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Topic:Ligaments

Ligaments in horses are fibrous connective tissues that connect bones to other bones, providing stability and support to the skeletal structure. These structures are integral to maintaining joint function and facilitating movement. In equine anatomy, ligaments are involved in various functions, including supporting the limbs and allowing for efficient locomotion. Common ligaments in horses include the suspensory ligament, which plays a significant role in supporting the fetlock joint, and the nuchal ligament, which supports the head and neck. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, injury mechanisms, and rehabilitation of ligaments in horses.
What is your diagnosis? Avulsion fracture of the proximal suspensory ligament and the third metacarpus.
Journal of the American Veterinary Medical Association    December 12, 1997   Volume 211, Issue 11 1367-1369 
Sedrish SA, Williams J, Burba DJ.No abstract available
Desmotomy for treatment of chronic desmitis of the accessory ligament of the deep digital flexor tendon in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    October 23, 1997   Volume 38, Issue 10 637-639 
Todhunter PG, Schumacher J, Finn-Bodner ST.Chronic lameness was determined to be caused by desmitis of the accessory ligament of the deep digital flexor tendon and adhesions associated with these 2 structures. Desmotomy of the accessory ligament, resection of adhesions, and controlled exercise during convalescence resulted in return to normal use without apparent lameness.
The intercarpal ligaments of the equine midcarpal joint, Part 3: Clinical observations in 32 racing horses with midcarpal joint disease.
Veterinary surgery : VS    October 6, 1997   Volume 26, Issue 5 374-381 doi: 10.1111/j.1532-950x.1997.tb01696.x
Whitton RC, Kannegieter NJ, Rose RJ.To characterize the clinical features of intercarpal ligament pathology and to determine the relationship among palmar intercarpal ligament tearing, dorsomedial intercarpal ligament (DMICL) hypertrophy, and other intraarticular lesions. Methods: Prospective clinical observations. Methods: Twenty-eight thoroughbred and four standardbred race horses. Methods: Clinical, radiographic, and arthroscopic examination of 53 midcarpal joints of 32 horses. Results: Palmar intercarpal ligament tearing was observed in 30 joints of 22 horses. Some tearing of the medial palmar intercarpal ligament (MPICL) wa...
The intercarpal ligaments of the equine midcarpal joint, Part 2: The role of the palmar intercarpal ligaments in the restraint of dorsal displacement of the proximal row of carpal bones.
Veterinary surgery : VS    October 6, 1997   Volume 26, Issue 5 367-373 doi: 10.1111/j.1532-950x.1997.tb01695.x
Whitton RC, Rose RJ.To determine the relative contributions of the palmar intercarpal ligaments in the midcarpal joint to the restraint of dorsal displacement of the proximal row of carpal bones. Methods: A biomechanical study of cadaver equine carpi. Methods: Eight equine forelimbs from six thoroughbred horses. Methods: With joints in full extension, the radius was dorsally displaced while midcarpal joint displacement was measured. The restraining force at a joint displacement of 1.5 mm was determined from the load-displacement curve. A ligament or pair of ligaments was then cut and the testing procedure repeate...
The intercarpal ligaments of the equine midcarpal joint, Part 1: The anatomy of the palmar and dorsomedial intercarpal ligaments of the midcarpal joint.
Veterinary surgery : VS    October 6, 1997   Volume 26, Issue 5 359-366 doi: 10.1111/j.1532-950x.1997.tb01694.x
Whitton RC, McCarthy PH, Rose RJ.To describe in detail the structure of the medial palmar intercarpal ligament (MPICL), the lateral palmar intercarpal ligament (LPICL), and a dorsomedial intercarpal ligament (DMICL) of the equine midcarpal joint. Methods: Dissections of equine midcarpal joints. ANIMALS AND SAMPLE POPULATION: Ten carpal joints from eight thoroughbred horses. Methods: Detailed dissections of the midcarpal joint were performed, with particular attention paid to the MPICL, the LPICL, and the DMICL. The attachments and dimensions of these structures were recorded, as well as their behavior during joint movement. R...
[Scanning electron microscopic investigations on the anatomy of the fetlock joint in horses].
