Lab 9: Review Lab
LAB INSTRUCTIONS:
This is a review lab of the Pelvic Limb content. Take advantage of the instructor presence to seek assistance with any understanding of the material at this time. A complete list of review videos and the section terms lists are provided.
Review Videos
Lab 1
Carnivore Pelvic Limb Osteology – 4 minutes
Horse and Cow Pelvic Limb Osteology – 24 minutes
Horse stifle and hock injections – 9 minutes
Lab 2, 4, 5 & 6
Dog Pelvic Limb Muscles – 21 minutes (whole limb)
Horse gluteal muscles – 3 minutes
Horse proximal muscles – 35 minutes (whole limb)
Horse passive stay apparatus – 22 minutes
Calf pelvic limb muscles – 24 minutes (whole limb)
Goat pelvic limb muscles – watch until 18 minutes (whole limb)
Pig pelvic limb muscles – watch until 16 minutes
Lab 6
Horse intraarticular injections – 22 minutes
Lab 7
Horse foot – 22 minutes
Terms
Lab 1
Regions of the pelvic limb (proximal to distal) | Common Name | Species |
Gluteal | Horse – croup
Ruminants & Pig – rump |
All |
Thigh | All | |
Crus | Gaskin | All |
Pes | Limb distal to crus. i.e. includes tarsus, metatarsus and digit(s) | All |
Tarsus | Hock | All |
Metatarsus |
Ungulates – cannon/shank |
All |
Digit | Toes. In ungulates, includes pastern and “foot” | All |
Pastern | Ungulates | |
“Foot” | Hoof | Ungulates |
Joints of the pelvic limb (proximal to distal) | Common Name |
Coxofemoral or coxal | Hip |
Stifle | |
Tarsus | Hock |
Metatarsophalangeal | Ungulates – fetlock or ankle |
Proximal interphalangeal | Ungulates – pastern jnt |
Distal interphalangeal | Ungulates – coffin jnt |
Osteology of Pelvis/Os coxae |
||
Osteology | Features | Species Differences/comments |
Ilium | Auricular surface – articulation with sacrum=sacroiliac joint. |
|
Tuber sacrale | ||
Tuber coxae | Ruminant = “hook bones” | |
Greater ischiatic notch | ||
Ischium | Ischiatic tuberosity | Ruminant = “pin bones” |
Ischiatic arch | ||
Ischiatic spine | ||
Lesser ischiatic notch | ||
Pubis | ||
Acetabulum | Partly formed by acetabular bone, plus ilium, ischium, pubis | |
Acetabular notch | ||
Acetabular fossa | ||
Obturator foramen | Bordered by pubis and ischium | |
Pelvic symphysis | Midline fusion of left and right os coxa |
Osteology of Thigh & Crus |
||
Osteology | Features | Species Differences/comments |
Femur | Head | |
Fovea capitis | ||
Neck | ||
Body (shaft) | ||
Greater trochanter | Horse – cranial & caudal parts | |
Lesser trochanter | Attachment for iliopsoas m. | |
Trochanteric fossa | ||
Intertrochanteric crest | ||
Third trochanter | Horse – superficial gluteal m. attachment | |
Medial/lateral supracondylar tuberosities | Attachment for gastrocnemius mm. | |
Supracondylar fossa | Ungulate – attachment for SDF m. | |
Trochlear groove | ||
Medial/lateral trochlear ridges of femur | ||
Resting and gliding surfaces of femoral trochlea | Ungulate | |
Medial/lateral condyles of femur | ||
Medial/lateral epicondyles of femur | ||
Extensor fossa of femur | Attachment of long digital extensor m., (and fibularis tertius m. in ungulates) | |
Patella | Ungulate – apex (distal end), base (proximal end) | Horse – resting and gliding surfaces |
Sesamoids of gastrocnemius mm. = Fabellae | [L] faba = bean; the fabellae are bean-shaped sesamoids | Carnivore |
Sesamoid of popliteus m. | Carnivore | |
Tibia | Body (shaft) | |
Tibial tuberosity | ||
Medial malleolus | All | |
Lateral malleolus | Horse, because fibula fused to tibia. | |
Distal intermediate ridge | Horse – this is a specific clinical/radiographic imaging term for the cochlea of the tibia where OCD occurs. | |
Fibula | Lateral malleolus | Carnivore, ruminant, pig |
Osteology of Tarsus |
||
Osteology | Features | Species Differences |
Calcaneus | Tuber calcanei (calcaneal tuberosity) | |
Sustentaculum tali | ||
Talus | Trochlea – with medial and lateral ridges of trochlea | Artiodactyls have a proximal and distal part to the trochlea |
