articulationes membri pelvini all species membrana … · 2020. 7. 1. · 1 articulationes membri...

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1 ARTICULATIONES MEMBRI PELVINI all species Membrana obturatoria (eq)-closes foramen obturatum Lig. sacrotuberale (ca)-between sacrum, first caudal vertebra and tuber ischiadicum Lig. sacrotuberale latum (Un)-between sacrum, first caudal vertebra and spina ischiadica, tuber ischiadicum Foramen ischiadicum majus (Un) Foramen ischiadicum minus (Un) ARTICULATIO SACROILIACA- between facies auricularis of the sacrum and pelvis type: amphiarthrosis Ligg. sacroiliaca interossea-between tuberositas sacralia and tuberositas iliaca Ligg. sacroiliaca dorsalia- between sacrum and ilium dorsaly Ligg. sacroiliaca ventralia-between sacrum and ilium ventraly SYMPHYSIS PELVINA-between the two os coxae, it may ossify Symphysis pubica Symphysis ischiadica ARTICULATIO COXAE- articulatio simplex, articulatio spheroidea between os coxae (acetabulum) and femur (caput) Capsula articularis Labrum acetabulare Lig. transversum acetabuli- bridges the incisura acetabuli Lig. capitis ossis femoris- connects fossa acetabuli and fovea capitis (caput femoris) Lig. accessorium ossis femoris (eq)-from tendo prepubicus, through sulcus lig. accessorii ossis femoris to fovea capitis (caput femoris) FASCIAL STRUCTURES Fascia thoracolumbalis Fascia glutea Fascia lata Lamina superficialis Lamina profunda Retinaculum patellae-thickening around patella Fascia cruris Retinaculum extensorum crurale (binds the tendon of m. ext. dig. longus and m. tibialis cranialis), retinaculum extensorum tarsale (binds the tendon of m. ext.dig. longus) Retinaculum flexorum (binds the deep digital flexor tendon) Fascia tarsi Fascia digiti

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Page 1: ARTICULATIONES MEMBRI PELVINI all species Membrana … · 2020. 7. 1. · 1 ARTICULATIONES MEMBRI PELVINI all species Membrana obturatoria (eq)-closes foramen obturatum Lig. sacrotuberale

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ARTICULATIONES MEMBRI PELVINI all species

Membrana obturatoria (eq)-closes foramen obturatum

Lig. sacrotuberale (ca)-between sacrum, first caudal vertebra and tuber

ischiadicum

Lig. sacrotuberale latum (Un)-between sacrum, first caudal vertebra and

spina ischiadica, tuber ischiadicum

Foramen ischiadicum majus (Un)

Foramen ischiadicum minus (Un)

• ARTICULATIO SACROILIACA- between facies auricularis of the sacrum and

pelvis

type: amphiarthrosis

Ligg. sacroiliaca interossea-between tuberositas sacralia and tuberositas

iliaca

Ligg. sacroiliaca dorsalia- between sacrum and ilium dorsaly

Ligg. sacroiliaca ventralia-between sacrum and ilium ventraly

• SYMPHYSIS PELVINA-between the two os coxae, it may ossify

Symphysis pubica

Symphysis ischiadica

• ARTICULATIO COXAE- articulatio simplex, articulatio spheroidea

between os coxae (acetabulum) and femur (caput)

Capsula articularis

Labrum acetabulare

Lig. transversum acetabuli- bridges the incisura acetabuli

Lig. capitis ossis femoris- connects fossa acetabuli and fovea capitis

(caput femoris)

Lig. accessorium ossis femoris (eq)-from tendo prepubicus, through

sulcus lig. accessorii ossis femoris to fovea capitis (caput femoris)

FASCIAL STRUCTURES

Fascia thoracolumbalis

Fascia glutea

Fascia lata

Lamina superficialis

Lamina profunda

Retinaculum patellae-thickening around patella

Fascia cruris

Retinaculum extensorum crurale (binds the tendon of m. ext. dig.

