forelimb Flashcards

1
Q

superior, inferior, anterior, posterior

A

superior = dorsal
inferior = ventral
anterior = cranial = cephalic
posterior = caudal

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2
Q

internal vs external

A

internal = deep = away from body surface
external = superficial = towards body surface

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3
Q

proximal + distal

A

toward/away from main mass of body

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4
Q

visceral + parietal

A

related to internal organs
related to body walls

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5
Q

articular vs non-articular bone features

A

articular = form joints w corresponding articular areas other bones
non-articular = serve for attachment muscle, ligament, tendon, fascia

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6
Q

fascia

A

sheet CT covering all organs in bod to provide support

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7
Q

head

of bone

A

round, smooth, v convex articular projecting process
* on end long bones, e.g. humerus, femur

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8
Q

condyle

A

smooth, convex, protruding articular projection at extermities long bones

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9
Q

facet

A

small, smooth articular surface
* flat, concave or convex

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10
Q

epicondyle

A

small, roughened non-articular projection above condyle
* usually attachment site musc + ligaments

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11
Q

process

A

vague name for non-articulating prominence

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12
Q

trochanter

A

specialised term for few blunt projection tuberosities on femur
* non-articulating

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13
Q

tubercle + tuberosity

A

both rounded, roughened non-articular processes
* attachment pts for ligaments/tendons
* sometimes interchangeable but tubercle usually larger/more prominent

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14
Q

crest

A

prominent linear sharp border/ridge
* non-articular prominence

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15
Q

line

A

less prominent faint ridge - a baby crest
* non-articular prominence

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16
Q

spine

A

sharp, slender process/elongated thin shelf-like projection
* non-articular prominence

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17
Q

neck

A

constricted attachment bet articulating head + shaft of bone - non-articular

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18
Q

fovea

A

small non-articular pit-like depression
* provide area for passage bvs/soft tiss

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19
Q

fossa

A

large non-articular basin depression
* provide area for passage bvs/soft tiss

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20
Q

notch

A

non-articular depression - C/U shaped
* area for passage bvs/soft tiss

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21
Q

groove = sulcus

A

furrow-like opening to accomodate soft tiss structures (bvs, nerves, tendons)
* non-articular depression