Tarsal bones – Central, I, II, III, IV | Variation in number present and fusion between tarsal bones, be able to identify in carnivore, horse, ruminant. |
Osteology of Metatarsus and Digit |
||
Osteology | Features | Species Differences |
Metatarsal bone I | Carnivore only (variable) | |
Metatarsal bone II | Horse – button of splint bone at distal end | Horse – MT2 is the medial splint bone |
Metatarsal bone III | Horse – sagittal ridge of MC3 | Ruminant – MT3 + MT4 fused |
Metatarsal bone IV | Horse – button of splint bone at distal end | Horse – MT4 is the lateral splint bone; Ruminant – MT3+MT4 fused |
Metatarsal bone V | Carnivore only | |
Metatarsal sesamoid bone | Ruminant | |
Proximal sesamoid bones | Base, apex, axial and abaxial surfaces | Ungulate only |
Distal sesamoid bone = Navicular bone | distal border, proximal border, flexor and articular surfaces, sagittal ridge of navicular bone | Horse only |
Digits (I)II-V – species variation | Consist of proximal, middle and distal phalanges; axial and abaxial side to each digit (or medial and lateral sides in horse since only one digit) | Carnivores – 4 digits typical, ie digits 2-5
Ruminant and Pig – 4 digits (3 and 4 are weight bearing; 2 and 5 = dewclaws) Horse – 1 digit (3rd digit, bears all weight of limb!) |
Proximal phalanx | Ungulate – Pp, P1, long pastern bone | |
Middle phalanx | Ungulate – Pm, P2, short pastern bone | |
Distal phalanx | Ungulate – Pd, P3, coffin or pedal bone | |
Extensor process | All (attachment of CDE) | |
Flexor tubercle of Pd | Carnivore, Ruminant | |
Solar border (margin) | Horse | |
Crena marginis solearis | Horse | |
Medial and lateral plantar processes (‘wings’) of Pd | Horse | |
Solar surface with smooth area and flexor surface | Horse (DDFT attaches to flexor surface of solar surface) |
Joints and Ligaments of the Pelvic Limb |
|
Features | Species Differences |
Sacroiliac joint | |
Sacrotuberous ligament | Dog |
Sacrosciatic ligament | Ungulate |
Coxal joint |
|
Ligament of the femoral head | Cut end can be identified (in horse combined with accessory ligament) |
Accessory ligament of the femoral head | Horse only (no need to identify separately to regular ligament) |
Acetabular lip | Carnivore – cartilaginous extension of rim of acetabulum |
Transverse acetabular ligament | Carnivore – bridges acetabular notch |
Stifle (genual) joint | |
Patellar ligament(s) | Horse & Ox – medial, intermediate/middle, lateral |
Carnivore, small ruminant, pig – single | |
Femoropatellar ligament | Medial and lateral |
Collateral ligament of stifle (may also refer to as femorotibial ligament) | Medial and lateral |
Cruciate ligament | Cranial and caudal |
Meniscus | Medial and lateral |
Meniscofemoral ligament | |
Femoropatellar joint | |
Medial femorotibial joint | |
Lateral femorotibial joint | |
Parapatellar fibrocartilage | Horse only, see cross section specimens |
Tarsus – Tarsus and distal not studied in pig | |
Flexor canal of tarsus | |
Collateral ligament of tarsus | Medial and lateral |
Long plantar ligament | Horse only |
Tarsocrural joint | Articular surface |
Tarsocrural joint pouches | Horse – dorsolateral, dorsomedial, plantarolateral, plantaromedial |
Proximal intertarsal joint | |
Distal intertarsal joint | |
Tarsometatarsal joint | |
Metatarsophalangeal and interphalangeal joints |
The detailed arthrology and ligaments is similar to the thoracic limb and will not be revisited here. It suffices to be able to name the bones and the joints of this region. |
Lab 2
Muscle Action Groups | |
Flexors of the stifle and extensors of the hip |
|
Flexors of the hip |
|
Adductors of the pelvic limb |
|
Muscle/structure | Attachments/comments | Action/comments |
Biceps femoris m.
Gluteobiceps m. (in artiodactyls) |
In artiodactyls, biceps femoris and superficial gluteal are fused to form gluteobiceps m. (see next lab) |
Flex the stifle; extend the hip
(Secondary: extend stifle and tarsus, abduct hip) |
Semitendinosus m. |
|
Flex the stifle; extend the hip.