longus and m. tibialis cranialis), retinaculum extensorum tarsale (binds

the tendon of m. ext.dig. longus)

Retinaculum flexorum (binds the deep digital flexor tendon)

Fascia tarsi

Fascia digiti

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DORSAL MUSCLES OF THE HINDLIMB (ca)

1. M. gluteus superficialis

o Origin: sacrum and first caudal vertebrae, partly from sacrotuberous

ligament; (and by means of deep gluteal fascia also from cranial dorsal iliac

spine)

o Insertion: on tuberositas glutea (below greater trochanter)

o Action: extension of hip

2. M. gluteus medius

o Origin: crista iliaca and gluteal surface of iliac bone

o Insertion: greater trochanter of femur

o Action: strongest extensor of hip joint

3. M. piriformis

o Origin: last sacral and first caudal vertebrae

o Insertion: greater trochanter of femur

o Action: extension of hip joint

4. M. gluteus profundus

o Origin: gluteal surface and body of iliac bone

o Insertion: greater trochanter of femur

o Action: extension of hip joint

INTERSPECIES DIFFERENCES

M. gluteus superficialis in bo, su: fused with m. biceps femoris and they form

m. gluteobiceps, in eq m. gluteus superficialis: inserts on trochanter tertius

M. piriformis in eq, bo, su: fused with m. gluteus medius

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DEEP MUSCLES OF THE HINDLIMB (ca)

5. M. obturatorius externus

o Origin: outer surface of pelvis, around foramen obturatum

o Insertion: trochanteric fossa of femur

o Action: lateral rotation (supination) of hindlimb

6. M. quadratus femoris

o Origin: ventral surface of tabula ossis ischii (medial to tuber ischiadicum)

o Insertion: trochanteric fossa of femur

o Action: extension of hip joint and lateral rotation of hindlimb

7. M. obturatorius internus

o Origin: inner surface of pelvis around for. obturatum (from regions of ramus

cranialis et caudalis ossis pubis, ramus ossis ischii and tabula ossis ischii)

o Insertion: after crossing lesser sciatic notch it will attach in trochanteric fossa

of femur; its tendon runs over the muscle belly of m. gemelli

o Action: lateral rotation (supination) of hindlimb

8. M. gemelli

o Origin: lateral side on corpus ossis ischii (ventral to lesser sciatic notch –

incisura ischiadica minor)

o Insertion: trochanteric fossa of femur

o Action: lateral rotation (supination) of hindlimb

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CAUDAL MUSCLES OF THE HINDLIMB (ca)

9. M. biceps femoris

o Origin: its cranial part on sacrotuberous ligament, caudal part on tuber

ischiadicum

o Insertion: by means of fascia lata and crural fascia to patella, patellar

ligament, and tibial tuberosity and tibial crest, tuber calcanei by 9a.tendo

accessorius.

o Action: extends hip, and hock; its cranial part extends, caudal part flexes

stifle

10. M. abductor cruris caudalis

o Origin: distal part of sacrotuberous ligament

o Insertion: disappears in crural fascia on lateral side (it runs first medial, then

lateral to m. biceps femoris)

o Action: abducts hindlimb, flexes stifle

11. M. semitendinosus

o Origin: tuber ischiadicum

o Insertion: tibial crest (medially), and tuber calcanei by means of 11a. tendo

accessorius

o Action: extends hip, flexes stifle and extends hock

12. M. semimembranosus

o Origin: ventral aspect of tuber ischiadicum

o Insertion: cranial belly distally on medial lip and medial condyle of femur,

caudal muscle belly on medial condyle of tibia (behind medial collateral

ligament)

o Action: extends hip and flexes stifle joint

INTERSPECIES DIFFERENCES

M. abductor cruris caudalis - not present in eq, bo

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CRANIAL MUSCLES OF THE HINDLIMB (ca)

13. M. quadriceps femoris

It has four muscle bellies.

