Part 46

FIG. 144.—LEFT CARPAL JOINTS OF HORSE, EXTERNAL VIEW.

The capsule has been removed, g, Radius; 12, large metacarpal bone. (After Ellenberger-Baum, Anat. f. Künstler.) ]

FIG. 145.—LEFT CARPAL JOINTS OF HORSE, ANTERIOR VIEW.

The capsule has been removed. The smaller ligaments are shown. (After Ellenberger-Baum, Anat. f. Künstler.) ]

THE RADIO-ULNAR ARTICULATION

In the foal the shaft of the ulna is attached to the radius above and below the interosseous space by the =interosseous ligament=. Below the space the two bones become fused before adult age is reached. Above the space the ligament usually persists, but may undergo more or less ossification in extreme old age. The =transverse= or =arciform ligaments= (Ligamentum transversum ulnare et radiale ulnæ et radii) consist of fibers which pass above the interosseous space from either border of the shaft of the ulna to the posterior surface of the radius. The proximal radio-ulnar articulation, formed by two small convex facets on the ulna and the corresponding facets on the posterior surface of the proximal extremity of the radius, is inclosed in the capsule of the elbow joint and does not require separate consideration. The distal extremity of the ulna fuses early with the radius, and is, therefore, regarded usually as a part of the latter.

=Movement.=—This is inappreciable, the forearm being fixed in the position of pronation.

THE CARPAL JOINTS

These joints taken together constitute the composite =articulatio carpi=, or what is popularly termed the “knee-joint” in animals. This consists of three chief joints, viz., (1) The =radio-carpal joint=, formed by the distal end of the radius and the proximal row of the carpus; (2) the =intercarpal joint=, formed between the two rows of the carpus; (3) the =carpo-metacarpal joint=, formed between the distal row of the carpus and the proximal ends of the metacarpal bones. The proximal and middle joints may be regarded as ginglymi, although they are not typical or pure examples of hinge-joints. The distal joint is arthrodial. In addition there are arthrodial joints formed between adjacent bones of the same row (Articulationes interosseæ). All these constitute a very composite joint, with numerous ligaments. The articular surfaces have been described in the Osteology.

The =joint capsule= may be regarded, so far as the fibrous part is concerned, as being common to all three joints. It is attached close to the margin of the articular surface of the radius above and the metacarpus below; its deep face is also attached to a considerable extent to the carpal bones and to the small ligaments. Its anterior part, the =dorsal= or =anterior common ligament=, is rather loose, and assists in forming the fibrous canals for the extensor tendons. Its posterior part, the =volar= or =posterior common ligament=, is very thick and dense, and is closely attached to the carpal bones. It levels up the irregularities of the skeleton here, and forms the smooth anterior wall of the carpal canal. It is continued downward to form the =subcarpal= or =inferior check ligament=, which blends with the tendon of the flexor perforans about the middle of the metacarpus.

FIG. 146.—FRONTAL SECTION OF CARPAL JOINTS OF HORSE (RIGHT SIDE).

l.u., External, l.r., internal, lateral ligament; Cr, radial carpal; Ci, intermediate carpal; Cu, ulnar carpal; C2, second carpal; C3, third carpal; C4, fourth carpal; Mc2, second (internal) metacarpal; Mc3, third (large) metacarpal; Mc4, fourth (external) metacarpal. ]

The =synovial membrane= forms three sacs corresponding to the three joints. The =radio-carpal sac= is the most voluminous; it includes the joints formed by the accessory carpal bone, and also those between the proximal carpal bones as far as the interosseous ligaments. The =intercarpal sac= sends extensions upward and downward between the bones of the two rows as far as the interosseous ligaments; it communicates between the third and fourth carpal bones with the =carpo-metacarpal sac=. The latter is very limited in extent, and is closely applied to the bones; it incloses the carpo-metacarpal joint, and lubricates also the lower parts of the joints between the distal carpal bones and the intermetacarpal joints.