Tierarztliche Praxis    July 1, 1997   Volume 25, Issue 4 363-369 
Breit S, Stiglhuber A, König HE.Striking synovial structures were taken and their surface was investigated by scanning electron microscopy. Depending where the probes were taken from, the stratum synovial was arranged in a different way. The synovial intima seems to miss under the tendon of the long/commune extensor muscle, the collateral ligaments and the sesamoidean collateral ligaments. That is why the subsynovial tissue forms the superficial layer. The surface of the probes taken sidewards to the tendon of the extensor muscle and of the synovial fold, which is situated between the metacarpus/metatarsus and the proximal p...
Additional research on tendon strains and stresses.
American journal of veterinary research    June 1, 1997   Volume 58, Issue 6 569-570 
Crevier-Denoix N, Pourcelot P.No abstract available
Repair of a deep digital tendon deficit in a horse using a polypropylene implant.
The Canadian veterinary journal = La revue veterinaire canadienne    May 1, 1997   Volume 38, Issue 5 294-296 
Crawford WH, Ingle JE.A yearling horse was treated for a chronic wound with a 4 cm deficit in the deep digital tendon. The gap in the tendon was bridged with paired polypropylene braided implants designed for use as a ligament augmentation device. Uncomplicated healing and return to function occurred.
Mechanical properties of pathological equine superficial digital flexor tendons.
Equine veterinary journal. Supplement    May 1, 1997   Issue 23 23-26 doi: 10.1111/j.2042-3306.1997.tb05046.x
Crevier-Denoix N, Collobert C, Pourcelot P, Denoix JM, Sanaa M, Geiger D, Bernard N, Ribot X, Bortolussi C, Bousseau B.The objective of this study was to mechanically characterise superficial digital flexor tendon (SDFT) lesions. Eight pathological SDFTs, isolated from 6 adult horses, were tested in traction until rupture (at 1 mm/s). The stresses and strains simultaneously undergone by each of the 7 segments of a tendon were determined throughout the test, and the modulus of elasticity of each segment was evaluated from the segmental stress-strain curve thus obtained. These mechanical data were compared to those obtained on 10 normal SDFTs. After the test, the tendinous segments were submitted to a histologic...
[Anatomy of the fetlock joint in horses by means of joint casts].
Tierarztliche Praxis    April 1, 1997   Volume 25, Issue 2 148-155 
Stiglhuber A, Breit S, König HE.The equine fetlock joint cavity shows ten pouches. The dorsal recess, which is oriented to the proximal side, is separated from those three pouches, which show to the distal direction, by several capsular folds. These folds are documented by means of sagittal sections through the fetlock joint. A medial/lateral recess is covered by the deep part of the collateral ligament of the fetlock joint. The collateral ligaments as well as the sesamoidean collateral ligaments are closely connected with the joint capsule, from which two capsular folds are separated. Between the part of the sesamoidean col...
Ultrasonographic examination of the proximal scutum in the horse.
Equine veterinary journal    March 1, 1997   Volume 29, Issue 2 136-141 doi: 10.1111/j.2042-3306.1997.tb01655.x
Denoix JM, Busoni V, Olalla MJ.Normal and abnormal ultrasonographic images are presented of the proximal scutum (proximal sesamoid bones and palmar ligament) in the horse. Comparison between anatomical sections, MRI (magnetic resonance imaging) and ultrasound scans enabled the authors to establish the normal ultrasonographic anatomy of the palmar fetlock. Nine cases of proximal scutum injuries were identified ultrasonographically, of which 4 are illustrated. On normal limbs, the facies flexoria of the proximal sesamoid bones appeared as a thin and regular hyperechoic line and the palmar ligament was regularly echogenic. Les...
Lateral collateral ligament avulsion of the humeroradial joint in a horse. Chopin JB, Wright JD, Melville L, Robinson WF.This report describes traumatic avulsion of the lateral collateral ligament of the humeroradial joint in a horse. The history and diagnostic procedures are included with relevant radiographs and ultrasonographs. The poor prognosis associated with this injury is due to degenerative joint disease.