o Origin: 13a. m. rectus femoris from body of ilium (area m. recti femoris

medialis et lat.), the three vastus proximally on femur: 13b.vastus lateralis from

its craniolateral, 13c.vastus medialis from its craniomedial and 13d.vastus

intermedius from its cranial surface

o Insertion: patella, and by means of patellar ligament on tibial tuberosity

o Action: strongest extensor of stifle joint; m. rectus femoris also flexes hip

14. M. tensor fasciae latae

o Origin: tuber coxae (cranial ventral iliac spine and spina alaris)

o Insertion: radiates into fascia lata and fascia cruris. Its superficial fascial layer

covers thigh, deep fascial layer surrounds m. quadriceps femoris and attaches to

femur

o Action: tenses fascia lata, flexes hip and extends stifle

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MEDIAL MUSCLES OF THE HINDLIMB (ca)

15. M. sartorius

In dogs it has a 15a. pars cranialis and 15b. pars caudalis.

o Origin: iliac crest, cranial ventral iliac spine, thoracolumbar fascia

o Insertion: radiating into fascia lata and crural fascia, cranial part inserts above

stifle joint, caudal part inserts below stifle joint (the latter medially reaches tibial

crest)

o Action: flexes hip, extends or flexes stifle (depending on which part contracts

more)

16. M. adductor

o Origin: m. adductor longus from ramus cranialis ossis pubis, m. adductor

magnus et brevis are arising from symphysis pelvis (tendo symphysialis), ramus

caudalis ossis pubis and ramus ossis ischi

o Insertion: facies aspera and labium laterale of femur

o Action: adducts hindlimb and extends hip

17. M. pectineus

o Origin: pecten ossis pubis, prepubic tendon

o Insertion: medial lip of rough surface on femoral shaft (labium mediale ossis

femoris, next to facies aspera)

o Action: adduction of thigh

18. M. gracilis

o Origin: symphysis pelvis (by means of tendo symphysialis)

o Insertion: medially on tibial crest, fascia cruris, tuber calcanei by 18a. tendo

accessorius to common calcaneal tendon

o Action: adducts hindlimb, extends hip, flexes stifle, extends tarsus

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ARTICULATIO GENUS (Ca)

Articulatio femoropatellaris-articulatio simplex, articulatio delabens, uniaxial

Articulatio femorotibialis- articulatio duplex, articulatio condylaris, biaxial

LIGAMENTS OUTSIDE THE CAPSULE OR EXTRACAPSULAR LIGAMENTS (LIGG.

EXTRACAPSULARIA):

o Retinaculum patellae (1): from fascia lata and aponeurosis of muscles,

covers stifle

o Lig. patellae (2): Continuation of m. quadriceps femoris’s tendon, the

patella is a sesamoid bone in the tendon before patellar ligament inserts on tibial

tuberosity

o Lig. collaterale laterale (3): from lateral epicondyle of femur to head of

fibula, a lesser part to lateral condyle of tibia; underneath there is the tendon of

m. popliteus

o Lig. collaterale mediale (4): from medial epicondyle of femur to distal

part of tibia’s medial condyle; it also attaches strongly to medial meniscus

LIGAMENTS IN THE CAPSULE OR CAPSULAR/INTRACAPSULAR LIGAMENTS

(LIGG. INTRACAPSULARIA):

o Lig. femoropatellare laterale (5): from lateral Vesalius (sesamoid)

bone to patella, also attaches to lateral femoral epicondyle; reinforcement of

joint’s capsule

o Lig. femoropatellare mediale (6): from medial Vesalius (sesamoid)

bone to patella, also attaches to medial femoral epicondyle; reinforcement of

joint’s capsule

o Lig. popliteum obliquum (23): fibrous reinforcement in caudal wall of

joint capsule

LIGAMENTS INSIDE THE CAPSULE OR INTERCAPSULAR LIGAMENTS (LIGG.

