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          of the triceps can flex the shoulder joint as   (4)  superficial bursae,  between  the  skin
                                                  and olecranon process of the ulna at the
          well as extend the elbow, any muscle that
  VetBooks.ir  opposes flexion of the shoulder joint is a   point of the elbow and between the skin and
                                                  superficial digital flexor tendon at the point
          synergist of elbow flexion. The m. supraspi-
          natus and m. brachiocephalicus are syner­  of the hock; and (5) the navicular bursa,
          gists for this particular action.       between the deep digital flexor tendon
            Whether a given muscle is classified as   and  the  navicular  (distal sesamoid) bone.
          an agonist, an antagonist, or a synergist   Normally, a bursa contains only enough fluid
          depends entirely on the specific action. If   to reduce friction between adjacent parts.
          flexion (instead of extension) of the elbow   Inflammation of a bursa, usually
          is the desired action, the m. biceps brachii   associated with increased fluid within it,
          and m. brachialis become agonists, and the   is called bursitis. Enlargement of bursae
          m. triceps brachii and m. anconeus become   may be due to trauma, as is usually the
          antagonists.                            case with  capped hock,  capped elbow
                                                  (shoe boil), and carpal hygroma. Inflam-
                                                  mation may be followed by formation of
          Synovial Structures                     a draining tract; this is the phenomenon
                                                  underlying the equine conditions  poll
          Synovial structures of the body include joint   evil (at the atlantal bursa) and fistulous
          capsules,  bursae, and  synovial (tendon)   withers (at the supraspinous bursa).
          sheaths. The inner layer of each consists of a   A bursa gives adequate protection to
          connective tissue membrane that produces   structures that move only a short distance in
          synovial fluid to reduce friction. Synovial   relation to each other. However, tendons that
          joints were described in detail in Chapter 6.  must travel a long distance (sometimes as
            A bursa is a synovial sac between two   much as several inches) over moving joints
          structures that tend to rub against each   require protection and friction‐free move­
          other, typically a tendon where it lies in   ment for their entire length. This is afforded
          contact with a bony prominence (Fig. 7‐4).   by a synovial sheath (Figs. 6‐3, 7‐4).
          Clinically important bursae include: (1)   A synovial sheath resembles an elon­
          the  bicipital  bursa, between the biceps   gated bursa placed between the tendon and
          brachii tendon and the proximal end of the   underlying tissue, with the edges of the
          humerus; (2) the  cranial nuchal bursa,   synovial membrane reflected around the
          between the ligamentum nuchae and       tendon until they meet. This results in an
          atlas; (3) the supraspinous bursa, between   inner layer of synovium on the surface of
          the  ligamentum nuchae and the spinous   the tendon and a superficial layer of the syn­
          process  of  the  second  thoracic  vertebra;   ovium outside the tendon, forming a closed

                                    Synovial (tendon) sheath
                  Mesotendon


                               Tendon                    Tendon
                                                                     Synovial bursa




                                Bone                      Bone
          Figure 7-4.  Synovial structures. Left, a synovial sheath surrounds a tendon over a greater distance and
          facilitates its frictionless movement. Reflection of the synovial membrane creates the supporting meso­
          tendon, through which vessels and nerves gain access to the tendon. Right, a bursa lies interposed between
          a tendon or ligament and a bony prominence.
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