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22
Q

acetabulum

A

smooth, deep, articular depression

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23
Q

trochlea

A

pulley-like articular structure

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24
Q

cochlea

A

articular surface reciprocal to trochlea

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25
glenoid cavity
smooth, shallow articular depression
26
foramen
hole/opening in bone for transmission bvs + nerves
27
sinus
large air-filled cavity w/in bone * lined w mucous mem * communicates w exterior (can secrete mucous for IS)
28
canal
foramen that extends through bone to make tube-like passageway * passage bvs + nerves
29
fissure
narrow, slit-like opening bet adjacent parts bone * bvs + nerves pass through
30
flexion + extension
decr + incr angle at joint
31
adduction vs abduction
move limb closer to/further from midline | add = closer
32
depression + elevation
refers to head: downward vs upward movement
33
supination vs pronation
supination = turning forearm/palm upwards pronation = downwards
34
inversion + eversion
rotation plantar (sole) aspect internally/externally
35
external/internal rotation
rotate bone externally/internally around longitudinal axis
36
protraction + retraction
protraction = moving limb forwards retraction = moving limb backwards/fixing limb + moving trunk forward relative
37
stride | + how used incr speed
1 cycle limb movement at particular gait * incr by incr stride length (by incr limb length anatomically or physiologically - more extension/flexion) or stride rate (decr limb mass, esp distally) * length + rate antagonistic - incr 1 = other decr
38
how incr stride rate
* conc musculature proximally * decr no. digits * elongate distal, less massive segments limb (for incr stride length, as opposed proximal) * physiologically: flex limb in protraction - more flexion the faster you go
39
role of forelimb + so anatomical features
* carry more static weight * maximise gait efficiency by minimising up/down E expenditure = ligaments absorb KE of downward movement + store it as potentially E when stretched then rebound + E -> upward KE = thorax elevated w minimal musc movement * shorter + straighter than hindlimb * connected to trunk just by musc + ligament * broader rounder hoof (horse) | forelimbs = thoracic limbs
40
role + general anatomical features hindlimb
motors of locomotion = drive trunk forward + propel body up * longer + more angular * osseus articulation to axial skeleton * hip, stifle + hock can all extend at once * narrower pointier hoof (horse) | hindlimbs = pelvic limbs
41
overarching limb diffs carnivores + herbivores
carnivores = limbs for running + manipulation (prey, fighting) so specialisation limited * unguis not used locomotion so available as tool/weapon * smaller intestinal mass = flexible trunk + spine = limbs can swing more = incr stride length = faster * flexed + extended suspension phases (when lose contact w ground) horses need continual grazing = ligament structures to allow prolonged standing w lil expenditure musc E * just flexed suspension phase
42
locomotor sys
muscoskeletal sys that allows wide range animal movement * bones (osteology) - rigid support * joints (arthrology) - allow movement be bones * musc (myology) - prods movement bet bones
43
cursorial meaning
animal w ability run fast (cheetah) or keep constant speed long distance
44
cursorial adaptations locomotor sys
1. reduced pectoral skeleton - no/vestigial clavicle = no skeletal attachment bet forelimb + trunk = just muscular joint = free more caudal/cranial movement = incr stride length 2. chest cavity compressed laterally (-> deep + narrow) = unrestricted movement limbs back + forth = incr stride length 2. elongation at proximal end limb - scapula lies laterally = incr stride length 3. elongation at distal end limb - long metacarpals + walk on toes/hooves = incr stride length 4. brachium v muscular + relatively short = limb mass proximal = incr stride rate 5. conversion musc -> ligament = decr mass + reliance on passive mechanics 6. reduction digits in manus - stability over dexterity 7. radius more dominant bone in antebrachium - stability over rotation for manipulation | incr stride length = run faster
45
digitigrade, unguligrade, plantigrade
digitigrade = ground contact made w digits w heel always up unguligrade = ground contact made w hoof w carpus always raised plantigrade = walking w heel (plantar side foot) on ground
46
synsarcosis
purely muscular joining bet parts skeleton
47
shoulder joint fancy name
omothoracic junction
48
gait
sequence limb movements
49
walk | as a gait
4 beat gait: each limb moves forward individually + hits ground sep sequential | slowest
50
trot | as a gait
diagonal gait = 2 beat gait 2 limbs hit ground simultaneously | 2nd slowest
51
canter | as a gait
3 beat w one period suspension L lead: RH, LH + RF, LF R lead: LH, RH + LF, RF
52
gallop | as a gait
4 beat gait L lead: RH, LH, RF, LF R lead: LH, RH, LF, RF
53
division bod into 2 skeletons
axial = vertebral column, skull + ribcage appendicular = limbs
54
bone types
1. flat - large SA for musc attachment + protect underlying structures 2. long - support bodyweight + allow movement 3. short - large range movement (small but working together) + anti-concussive (== shock absorbing) 4. sesamoid embedded in tendons in joints * allow wide range movement * redirect forces * reduce friction to prevent damage | some others irregular for function, e.g. vertebrae
55
smooth vs rough SAs of bones
smooth = passage structures/tendons + articular surfaces rough = musc attachment
56
features of articular surfaces
* hyaline cartilage covering if weight-bearing surface * resistant deformation * no bvs or nerves * no periosteum
57
periosteum is + why
covers outer surface bone (except articular surfaces) + conts bvs/nerves * important for fracture healing * enters medullary cavity via nutrient foramen
58
how does bone form from embryo v simple
embryonic mesenchymal cells -> cartilagenous matrix then mesenchymal -> osteoblasts cartilage calcifies
59
how many ossification centres diff bones
short + sesamoid = 1 per bone flat + long = >1 attachment sites for important may have more than one
60
how to identify physis/growth plate radiograph
cartilage bet bones appears black
61
how identify young vs old
young = open physes for incr bone length mature = closed = physeal scars | diff ones close diff times depending on contrib to length = estimate age
62
most likely pts damage on bones animals diff ages
adults = shaft weakest pt so fractures young = growth plate weakest - damage/separation (can cause premature closure)
63
tendon vs ligament
tendon = musc-bone ligament = bone-bone
64
general structure sk musc
individual musc fibres arranged parallel lines collected in bundles covered by fibrous tiss (= deep fascia) * attached rigid structures, usually bone *origin* usually proximal *insertion* usually distal
65
aponeurosis
thin flat sheet CT connect musc to bone when no space for tendon to attach
66
diff ways sk musc attaches to bone
1. directly to bone on rough surface 2. via tendon = condensation deep fascia into cords w smaller area attachment (= less bulky across joints) 3. via aponeurosis if limited access to bone = condensation deep fascia into sheets (fibrous) - long attachment area | superficial fascia = subcut loose CT attaching skin-musc
67
overall musc action w part names
belly contracts + shortens = pts attachment drawn closer together * pivots at joint to decr/incr angle of joint * antagonistic pairs have opposite action, i.e. flexor + extensor of any given joint
68
description of sides of joint
flexor + extensor aspects where angle decr/incr
69
intrinsic vs extrinsic sk musc
INTRINSIC = origin + insertion w/in appendicular skeleton, moving limb joints - flexion + extension EXTRINSIC = origin on axial, insertion on appendicular, movement limb relative to trunk - protraction/retraction
70
pivotal point | = PP
midway down scapula - pt around which it rotates + glides over thorax
71
regions of forelimb
1. omo (shoulder) - scapula (+ clavicle in cats) 2. brachium - humerus 3. antebrachium - radius + ulna 4. carpus - cluster small carpal bones 5. manus - metacarpal bones 6. digit - phalanges
72
structure scapula | lateral + medial - dog (reference pt)
