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Topic:Cadaver

The use of cadavers in equine research involves the examination of deceased horses to study anatomy, pathology, and various physiological processes. Cadaver studies provide valuable insights into equine health and disease without the ethical concerns associated with live subjects. These studies contribute to the understanding of musculoskeletal structures, organ systems, and disease mechanisms. Research utilizing equine cadavers often focuses on surgical techniques, anatomical variations, and the effects of specific conditions on the horse's body. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, findings, and applications of cadaver studies in equine science.
A Descriptive Study of the Carpal Joint of Healthy Donkeys Using Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging.
Veterinary sciences    May 23, 2022   Volume 9, Issue 5 249 doi: 10.3390/vetsci9050249
Salem M, El-Shafaey ES, Farag AMM, El-Khodery S, Al Mohamad Z, Abass M.This study was conducted to establish a detailed anatomic reference for the carpal joint of apparently healthy donkeys using ultrasonography (US), computed tomographic (CT), and magnetic resonance imaging (MRI). Ten orthopedically sound adult donkeys were used for US examination of the carpal joint in each forelimb. Additionally, the carpi of ten donkey cadavers were subjected to CT and MRI examinations. The carpal joint was divided into four zones to simplify examination. US assessment of the carpal joint included transverse and longitudinal sonograms. CT was performed using three planes: axi...
Post-mortem Computed Tomographic Angiography in Equine Distal Forelimbs: A Feasibility Study.
Frontiers in veterinary science    May 11, 2022   Volume 9 868390 doi: 10.3389/fvets.2022.868390
Blaettler C, Kaessmeyer S, Grabherr S, Koch C, Schweizer D, Van der Vekens E.In-depth understanding of pathophysiological processes occurring in the vasculature of the equine distal limb is of great importance to improve both diagnostic and therapeutic approaches to diseases. To gain further insights, a model allowing high-resolution 3D-visualization of the vasculature is necessary. This pilot study evaluated the feasibility of restoring vascular perfusion in frozen-thawed distal equine cadaver limbs without prior preparation using computer tomographic imaging (CT). Five frozen-thawed, radiographically normal forelimbs were perfused with a lipophilic contrast agent thr...
Ex vivo comparison of 3 Tesla magnetic resonance imaging and multidetector computed tomography arthrography to identify artificial soft tissue lesions in equine stifles.
Veterinary surgery : VS    March 15, 2022   Volume 51, Issue 4 648-657 doi: 10.1111/vsu.13798
Aßmann AD, Ohlerth S, Suárez Sánchez-Andráde J, Torgerson PR, Bischofberger AS.To determine the diagnostic performance of computed tomographic arthrography (CTA) and 3 Tesla magnetic resonance imaging (MRI) for detecting artificial meniscal, meniscotibial ligament (MTL) lesions and cruciate ligament (CL) lesions in horses. Methods: Ex vivo controlled laboratory study. Methods: Nineteen stifles from adult horses. Methods: Stablike defects (n = 84) (16 mm long, 10 mm deep) were created in the menisci (n = 35), CLs (n = 24), and MTLs (n = 25) via arthroscopy prior to MRI and CTA (80 mL contrast at 85 mg/mL per joint). Two radiologists, unaware of the lesions...
Computed tomographic geometrical analysis of surgical treatments for equine recurrent laryngeal neuropathy.
American journal of veterinary research    February 8, 2022   Volume 83, Issue 5 443-449 doi: 10.2460/ajvr.21.03.0040
Tucker ML, Wilson DG, Reinink SK, Carmalt JL.To characterize the 3-D geometry of the equine larynx replicating laryngeal hemiplegia and 4 surgical interventions by use of CT under steady-state airflow conditions. Secondly, to use fluid mechanic principles of flow through a constriction to establish the relationship between measured airflow geometries with impedance for each surgical procedure. Methods: 10 cadaveric horse larynges. Methods: While CT scans were performed, inhalation during exercise conditions was replicated for each of the following 5 conditions: laryngeal hemiplegia, left laryngoplasty with ventriculocordectomy, left lary...
Effects of Internal Fluid Pressure on Stresses in Subchondral Bone Cysts of the Medial Femoral Condyle.