INTERCAPSULARIA):

o Lig. transversum genus (15): connects cranial angles of the two

meniscus

o Ligg. meniscotibiales: from cranial and caudal ends of both meniscus

to tibia

lig. craniale menisci laterale (16): area intercondylaris cranialis

lateralis

lig. craniale menisci mediale (17): area intercondylaris cranialis

medialis

lig. caudale menisci laterale (18): incisura poplitea

lig. caudale menisci mediale (19): area intercondylaris caudalis

o Lig. cruciatum craniale (20): from lateral femoral condyle’s caudal

axial surface to area intercondylaris cranialis of tibia (Nickel, Nomenclatura,

does not specify it by species! Only explains horse!)

o Lig. cruciatum caudale (21): from medial femoral condyle’s cranial

axial surface to area intercondylaris caudalis and incisura poplitea of tibia

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o Lig. meniscofemorale (22): from medial femoral condyle’s caudal axial

surface to caudal end of lateral meniscus

SYNOVIAL, PROTECTING AND FIBROCARTILAGINOUS STRUCTURES OF STIFLE

JOINT:

o Corpus adiposum infrapatellare (7): fatty tissue under lig. patellae

o Bursa infrapatellaris (8): under lig. patellae at tibial tuberosity

o Recessus suprapatellaris (9): behind and above patella

o Recessus subextensorius (10): around tendon of m. ext. dig. longus

o Recessus subpopliteus (11): around tendon of m. popliteus

o Meniscus medialis (12): fibrocartilage between femur and tibia

o Meniscus lateralis (13): fibrocartilage between femur and tibia

o Fibrocartilago parapatellaris (14): around patella, on both sides

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INTERSPECIES DIFFERENCES

Lig. transversum genus- not present in eq, bo

1. Lig. patellae mediale (eq, bo)

2. Lig. patellae intermedium (eq, bo)

3. Lig. patellae laterale (eq, bo)

Trochlea ossis femoris

4. Tuberculum trochleae ossis femoris (eq)

Cavities of the joint capsule (eq): synovial layer inserts on each meniscus,

forming 4 cavities of the femorotibial joint: separated medial dorsal/ventral and

lateral dorsal/ventral cavities. The medial dorsal and ventral cavities

communicates with each other and with the femoropatellar joint cavity. The

lateral dorsal communicates with the lateral ventral only.

Lig. cruciatum craniale (eq): from lateral femoral condyle’s caudal axial

surface to area intercondylaris centralis of tibia

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• ARTICULATIO TARSI (EQ)- articulatio composita

includes the joints between tibia, tarsal bones (calcaneus, talus, os tarsi centrale,

os tarsi 1+2, os tarsale 3, os tarsale 4+5), metatarsal bones

fibrosal layer runs from tibia to metatarsus, synovial layer attaches at each level,

forming 4 cavities:

tarsocrural cavity- communicates with the proximal intertarsal cavity

proximal intertarsal cavity

distal intertarsal cavity- communicates with the tarsometatarsal cavity

tarsometatarsal cavity

• 1. ARTICULATIO TARSOCRURALIS

(TIBIOTARSAL JOINT)- between tibia,

talus (trochlea tali)-the most spacious,

it forms the recessus dorsalis, plantaris

• 2. ARTICULATIO TALOCALCANEA-

joint between talus and calcaneus

• 3. ARTICULATIO

TALOCALCANEOCENTRALIS-joint

between talus, calcaneus and os tarsi

centrale

• 4. ARTICULATIO

CALCANEOQUARTALIS-between

calcaneus and os tarsale quartum

• 5. ARTICULATIO TALOCENTRALIS-

between talus and os tarsi centrale

• 6. ARTICULATIO CENTRODISTALIS-

between os tarsi centrale and distal

tarsal bones

• 7. ARTICULATIONES

TARSOMETATARSEAE

• ARTICULATIONES INTERTARSEAE-

between tarsal bones

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Recessus: dorsal and plantar recesses

Long ligaments:

Lig. collaterale tarsi mediale/lat.