73
glenoid cavity
smooth concave articular surface for attachment humerus in shoulder joint
74
superaglenoid tubercle
attachment *biceps brachii* musc
75
serrated face on proximal medial aspect scapula
where serratus ventralis attaches
76
where does subscapularis musc originate
lower 2/3 subscapular fossa
77
how is cat scapula diff to dog
1. more rounded cranial angle 2. suprahamate process = extra extension of spine to allow attachment musc 3. vestigial clavicle
78
centres of ossification scapula
1. body 2. supraglenoid tubercle | = growth plates visible as line black on readiograph if young
79
how to find scapula
can palpate: * dorsal border * cranial border * cranial angle * spine * acromion caudal border beneath musc so difficult
80
extrinsic muscs of forearm
1. brachiocephalic 2. omotransversarius 3. latissimus dorsi 4. serratus ventralis 5. trapezius 6. rhomboideus 7. pectoral
81
brachiocephalic musc
origin: cervico-thoracic fascia that sits on top whole neck region insertion: humerus (aponeurosis) **protractor** - acts across shoulder (also **extensor**) 3 parts: 1. Cleidocepahlicus = Cleidocervicalis (caudal) + Cleidomastoideus (cranial) - cervical + accessory nerves 3. Cleidobrachialis - distal - axillary nerve
82
omotransversarius
origin: transverse processes of 1st vertebra C1) insertion: acromion process **protractor** (+ flexes neck laterally) innervated by accessory nerve
83
latissimus dorsi musc
origin: thoracolumbar fascia insertion: humerus (aponeurosis) on teres major tuberosity **retractor** - propulsion, + shoulder joint flexor innervated by thoracodorsal nerve
84
serratus ventralis musc
origin: thoracic wall (ribs) + cervical vertebrae (neck) insertion: proximal scapula - medial aspect, proximal to PP (facies serrata) cranial part = RETRACTOR caudal part = PROTRACTOR bc inserts on proximal scapula * cranial pulls dorsal side cranial so ventral side -> caudal = limb backward * caudal pulls dorsal side caudal = ventral end cranial = limb forward INNERVATED cervical nerves + long thoracic nerve | no effect on shoulder, also supports limb + involved inspiration
85
where would abductor + adductor muscs insert on scapula
abductors located proximal to PP + limb adductors located distal to PP + medial to limb
86
Trapezius musc
origin: cervicothoracic fascia insertion: proximal scapular spine only **abduction** (no effect shoulder) cranial + caudal part innervation = accessory nerve
87
rhomboideus muscle
origin: cervicothoracic fascia insertion: dorsal border scapula **abductor** innervated thoracic + cervical nerves | lies deep to trapezius
88
pectoral muscles
origin: sternum insertion: humerus 2 heads: deep + superficial **adductor**
89
superficial pectoral
cranial end sturnum -> major tubercle of humerus **adductor** inn: cranial pectoral nerve
90
deep pectoral musc
originates entire length sternum -> insert minor tubercle humerus **retractor** AND **adductor** inn: caudal pectoral nerve | larger than superficial pectoral
91
intrinsic muscs
origin + insertion w/in appendicular skeleton + no effect on limb relative to trunk * only flexion + extension to move joints w/in limb
92
humerus structure proximal end | lateral + medial views
* head articulates w glenoid cavity of scapula at shoulder joint * intertubercular groove = smooth where tendon of origin biceps brachii musc passes | long bone
93
distal end humerus structure
* medial epicondyle larger than lateral - on either side condyle * condyle = articular surface for elbow joint, split: 1. trochlea = larger w central depression + articulates w radius + ulna 2. capitulum = lateral + articulates w radius * nothing through foramen + may not be in short-legged dogs
94
how is humerus cat different to dog
1. no supratrochlear foramen 2. supracondyloid foramen thru which pass brachial artery + median nerve | supracondyloid foramen vulnerable fractures
95
centres ossification humerus
1. proximal epiphyses 2. body 3. medial epicondyle 4. medial half condyle 5. lateral half condyle
96
how is humerus situated
97
palpable landmarks humerus
1. greater tubercle 2. lateral epicondyle 3. medial epicondyle
98
clinical considerations for humerus
1. supratrochlear foramen = weak pt 2. medial 1/2 condyle larger than lateral 1/2 so lateral more common fracture
99
somites in embryo giving rise sk musc
segmental axial structures 1. blocks musc tiss develop in pairs alongside spinal cord 2. grp combine form each forelimb 3. move + drag nerves w 4. so nerve supply reflects origin musc tiss
100
spinal nerves -> forelimb
1. leave spinal cord thru intervertebral foramen 2. paired L + R 3. branches (dorsal supply dorsal structures) 4. ventral branches from C6, C7, C8, T1, T2 form brachial plexus in axillary region 5. emerging nerves supply forelimb nerve numbered as vertebra it is just cranial to, e.g. C6 = just cranial to cervical vertebra 6 (-> thoracic -> lumbar)
101
nerves supplying forelimb
* ulnar * radial * median * axillary * musculocutaneous
102
proprioception
location of limb in space
103
mxed nerves
consist motor + sensory fibres = transmit messages both directions at once * spinal reflexes - rapid involuntary responses mediated by spinal cord w/o input from brain
104
which of forelimb extrinsic muscs does brachial plexus supply
1. latissimus dorsi 2. serratus ventralis 3. pectorals not brachiocephalicus, trapezius, rhomboideus | supplies all intrinsic muscs of forelimb
105
types joint
1. fibrous - v lil movement, e.g. skull sutures + syndesmosis (radius + ulna) 2. cartilagenous - slightly more movement but lil, e.g. pelvic symphysis 3. synovial
106
synovial joint
for large range motion bet bones = most limb joints w: 1. hyaline cartilage covering articular surfaces reduce friction + make flexible - avascular + no nerves 2. viscous synovial fluid to nourish cartilage (bc no bvs) + lubricate 3. synovial mem to prod fluid + physical barrier to contain it 4. joint capsule = fibrous layer incorping mem, attaching around osteochondral junction
107
why does hyaline cartilage in synovial joint have no nerve supply
would be painful when press applied (always)
108
structure + role ligaments
fibrous mat condenses to form = *dense fibrous CT* * medial + lateral collateral ligaments support joint + hold bones together + restrict movement bet bones
109
flexion vs extension in terms weight bearing
flexion = non weight-bearing position, extension associated w weight bearing
110
components shoulder joint
concave glenoid cavity scapula + convex head humerus -> ball + socket joint * palpable acromion process + greater tubercle * glenohumeral ligaments v weak + poorly developed
111
bicipital bursa
extension joint capsule into intertubercular groove * joint capsule extends round tendon of origin *Biceps brachii* - protects * held in place by transverse ligament
112
arthrogram
radiograph where contrast agent was injected into joint
113
Supraspinatus musc
origin: supraspinous fossa insertion: greater tubercle humerus function: lateral support joint + **extensor** innervation: suprascapular nerve
114
infraspinatus musc
origin: infraspinous fossa insertion: distal to greater tubercle function: lateral support joint + **abductor** + both flex + extend shoulder depending limb position nerve supply: *suprascapular nerve* - motor fibres only
115
subscapularis musc
origin: subscapular fossa insertion: lesser tubercle humerus function: medial support shoulder joint, **extensor** + **adductor** nerve supply: *subscapular nerve* - motor fibres only
116
biceps brachii musc
origin: supraglenoid tubercle insertion: proximal radial tuberosity + ulna tuberosity (2 tendons) = on proximal medial aspects of bones function: shoulder joint **extensor**, **elbow flexor** nerve supply: musculocutaneous nerve - motor only | 1 head in dog, starts w long tendon, runs craniomedially down brachium
117
Teres Major
origin: caudal border scapula insertion: medial humerus (Teres major tuberosity) function: shoulder joint **flexor** nerve supply: axillary nerve - motor + sensory fibres
118
where do shoulder flexors + extensors cross joint
extensors cross cranial to joint flexors cross caudal
119
Teres Minor
origin: distal1/3 caudal edge scapula insertion: tuberosity teres minor in middle lateral humerus (proximal to deltoid tuberosity function: shoulder joint **flexor** crosses over flexor side joint innervation: *axillary nerve*