Annals of biomedical engineering    January 7, 2022   Volume 50, Issue 1 86-93 doi: 10.1007/s10439-021-02883-z
Norton NM, Santschi E, Fischer KJ.The etiology of subchondral bone cysts (SBCs) is not fully understood. Mechanical trauma and fluid pressure are two mechanisms believed to cause their formation and growth. The equine stifle joint provides a natural animal model for studying SBCs. Computed tomography images of an extended yearling cadaveric stifle joint were segmented using ScanIP to isolate bones and relevant soft tissues. Three model geometries were created to simulate cyst sizes of approximately 0.03 cm (C1), 0.5 cm (C2), and 1 cm (C3). A uniform pressure resulting in 3000 N force was applied at the proximal end of the fem...
Semi-Automatic Segmentation of Cone Beam Computed Tomography Datasets for Volume Measurements of Equine Cheek Teeth.
Journal of veterinary dentistry    December 6, 2021   Volume 39, Issue 1 41-48 doi: 10.1177/08987564211061630
Herren FL, Gerber V, Meier R, Schweizer-Gorgas D, Klopfenstein Bregger MD.The volumes of equine teeth may change considerably over time for several reasons including domestication, routine dental floating, and the hypsodont and anelodont nature of the teeth. Cone beam computed tomography (CBCT) of the head is routinely performed in standing horses and, in this proof of concept study, the feasibility of measuring tooth volume from CBCT datasets was determined. The CBCT images of 5 equine cadaver cheek teeth were segmented with a software 3-dimensional (3D) Slicer using a predefined protocol, corrected manually, and re-assembled into a 3D model. Individual tooth volum...
Imaging and Gross Pathological Appearance of Changes in the Parasagittal Grooves of Thoroughbred Racehorses.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3366 doi: 10.3390/ani11123366
Johnston GCA, Ahern BJ, Palmieri C, Young AC.(1) Background: Parasagittal groove (PSG) changes are often present on advanced imaging of racing Thoroughbred fetlocks and have been suggested to indicate increased fracture risk. Currently, there is limited evidence differentiating the imaging appearance of prodromal changes in horses at risk of fracture from horses with normal adaptive modelling in response to galloping. This study aims to investigate imaging and gross PSG findings in racing Thoroughbreds and the comparative utility of different imaging modalities to detect PSG changes. (2) Methods: Cadaver limbs were collected from twenty ...
Osteoclast density is not increased in bone adjacent to radiolucencies (cysts) in juvenile equine medial femoral condyles.
Equine veterinary journal    November 18, 2021   Volume 54, Issue 5 989-998 doi: 10.1111/evj.13530
Fortin-Trahan R, Lemirre T, Santschi EM, Janes JG, Richard H, Fogarty U, Beauchamp G, Girard CA, Laverty S.There is a knowledge gap about how equine MFC subchondral radiolucencies (SR) arise and evolve. Osteoclasts are believed to have a role but have not been studied in situ. Objective: To measure and compare osteoclast density and the percentage of chondroclasts in healthy and MFC SR specimens from juvenile Thoroughbreds. Methods: Cadaveric study. Methods: Medial femoral condyles (MFC) from a tissue bank of equine stifles were studied. Inclusion criteria were MFCs (≤8 months old) with a computed tomography SR lesion and histological focal failure of endochondral ossification (L group). Contral...
The Frequency of Communication Between the Synovial Compartments of the Equine Temporomandibular Joint: A Contrast-Enhanced Computed Tomographic Assessment.
Frontiers in veterinary science    October 25, 2021   Volume 8 753983 doi: 10.3389/fvets.2021.753983
Pimentel KL, Carmalt JL. There is conflicting evidence regarding communication between the two compartments of the equine temporomandibular joint (TMJ). Understanding the inter-relationship between TMJ compartments is critical for diagnostic and clinical management purposes. To determine the frequency of communication between the discotemporal joint (DTJ) and the discomandibular joint (DMJ) of the equine TMJ in horses free of overt disease. A randomized, blinded, controlled cadaveric study. Equine cadaver heads ( = 20), with no reported history of potential TMJ disease, were collected and stored frozen until use. ...
Synchrotron CT of an equine digit at the Australian Synchrotron Imaging and Medical Beamline.
