Page 46 - Adams and Stashak's Lameness in Horses, 7th Edition
P. 46

12   Chapter 1




  VetBooks.ir                                                             Proximal phalanx



                                                 1             Deep         Complementary
                                                               digital     fibrocartilage
                                Collateral                     flexor
                                sesamoidean                   tendon       Middle phalanx
                                ligament
                                              2                              2
                                                                                 Secondary
                                               3                                 attachment
                                                                                 of DDFT
                                   Cartilage of distal     Navicular bone       4
                                  phalanx (sectioned)
                                                                                 Navicular bursa
                                           5


                                                      Distal phalanx       Primary attachment
                                                                          of DDFT



            Figure 1.12.  Attachments of deep digital flexor tendon and   distal interphalangeal joint, (4) attachment of CSL to cartilage of the
            collateral sesamoidean ligaments (CSLs). (1) Attachment of CSL to   distal phalanx, and (5) attachment of medial and lateral CSLs to
            proximal phalanx, (2) attachment of CSL to middle phalanx, (3)   navicular bone.
            abaxial outpocketings of palmar pouch of the synovial cavity of the

                                            Flexor surface     feature. Its dermal base gives origin to the two distally
                                                               diverging ligaments of the ergot. Deep to the skin and
                                                               superficial fascia, the palmar annular ligament of the
                                                               fetlock encircles the digital flexor tendons and their digi­
                                                               tal synovial sheath, binding them in the groove between
                                                               the proximal sesamoid bones. Distally, the palmar annu­
                                                               lar ligament of the fetlock blends with the proximal
                                                               digital annular ligament.
                                                                  The fetlock joint is formed by the distal end of the
            A                     1        Articular surface   third metacarpal bone (the cannon bone), the proximal
                                                               end of the proximal phalanx, the two proximal sesa­
                                                               moid bones, and the extensive fibrocartilaginous palmar
                                         Facet for articulation  ligament that the proximal sesamoids are embedded.
                                            with distal phalanx  The articular surface on the third metacarpal bone, its
                                                               trochlea, is sharply divided by a sagittal ridge, and this
                                                               ridge fits into a complementary sagittal groove in the
                                                               articular surface of the proximal phalanx.
                                                                  Collateral ligaments of the fetlock joint extend distad
                                                               from the eminence and depression on each side of the
                                                               distal cannon bone. The superficial part of each liga­
            B            2                                     ment attaches to the edge of the articular surface of the
                                                               proximal phalanx; the shorter, stouter deep part of the
            Figure 1.13.  Distal sesamoid (navicular) bone. (A) Proximal   ligament attaches to the abaxial surface of the adjacent
            view. (B) Distal view. (1) Foramina and (2) fossae.  proximal sesamoid and the proximal phalanx.
                                                                  The smooth depression between the proximal sesa­
            straight sesamoidean ligament.  These taut overlying   moid bones through which the digital flexor tendons
            structures subdivide the capsule into medial and lateral   pass is formed by the fibrocartilage of the palmar liga­
            pouches that are accessible for arthrocentesis.    ment that covers the flexor surfaces of the proximal sesa­
                                                               moid bones. Immediately distal to the canal formed by
            Fetlock                                            the encircling annular ligament and the groove between
                                                               the proximal sesamoids, the DDFT perforates through a
              The fetlock of the thoracic limb is the region around   ringlike opening in the SDFT, the manica flexoria.
            the metacarpophalangeal (fetlock) joint. On the palmar   The common and lateral digital extensor tendons pass
            aspect of the fetlock, the ergot is a prominent cutaneous   over the dorsal aspect of the fetlock joint where a bursa
   41   42   43   44   45   46   47   48   49   50   51