120
deltoideus musc
2 heads: origins: scapular spine (1) + acromion process (2) insertion: lateral aspect humerus (deltoid tuberosity) function: shoulder joint **flexor** nerve supply: axillary nerve - mixed sits on top of infraspinatus musc (wide aponeurosis)
121
triceps musc | from shoulder joint perspective
4 heads, only 'long head' relates shoulder joint origin: caudal border scapula insertion: olecranon of ulna (common tendon) function: shoulder joint **flexor** + elbow extensor nerve supply: radial nerve - motor + sensory fibres
122
radius + ulna respective roles
paired long bones that cross each other obliquely * ulna = longer, acts as lever * radius = shorter, main weight bearing
123
radius structure
styloid process = attachment medial collateral ligament of carpus
124
structure ulna
styloid process = attachment lateral collateral ligament of carpus
125
articulation of radius + ulna
PROXIMAL: head of radius -> radial notch on ulna * held by annular ligament running lateral to medial coronoid process * rotation poss DISTAL: fibrous joint, lil rotation poss * interosseus ligament * interosseous space bet bodies
126
evolution in relation radius + ulna
1. toes rotated cranially 2. elbows rotated caudally == ulna + rad rotate around each other proximal = ulna most medial distal = ulna most lateral
127
what can you palpate radius + ulna
ULNA: * olecranon process * lateral styloid process RADIUS: medial styloid process
128
how do cat radius + ulna differ
* square olecranon * radius + ulna similar diameter | elbow joint loads rotation climb + stuff when dogs rotation limited
129
centres ossification radius
1. proximal epiphyses 2. body 3. distal epiphyses
130
ulna centres ossification
1. olecranon process 2. anconeal process 3. body 4. distal epiphyses (cone shape)
131
predilection sites osteosarcoma
= primary bone tumour * proximal humerus * distal ulna * distal radius
132
articulation in elbow joint
1. humerus trochlea w trochlear notch ulna + fovea capitis radius 2. capitulum humerus w fovea capitis radius 3. olecranon fossa humerus w anconeal process ulna | synovial joint w extensive capsule
133
how is elbow joint made stable
* collateral ligaments * anconeal process -> ulnar/olecranon fossa | omly flexion/extension + rotation
134
triceps musc | from elbow joint perspective
4 heads, all insert on olecranon process 1. long head o = caudal border scapula 2. lateral head o = lateral aspect humerus 3. medial head o = medial aspect humerus 4. accessory head o = proximal caudal humerus function = elbow **extensors** nerve supply = radial nerve
135
visualising triceps heads
long and lateral visible lateral view accessory underneath medial visible from medial view
136
elbow extensors vs flexors
extensors are caudal to joint flexors are cranial to joint
137
brachialis musc
origin: caudal humerus insertion: proximal ulna (ulnar tuberosity) follows musculospiral/brachial groove function: elbow **flexor** nerve supply: musculocutaneous nerve
138
coracobrachialis musc
coracoid process of scapula -> minor tubercle humerus shoulder **extensor** + **adductor** + rotates joint outwards innerv: *musculocutaneous* | capsular musc of shoulder
139
anconeus musc
distal 1/3 caudal humerus -> olecranon **elbow extensor** innerv: *radial nerve* | capsular musc of elbow
140
tensor fascia antebrachii
origin: latissimus dorsi insertion: olecranon broad, flat musc = main tensor of antebrachial fascia innerv: *radial nerve*
141
elbow joint rotator muscles
1. supinator: lateral epicondyle -> proximal radius (radial nerve) 2. pronator teres: medial epicondyle -> radius, on top (median nerve)
142
considerations for surgery | accessing humerus
dissect bet muscles, don't cut them = less damage = faster healing * proximal: bet brachiocephalicus + deltoideus * midshaft: bet brachiocephalicus + brachialis * distal: bet brachialis + triceps
143
where do bvs run + why
limb naturally extended so bvs cross flexor aspects joints to avoid stretching | also nerves - vein, artery + nerve run together = NV bundle
144
main arterial supply whole forelimb
1 major vessel running down limb, changing name according region (branches off loads ofc) 1. subclavian 1st rib -> axilla 2. axillary through axilla 3. brachial down brachium then 3 main branches: * median down medial aspect antebrachium * radial terminates superficial palmar arch * superficial brachial down cranial aspect antebrachium
145
palmar blood supply
1. median artery -> superficial palmar arch -> palmar common digital arteries 2. caudal interosseus artery -> deep palmar arch -> palmar common digital arteries
146
dorsal blood supply
superficial brachial artery -> dorsal common digital arteries + dorsal digital artery
147
what happens to blood supply at digits
supplies fuse then branch again -> 4 vessels per digit * palmar supply extensive + most important * axial palmar supply most important (palmar on side closest trunk)
148
venous supply forelimb
* deep sys follows arterial supply (VAN) - same names + all * superficial sys = cephalic vein -> jugular vein/vena cava | radial nerve alongside cephalic vein for cutaneous sensation - injection
149
carpal bones
*proximal row, PR* w: 1. radial/intermediate bone (fused) (RCB) 2. ulnar carpal bone (UCB) 3. accessory carpal bone (ACB) *distal row, DR* w 1st, 2nd, 3rd, 4th carpal bones | all short bones
150
carpus centres ossification
each bone single centre ossification except ACB = 2, + fused R/ICB = 2
151
carpal joints
1. antebrachio-carpal joint bet antebrachium + carpus 2. middle carpal joint bet PR + DR 3. carpo-metacarpal joint bet DR + metacarpal bones
152
movement carpal joints
large range flexion * most movement antebrachio-carpal joint * least in carpo-metacarpal joint * some bet carpal bones ACB = insertion major carpal flexor musc - counteraction by palmar ligament | standing = extension = weight-bearing position
153
extent carpal synovial joint
joint capsule extends proximally bet radius + ulna + distally bet metacarpal bones | poor comms bet compartments
154
collateral ligaments carpal joint
*lateral* = lateral styloid process ulna -> 5th metacarpal bone *medial* = medial styloid process radius -> 2nd metacarpal | styloid processes vulnerable (esp lateral) so also intracarpal ligaments
155
retinaculum
deep fascia sleeve (fibrous CT) enclosing carpal region to support joint from lateral aspect ACB -> medial aspect carpus | at palmar + dorsal surface
156
carpal canal
tunnel gap bet * palmar ligament (dorsal) * ACB (lateral) * palmar retinaculum (palmar) deep digital flexor tendon (DDFT), bvs + nerves pass thru * superficial digital flexor tendon (SDFT) outside in dogs
157
palmar ligament
fibrocartilagenous reinforcement carpal joint capsule * = friction-free surface for passage tendons * passive maintenance joint extension * prevents collapse into hyperextension | dorsal boundary carpal canal
158
what can you palpate carpal joint
* ACB * joint spaces (in flexion) * medial styloid process radius * lateral styloid process ulna
159
components of manus
1. 5 metacarpal bones (MC), numbered medial -> lateral 2. sesamoid bones 3. then digits w proximal (PP, P1), middle (MP, P2) + distal phalanx (DP, P3) (no middle on 1) - long bones | digitigrade = 4 weight bearing - no.1 vestigial
160
1st digit
= dew claw on medial aspect * vestigial + non weight bearing * commonly removed in puppies
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centres ossification in manus
MC: body + proximal end PP: body + proximal end MP: body + proximal end DP: body
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DP structure
ungual crest v vascular - root of claw * claw held in place bt CT bet it + bone | debate if long bone
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joints w/in manus
1. metacarpo-phalangeal (MCP) 2. proximal interphalangeal (PIP) 3. distal interphalangeal (DIP) all synovial w extension + flexion
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stability joints in manus
1. collateral ligaments 2. sagittal ridge/groove over MCP on palmar side prevent hyperextension w spring-like mech
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MCP joint
* 2 proximal sesamoids on palmar aspect either side sagittal ridge protect flexor tendons * 1 dorsal sesamoid protect extensor tendons * supported metacarpal foot pad * interosseus musc + tendon | resting = extended
