10.30.96---------start---------- orsini's announcements: tomorrow: start dissecting fresh limb. we'll have two days to do it. there IS a clinical correlation tomorrow: dr dean richardson from NBC. but we'll still have a chalk talk. BE at the talk at 11 am on time. otherwise Dr. Richardson will yell at dr orsini. it's going to be in rm 13. also...friday afternoon bet 4-5 in B101, there's a motion picture using the music of YES with racehorses in slow motion. (roundabout). smallwood p 232 carpus table 9-1 just know horse radiographic anatomy of equine carpus p 234 skip to 238. p 238 has nice review. then skip bottom of 238 lateromedial view, and go to p 271. pick up on 271 and know the bold print. on 273: don't look for palmar metacarpal nerves. p 275 "other considerations" read the paragraph on blood supply, innervation pattern not important. on 276 skeletal anatomy of fetlock and digital region is important. p 294 "ligaments of digits in artiodactyls" has proximal and distal interdigital ligaments in bold. don't sweat it. stay apparatus: passive relaxation of limb. in forelimb two accessory ligaments associated w/superficial digital flexor and deep dig flexor. sdf: proximal check ligament, ddf: distal check ligament. in hindlimb you can't really see prox check lig. but in forelimb, it comes right off the radius. the distal check ligament comes of the caudal side of the carpal bones and is very thick and easier to see. interosseus is also coming off caudal part of carpus and the caudal proximal metacarapal and is very closely adhered to the back of the metacarpal bones. it attaches distally to the abaxial side of the proximal sesamoid and branches dorsally - the extensor branch - to hook up to the common digital extensor tendon. the DDF and SDF tendons continue distally past the proximal sesamoids. the palmar annular ligament attachs to the abaxial surfaces of the sesamoids and covers the carpal canal. distally are the x shaped proximal digital annular ligament, which attaches at the proximal and distal tubercles of Pi, and the distal digital annular ligament which is just proximal to and inserts on the hoof - so it attaches to bumps in the middle of Pi and covers Pii, then goes all the way down to the hoof (?). in most animals, superficial digital flexor inserts only on Pii. in horse, inserts on Pi and Pii. note that at the crossover point, the SDF tendon forms a sleeve around the DDF prox ses and Pi help form a sling to keep McIII from going to floor. another part of suspensory apparatus is the sesamoidean ligamenture. all arise from distal surface of proximal sesamoid note: deep to palmar annular ligament is the intersesamoidean ANNULAR LIGAMENT. there are also collateral ligaments binding the sesamoids to McIII laterally. sesamoidean ligs: straight: axial. attaches to Pii at the complementary fibrocartilage of Pii and the smooth surface of Pii which together make up the scutum. also: oblique sesamoidian ligaments, cruciates: go to Pi only. there is kind of a triangle on the bone where the oblique ligs attach. the cruciates have a small x shape to them. they are very deep, and go from proximal ses on one side to other side of Pi, so they make an x when you see both of them. p 277 smallwood has a picture. so, when metacarpophalangeal joint is extended, prox ses drops down. prox interphalangeal joint stays fixed. flexors and CDE work as antagonists to keep the distal limb stable. -----end----------