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University of Liverpool,
School of Veterinary Science

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             Created by
          Mr P P Tomlinson
     Liverpool Veterinary Student
Welcome to “Skeletal Structure of the Equine
Forelimb” this resource has been created as
part of the “Online Veterinary Anatomy
Museum” (OVAM) in conjunction with
Liverpool Vet School.
It aims to provide a detailed guide to the
relevant bony landmarks present on the equine
forelimb (Chapter One) and also highlight
certain ligaments and tendons, particularly in
reference to the joints (Chapter Two).

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   Forelimb Overview                          Distal Phalanx: Dorsal View
       Scapula: Lateral View                  Distal Phalanx: Cranial View
       Scapula: Medial View                   Distal Phalanx: Ventral View
       Humerus: Lateral View                  Distal Phalanx: Caudal View
       Humerus: Medial View                   Hoof: Dorsal View
       Humerus: Cranial View                  Hoof: Ventral View
       Humerus: Caudal View               Information Slides
       Radius and Ulna: Lateral View          Scapula Information
       Radius and Ulna: Medial View           Humerus Information
       Radius and Ulna: Cranial View          Condyle: Cranial View
       Radius and Ulna: Caudal View           Condyle: Caudal View
       Carpus                                 Radius and Ulna Information
       Carpal Bones                           Carpus Information
   Manus Overview                             Metacarpal Region Information
       Below the Carpus                       Proximal Phalanx Information
       Metacarpal Region                      Middle Phalanx Information
       Proximal Paired Sesamoids              Navicular Bone Information
       Proximal Phalanx                       Distal Phalanx Information
       Middle Phalanx
       Navicular Bone



                                                                 Chapter Two    Start
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For Condyle
      Click Here




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For Condyle
      Click Here




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Note: The proximal and distal
                parts of the ulna are fused to the
               radius. The lateral styloid process
                is the fused distal portion of the
                  ulna. The body of the ulna is
                              absent.



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               Page 2   Previous   Next
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•   The equine scapula has no acromion process
    •   Due to the position of the scapular spine there is a
        large infraspinous fossa
    •   There is a central tuberosity on the scapular spine
    •   Well developed supraglenoid tubercle and coracoid
        process
    •   The supraglenoid tubercle is separate from the
        glenoid cavity
    •   Extensive scapular cartilage when compared to other
        species


Resource Map
•   The equine humerus is quite horizontal in
        comparison to that of the dog and cat
    •   The greater tuberosity is split into a larger cranial
        portion and a smaller caudal portion
    •   The musculospiral groove is relatively deep
    •   The deltoid tuberosity is large
    •   Well-developed epicondyles
    •   Unlike the dog/cat, the horse has no supratrochlear/
        supracondylar foramen
    •   The Presence of an intermediate tubercle results in
        the formation of a double inter-tubercular groove

Resource Map
Resource Map   Labels
Note: The olecranon
                fossa receives the
               anconeal process of
                the ulna when the
                  elbow joint is
                     extended



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•   Prominent tuberosities on the radius allow for the
  •   The proximal quarter ligaments and the biceps muscle
      insertion of collateral of the radius is held to the ulna by
      ligaments, beyond this the two bones are fused
  •   Grooves for the extensor tendons are present on the
  •   The distal third/half of the ulna fails to form apart from
      cranial portion of the distal extremity of the radius
      the lateral styloid process
  •   Fusion of the radius and ulna result in a lack of pronation
  •   The lateral styloid process(Unlike distal extremity of the
      or supination at this level (fused the dog and cat where
      ulna) will appear in foals as a secondary ossification
      the interosseus space allows for a large amount of
      centre
      pronation and supination)
  •   There is a small interosseus space at the proximal
      radio-ulnar notch through which blood vessels pass.
      Beyond this the ulna is either fused with the radius or
      fails to develop

Resource Map                                       Page 2
•   There is a two row arrangement
    •   The proximal row comprises of the ulnar carpal
        bone, intermediate carpal bone, radial carpal bone
        and the accessory carpal bone.
    •   The distal row comprises of the 4th carpal bone, 3rd
        carpal bone and 2nd carpal bone. The 1st carpal bone
        is generally absent, however, if present it will be very
        small and easy to mistake for a fracture
    •   The accessory carpal bone articulates with both the
        radius and the ulnar carpal bone