Journal of synchrotron radiation    October 22, 2021   Volume 28, Issue Pt 6 1769-1777 doi: 10.1107/S1600577521010493
Montgomery JB, Klein M, Boire JR, Beck C, Häusermann D, Maksimenko A, Hall CJ.Laminitis is an extremely painful and debilitating condition of horses that can affect their athletic ability and even quality of life. The current gold standard for assessment of laminar tissue is histology, which is the only modality that enables detailed visualization of the lamina. Histology requires dissection of the hoof and therefore can only represent one specific time point. The superior spatial and contrast resolution of synchrotron computed tomography (sCT), when compared with readily available imaging modalities, such as radiographs and conventional CT, provides an opportunity for ...
Comparative evaluation of tomosynthesis, computed tomography, and magnetic resonance imaging findings for metacarpophalangeal joints from equine cadavers.
American journal of veterinary research    October 21, 2021   Volume 82, Issue 11 872-879 doi: 10.2460/ajvr.82.11.872
Stewart HL, Kawcak CE, Inscoe CR, Puett C, Lee YZ, Lu J, Zhou OZ, Selberg KT.To describe the technique and assess the diagnostic potential and limitations of tomosynthesis for imaging of the metacarpophalangeal joint (MCPJ) of equine cadavers; compare the tomosynthesis appearance of pathological lesions with their conventional radiographic, CT, and MRI appearances; and evaluate all imaging findings with gross lesions of a given MCPJ. Methods: Distal portions of 4 forelimbs from 4 equine cadavers. Methods: The MCPJs underwent radiography, tomosynthesis (with a purpose-built benchtop unit), CT, and MRI; thereafter, MCPJs were disarticulated and evaluated for the presence...
A threshold volume of 10 ml is suggested for detecting articular cartilage defects in equine carpal joints using CT arthrography: Ex vivo pilot study. McQuillan S, Kearney C, Hoey S, Connolly S, Rowan C.Computed tomographic arthrography (CTA) has been described as a method for detecting articular cartilage defects in equine carpal joints; however, published studies on the effects of contrast volume for lesion detection are currently lacking. The purpose of this prospective, experimental, pilot study was to determine a threshold volume of iodinated contrast for CTA of the antebrachiocarpal (ABC) and middle carpal (MC) joints for detection of articular cartilage surface defects. Articular cartilage defects were iatrogenically created in the surfaces of the ABC and MC joints of 20 equine cadaver...
The Effect of Reducing the Bone to Cast Distance in an Equine Transfixation Pin Cast: An Ex Vivo Biomechanical Study.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 20, 2021   Volume 34, Issue 6 394-400 doi: 10.1055/s-0041-1733859
Bernath CM, Valet S, Rossignol F, Weisse B, Fürst AE, Kümmerle JM. The aim of this study was to evaluate the effect of reducing the bone to cast distance on the resistance of the pin to cyclic loading in equine transfixation pin casts. Methods:  Eleven pairs of cadaveric equine third metacarpal bones were prepared and one 6.3/8.0 mm transfixation pin was placed in standard fashion 10 mm proximal to the distal physeal scar into each bone. One metacarpus of each pair was tested with a distance of 10 mm (10 mm group) and the contralateral metacarpus with a distance of 20 mm (20 mm group) between the outer cortex of the bone and the fixation of t...
Perforations of tri-layer nitrile-latex and natural rubber latex gloves during ex-vivo equine intestinal anastomoses.
Veterinary surgery : VS    July 2, 2021   Volume 50, Issue 6 1250-1256 doi: 10.1111/vsu.13635
Averay K, Ward M, Verwilghen D.To compare perforation rates between tri-layer nitrile-latex and natural rubber latex surgical gloves after single-layer end-to-end jejunojejunal anastomoses in equine cadavers. Methods: Prospective randomized ex-vivo study. Methods: Pairs of surgical gloves (n = 46) worn during jejunojejunal anastomoses. Methods: Tri-layer nitrile-latex and rubber latex pairs of gloves were equally but randomly allocated to a right-handed surgeon performing 46 single-layer end-to-end jejunojejunal anastomoses on cadaveric material. Number and location of perforations were determined with the water leak test...