-Lig. collat. tarsi mediale/lat. longum- from tibia to distal tarsal

bones and metatarsal bones

-Lig. collat. tarsi mediale/lat. breve- from tibia to calcaneus and

talus

Lig. talocentrodistometatarseum- from tuberculum tali until the

metatarsal bones on the dorsal surface

Lig. plantare longum- from distal part of the calcaneus, covers the

tarsal bones, inserts on metatarsal bones

Short ligaments- between the tarsal bones

• ARTICULATIONES METATARSOPHALANGEAE- similar with

forelimb

• ARTICULATIONES INTERPHALANGEAE PEDIS- similar with

forelimb

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STIFLE EXTENSORS (ca) M. quadriceps femoris

o Action: strongest extensor of stifle joint; m. rectus femoris also flexes hip

M. tensor fasciae latae

o Action: tenses fascia lata, flexes hip and extends stifle

M. sartorius cranial part

o Action: flexes hip, extends stifle

M. biceps femoris

o Action: extends hip, and hock; its cranial part extends stifle

19. M. extensor digitorum longus o Origin: fossa extensoria on lateral femoral condyle

o Insertion: extensor processes of distal phalanx of digits II-V.

o Action: extends stifle and joints of digits and flexes tarsus

STIFLE FLEXORS (ca) M. biceps femoris

o Action: extends hip, and hock; caudal part flexes stifle

M. abductor cruris caudalis

o Action: abducts hindlimb, flexes stifle

M. semitendinosus

o Action: extends hip, flexes stifle and extends hock

M. semimembranosus

o Action: extends hip and flexes stifle joint

M. sartorius pars caudalis

o Action: flexes hip, flexes stifle

M. gracilis

o Action: adducts hindlimb, extends hip, flexes stifle, extends tarsus

20. M. popliteus

o Origin: fossa m. poplitei on lateral femoral condyle, there is a sesamoid bone

in the tendon of the origin

o Insertion: it twists caudally under lig. collaterale laterale, then inserts caudally

on proximal part of tibia, on linea m. poplitei

o Action: flexes stifle, rotates leg medially (pronates stifle)

26. M. flexor digitorum superficialis

o Origin: fossa supracondylaris of femur, partly fused with m. gastrocnemius

caput lateralis

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o Insertion: its tendo plantaris turns from medial to lateral direction around

common calcaneal tendon, on the surface of tuber calcanei it makes a cap (galea

calcanea), then finally attaches to P2 of digits II-V. on plantar surface

o Action: flexes stifle, extends hock, flexes joints of digits II-V

28. M. gastrocnemius

o Origin: medial and lateral supracondylar tuberosities of femur (inside their

heads – caput mediale and laterale – there are sesamoid /Vesalius/ bones,

former: fabellae)

o Insertion: on tuber calcanei (as a part of common calcaneal tendon)

o Action: flexes stifle, extends tarsus

DIGITAL EXTENSORS (ca)

19. M. extensor digitorum longus

o Origin: fossa extensoria on lateral femoral condyle

o Insertion: extensor processes of distal phalanx of digits II-V.

o Action: extends stifle and joints of digits and flexes tarsus

21. M. extensor digitorum lateralis o Origin: proximal third of fibula

o Insertion: unites with long digital extensor’s tendon to reach digit V. distal

phalanx

o Action: extension and abduction of digit V. (and flexes tarsus)

22. M. extensor digiti I. [hallucis] longus o Origin: from middle third of fibula

o Insertion: radiates into fascia over metatarsophalangeal joint of digit II.

o Action: extends digit II. (and digit I. if it’s present) (and flexes tarsus)

TARSAL FLEXORS (ca)

23. M. tibialis cranialis o Origin: cranial margin of lateral condyle and crest of tibia

o Insertion: medial side on os tarsi I. and Mt I-II.