Resource Map
•   The third metacarpal is the functional weight bearing
     bone of this region. The second and fourth metacarpal
     bones are also present in the form of splint bones
 •   MC3 articulates proximally with the carpal bones and
     distally with the proximal sesamoids and proximal
     phalanx
 •   Splint bones also articulate with the carpal bones but
     taper to a point (known as the button) approximately two
     thirds down MC3
 •   The buttons are a useful landmark for nerve blocks
 •   The junction between MC2 and MC3 is a common location
     forsplints. Splints are a typical ailment of the equine
     forelimb
Resource Map
• The proximal phalanx is often       referred
               to as P1 or the long pastern
               • Collateral ligaments insert onto
                  palpable tubercles on P1’s surface
               • The caudal surface is V-shaped to
                  accommodate the oblique sesamoidean
                  ligaments




Resource Map
•   The middle phalanx is often referred to as P2 or the
        short pastern
    •   Approximately half of P2 is buried in the hoof
    •   Lateral hoof cartilages lie on both the medial and
        lateral sides of P2
    •   The superficial digital flexor tendon (SDF) inserts on
        the proximal edge of P2
    •   P2 articulates with both the distal phalanx and the
        Navicular bone



Resource Map
•   An unpaired boat-shaped bone that articulates with both
     P2 and P3
 •   The deep digital flexor tendon runs over its palmar
     surface
 NAVICULAR DISEASE
 • Navicular disease is a complex condition with a wide
   variety of suspected causes
 • Ultimately it is a long term degenerative condition of both
   the navicular bone and bursa
 • It is the most common causes of long term forelimb
   lameness


Resource Map
•   The distal phalanx is also known as P3 or the coffin bone,
     it articulates with P2 and the navicular bone to form the
     coffin joint
 LAMINITIS
 •Laminitis involves inflammation of the sensitive lamina that
    secure the bones of the distal limb extremity to the hoof wall
 • This inflammation leads to separation of the sensitive lamina
    from the interdigitating insensitive lamina
 • The distal phalanx will then rotate due to the pull of the deep
    digital flexor. The tip of the distal phalanx will eventually
    penetrate the soft horn of the sole


Resource Map
•   The hoof covers and protects the distal extremity of the digit
•   The hoof is formed from keratinized epithelium secreted by the modified
    dermis covering the distal extremity of the digit
•   Expansion of the hoof dissipates pressure helping to prevent concussive
    damage on impact
•   The join between skin and hoof is called the coronet
•   The sole of the hoof lies between the wall and the frog
•   The white line is the junction between the sole and the wall of the hoof,
    shoe nails are driven into the outer edge of this line
•   The concave surface means that only the frog and wall make contact with
    the ground
•   The frog is a wedge-shaped projection into the sole, with its base set
    between the two heels. The caudal end of the frog extends over the heel
    and is known as the heel bulb, and the groove between the frog, bar and
    the sole is called the paracuneal groove

Resource Map
   Joints of the Forelimb Overview                  Information Slides
       Shoulder Joint                                   Shoulder Joint Information
       Elbow Joint                                      Elbow Joint Information
       Carpal Joints                                    Carpal Joint Information
       Fetlock Joint                                    Fetlock Joint Information
       Ligaments of the Fetlock/Pastern Joints          Pastern Joint Information
       Coffin Joint                                     Coffin Joint Information
       Annular Ligaments                                Annular Ligaments Information




                                                                       Chapter One        Start
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•   Although a ball and socket joint,the shoulderactually
        functions more like a hinge joint
    •   The tendons of supraspinatus and infraspinatus act as
        collateral ligaments supporting the joint
    •   Supraspinatus tendon splits forming attachments with the
        lesser tuberosity and the cranial portion of the greater
        tuberosity.
    •   Bicepsbrachii originates from the supraglenoid tubercle
        by way of a grooved cartilaginous tendon. This tendon is
        supported by the intertubercular bursa (biceps bursa)
    •   Bursa and tendon are held in place by the transverse
        humeral ligament and then overlaid with the aponeurosis
        of the deep pectoral muscle

Resource Map
•   Typically described as a “snap” joint, where while
        standing the joint is very stable but on flexion
        becomes more movable.
    •   This is due to two specific anatomical features:
           • The humeral condyles have unequal curvature,
                this means the radius of the central portion is
                greater than the radius of the cranial and
                caudal parts (highlighted in previous slide)
           • The medial and lateral collateral ligaments
                have eccentric insertions on the humerus