Multidetector CT and cone-beam CT have substantial agreement in detecting dental and sinus abnormalities in equine cadaver heads. van Zadelhoff C, Liuti T, Dixon PM, Reardon RJM.The performance of cone-beam CT (CBCT) systems compared to conventional helical multidetector CT (MDCT) imaging of the equine head is unknown. The aim of this prospective, method-comparison study was to compare the ability of CBCT and MDCT to detect abnormalities in equine cadaver heads. Eleven equine cadaver heads were scanned using a CBCT scanner and a 64-slice MDCT scanner. Consensus evaluations for CBCT and MDCT scans were performed by three observers. Identified abnormalities were grouped into subcategories with a focus on dental abnormalities. Kappa agreement values between detected abno...
An ex vivo biomechanical comparison of two suture materials and two pattern combinations for equine superficial digital flexor tendon tenorrhaphy.
Veterinary surgery : VS    May 13, 2021   Volume 50, Issue 5 1137-1146 doi: 10.1111/vsu.13658
Giacchi A, McMaster MA.To compare biomechanical characteristics of three-loop pulley (3LP) pattern versus Bunnell technique (BT) using polydioxanone (PDS) suture; to determine the influence of polyester tape (PT) versus PDS on the BT for equine superficial digital flexor tendon (SDFT) tenorrhaphy; to compare BT with PT versus 3LP with PDS. Methods: Ex vivo biomechanical study. Methods: Forty equine forelimb SDFT. Methods: Two experiments were performed: (1) 10 SDFT pairs were repaired with 3LP or BT using PDS; (2) 10 SDFT pairs were repaired with PDS or PT using BT. Load at failure, mode of failure, load at 2 mm g...
How does bone strain vary between the third metacarpal and the proximal phalangeal bones of the equine distal limb?
Journal of biomechanics    April 20, 2021   Volume 123 110455 doi: 10.1016/j.jbiomech.2021.110455
Singer E, Garcia T, Stover S.Strain parameters at injury prone sites of the equine third metacarpal (MC3) and proximal phalangeal (P1) bones were investigated with the aim of improving understanding of injury pathogenesis. We hypothesized that dorsal principal and shear strain patterns, magnitudes and directions would differ from proximal-to-distal; and would be similar from medial-to-lateral across each bone. Unilateral limbs from nine equine cadavers were instrumented with rosette strain gauges during limb loading to 10,500 N. Gauges were attached at seven dorsal sites: middle MC3, distal MC3 (medial, middle, lateral) ...
Muscle Fibre Architecture of Thoracic and Lumbar Longissimus Dorsi Muscle in the Horse.
Animals : an open access journal from MDPI    March 23, 2021   Volume 11, Issue 3 915 doi: 10.3390/ani11030915
Dietrich J, Handschuh S, Steidl R, Böhler A, Forstenpointner G, Egerbacher M, Peham C, Schöpper H.As the longissimus dorsi muscle is the largest muscle in the equine back, it has great influence on the stability of the spine and facilitates proper locomotion. The longissimus muscle provides support to the saddle and rider and thereby influences performance in the horse. Muscular dysfunction has been associated with back disorders and decline of performance. In general, muscle function is determined by its specific intramuscular architecture. However, only limited three-dimensional metrical data are available for the inner organisation of the equine longissimus dorsi muscle. Therefore, we a...
Ex vivo comparison of standing and recumbent repair of incomplete parasagittal fractures of the first phalanx in horses.
Veterinary surgery : VS    March 12, 2021   Volume 50, Issue 4 775-783 doi: 10.1111/vsu.13612
Labens R, Jermyn K.To assess suspensory ligament extensor branch location and fracture gap reduction with simulation of standing and recumbent cortical bone screw repair of experimental incomplete parasagittal proximal phalanx (P1) fractures. Methods: Controlled laboratory study. Methods: Twenty equine cadaver forelimbs. Methods: Simulated fractures were repaired twice in random order. A proximal cortical bone screw was placed in lag fashion with the limb unloaded (simulated recumbent repair) and loaded to 38% of body weight (range, 375-568 kg; simulated standing repair). Changes in fracture gap width were ass...
Effects of various wound dressings on microbial growth in perfused equine musculocutaneous flaps.
