Page 93 - Manual of Equine Field Surgery

' Proximal Check Ligament Desmotomy 89

a b (cut) _...,., I i 5J.M.,

c

d ;::::::::::::::::::::::::::::====:;;;;~ '1f-_~t;,.:l,·a,,,_.

Figure 14-7 Retraction of the flexor carpi radialis caudally to expose the proximal check ligament fused with the

deep sheet of flexor retinaculum. a, Antebrachial fascia; b, cut end of the deep communicating branch to the proxi-

mal radial vein; c, proximal check ligament; d, tendon of flexor carpi radialis muscle; e, tendon sheath of flexor carpi

radialis muscle; f, deep sheet of flexor retinaculum; g, superficial sheet of flexor retinaculum.

Deep) Layers of proximal check lig.
rf .

S upe rcia 1

~t;"..:l,a,,,_.

Figure 14-8 Transection of the proximal check ligament. a, Deep communicating branch to the proximal radial

vein; b, proximal radial artery (palmar carpal branch), c, deep sheet of flexor retinaculum; d, superficial sheet of flexor

retinaculum.

b

Carpal sheath
~!; • .Ca,,,.._

Figure 14-10 The carpal sheath exposed after tran-

section of the proximal check ligament. a, Superficial

sheet of flexor retinaculum; b, deep sheet of flexor reti-
Figure 14-9 Visualization of the muscle belly of the
naculurn; c, proximal radial artery (palmar carpal
radial head of the deep digital flexor tendon (arrow)

after transection of the proximal check ligament . branch).

•