Resource Map
•
    •   A common outer fibrous capsulejoint comprises of:
        As a compound joint, the carpal surrounds the
        overall joint and each individual joint is surrounded
        by an innerradiocarpal (antebrachiocarpal) joint,
            • The synovial pouch
                which is between the radius and the proximal
    •   Collateral ligaments The present on the medial and
                carpal bones. are majority of the movement
        lateral occurs here
                surfaces extending from the radius to the
        metacarpals
            • The intercarpal (middle carpal) joint, which is
    •   The carpal canal is occupied by the superficial and
                between the two rows of carpal bones
        deep digital flexor tendons surrounded by a common
            • The carpometacarpal joint between the distal
        synovial sheath
                carpal bones and the metacarpals. Here
    •   The accessory carpalminimal palmar carpal
                movement is ligament,
        ligament and flexor retinaculum all oppose over
        extension of the carpus

Resource Map                                    Page 2
•   The joint between metacarpal three, the proximal phalanx and
     the proximal palmar sesamoids
 •   The main ligaments of this joint are shown on the previous
     slide
 •   Of particular importance is the proximal extension of the thick
     palmar ligament. This approximately 2cm enlargement serves
 a   number of functions
         • Increases the bearing surface for the flexor tendons
         • Supports the flexor tendons during over extension of
             the fetlock
         • Prevents bone to bone contact during flexion of the
             fetlock when the sesamoids move up along the
             condyles of MC3

Resource Map
•   The joint between the long pastern (P1) and the short
        pastern (P2)
    •   This particular joint has fairly restricted movement
    •   Paired axial and paired abaxial palmar ligaments
        extend from P1 to the fibrocartilage of P2
    •   These ligaments oppose over extension of the joint,
        the straight sesamoidean ligament also aids this




Resource Map
•     The coffin joint involves P2, P3 and the
               navicular bone
         •     There is very little movement at this joint
         •     The collateral ligaments between P2 and P3
               are short and thick
         •     The navicular bone is held in place by
               collateral navicular ligaments, a proximal
               navicular ligament and a distal navicular
               ligament



Resource Map
•   The annular ligaments hold the flexor tendons in place
    •   They are formed from localized thickened fascia

    •   The palmar annular ligament attaches the abaxial
        borders of the sesamoids to the superficial digital
    flexor tendons
    • The proximal digital annular ligament is X-shaped
        when seen in a palmar view
    • The distal digital annular ligament is U-shaped when
        seen in a palmar view. It arises from the proximal
        phalanx and covers the collateral navicular ligament. It
        also separates the deep digital flexor tendon from the
        digital cushion

Resource Map

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Skeletal structure of the Equine Forelimb

