Page 73 - Manual of Equine Field Surgery
P. 73

Annular Ligament  Desmotomy                                                   69






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                                                                                                                                                Figure 10-4  Entrance into the digital sheath through


                                                                                                                                               a small  skin  incision  proximal  to  the  palmar  annular

                                                                                                                                               ligament  in a closed annular ligament  resection. Arrows
                                                                 .    ~t;;.1,a,,,._
                                                                                                                                               show the approximate  proximal  and  distal  borders  of

                    Figure  10-3  Transection  of  the  annular  ligament                                                                       the palmar  annular ligament.


                    using the open technique.


































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                                      A                                                                  B                                                                         c




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                      Figure 10-5  The annular ligament is transected by A, passing a bistoury  knife underneath  the  ligament,  B, rotat-


                      ing the bistoury knife 90° so that the cutting edge is toward the  ligament,  and transecting the ligament,  or C, passing


                      the groove  director  underneath  the ligament  to guide a scalpel  blade.
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