10.28.96------start-------- dr.dodson nerves of the forelimb proximal nerves similar to dog...suprascapular, axillary(teres major,minor and deltoids), subscapular etc.. musculocutaneous nerve goes to biceps and coracobrachialis. note coracobrachialis much bigger in horse than in dog. musculocutaneous runs through coracobrachialis into biceps. then, also travels with median nerve and then splits off and branches to the brachialis muscle. the brachialis muscle works with the biceps, both insert on radius and flex elbow, but in horse can be hard to find. it's sandwiched between biceps and extensor carpi radialis. it's a big strong muscle but covered by fascia. so distal branch of musculocutaneous goes to brachialis. then medial cutaneous antebrachial nerve is the sensory branch of the musculocutaneous nerve, and it runs across the lacertus fibrosus, which is the tendinous band which is part of the passive stay apparatus which is between the biceps brachii and the fascia of the extensor carpi radialis. this branch of musculocutaneous goes as far distally as the metacarpophalangeal joint. in horses the radial nerve which is on the lateral side stops at the level of the carpus. it does not go down the limb like the musculocutaneous. this is a very unusual pattern compared to humans, carnivores, ruminants. in the horse this nerve stops short, and there is a compensation for that, because you need innervation on the dorsal surface, and this comes from the ulnar nerve, which comes down on the caudal surface, and crosses to the dorsal surface at the level of the carpus, with a palmar branch continuing to the distal phalanx. median nerve runs down palmar surface of limb. at level just distal to carpus is medial palmar nerve, at level distal to fetlock is medial digital nerve. at level of carpus, splits off a lateral palmar nerve, which continues as lateral digital nerve distal to fetlock. the ulnar nerve comes down and joins the lateral palmar nerve at the level of the carpus, such that it is fused with the lateral palmar and lateral digital nerves. there is a communicating branch of th median nerve between the medial and lateral branches mid-proximal phalanx (proximal to the proximal sesamoids). the ulnar nerve also has a dorsal branch, which splits off at the level of the carpus. at level of fetlock, there are dorsal branches of the medial and lateral digital nerves. (recall that the medial digital nerve is a continuation of the median nerve, and the lateral digital nerve is a compound nerve made of a lateral branch of the median nerve and a distal-palmar continuation of the radial nerve. recall the splint bones on the palmar surface of the metacarpal bone. there are metacarpal nerves which are very deep, and which come right off the back of the carpus which he's simply pointing out, that the ends emerge from under the splint bones and go to the joint capsule of the fetlock. these metacarpal nerves aren't really something you'll see. they're totally covered at their origin. if you do equine surgery you'll learn all about them. also note that the musculocutaneous /dorsal branches are very superficial and may be lost in dissection. but, still be aware of them. ----------end-----------