  • 1. University of Liverpool, School of Veterinary Science Enter Created by Mr P P Tomlinson Liverpool Veterinary Student
  • 2. Welcome to “Skeletal Structure of the Equine Forelimb” this resource has been created as part of the “Online Veterinary Anatomy Museum” (OVAM) in conjunction with Liverpool Vet School. It aims to provide a detailed guide to the relevant bony landmarks present on the equine forelimb (Chapter One) and also highlight certain ligaments and tendons, particularly in reference to the joints (Chapter Two). Previous Next
  • 3. Every slide is accessible through the “Resource Map”. The “Resource Map” can be accessed from any slide using the “Resource Map” button Resource Map Previous Navigate through the slides using the “Next”/”Previous” buttons Next Where extra detail is available on the slide a “Labels” button will be present, click this to access it, when all available detail is shown the “Labels” button will disappear. Then use the “Next” button. (Occasionally there Labels will be a “Page 2” button, it functions the same way as “Labels” However, the “Next” button can also be used to skip onto the next slide without viewing any extra detail Next For many of the slides there are extra slides containing some textual information, these can be accessed using the “Information” button To return to the previously viewed slide, a button like the one shown on the right will be present, this is particularly needed for returning to the main detail after viewing an information slide Please note: all available buttons will appear in this bottom toolbar Previous Next
  • 4. Forelimb Overview  Distal Phalanx: Dorsal View  Scapula: Lateral View  Distal Phalanx: Cranial View  Scapula: Medial View  Distal Phalanx: Ventral View  Humerus: Lateral View  Distal Phalanx: Caudal View  Humerus: Medial View  Hoof: Dorsal View  Humerus: Cranial View  Hoof: Ventral View  Humerus: Caudal View  Information Slides  Radius and Ulna: Lateral View  Scapula Information  Radius and Ulna: Medial View  Humerus Information  Radius and Ulna: Cranial View  Condyle: Cranial View  Radius and Ulna: Caudal View  Condyle: Caudal View  Carpus  Radius and Ulna Information  Carpal Bones  Carpus Information  Manus Overview  Metacarpal Region Information  Below the Carpus  Proximal Phalanx Information  Metacarpal Region  Middle Phalanx Information  Proximal Paired Sesamoids  Navicular Bone Information  Proximal Phalanx  Distal Phalanx Information  Middle Phalanx  Navicular Bone Chapter Two Start
  • 5. Resource Map Previous Next
  • 6. Resource Map Labels Previous Next
  • 7. Resource Map Labels Previous Next
  • 8. Resource Map Labels Previous Next
  • 9. Resource Map Labels Previous Next
  • 10. For Condyle Click Here Resource Map Labels Previous Next
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  • 12. Note: The proximal and distal parts of the ulna are fused to the radius. The lateral styloid process is the fused distal portion of the ulna. The body of the ulna is absent. Resource Map Labels Previous Next
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  • 30. Resource Map Labels Previous End Chapter One
  • 31. The equine scapula has no acromion process • Due to the position of the scapular spine there is a large infraspinous fossa • There is a central tuberosity on the scapular spine • Well developed supraglenoid tubercle and coracoid process • The supraglenoid tubercle is separate from the glenoid cavity • Extensive scapular cartilage when compared to other species Resource Map
  • 32. The equine humerus is quite horizontal in comparison to that of the dog and cat • The greater tuberosity is split into a larger cranial portion and a smaller caudal portion • The musculospiral groove is relatively deep • The deltoid tuberosity is large • Well-developed epicondyles • Unlike the dog/cat, the horse has no supratrochlear/ supracondylar foramen • The Presence of an intermediate tubercle results in the formation of a double inter-tubercular groove Resource Map
  • 33. Resource Map Labels
  • 34. Note: The olecranon fossa receives the anconeal process of the ulna when the elbow joint is extended Resource Map Labels
  • 35. Prominent tuberosities on the radius allow for the • The proximal quarter ligaments and the biceps muscle insertion of collateral of the radius is held to the ulna by ligaments, beyond this the two bones are fused • Grooves for the extensor tendons are present on the • The distal third/half of the ulna fails to form apart from cranial portion of the distal extremity of the radius the lateral styloid process • Fusion of the radius and ulna result in a lack of pronation • The lateral styloid process(Unlike distal extremity of the or supination at this level (fused the dog and cat where ulna) will appear in foals as a secondary ossification the interosseus space allows for a large amount of centre pronation and supination) • There is a small interosseus space at the proximal radio-ulnar notch through which blood vessels pass. Beyond this the ulna is either fused with the radius or fails to develop Resource Map Page 2
  • 36. There is a two row arrangement • The proximal row comprises of the ulnar carpal bone, intermediate carpal bone, radial carpal bone and the accessory carpal bone. • The distal row comprises of the 4th carpal bone, 3rd carpal bone and 2nd carpal bone. The 1st carpal bone is generally absent, however, if present it will be very small and easy to mistake for a fracture • The accessory carpal bone articulates with both the radius and the ulnar carpal bone Resource Map
  • 37. The third metacarpal is the functional weight bearing bone of this region. The second and fourth metacarpal bones are also present in the form of splint bones • MC3 articulates proximally with the carpal bones and distally with the proximal sesamoids and proximal phalanx • Splint bones also articulate with the carpal bones but taper to a point (known as the button) approximately two thirds down MC3 • The buttons are a useful landmark for nerve blocks • The junction between MC2 and MC3 is a common location forsplints. Splints are a typical ailment of the equine forelimb Resource Map
  • 38. • The proximal phalanx is often referred to as P1 or the long pastern • Collateral ligaments insert onto palpable tubercles on P1’s surface • The caudal surface is V-shaped to accommodate the oblique sesamoidean ligaments Resource Map