Laparoscopic repair of scrotal hernia in two foals.
Veterinary surgery : VS    September 1, 1996   Volume 25, Issue 5 414-416 doi: 10.1111/j.1532-950x.1996.tb01437.x
Klohnen A, Wilson DG.Nonstrangulating indirect scrotal hernias were corrected in two 4-week-old Percheron foals by a laparoscopic technique. After laparoscopic reduction of herniated nonstrangulated small intestine each testes was retracted through the vaginal ring. The ligament of the tail of the epididymis was transected by electrocautery. The testicular vessels and nerves were isolated by cautery of the mesenteric portion of the mesorchium and then ligated. Staples were used to close the opening of the inguinal canal by apposing the peritoneal edges of the vaginal ring. Resection of umbilical stalk remnants via...
Treatment of superficial digital flexor tendonitis.
The Veterinary record    July 13, 1996   Volume 139, Issue 2 48 
Dyson S.No abstract available
Avulsion of the cranial cruciate ligament insertion in a horse.
Equine veterinary journal    July 1, 1996   Volume 28, Issue 4 334-336 doi: 10.1111/j.2042-3306.1996.tb03099.x
Edwards RB, Nixon AJ.No abstract available
Ultrasonographic examination of the femorotibial articulation in horses: imaging of the cranial and caudal aspects.
Equine veterinary journal    July 1, 1996   Volume 28, Issue 4 285-296 doi: 10.1111/j.2042-3306.1996.tb03092.x
Cauvin ER, Munroe GA, Boyd JS, Paterson C.The aim of this study was to determine the normal ultrasonographic features of the cranial and caudal aspects of the femorotibial articulation and, in particular, to establish a method of examining the menisci, cruciate and meniscal ligaments ultrasonographically. Twenty hindlimbs isolated post mortem from 10 horses were used to study the normal ultrasonographic and gross anatomy of the femorotibial joint. Five stifles from 3 normal, live horses were also examined with B-mode, real-time ultrasound imaging. The results of the anatomical study are presented. The joint surfaces, menisci, cruciate...
Tendon strain in the forelimbs as a function of gait and ground characteristics and in vitro limb loading in ponies.
Equine veterinary journal    March 1, 1996   Volume 28, Issue 2 133-138 doi: 10.1111/j.2042-3306.1996.tb01605.x
Riemersma DJ, van den Bogert AJ, Jansen MO, Schamhardt HC.Strains in the tendons of the m. flexor digitalis superficialis (superficial digital flexor, SDFT) and m. flexor digitalis profundus (deep digital flexor, DDFT) tendons, the accessory ligament of the deep digital flexor muscle (inferior check ligament, ICL) and the m. interosseus medius (suspensory ligament, SL) of 5 ponies were recorded at the walk and trot using mercury-in-silastic strain gauges (MISS), on a hard surface (brick pavement) and on sand. The horses were shod with normal, flat shoes. On pavement, strain in the SDFT, DDFT and SL increased significantly from the walk (2.19%, 1.15% ...
Collagen fibril diameter distributions in ligaments and tendons of the carpal region of the horse.
Connective tissue research    January 1, 1996   Volume 34, Issue 1 11-21 doi: 10.3109/03008209609028889
Davankar SP, Deane NJ, Davies AS, Firth EC, Hodge H, Parry DA.Since horses bred for the racing industry are subject to rigorous training procedures there is a real need to understand how the stresses experienced by their tendons and ligaments in vivo relate to the major load-bearing elements-the collagen fibrils. Consequently, an age-related study has been made of the collagen fibril diameter distributions of nine ligaments in and around the equine carpus. This is the first stage of a larger study aimed at understanding the ultrastructural changes that occur as a result of exercise. Most of the ligaments showed a bimodal diameter distribution at maturity...
The effect of the high palmar nerve block and the ulnar nerve block on lameness provoked by a collagenase-induced tendonitis of the lateral branch of the suspensory ligament.