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attachments DIP
forces balanced to maintain claw tip above horizontal = problem if DDFT severed bc toe too far up = 'stubbed toe'
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differences in cat claws
v strong dorsal elastic ligament = DIP hyperextended = claw in sheath, not visible * remains sharp for hunting, climbing manual press on digital pad = DDFT flexes joint = exposed
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overall on muscs affecting joints carpus + manus
belly in antebrachium then tendon of insertion distal to carpus
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extensors distal limb general facts
origin: lateral epicondyle humerus run over dorsal aspect carpus controlled radial nerve - ALL so damage = no extension at all
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flexors distal limb general facts
origin: medial epicondyle run over palmar aspect carpus median nerve innervates superficial, + ulnar nerve deeper musc
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carpus extensors
* extensor carpi radialis * abductor pollicus longus (= extensor carpi obliquus) * extensor carpi ulnaris (ulnaris lateralis in ungulates) * common digital extensor * lateral digital extensor
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carpus flexors
* flexor carpi ulnaris (2 heads) * flexor carpi radialis * superficial digital flexor * deep digital flexor (3 heads)
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extensor carpi radialis musc
origin: lateral epicondyle humerus inserts on metacarpal bones carpus extensor, elbow flexor innerv = *radial nerve*
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abductor pollicus longus musc
== extensor carpi obliquus inserts on proximal end metacarpal 2 * crosses at level of carpus * sesamoid in tendon of insertion | carpus extensor
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extensor carpi ulnaris musc
**= ulnaris lateralis ** origin: ***lateral*** epicondyle humerus inserts on proximal end 5th metacarpal + ACB flexion/extension carpus depending on limb position innerv: *radial*
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common digital extensor musc
origin: lateral epicondyle humerus inserts on all digits - DP on extensor process extends: carpus + digits II -> V innerv: *radial*
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lateral digital extensor musc
origin: lateral epicondyle humerus inserts on DP extensor process digits II, IV + V digits II, IV + V extensor innerv: *radial*
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flexor carpi ulnaris musc
origin olecranon asw as epicondyle humerus (2 heads) insertion ACB **carpus flexor** innerv: *ulnar nerve* | ulnar head = weaker
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flexor carpi radialis musc
origin: medial epicondyle inserts on palmar aspect metacarpal II + III innerv: *median* | carpus flexor
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superficial digital flexor musc
origin: medial epicondyle of humerus inserts on middle phalanx all digits (not I) - palmar proximal flexor of carpus + digits II, III, IV + V innerv: *median*
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deep digital flexor musc
3 heads: origin medial epicondyle (strongest) + radial (medial border, weakest) + ulnar (caudal border) heads inserts on DP all digits (not I) - palmar process **flexor of carpus + digits (not I)** innerv: *median nerve* | 3 heads unite -> strong tendon, thru carpal canal -> splits, insert DPs
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pronator quadratus musc
arises on ulna, inserts on radius, filling space bet 2 **rotates paw inwards** innerv: *median*
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interossei muscs
* 4 in total from palmar aspect metacarpals II, III, IV + V * distally each divides into 2 short tendons that attach proximal end P1 * each tendon has sesamoid bone embedded in it **flexion metacarpophalangeal joints** innerv: *ulnar nerve*
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supinator musc
lies lateral on cranial surface elbow origin: lateral collateral ligament + lateral epicondyle humerus inerts: cranial surface radius function: rotate paw so palmar surface medial-facing (supination) innerv: *radial*
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abductor digiti longus musc | = extensor carpi obliquus in domestics, abductor pollicis longus -horses
origin: craniolateral surface of ulna inserts: medial proximal metacarpal I/II - small sesamoid near point of insertion **extends carpus** + **abducts 1st digit** innerv: *radial*
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pronator teres musc
medial epicondyle of humerus -> cranial radius = lies medially on cranial surface of elbow **rotates paw** so palmar surface in contact w ground innerv: *median*
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how do radius + ulna articulate w carpus
radius w R/UCB ulna w UCB + ACB
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footpads where + names
* carpal/stopper pad protects ACB * metacarpal pad over MCP joint * 4 digital pads over DIP joints
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functions footpads
* resistance trauma/wear + tear * traction - prevent slipping * anti-concussive = shock absorption * protect deep structures (sesamoid bones) * support digit to allow weight bearing
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integumentary sys
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epidermis facts
cells constantly proded germinative layer + move outwards as age * dead at surface + slough * constant replacement avascular + no nerve supply stratified squamous keratinised epithelium
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dermis
vascular CT layer w nerve supply * supports germinative layer epidermis w active production skin cells
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how is epidermis of footpad modified
* incr skin thickness * incr cell turnover = active germinative layer * deposition lots keratin as hard proteinaceous mat * rough surface = grip * lots sweat glands for heat loss (= bandaging tricky) * hairless | === trauma resistance
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components footpad
digital cushion = fibro-elastic tiss w fat + loads bvs (= v vascular tiss) * shock absorption
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claw structure
* no superficial fascia * dermis fused periosteum CT of ungual process * epidermis v keratinised -> horn * germination active 2 places only * stratum tectorum = oily waterproof surface layer nourishing + preventing brittle proded by skin in ungual recesses
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germinative areas of claw
1. recess bet claw + skin -> horn over dorsal + lateral surfaces ungual process (horse-show shape in TS) 2. palmar surface ungual process to grow horn over it
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how is claw held in place
common digital extensor tendon + dorsal elastic ligament (balanced by deep digital flexor tendon) * so tip just touches ground
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how does claw grow
circular fashion + can grow into pad but wears naturally unless: * not walking * walking on soft ground * dew claw * DDFT damage -> 'stubbed toe' | horn = epidermis = insensitive = can cut + wear down (dermis sensitive)
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lymph nodes role
filters where lymph vessels converge * prevent contaminants reaching systemic circulation, removing invading orgs like bac * contain defence cells
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which muscles/nerves does brachial plexus supply
extrinsic: pectoral, latissimus dorsi, serratus ventralis all intrinsic forelimb muscs: * subscapular nerve -> subscapularis * suprascapular nerve -> supraspinatus + infraspinatus * musculocutaneous nerve -> BBC * axillary nerve -> all on antebrachial (= shoulder flexors) * radial nerve -> extensors of elbow, carpus, digits * median + ulnar nerves -> flexors carpus + digits | BBC = biceps brachii, brachialis, coracobrachialis