American journal of veterinary research    February 26, 2021   Volume 82, Issue 3 189-197 doi: 10.2460/ajvr.82.3.189
De Clercq E, Den Hondt S, De Baere C, Martens AM.To compare the effect of multiple wound dressings on microbial growth in a perfused equine wound model. Methods: Abdominal musculocutaneous flaps from 16 equine cadavers. Methods: 8 full-thickness skin wound covered were created in each flap. Tissues were perfused with saline (0.9% NaCl) solution. Wounds were inoculated with methicillin-resistant Staphylococcus aureus (MRSA) or Pseudomonas aeruginosa (106 CFUs), incubated, and covered with a dressing containing activated charcoal, boric acid, cadexomer iodine, calcium alginate, manuka honey, nanoparticle silver, or polyhexamethylene biguanide ...
Ex vivo comparison of the bursting strength of an equine ventral midline celiotomy covered by two standard abdominal bandages.
Veterinary surgery : VS    February 2, 2021   Volume 50, Issue 3 615-621 doi: 10.1111/vsu.13572
Weatherall KM, Boone LH, Munsterman A, Hanson RR.To determine the compressive effect of abdominal bandages after ventral midline celiotomy closure in horses. Methods: Ex vivo, experimental study. Methods: Equine cadavers (n = 18), six per group. Methods: A 20-cm ventral midline celiotomy was created in each of 18 equine cadavers. A 200-L inflatable bladder was placed in the abdomen, and the linea alba was apposed. Horses were randomly assigned to no bandage (C), elastic (E), or Velcro inelastic (I) bandage groups for testing. Circumferential bandages were placed with a subbandage pressure monitoring system over the incision. The bladder was ...
Right atrial-related structures in horses of interest during electrophysiological studies.
Equine veterinary journal    January 20, 2021   Volume 53, Issue 6 1210-1217 doi: 10.1111/evj.13413
Vernemmen I, Vera L, Van Steenkiste G, Deserranno B, Muylle S, Decloedt A, van Loon G.Arrhythmias are common in horses, but catheter-based minimally invasive electrophysiological studies and therapeutic interventions have been poorly explored in equine medicine, partly due to the lack of detailed anatomical knowledge of the equine heart. Objective: To describe the dimensions and anatomical features of some electrophysiologically important landmarks of the right atrium in detail and assess their correlation with bodyweight and aortic diameter. Methods: Ex vivo cadaveric study. Methods: Twenty-one hearts of Warmblood horses, subjected to euthanasia for noncardiovascular reasons, ...
Computed tomographic assessment of brain tissue disruption and skull damage in equine cadaveric heads caused by various firearm-ammunition combinations applied as potential gunshot methods for euthanasia of horses.
American journal of veterinary research    December 29, 2020   Volume 82, Issue 1 28-38 doi: 10.2460/ajvr.82.1.28
Lund JR, Ketover HR, Hetzel S, Waller K, Brounts SH.To evaluate with CT the characteristics of brain tissue disruption and skull damage in cadaveric heads of adult horses caused by each of 6 firearm-ammunition combinations applied at a novel anatomic aiming point. Methods: 53 equine cadaveric heads. Methods: Heads placed to simulate that of a standing horse were shot with 1 of 6 firearm-ammunition combinations applied at an aiming point along the external sagittal crest of the head where the 2 temporalis muscles form an inverted V. Firearm-ammunition combinations investigated included a .22-caliber long rifle pistol firing a 40-grain, plated le...
CT more accurately detects foreign bodies within the equine foot than MRI or digital radiography. Ogden NKE, Milner PI, Stack JD, Talbot AM.Identification and characterization of foreign bodies in the distal limb of horses poses a diagnostic challenge. The aims of this prospective experimental cadaver study were to describe the appearance of five foreign body materials within the equine hoof using CT, MRI, and digital radiography (DR) and to compare interrater agreement among three reviewers. Fifty foreign bodies consisting of five materials were implanted at a solar location or a coronary location in 25 equine cadaver feet. The images were reviewed by three equine veterinarians experienced in advanced imaging interpretation, who ...
Quantitative and qualitative analysis of operator inhaled aerosols during routine motorised equine dental treatment.
Equine veterinary journal    November 30, 2020   Volume 53, Issue 5 1036-1046 doi: 10.1111/evj.13379
Bescoby SR, Davis SA, Sherriff M, Ireland AJ.Routine equine odontoplasty is performed by both Veterinary Surgeons and Equine Dental Technicians. The production of aerosolised particulates from motorised equipment has been well documented in human orthodontics but has yet to be investigated in the veterinary industry. Objective: To assess the size, quantity and composition of particulates produced during routine motorised odontoplasty and to model their deposition in the human respiratory tree. Methods: Analytic observational study. Methods: Fifteen-minute routine motorised odontoplasties were performed on cadaver heads with monitoring eq...