The veterinary quarterly    January 1, 1996   Volume 18 Suppl 2 S103-S105 
Keg PR, Schamhardt HC, van Weeren PR, Barneveld A.Controversy exists with respect to the innervation of the suspensory ligament (SL) in the fore limb of the horse. It is uncertain whether this structure is exclusively innervated by branches of the ulnar nerve or also to some extent by median nerve branches. Ground Reaction Forces (GRF) were determined in horses before and after the induction of a tendonitis in the lateral branch of the SL by the injection of collagenase, and before and after a high palmar and an ulnar block respectively. The high palmar block succeeded in bringing all GRF variables back to their original values which the ulna...
Ultrasonographic anatomy of the dorsal and abaxial aspects of the equine fetlock.
Equine veterinary journal    January 1, 1996   Volume 28, Issue 1 54-62 doi: 10.1111/j.2042-3306.1996.tb01590.x
Denoix JM, Jacot S, Bousseau B, Perrot P.This paper describes normal ultrasound images of the soft tissues of the dorsal and abaxial aspects of the equine fetlock. The palmar aspect of the fetlock is not discussed because it is related to the suspensory apparatus and flexor tendon anatomy which has been previously described. Ultrasound scanning was performed with 7.5 MHz linear or 10 MHz sector probes and recorded on 7.5 cm U-matic videocassettes allowing further retrospective data analysis, computer manipulation and good image reproducibility. Sagittal, parasagittal, frontal and transverse ultrasound scans of 13 lameness free mature...
The fetlock tunnel syndrome: a macroscopic and microscopic study.
The veterinary quarterly    December 1, 1995   Volume 17, Issue 4 138-142 doi: 10.1080/01652176.1995.9694553
van den Berg MJ, Rijkenhuizen AB, Németh F, Gruys E.Chronic changes of several structures in around the fetlock tunnel can be a cause of the so-called fetlock tunnel syndrome (FTS) in the horse. Forty-nine annular ligaments (AL) from dead horses without a known history or clinical evidence of lameness and/or digital tendon sheath problems in these legs and 30 AL biopsies from horses suffering from FTS were studied macroscopically and microscopically. Macroscopically, the normal AL had a shiny white appearance, whereas the affected AL were often thicker and less white. Microscopically, the normal AL were about +/- 1 mm thick and were composed of...
Histologic appearance of axial osteochondral fragments from the proximoplantar/proximopalmar aspect of the proximal phalanx in horses.
Journal of the American Veterinary Medical Association    October 15, 1995   Volume 207, Issue 8 1076-1080 
Nixon AJ, Pool RR.Osteochondral fragments from the axial proximoplantar/proximopalmar region of the proximal phalanx were removed from 38 joints in 30 horses. Ninety-three percent of the horses were Standardbreds, and 28 of the 30 had a low-grade lameness. All but 1 of the horses had hind limb involvement. A total of 43 fragments were removed. Most (71%) of the fragments involved the medial aspect of the joint and had to be dissected from a covering of synovial tissue. Histologically, the circumference of most fragments consisted of a transition zone at the attachment of the joint capsule, a region of nonarticu...
Ultrasound-guided transection of the accessory ligament of the deep digital flexor muscle (distal check ligament desmotomy) in horses.
Veterinary surgery : VS    September 1, 1995   Volume 24, Issue 5 373-378 
White NA.Transection of the accessory ligament of the deep digital flexor muscle (distal check ligament desmotomy) was completed in 44 horses using an ultrasound-guided technique. The technique used real-time ultrasound with a 7.5 MHz transducer to observe the dissection and isolation of the check ligament through a 1 to 1.5 cm incision and to check for complete transection of the check ligament. The technique was effective in correcting flexural deformity of the distal interphalangeal joint and the metacarpophalangeal joint in all but three horses. Check ligament desmotomy at a young age (median, 6 mo...
Scintigraphy for diagnosis of avulsions of the origin of the suspensory ligament in horses: 51 cases (1980-1993).