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subscapular nerve
* motor only (no cutaneous sensation) * only innervates subscapularis musc = medial shoulder support
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suprascapular nerve
motor only (no cutaneous sensation) -> supraspinatus + infraspinatus = lateral shoulder support
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musculocutaneous nerve
cutaneous sensation: * cranial + medial aspect elbow * medial aspect antebrachium motor = elbow flexors (BBC): * brachialis * biceps brachii * coracobrachialis | damage = no compensation = no elbow flexion
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axillary nerve
sensory fibres to: lateral aspect shoulder + brachium motor = shoulder flexors: * deltoideus * teres major | damage = compensation by latissimus dorsi + long head triceps
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median + ulnar nerve
cutaneous sensation: * caudal + palmar aspect limb * dorsal aspect 5th digit motor = carpal + digital flexors: * flexor carpi ulnaris * flexor carpi radialis * superficial digital flexor * deep digital flexor | damage = no compensation = no flexion distal limb
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radial nerve
sensory fibres: * dorsal + cranial aspect limb * EXCEPT dorsal 5th digit motor = extensors elbow (*triceps*) + extensors carpus + digits: * extensor carpi radialis * extensor carpi ulnaris/ulnaris lateralis * common digital extensor * lateral digital extensor | proximal damage = no elbow or carpus, distal = elbow ye carpus/digits no
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route of radial nerve
1. medial 2. caudal to shoulder 3. thru triceps 4. follows musculospiral groove + brachialis musc branch -> lateral epicondyle supplies distal limb extenders branch -> cranial/dorsal aspect limb alongside cephalic vein for cutaneous | humeral fracture most common cause damage
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causes brachial plexus damage
* tear bc stretched - head + neck one way, limb other * high impact collision * tumours | poss regen
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effect on limb of brachial plexus damage
* can protract/abduct * can't retract/adduct * can't extend/flex * can't weight bear * no cutaneous sensation on limb/lateral thorax -> 3rd intercostal space | quite protected by scapula tho
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which cutaneous areas are innervated by which nerves
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Origin vs insertion of musc
origin end music usually fixed in place - attachment site static during contraction insertion attachment site moves as musc contracts | insertion usually distal end, origin proximal
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Vein setup
2 sets: 1. Deep - follow path of arteries 2. Superficial - run just under skin, mainly involved thermoregulation
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proximal veins w paths
1. cephalic - up cranial aspect then proximally runs deep to brachiocephalicus + joins jugular 2. axillobrachial runs bet cephalic + axillary veins at shoulder 3. omobrachial from axillobrachial -> cephalic
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pronator quadratus
fills interosseus space bet radius + ulna * pronator of limb
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describe artery path
1. right brachial enters antebrachium, gives off common interosseus 2. rb continues as median into manus 3. interosseus gives 3 branches: ulnar, cranial interosseus + caudal interosseus caudal interosseus runs in interosseus space bet ulna + radius = protected blood source to manus
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general differences horse forelimb
* unguligrade - weight-bearing DP 3rd digit * same bones, joints, muscs * manus expanded - metacarpal bones long to incr limb length = incr stride length * 2nd + 4th metacarpals v reduced
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extra vestigial structures horse
1. chestnut = vestigial toe over 1st metacarpal bone 2. ergot = keratinised horny lump on palmar aspect MCP joint = vestigial metacarpal pad * hidden by 'feathers' = long hairs
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how is humerus different in horses | + so biceps brachii
has intermediate tubercle in the middle of intertubercular groove = 2 intertubercular grooves * = tendon biceps brachii split in 2 * = bicipital bursa sep from shoulder joint capsule
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lacertus fibrosis
fibrous CT extension over biceps + extensor carpi radialis * inserts proximal MC3 * if shoulder extended then carpus extended too = stay apparatus | in horse
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how are radius + ulna diff in horse | + triceps
* fused = no rotation, no annular ligament * ulna v reduced (no distal) - radius = main weight-bearing bone triceps only 3 heads - no accessory
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bursa of elbow joint
fluid filled cushions to protect tendons 1. tricipital bet triceps tendon + olecranon process - excess fluid = pain, lameness 2. subcut bet skin + tendon of tricep insertion - excess = swelling but not so painful
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how is carpus diff in horses
all carpal bones present except 1st (may be vestigial but tiny) - RCB + ICB sepped * 3rd carpal bone largest most movement at antebrachio-carpal joint least at carpometacarpal joint both DDFT + SDFT in carpal canal
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tendon sheaths in carpus horse
protects tendon in confined spaces w transparent CT sheath 1. dorsal aspect = around extensor tendons 2. palmar aspect = around DDFT + SDFT
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thoroughpin
inflammation of carpal canal bc incr press = bulges = 'thoroughpin' | in horse
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how are metacarpal bones horses different
3rd = 'cannon' bone - weight bearing * distal articular surface = sagittal ridge 2nd + 4th = 'splint' bones - vestigial + non-weight-bearing * palpable 'button' at distal end fibrous joints bet MCs = syndesmosis * mineralise as age | no dorsal sesamoid bones - only palmar
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phalanges in horses
1. proximal = *long pastern* bone w raised 'V' on palmar surface = attach oblique distal sesamoidean ligament 2. middle = *short pastern* 3. distal = *coffin bone* (w/in hoof capsule) bony contours for attachment collateral ligaments
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coffin bone
* extensor process for attachment common digital extensor tendon * palmar processes support lateral cartilages * solar surface attachment DDFT * striations dorsal surface for hoof attachment + bvs * nutrient foramens = vascular channels for bvs enter | horse - w/in hoof capsule
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centres ossification manus horse
MC 3: body + distal epiphysis MC 2 + 4: proximal epiphysis + body PP: proximal epiphysis + body MP: proximal epiphysis + body DP: body
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proximal sesamoid bones horse
palmar to distal end MC3 on either side sagittal ridge, embedded in suspensory ligament * protect + support SDFT + DDFT | no dorsal sesamoid bones
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distal sesamoid horse
== navicular bone * 2 flat articular surfaces * covered hyaline cartilage - under lots press from bodyweight whole bod * cancellous centre = spongy, porous, bone tiss filled red BM * vascular channs * on palmar aspect DIP joint dorsal surface articulates w MP + DP pamlar surface guides DDFT over DIP joint
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navicular disease syndrome
erosion bony matrix w age = visible radiograph
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metacarpophalangeal joint horse
== fetlock bet MC3 + PP synovial joint w extensive capsule 1. large dorsal pouch w synovial fluid to protect extensor tendons 2. large palmar pouch w synovial fluid incorporating proximal sesamoids no dorsal sesamoid
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structure MCP joint horse
