Page 91 - Manual of Equine Field Surgery

Proximal Check Ligament Desmotomy 87

Figure 14-1 Moderate superficial digital flexor ten-

don contracture in both forelimbs. Figure 14-3 Superficial digital flexor tendonitis in
the left forelimb.

Figure 14-2 Superficial digital flexor tendon con-

tracture with fetlock contracture in the left forelimb.

'r:ff..~C,..i,·a,-

Figure 14-4 Location of the incision for proximal

check ligament desmotomy,

that perforates the antebrachial fascia and joins

the cephalic vein is ligated and transected. The

cephalic vein is then retracted caudally (Figure 14- 14-7). The proximal check ligament is fused with

6). The superficial sheet of flexor retinaculum and the deep sheet of flexor retinaculum, The fibers of

the antebrachial fascia are incised to expose the the ligament are generally oriented obliquely and

tendon and distal muscle belly of the flexor carpi can be traced to the distal radius. Palpation and

radialis. Gelpi or Weitlaner retractors are used to blunt dissection are used to de.fine the limits of the

retract the flexor carpi radialis caudally (Figure proximal check ligament.