  • 39. The middle phalanx is often referred to as P2 or the short pastern • Approximately half of P2 is buried in the hoof • Lateral hoof cartilages lie on both the medial and lateral sides of P2 • The superficial digital flexor tendon (SDF) inserts on the proximal edge of P2 • P2 articulates with both the distal phalanx and the Navicular bone Resource Map
  • 40. An unpaired boat-shaped bone that articulates with both P2 and P3 • The deep digital flexor tendon runs over its palmar surface NAVICULAR DISEASE • Navicular disease is a complex condition with a wide variety of suspected causes • Ultimately it is a long term degenerative condition of both the navicular bone and bursa • It is the most common causes of long term forelimb lameness Resource Map
  • 41. The distal phalanx is also known as P3 or the coffin bone, it articulates with P2 and the navicular bone to form the coffin joint LAMINITIS •Laminitis involves inflammation of the sensitive lamina that secure the bones of the distal limb extremity to the hoof wall • This inflammation leads to separation of the sensitive lamina from the interdigitating insensitive lamina • The distal phalanx will then rotate due to the pull of the deep digital flexor. The tip of the distal phalanx will eventually penetrate the soft horn of the sole Resource Map
  • 42. The hoof covers and protects the distal extremity of the digit • The hoof is formed from keratinized epithelium secreted by the modified dermis covering the distal extremity of the digit • Expansion of the hoof dissipates pressure helping to prevent concussive damage on impact • The join between skin and hoof is called the coronet • The sole of the hoof lies between the wall and the frog • The white line is the junction between the sole and the wall of the hoof, shoe nails are driven into the outer edge of this line • The concave surface means that only the frog and wall make contact with the ground • The frog is a wedge-shaped projection into the sole, with its base set between the two heels. The caudal end of the frog extends over the heel and is known as the heel bulb, and the groove between the frog, bar and the sole is called the paracuneal groove Resource Map
  • 43. Joints of the Forelimb Overview  Information Slides  Shoulder Joint  Shoulder Joint Information  Elbow Joint  Elbow Joint Information  Carpal Joints  Carpal Joint Information  Fetlock Joint  Fetlock Joint Information  Ligaments of the Fetlock/Pastern Joints  Pastern Joint Information  Coffin Joint  Coffin Joint Information  Annular Ligaments  Annular Ligaments Information Chapter One Start
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  • 52. Although a ball and socket joint,the shoulderactually functions more like a hinge joint • The tendons of supraspinatus and infraspinatus act as collateral ligaments supporting the joint • Supraspinatus tendon splits forming attachments with the lesser tuberosity and the cranial portion of the greater tuberosity. • Bicepsbrachii originates from the supraglenoid tubercle by way of a grooved cartilaginous tendon. This tendon is supported by the intertubercular bursa (biceps bursa) • Bursa and tendon are held in place by the transverse humeral ligament and then overlaid with the aponeurosis of the deep pectoral muscle Resource Map
  • 53. Typically described as a “snap” joint, where while standing the joint is very stable but on flexion becomes more movable. • This is due to two specific anatomical features: • The humeral condyles have unequal curvature, this means the radius of the central portion is greater than the radius of the cranial and caudal parts (highlighted in previous slide) • The medial and lateral collateral ligaments have eccentric insertions on the humerus Resource Map
  • 54. • A common outer fibrous capsulejoint comprises of: As a compound joint, the carpal surrounds the overall joint and each individual joint is surrounded by an innerradiocarpal (antebrachiocarpal) joint, • The synovial pouch which is between the radius and the proximal • Collateral ligaments The present on the medial and carpal bones. are majority of the movement lateral occurs here surfaces extending from the radius to the metacarpals • The intercarpal (middle carpal) joint, which is • The carpal canal is occupied by the superficial and between the two rows of carpal bones deep digital flexor tendons surrounded by a common • The carpometacarpal joint between the distal synovial sheath carpal bones and the metacarpals. Here • The accessory carpalminimal palmar carpal movement is ligament, ligament and flexor retinaculum all oppose over extension of the carpus Resource Map Page 2
  • 55. The joint between metacarpal three, the proximal phalanx and the proximal palmar sesamoids • The main ligaments of this joint are shown on the previous slide • Of particular importance is the proximal extension of the thick palmar ligament. This approximately 2cm enlargement serves a number of functions • Increases the bearing surface for the flexor tendons • Supports the flexor tendons during over extension of the fetlock • Prevents bone to bone contact during flexion of the fetlock when the sesamoids move up along the condyles of MC3 Resource Map
  • 56. The joint between the long pastern (P1) and the short pastern (P2) • This particular joint has fairly restricted movement • Paired axial and paired abaxial palmar ligaments extend from P1 to the fibrocartilage of P2 • These ligaments oppose over extension of the joint, the straight sesamoidean ligament also aids this Resource Map
  • 57. The coffin joint involves P2, P3 and the navicular bone • There is very little movement at this joint • The collateral ligaments between P2 and P3 are short and thick • The navicular bone is held in place by collateral navicular ligaments, a proximal navicular ligament and a distal navicular ligament Resource Map
  • 58. The annular ligaments hold the flexor tendons in place • They are formed from localized thickened fascia • The palmar annular ligament attaches the abaxial borders of the sesamoids to the superficial digital flexor tendons • The proximal digital annular ligament is X-shaped when seen in a palmar view • The distal digital annular ligament is U-shaped when seen in a palmar view. It arises from the proximal phalanx and covers the collateral navicular ligament. It also separates the deep digital flexor tendon from the digital cushion Resource Map