natural position = extension - only flexion + extension * tendency collapse into hyperextension * sesamoidean ligaments * suspensory ligament = interosseus musc dogs
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suspensory ligaments | horse
origin proximal palmar MC3 to fill area bet splint bones, then bifurcates to: * abaxial aspect each of proximal sesamoids -> dorsal aspect + fuses w common digital extensor tendon prevent collapse MCP = hyperextension -> normal extended (relies stability proximal sesamoids) | equiv interosseus musc
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inter-sesamoidean ligament
= proximal scutum (shield) * reinforced fibrocartilage for passage DDFT + SDFT over sesamoids (= on palmar aspect) * support carpal joint
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collateral sesamoidean ligaments
proximal sesamoids -> MC + PP * support carpal joint + hold proximal sesamoids in place
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distal sesamoidal ligaments horse
1. paired cruciate = prox sesamoids, diagonally cross, -> PP 2. short = proximal sesamoids -> PP (deepest) 3. paired oblique = proximal sesamoids -> V-shaped trough on PP 4. straight = proximal sesamoids -> MP, inserting w SDFT
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proximal interphalangeal joint horse
*pastern* joint - flexion + extension only * sagittal groove on distal PP -> sagittal ridge on proximal MP * collateral ligaments bet PP + MP w extension -> navicular bone
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distal interphalangeal joint horse
sagittal ridge + groove * broad = some rotation - accomodate uneven ground common digital extensor tendon + DDFT but NO dorsal elastic ligament collateral ligaments bet MP + DP
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ligaments of navicular bone
* collateral ligament PP -> distal sesamoid * impar ligament DP -> distal sesamoid
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navicular bursa
== podotrochlear bursa fluid filled pocket bet navicular bone + DDFT * sepped from DIP joint by impar ligament * protects DDFT
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lateral cartilages
== ungual cartilages, on palmar processes DP * medial + lateral * project above level of hoof * shock absorption not visible radiograph bc cartilage but ossifies + mineralises as age -> 'sidebone' (visible) | proximal part palpable
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extensor tendons distal forelimb horse
1. common digital extensor (CDE) across dorsal aspect carpus joined by 2 branches suspensory ligament + inserts PP, MP + DP 2. lateral digital (LDE) inserts PP
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muscs distal forelimb horse
below carpus = only fibrous tiss (tendons, ligaments), musc bellies in antebrachium * stay apparatus - can stand + weight not on musc
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flexor tendons distal forelimb horse
1. SDFT - thru carpal canal, splits allow DDFT pass thru, inserts MP 2. DDFT - thru carpal canal, thru split in SDFT, over navicular bone + bursa, inserts DP 3. each have accessory check ligament (CL) * for SDFT originates proximal to carpal canal + fuses w SDFT just distal of carpus * for DDFT originates fibrocartilage of palmar ligament on carpus + fuses w DDFT halfway down MC | both palmar aspect ## Footnote can easily palpate all tendons + ligaments palmar aspect distal forelimb horse
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tendons on ultrasound
lesions hypoechoic (= darker) bc inflammation + necrosis white lines = normal collagen fibres | lesions = needs rest
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extra CT structures digital region horse
1. scutum = cartilage shield on palmar aspect joints = smooth passage tendons 2. annular ligaments (AL) hold SDFT + DDFT against bones 3. tendon sheath extends distally from annular ligament, shared by SDFT + DDFT (palmar to suspensory ligament) | scutum on MCP joint = intersesamoidean ligament
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stay apparatus is?
most weight borne on forelimb so need mech for passive weight bearing
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mechs of stay apparatus
1. serratus ventralis suspends bodyweight bet forelimbs 2. biceps brachii maintains shoulder in extension 3. collateral ligaments elbow maintain extended 4. lacertus fibrosis = carpus extended when shoulder extended
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how does stay apparatus prevent hyperextension carpus
* palmar fibrocartilage joint reinforcement * SDFT + check ligament * retinaculum
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how does stay apparatus prevent hyperextension MCP
* suspensory ligament * common digital extensor * proximal sesamoids * distal sesamoidean ligaments
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how does stay apparatus prevent hyperextension MCP, PIP + DIP
* DDFT + SDFT + check ligaments * annular ligaments
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arterial supply forelimb horse
* brachial artery at medial aspect elbow (palpable pulse) * medial + lateral digital arteries on abaxial aspect proximal sesamoids (palpable pulse) | neous drainage similar to dogs
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how is nerve supply different in horses
different sensory areas * distal to carpus median + ulnar nerves combine to supply pastern + foot combined w musculocutaneous nerve | same motor function
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major branches median + ulnar nerves after combined in horse
1. palmar metacarpal nerves - paired medial + lateral, bet MC3 + splint bones, emerging distal end to supply dorsal aspect digit 2. palmar nerves - paired medial + lateral, bet suspensory ligament + SDFT, crossing abaxial aspect aspect proximal sesamoids * become palmar digital nerves w dorsal + palmar branches to supply hoof contents
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use nerve blocks in horses
localise area of lameness - give 1 bit distal, still lame = more slightly proximally still lame = more proximal + so on until not lame anymore = know where area of issue + pain is (bc know supplied by that specific branch of nerve) | injecting local anaesthetic
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palmar digital nerve block
on palmar digital nerves adjacent digital arteries just above coronary band * both medial + lateral injections to block palmar 1/2 foot inc navicular bone
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abaxial sesamoid nerve block
palmar digital nerves + dorsal branches on abaxial aspect sesamoids * medial + lateral injections to block whole foot
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palmar metacarpal nerve block | = '4 point block'
1. palmar nerves bet suspensory ligament + flexor tendons 2. AND palmar metacarpal nerves at distal end splint bones (2cm proximal to distal sesamoids) * medial + lateral injections to block entire digit
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label whole distal forelimb horse
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overall hoof structures | diagrams
4 parts: 1. wall (toe, quarters, heel, bar) - weight bearing 2. periople - junction bet hoof wall + skin to protect new wall growth (waxy) - prods waterproof layer 2/3 way down to prevent evap, wear, tear 3. sole - shouldn't touch ground 4. frog - anticoncussive (rubbery)
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digital cushion
deep to frog in hoof made elastic tiss w bvs + fat * for shock absorption (cf digital pads dog) * protects DDFT, DP, navicular bone + bursa
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clinical significance digital cushion hoof
1. penetration injuries 2. abcess formation = pododermatitis - significant pain + palpable digital pulses - need dig remove pus (may need poultice to soften horn)
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layers hoof
1. dermis (corium) covers DP + digital cushion w blood + nerve supply (also supplies germinative layer) 2. germinative prods epidermis * active in coronary band + solar surface