(Secondary: extend the tarsus) The vertebral and ligament attachments in the horse and pig provide for the rounded contour of their croup/rump. |
Semimembranosus m. |
|
Flex the stifle; extend the hip.
(Secondary: extend the stifle) The vertebral and ligament attachments in the horse and pig provide for the rounded contour of their croup/rump. |
Sartorius m. |
|
Flex the hip
(Secondary: cranial part extends the stifle; caudal part flexes the stifle) |
Gracilis m. |
|
Adduct the pelvic limb
(Secondary: flex the stifle, extend hip and tarsus) |
Pectineus m. |
|
Adduct the pelvic limb |
Adductor m. |
|
Adduct the pelvic limb
(Secondary: extend the hip) |
Popliteal lymph node | Identify in carnivore | Site for lymph node biopsy (eg fine needle aspiration). |
Fascia lata | Identify very thick fascia on cranial and lateral thigh | Related to biceps femoris and tensor fasciae latae mm. |
Femoral Triangle | Identify and recall muscular boundaries of this region | Recall clinical application for femoral pulse palpation in carnivores. |
Croup/Rump | Horse = croup
Artiodactyls = rump |
Croup of horse and rump of pig have a rounded contour due to additional vertebral origins of hamstring muscles.
In the carnivore and ruminants the ST and SM muscles arise from the ischiatic tuberosity but not the sacral or caudal vertebrae. |
Lab 4
Muscle Action Groups | |
Flexors of the hip |
|
Extensors of the hip |
|
Lateral rotators of the femur |
|
Extensors of the stifle |
|
Muscle/structure | Attachments/comments | Action/comments |
Tensor fascia latae m. |
|
Flex the hip, extend the stifle |
Gluteofemoralis m. (cat only) |
|
Abduct hip or move tail laterally |
Superficial gluteal m. |
|
Extend the hip and abduct the pelvic limb |
Sacrotuberous ligament – canine feature | Fibrous band connecting sacrum to ischiatic tuberosity | Attachment site for muscles in canine. |
Middle gluteal m. (and piriformis, FYI) |
|
Extend the hip, abduct the pelvic limb, and rotate femur medially at hip |
Accessory gluteal m. – in ungulates only. |
|
Extend the hip, abduct the pelvic limb – ungulate only. |
Trochanteric bursa – horse feature | lies deep to tendon of accessory gluteal as it inserts on greater trochanter. | Identify in horse specifically. |
Deep gluteal m. |
|
Extend the hip, abduct the pelvic limb, and rotate femur medially at hip |
Internal obturator m. |
|
Lateral rotation of femur at the hip. |
Gemelli mm. |
|
Lateral rotation of femur at the hip. |
Quadratus femoris m. |
|
Lateral rotation of femur at the hip. (Secondary: extend the hip) |
External obturator m. |
|
Lateral rotation of femur at the hip. |
Quadriceps femoris m.
|
|
Extend the stifle. (Secondary: rectus femoris also flexes hip) |
Iliopsoas m. |
|
Flex the hip |
Sartorius m. |
|
Flex the hip
(Secondary: cranial part extends the stifle; caudal part flexes the stifle) |
Lab 5
Muscle Action Groups | |
Flexors of the tarsus |
|
Flexors of the tarsus, extensors of the digit(s) |
|
Extensors of the tarsus |
|
Extensors of the tarsus, flexors of the digit(s) |
|
Muscle/structure | Attachments/comments | Action/comments |
Cranial tibial m. |
|
Flex tarsus |
Cunean tendon – horse | Medial tendon of insertion of Cranial tibial m. attaches to fused T1/T2 bones | Horse only |
Cunean bursa – horse | Subtendinous bursa of cunean tendon | Horse only |
Long digital extensor m. |
|
Flex tarsus, extend digit(s). |
Extensor retinaculum | Fibrous band binding down tendons – species variation | |
Lateral digital extensor m. – horse and ruminant |
|
Flex tarsus, extend digit(s) |
Fibularis longus m.
(not present in horse) |
|
Flex tarsus |
Fibularis tertius m. – horse and ruminant |
|
Flex tarsus |
Gastrocnemius m. – medial and lateral heads |
|
Extend tarsus
(Secondary: flex the stifle) |
Superficial digital flexor m. |
|
Extend tarsus, flex digit(s) |
Soleus m. – identify in cat |
|
Extend tarsus |
Common calcaneal tendon | Powerful combined tendon on caudal crus | Recall the contributing muscles. |
Deep digital flexor m.