Radiographic assessment of carpal conformation in the horse: Technique development and validation of the consistency of measurements.
Anatomia, histologia, embryologia    November 5, 2020   Volume 50, Issue 2 284-299 doi: 10.1111/ahe.12627
Olusa TAO, Ismail SMY, Murray CM, Davies HMS.Carpal conformation is often considered as a contributory factor to performance and lameness in the horse; however, few attempts have been made to objectively measure radiographic variations of carpal conformation in horses due to insufficient measurable carpal parameters. This pilot study used carpal radiographic images acquired from 10 cadaveric equine forelimbs transected at the antebrachial midshaft from 7 adult horses (7.2 ± 2.6 years), positioned at 'zero lateromedial' (ZLM) and 'zero dorsopalmar' (ZDP) views, to investigate the anatomy of the equine carpus and develop parameters tha...
Morphometric analysis of the intercarpal ligaments of the equine proximal carpal bones during simulated flexion and extension of cadaver limbs.
Anatomia, histologia, embryologia    September 9, 2020   Volume 50, Issue 1 151-160 doi: 10.1111/ahe.12613
Olusa TAO, Akbar Z, Murray CM, Davies HMS.Despite many reported cases of carpal lameness associated with intercarpal ligament injuries in horses, the morphometry, movement pattern and general intrinsic biomechanics of the carpus are largely unknown. Using osteoligamentous preparation of the carpus prepared from 14 equine cadaver forelimbs (aged 9.62 ± 4.25 years), locomotory simulations of flexion and extension movements of the carpal joint were carried out to observed carpal biomechanics and, thereafter, the limbs were further dissected to obtain morphometric measurements of the medial and lateral collateral ligaments (MLC and LC...
Radiographic anatomy of the equine distal tibia. Huguet EE, Porter EG, Chapman KA, Saunders FC, Davis B, Berry CR.The radiographic anatomy of the equine distal tibia is complex and is not widely described in the current literature. Superimposition and radiographic similarities between the different osseous structures of the equine distal tibia can make it difficult for anatomic localization of pathology. The purpose of this prospective, descriptive, anatomic study was to detail the normal anatomy of the equine distal tibia using routine radiographic projections and CT of the equine tarsus. Radiographic identification of the different osseous protuberances of the distal tibia on three cadaveric limbs was a...
Desensitisation of the distal forelimb following intrathecal anaesthesia of the carpal sheath in horses.
Equine veterinary journal    May 26, 2020   Volume 53, Issue 1 167-176 doi: 10.1111/evj.13269
Miagkoff L, Bonilla AG.The effect of intrathecal anaesthesia of the carpal sheath on distal forelimb sensitivity in horses remains unknown. Objective: To assess the effect of carpal sheath anaesthesia on skin sensitivity of the distal forelimb and to determine potential locations for desensitisation of palmar nerves. Methods: In vivo experimental and descriptive anatomical studies. Methods: Mepivacaine hydrochloride 2% (0.6 mg/kg) was injected unilaterally in the carpal sheath of 8 horses. Mechanical nociception of the distal forelimb was measured with a dynamometer and compared with the control limb at t0, t15, t3...
Is the T-ligament a ligament? A histological study in equine cadaver forelimbs.
Research in veterinary science    May 23, 2020   Volume 132 10-16 doi: 10.1016/j.rvsc.2020.05.018
Hontoir F, Paques F, Simon V, Balau B, Nicaise C, Clegg P, Dugdale A, Vandeweerd JM.Foot pain is a frequent cause of lameness in horses and can involve multiple structures within the hoof. The T-ligament (an anatomical structure connecting the synovium of the distal interphalangeal joint, the digital flexor tendon sheath and the navicular bursa) is poorly described. Five pairs of equine cadaver distal forelimbs were collected from a slaughterhouse. Sagittal sections (medial, middle and lateral) were obtained and processed with Haematoxylin Eosin Safran, Unna's Orcein, and Picrosirius red stains. Histological assessment revealed that the T-ligament was covered by the surroundi...