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structure coronary band + how prods hoof
1. dermis formed conical shaped papillae 2. prod epidermis in form keratin tubes 3. tubes extend distally towards ground always growing + gaps filled intertubular horn
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structure hoof wall
dermis fused DP * surface forms vertical ridges = primary laminae (macroscopic) * secondary laminae on 1 (microscopic) then epidermal horn tubes gliding distally bet laminae w internal surface interdigitating w dermal laminae (== epidermal/insensitive laminae) | dermal laminae sensitive (cont blood + nerves)
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white line of hoof
= interdigitation to prevent separation epidermis from DP * transfers weight hoof wall -> DP
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how is structure sole + frog diff hoof wall
sole: keratinised flakes + no tubular horns frog: incomplete keratinisation = soft + elastic
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weight bearing in hoof
1. frog contacts ground 1st 2. forces passed -> digital cushion (= blood forced back up leg) + lateral cartilages 3. then hoof wall touches ground + weight transferred -> DP -> laminae -> hoof wall
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laminitis
inflammation digital laminae = fluid accumulates bet dermal + epidermal laminae * severe pain, lameness, incr hoof temp * also causes altered bloodflow * -> DP rotates + sinks (radiography)
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role farrier
1. foot trimming as hoof grows continuously 2. shoeing to protect weight bearing wall - shape means no restrist heel
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putting in nails for horse shoe
into insensitive laminae (white line) * sledge tipped nails then tips clipped + flattened -> clenches (need be 'raised' b4 can remove shoe)
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traditionally shod hoofs =?
1. front weightbearing - broad, round, 1 or 2 toe clip 2. back for propulsion = narrow, pointed, 2 toe clips * lateral wall more angled + rounded w 4 nails * medial more upright, straighter, 3 nails
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how are ruminant hoofs different
cloven hoof w medial + lateral claws + interdigital cleft * sole but no frog, no bars lateral wall = convex + continuous w heel medial wall = vertical up to parapedal groove bet it + heel bulb | otherwise same as horse
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how is ruminant hoof wall diff to horse
only part dermis covered laminae + only primary not secondary * still have sensitive + insensitive interdigitating | still grows from coronary band, still sensi w insensi in bet + covering
276
how does bovine hoof absorb shock
* bulbous heels * digital cushion * digits splay, supported by interdigital ligaments no lateral cartilages or frog
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problems w ruminants hoofs
1. horn overgrowth bc soft ground - FL = inner claw, HL = outer 2. solar ulcers, esp parapedal groove -> 2ndary infection if track up DDFT sheath 3. interdigital dermatitis 4. white line disease 5. laminitis
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sheep + goat hooves
same as cattle w skin gland proximal to interdigital cleft prod substance from sebaceous + serous gland goat well adapted climbing = hard walls, softer soles for traction on steep incline | overgrowth a problem - need to trim
279
pig hoof
similar ruminants w no frog or lateral cartilages
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scapula dog | looking from comparative anatomy angle
* acromion process * tuber spine absent * supraglenoid tubercle part glenoid cavity
281
scapula horse | looking from comparative anatomy angle
* narrow supraspinous fossa * acromion process absent * prominent tuber spine * supraglenoid tubercle sep from glenoid cavity * glenoid notch present
282
scapula cow | looking from comparative anatomy angle
* broad dorsal border + larger infraspinous fossa * acromion process blunt + doesn't reach level of glenoid cavity * tuber spine less prominent/absent * indistinct glenoid notch
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pig scapula | looking from comparative anatomy angle
* rounded cranial margin * poorly defined acromion * prominent tuber
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dog humerus | looking from comparative anatomy angle
* single greater tubercle * supratrochlear foramen
285
horse humerus | from comparative anatomy angle
* cranial + caudal parts to greater tubercle, level w humeral head * lesser tubercle similar size greater * intermediate tubercle + double intertubercular groove * no supratrochlear foramen * v prominent deltoid tuberosity
286
cow humerus | from comparative anatomy angle
* greater tubercle w cranial (massive, overhanging intertubercular groove) + caudal parts above level humeral head + pointy * single intertubercular groove * circular area for insertion infraspinatus m. on lateral aspect greater tubercle * deltoid tuberosity smaller than horse * no supratrochlear foramen
287
pig humerus | from comparative anatomy angle
* greater tubercle cranial + caudal parts, higher than humeral head, rounded, almost enclosing intertubercular groove * single intertubercular groove * no supratrochlear foramen
288
dog + cat radius + ulna | from comparative anatomy angle
2 complete sep bones = rotation possible
289
horse radius + ulna | from comparative anatomy angle
* proximal ulna present + fused radius * body ulna absent * distal ulna present + fused radius = lateral styloid process * no rotation * radius at distal end = medial styloid process
290
ruminant radius + ulna | from comparative anatomy angle
* 2 complete bones * fuse as animal ages * no rotation
291
pig radius + ulna | from comparative anatomy angle
* 2 complete sep bones * ulna same diameter as radius * no interosseus space * no rotation
292
comparative antomy carpus dog/cat, horse, pig, ruminant
**dog/cat**: radial + intermediate fused, distal row all present **horse**: all present but variable 1st CB **pig**: all present **ruminant**: proximal row all present, no 1st CB + 2nd/3rd fused in distal row
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comparative anatomy carpal canal
dog/cat = only DDFT through horse = both DDFT + SDFT ruminant/pig = DDFT + 1/2 SDFT (splits)
294
comparative anatomy manus
dog = digitigrade = weight on digit (2nd-5th), 1st vestigial horse = unguligrade = weight on distal phalanx (3rd MC + digit only), 2nd + 4th vestigial, no 1st or 5th ruminants = unguligrade - 3rd + 4th digits present, weight bears on distal phalanx
295
metacarpal bones in ruminants
1 + 2 gone, 5= vestigial spur 3 + 4 sep in foetal life but fuse in uterus * axial bony septum * proximal end = 1 articular surface * distal end = 2 articular surfaces * 4 centres ossification * 2 medullary cavities (hollow part bone cont BM)
296
ruminant digits
everything double horse: * 2 MCP joints * 2 pairs proximal sesamoids * no dorsal sesamoids * PIP joints * 2 DIP joints * 2 distal sesamoid bones
297
MCP joint support ruminants
1. medial + lateral collateral ligaments - axial fused proximally 2. intersesamoidean ligaments = 2x proximal scuta 3. AND interdigital intersesamoidean ligament 4. distal sesamoidean ligaments - only short, cruciate, no oblque + straight 5. interdigital phalangeal sesamoidean ligament from axial aspect sesamoid -> opp PP, holding PPs together
298
difference in digits small vs large ruminants
large = large weight pushes digits apart = need strong atatchments small = less weight so less firmly attached * means accomodate rough ground better
299
digit ligaments ruminants
*proximal interdigital ligament* bet PPs (not in small) *distal interdigital ligament* bet MPs, cross over (in small + large)
300
suspensory ligament ruminants
similar arrangement to horses w 2 branches * wraps round DDFT * fuses w SDFT, acting like check ligament
301
pig digits
bony els for 4th digits 3rd + 4th weight bearing * 2nd + 5th vestigial + no touch ground artiodactyla = even no. digits on ungulate
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digital amputation
thru MP removing DIP * remember interdigital ligaments local anaesthesia - specific nerve blocks