3 heads: Lateral digital flexor Medial digital flexor Caudal tibial (ungulates) |
|
Extend tarsus, flex digit(s) |
Popliteus m. |
|
Medial rotation of leg at the stifle |
Reciprocal apparatus – horse | Fibularis tertius and SDF mm. working together, part of PL passive stay apparatus in horse. | Stifle and tarsus extend and flex in unison in horse. |
Lab 6
Many of these terms have been covered in previous labs.
Primary structure |
Feature | Horse and Ruminant (Ox), unless noted |
Stifle | Medial and lateral trochlear ridges, femur | |
Medial and lateral condyles, femur | ||
Trochlear groove, femur | ||
Patella | ||
Resting and gliding surfaces of patella | horse | |
Resting and gliding surfaces of trochlea, femur | horse | |
Parapatellar fibrocartilage | horse | |
Medial and lateral collateral ligaments, stifle | ||
Medial and lateral femoropatellar ligaments | ||
Medial, intermediate, lateral patellar ligaments | ||
Cranial and caudal cruciate ligaments | ||
Meniscofemoral ligament | ||
Medial and lateral meniscus | ||
Femoropatellar joint | ||
Medial femorotibial joint | ||
Lateral femorotibial joint | ||
Patella locking mechanism – 4 structures involved | horse | |
Tarsus | Tarsocrural joint | |
Dorsomedial, dorsolateral, plantaromedial, plantarolateral pouches of tarsocrural joint | horse | |
Proximal intertarsal joint | ||
Distal intertarsal joint | ||
Tarsometatarsal joint | ||
Talus – medial and lateral trochlear ridges | ||
Calcaneus – tuber calcanei, sustentaculum tali | ||
Tarsal bones – central, 2nd, 3rd, 4th | species specific fusion | |
Flexor canal of tarsus and its boundaries | ||
Flexor retinaculum | ||
Subtendinous calcaneal bursa | ||
Medial and lateral collateral ligaments | ||
Long plantar ligament | ||
Tendons of caudal crus muscles at tarsus | ||
Tendons of cranial crus muscles at tarsus | ||
Extensor retinaculum | ||
Cunean tendon | horse | |
Cunean bursa | horse | |
Metatarsus | Tendons of digital flexors and extensors | |
Suspensory ligament | ||
Accessory ligament of DDFT – as present | horse | |
Pelvic Limb Passive Stay Apparatus – horse |
Patellar locking mechanism | horse |
Reciprocal apparatus – fibularis tertius and SDFT | horse | |
Suspensory apparatus | horse | |
SDFT, DDFT (+/- accessory lig.) | horse | |
Lab 7
Foot anatomy – horse unless otherwise noted |
|
Epidermal features | |
Coronet/”coronary band” | junction of haired skin and hoof wall |
Hoof capsule | the epidermal structure of the foot, consists of wall, sole, frog. |
Toe, quarters, heels | Hoof wall subdivisions as viewed externally |
Bars (of foot) | feature of hoof wall on ground surface |
Sole (of foot) | |
Frog: crura, apex, central groove, spine of frog | |
Paracuneal/collateral grooves of frog | between bars and frog |
Heel bulbs | |
Perioplic groove | on inner surface of hoof wall, very narrow |
Coronary groove | on inner surface of hoof wall, relatively wide |
3 layers of hoof wall = | |
stratum externum | = periople |
stratum medium | |
stratum internum | = insensitive lamina or epidermal lamina |
Tubular and intertubular horn | understand where it is found |
‘White line’ | unpigmented deepest part of stratum medium |
White zone | white line plus stratum internum and pigmented horn in between, extending from P3 solar border to ground surface. |
Dermal features | |
Perioplic corium | |
Coronary corium | |
Laminar corium and terminal papillae | |
Sole corium | |
Frog corium | |
Additional features | |
Digital cushion | modified hypodermis (subcutaneous tissue) |
Collateral cartilages of foot | Horse |
Vascular anatomy of foot | Horse |
Coronary plexus | Concept only, not identified |
Dorsal plexus | Concept only, not identified |
Palmar plexus | Concept only, not identified |
Foot anatomy – artiodactyls |
|
hoof wall | |
sole | |
heel bulb | |
digital pad | combination of heel bulb and underlying digital cushion |