intake and altered behaviour
(Seixas et al., 2024). The comparatively lower median yield observed in perfectly sound animals (MS 0) is attributed to the inclusion of primiparous heifers, which naturally possess lower baseline production and fewer chronic lesions than those of mature cows (
Vermunt and Greenough, 1996). After adjusting for these parity differences, linear mixed models confirmed that moderate to severe lameness (MS 2 and MS 3) significantly reduces milk yield, likely driven by metabolic stress (
O’Connor et al., 2020). Overall, highly prevalent claw lesions influence production indirectly through locomotion impairment, highlighting the critical need for early detection and preventive hoof health management.