Lameness of the Horse: Veterinary Practitioners' Series, No. 1Lacroix, John Victor
Science
Lameness of the Horse: Veterinary Practitioners' Series, No. 1
Lacroix, John Victor
Horses -- Health; Lameness in horses
Where practically all of the anterior surface of the radius has been
denuded, recovery is tardy and there is in some cases imperfect
extension of the leg for months after the wound has healed. But in such
instances, animals gradually regain complete use of the affected member
and in the course of a year function is fully restored.
Inflammation and Contraction of the Carpal Flexors.
Anatomy.--The structures which are usually considered as true flexors
of the carpus are a group of three muscles, which have separate heads of
origin and different points of tendinous insertion.
The _flexor carpiradialis_ (flexor metacarpi internus) originates from
the medial epicondyle of the humerus. It is inserted to the proximal end
of the medial metacarpal (inner metacarpal or splint) bone. This muscle
is the smaller of the three and is not usually divided in doing carpal
tenotomy.
The _flexor carpiulnaris_ (flexor metacarpi medius) has two heads of
origin; one, the larger, originates from the epicondyle of the humerus
and the other from the posterior surface of the olecranon. The two
heads unite at the upper third of the radius and the muscle, becoming
tendinous, as is the case with the other carpal flexors, is attached by
one point of insertion to the accessory carpal bone (trapezum). The
other blends with the posterior annular ligament of the carpus.
The _ulnaris lateralis_ (flexor metacarpi externus) has its origin from
the lateral epicondyle of the humerus and inserts to the proximal
extremity of the fourth metacarpal (outer splint) bone and by another
attachment to the accessory carpal bone (trapezium) with the tendon of
the flexor carpiulnaris (flexor metacarpi medius).
Acting together, these muscles flex the carpus or extend the elbow and
this action is antagonized by the biceps brachii (flexor brachii) and
extensors of the carpus and phalanges.
Etiology and Occurrence.--Inflammation of the muscular or tendinous
parts of the carpal flexors, does not occur as frequently as does
inflammation of the flexors of the extremity. They are subject to injury
such as is occasioned by hard work and concussion and contract as a
result; but, more frequently a congenital malformation of the leg is
responsible for undue strain upon these parts. Horses that are "knee
sprung" or that have a congenital condition where in the anterior line,
as formed by the radius, carpal and metacarpal bones, is bent forward at
the carpus, are subject to inflammation and contraction of the carpal
flexors. When these flexors are contracted, the condition is commonly
known among horsemen as "buck knee." In itself, inflammation of the
carpal flexors is not a condition which is likely to prove troublesome,
but because of carpal involvement (which is often present) the cause of
the trouble remains, and inflammation of the carpal flexors recurs or
becomes chronic and contraction of tendons results.
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