Sole haemorrhage (SH), sole ulcers (SU), and white line lesions (WL), collectively referred to as claw horn lesions (CHL), are important causes of lameness in dairy cattle. This thesis aimed to explore the aetiopathogenesis of CHL, with a focus on genetic and metabolic factors. A cohort of 2,352 Holstein cows was enrolled on four herds in the UK and each animal was assessed at four production stages. Data collected included detailed foot lesion records, ultrasound measurements of digital cushion thickness (DCT) and, on one herd, blood samples for analysis with proton nuclear magnetic resonance (1H NMR) spectroscopy. Pedigree records and genotypes were obtained for all animals. Single-step genetic analyses indicated sole lesions (SH and SU...