Journal of the American Veterinary Medical Association    September 1, 1995   Volume 207, Issue 5 608-611 
Edwards RB, Ducharme NG, Fubini SL, Yeager AE, Kallfelz FA.The medical records of 34 horses with a diagnosis of avulsion of the origin of the suspensory ligament that had been admitted to the veterinary medical teaching hospital between 1980 and 1993 were identified. In addition to clinical examination, 21 of 34 horses had scintigraphy and radiography performed during their examination. The usefulness of scintigraphy and radiography were assessed by comparing the initial findings reported in the medical record to those obtained in a retrospective review of the images. Thirty other horses with scintigraphic lesions of the proximal aspect of the third m...
Aseptic tenosynovitis of the digital flexor tendon sheath, fetlock and pastern annular ligament constriction.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 151-162 doi: 10.1016/s0749-0739(17)30317-6
Dik KJ, Dyson SJ, Vail TB.The anatomy of the digital flexor tendon sheath and related tendons and ligaments is described. Diagnosis and management of acute tenosynovitis and long-term tenosynovitis and associated tendon injuries are discussed, as well as the syndrome of stenosis of the fetlock canal (or fetlock annular ligament constriction) and palmar annular ligament constriction. Desmitis of the palmar annular ligament is also described.
Ligaments associated with joints.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 249-291 doi: 10.1016/s0749-0739(17)30322-x
Wright IM.This article contains a short introduction to the anatomy, physiology, and pathophysiology of ligaments associated with diarthrodial joints. Individual ligaments are discussed on a regional basis as forelimb, distal limb, and hindlimb. Emphasis is placed on the anatomy of the ligaments because this is the key to sound clinical application of their involvement in joint disease. There are few conditions of diarthrodial joints that do not involve their associated ligaments, and this role may be in causative, diagnostic, and therapeutic or convalescent considerations.
Infectious tenosynovitis.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 163-176 doi: 10.1016/s0749-0739(17)30318-8
Bertone AL.Infectious tenosynovitis is treated similarly to infectious arthritis. The principles of treatment include an early diagnosis and immediate therapy. Therapy should include use of systemic and local antimicrobials and sheath lavage and drainage. Fibrosis and adhesions can be minimized with passive range of motion exercises, intrathecal hyaluronate, and phenylbutazone therapy. Restrictive fibrosis may be treated successfully by annular ligament resection.
Tendon, tendon sheath, and ligament injuries in the pastern.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 217-233 doi: 10.1016/s0749-0739(17)30320-6
Dyson SJ, Denoix JM.The palmar (plantar) aspect of the pastern is an anatomically complex area and an understanding of this is a prerequisite for accurate diagnosis of injuries in this area. The gross and normal ultrasonographic anatomy are described, and injuries of the superficial and deep digital flexor tendons and the digital flexor tendon sheath, the distal sesamoidean ligaments, and the palmar ligaments of the proximal interphalangeal joint are discussed.
Miscellaneous conditions of tendons, tendon sheaths, and ligaments.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 315-337 doi: 10.1016/s0749-0739(17)30324-3
Dyson SJ, Dik KJ.The use of diagnostic ultrasonography has greatly enhances our ability to diagnose injuries of tendons and tendon sheaths that were previously either unrecognized or poorly understood. For may of these injuries, there is currently only a small amount of follow-up data. This article considers injuries of the deep digital flexor tendon and its accessory ligament, the carpal tunnel syndrome soft tissue swellings on the dorsal aspect of the carpus, intertubercular (bicipital) bursitis and bicipital tendinitis, injuries of the gastrocnemius tendon, common calcaneal tendinitis, rupture of peroneus (...
Soft tissue injuries of the tarsus.
The Veterinary clinics of North America. Equine practice    August 1, 1995   Volume 11, Issue 2 235-247 doi: 10.1016/s0749-0739(17)30321-8
Dik KJ, Leitch M.Contrast radiography provides a clear survey of the size, shape, and location of extratendovaginal fluid-filled cavities, distended bursa, and tendon sheaths and demonstrates intersynovial communication. Ultrasonography effectively demonstrates Achilles tendon injury, slippage of the SDFT off the summit of the calcaneus, assorted ligamentous injuries, and cystic or solid extratendovaginal masses. It will also demonstrate distended bursae and tendon sheaths, but it is not as effective in demonstrating a synovial herniation, or a narrow synovial fistula. Contrast radiography may prove to be the ...
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