The Veterinary clinics of North America. Equine practice2010; 26(1); 29-49; doi: 10.1016/j.cveq.2010.01.005

The anatomy and physiology of the suspensory apparatus of the distal phalanx.

Abstract: The equine hoof capsule protects the softer, more sensitive, structures within. Failure of the connection between hoof and bone (suspensory apparatus of the distal phalanx or SADP) results in the crippling lameness of laminitis. Active basal cell proliferation occurs principally in tubular hoof and proximal and distal lamellae. The remaining lamellae are virtually non-proliferative and the hoof wall moves past the stationary distal phalanx, by controlled activation and inhibition of constituent proteases. The lamellar corium derives most of its blood supply from the branches of the terminal arch which perforate the distal phalanx. Valveless veins within the foot can be exploited clinically for retrograde venous therapy or contrast radiography (venography). The basement membrane (BM) forms the interface between the lamellar epidermis and the adjacent dermis and the plasma membrane of each lamellar basal cell is attached to the BM by numerous electron dense adhesion plaques or hemidesmosomes the ultimate attachment unit of the SADP. Laminitis destroys and dislocates the BM and its components and without an intact, functional BM, the structure and function of the lamellar epidermis is pathologically compromised. Transcription and activation of constituent proteases occurs in normal hoof lamellae but in increased amounts during laminitis.
Publication Date: 2010-04-13 PubMed ID: 20381734DOI: 10.1016/j.cveq.2010.01.005Google Scholar: Lookup
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Summary

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This study thoroughly analyzes the structure and functioning of the suspensory apparatus of the distal phalanx (SADP), a part of the horse’s hoof that when malfunctioning can contribute to a severe lameness condition called laminitis.

Overview of SADP and Role in Horse Hoof

  • The research focuses on the vital role the suspensory apparatus of the distal phalanx (SADP) plays in the health and functionality of a horse’s hoof.
  • The equine hoof capsule is the outer protective shell, safeguarding the interior structures against damage.
  • The critical relationship between the hoof and bone is maintained by the SADP, with its failure leading to laminitis, a painful and debilitating condition.

Cell Proliferation and SADP

  • Within the SADP, most basal cell proliferation happens within the tubular hoof and proximal and distal lamellae.
  • The remaining lamellae are mostly non-proliferative. They exist in a state where the hoof wall progresses past the non-moving distal phalanx thanks to a controlled activation and inhibition of constituent proteases.

Blood Supply and Veins in the SADP

  • The blood supply for lamellar corium is primarily derived from the branches of the terminal arch perforating the distal phalanx.
  • The foot has valveless veins that can be utilized for medical procedures such as retrograde venous therapy or contrast radiography (venography).

Role of Basement Membrane (BM) and Effects of Laminitis

  • The interface between the lamellar epidermis and the neighboring dermis is created by the basement membrane (BM).
  • The lamellar basal cell’s plasma membrane attaches to the BM using numerous electron-dense adhesion plaques or hemidesmosomes, which are the ultimate unit of attachment for the SADP.
  • In cases of laminitis, the BM and its components get destroyed or displaced.
  • Without a functional BM, both the structure and function of the lamellar epidermis becomes pathologically compromised, leading to severe foot pain and lameness in horses.
  • Normal hoof lamellae undergo transcription and activation of constituent proteases. However, these processes are increased during episodes of laminitis.

Cite This Article

APA
Pollitt CC. (2010). The anatomy and physiology of the suspensory apparatus of the distal phalanx. Vet Clin North Am Equine Pract, 26(1), 29-49. https://doi.org/10.1016/j.cveq.2010.01.005

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 26
Issue: 1
Pages: 29-49

Researcher Affiliations

Pollitt, Christopher C
  • School of Veterinary Science, The University of Queensland, St Lucia, Brisbane, Queensland 4072, Australia. c.pollitt@mailbox.uq.edu.au

MeSH Terms

  • Animals
  • Basement Membrane / anatomy & histology
  • Basement Membrane / physiology
  • Foot Diseases / etiology
  • Foot Diseases / veterinary
  • Hemidesmosomes
  • Hoof and Claw / anatomy & histology
  • Hoof and Claw / blood supply
  • Hoof and Claw / innervation
  • Hoof and Claw / physiology
  • Horse Diseases / etiology
  • Horses / anatomy & histology
  • Horses / physiology
  • Ligaments / anatomy & histology
  • Ligaments / physiology
  • Ligaments, Articular / anatomy & histology
  • Ligaments, Articular / physiology
  • Toe Phalanges / anatomy & histology
  • Toe Phalanges / physiology

Citations

This article has been cited 18 times.
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