The =external lateral ligament= (Ligamentum carpi collaterale ulnare) is attached above to the external tuberosity of the distal end of the radius. Its long superficial part is attached below to the proximal end of the external small metacarpal chiefly, but some fibers end on the large metacarpal bone. A canal for the lateral extensor tendon separates a short deep band which ends on the ulnar carpal bone. Other deep fibers connect the latter with the fourth carpal bone, and the fourth carpal with the metacarpus.

The =internal lateral ligament= (Ligamentum carpi collaterale radiale) resembles the preceding in general, but is stronger and wider distally. It is attached above to the internal tuberosity of the distal end of the radius and ends below on the proximal ends of the large and inner small metacarpal bones. Deep fasciculi are detached to the radial and second carpal bones. The first carpal bone, when present, is usually embedded in the posterior part of the distal end of the ligament. The posterior part of the ligament is fused with the posterior annular ligament (Ligamentum carpi transversum), and concurs in the formation of a canal for the tendon of the flexor carpi internus.

A number of special short ligaments connect two or more adjacent bones; only the most distinct of these will be described here.

The accessory carpal bone is connected with adjacent bones by three ligaments (Fig. 444). The proximal one is a short band which extends from the accessory carpal in front of the groove on its outer face and is inserted into the distal end of the radius behind the groove for the lateral extensor tendon. A middle band connects the accessory with the ulnar carpal. The distal ligament consists of two strong bands which pass from the lower margin of the accessory to the fourth carpal and the proximal end of the outer metacarpal bone; these bands transmit the action of the muscles, which are inserted into the accessory carpal bone. The other bones of the proximal row are connected by two anterior or dorsal ligaments, which are transverse in direction, and two interosseous ligaments. An oblique ligament passes from an eminence on the posterior surface of the radial carpal bone to a small depression on the radius internal to the facet for the accessory carpal bone.

Two ligaments connect the proximal and distal rows posteriorly. The inner one joins the radial to the second and third carpal, and the outer one attaches the ulnar to the third and fourth carpals.

The bones of the distal row are connected by two strong transverse anterior or dorsal ligaments and two interosseous ligaments.

There are four carpo-metacarpal ligaments. Two oblique anterior bands connect the third carpal with the large metacarpal. Two interosseous ligaments pass downward from the interosseous ligaments of the distal row to end in depressions in the interstices between the proximal ends of the metacarpal bones.

FIG. 147.—LEFT CARPAL JOINTS OF HORSE, INNER VIEW.

g, Radius; 12, large (third) metacarpal bone. (After Ellenberger-Baum, Anat. für Künstler.) ]

=Movements.=—Taking the joint as a whole, the chief movements are flexion and extension. In the standing position the joint is extended. When the joint is flexed, slight lateral movement and rotation can be produced by manipulation. The anterior part of the capsule is, of course, tense during flexion, the posterior part in extension.

The movement practically all occurs at the radio-carpal and intercarpal joints, the articular surfaces of which are widely separated in front during flexion, but remain in contact behind. The distal row remains in contact with the metacarpus. The intermediate and ulnar carpals move together as one piece, but the radial does not move so far as the intermediate, so that the anterior and interosseous ligaments connecting these bones become tense and oblique in direction.

THE FETLOCK JOINT

This, the =metacarpo-phalangeal articulation= (Articulatio metacarpo-phalangea), is a ginglymus formed by the junction of the distal end of the large (third) metacarpal bone, the proximal end of the first phalanx, and the proximal sesamoid bones.

=Articular Surfaces.=—The surface on the large metacarpal bone is approximately cylindrical in curvature, but is divided into two slightly unequal parts by a sagittal ridge. This is received into a sort of socket formed by the first phalanx below and the two sesamoids together with the intersesamoid ligament behind. The latter is a mass of fibro-cartilage in which the sesamoid bones are largely embedded. It extends above the level of the sesamoids, and is grooved to receive the ridge on the metacarpal bone; its posterior surface forms a smooth groove for the deep flexor tendon.

FIG. 148.—SAGITTAL SECTION OF DISTAL PART OF LIMB OF HORSE.