o Action: flexes tarsus

24. M. peroneus longus – also called: m. fibularis longus

o Origin: cranial margin of tibia’s lateral condyle, head of fibula, lateral

collateral ligament

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o Insertion: first attaches to os tarsi 4+5 (on its plantar surface), then extends to

all metatarsal bones’ plantar base

o Action: flexes tarsus

25. M. peroneus brevis – also called: m. fibularis brevis

o Origin: laterally on distal third of fibula (and partly on tibia)

o Insertion: base of Mt. V.

o Action: flexes tarsus

+ all digital extensors (19, 21, 22)

DIGITAL FLEXORS (ca)

26. M. flexor digitorum superficialis

o Origin: fossa supracondylaris of femur, partly fused with m. gastrocnemius

caput lateralis

o Insertion: its plantar tendon (tendo plantaris) turns from medial to lateral

direction around common calcaneal tendon, on the surface of tuber calcanei it

makes a cap (galea calcanea), then finally attaches to middle phalanx of digits

II-V. on plantar surface (in eq: tuberositas flexoria)

o Action: flexes stifle, extends hock, flexes joints of digits II-V

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27. M. flexor digitorum profundus

o Origin: 27a. m. flexor digitorum lateralis (former: m. flexor hallucis longus)

from proximal caudal half of fibula, proximal caudolateral border of tibia and

from interosseous membrane; 27b. m. flexor digitorum medialis (former: m.

flexor digitorum longus) starts caudo-proximally from tibia. Below tarsus the

two parts unite.

o Insertion: plantar surface of distal phalanx of digits II-V. (on tuberculum

flexorium, in eq: facies flexoria)

o Action: extends tarsus, flexes joint if digits II-V.

TARSAL EXTENSORS (ca)

28. M. gastrocnemius

o Origin: medial and lateral supracondylar tuberosities of femur (inside their

heads – caput mediale and laterale – there are sesamoid /Vesalius/ bones,

former: fabellae)

o Insertion: on tuber calcanei (as a part of common calcaneal tendon)

o Action: flexes stifle, extends tarsus

29. M. tibialis caudalis o Origin: caudally on head of fibula

o Insertion: medially at tarsus it radiates into tarsal fascia

o Action: extends tarsus

+ all digital flexors (26, 27)

Tendo accessories- from m. biceps femoris (9a), m. semitendinosus (11a), m.

gracilis (18a)

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TENDO CALCANEUS COMMUNIS (ca)

o It comprise three main tendons:

- tendo m. gastrocnemii [Achilli] (tendon of m. gastrocnemius)

- tendo plantaris (tendon of m. flexor dig. superficialis)

- tendo accessorius, from the following parts:

- lateral: m. biceps femoris (9a)

- medial: m. gracilis (18a) and m. semitendinosus (11a)

o Between skin and tendo plantaris there is a protecting 1. bursa subcutanea

calcanea, between tendo plantaris and tendo m. gastrocnemii 2. bursa

subtendinea calcanea (bursa calcanea subtendinea musculi flexoris

digitorum superficialis), and between tendo accessorius and tendo m.

gastrocnemii 3. bursa tendinis calcanea.

o As tendo plantaris widens, it forms galea calcanea

o Action: strongest extensor of tarsus

INTERSPECIES DIFFERENCES (EQ)

m. extensor hallucis longus, m. peroneus longus, m. peroneus

brevis- not present

1. m. peroneus tertius- purely tendinous

o Origin: together with m. extensor digitorum longus from fossa

extensoria

o Insertion: on distal tarsal bones, proximal end of Mt, splitting into two

branches

o Action: flex the tarsus, extends stifle, important part of passive stay

apparatus

2. m. tibialis cranialis- doesn’t cover m. extensor digitorum longus,

it’s inserting tendon runs between the two branches of m. peroneus

tertius

m. triceps surae: 3. m. gastrocnemius+ 4. m. soleus (from fibula to

join caput laterale m. gastrocnemii)

5. m. tibialis caudalis – is a part of the m. flexor digitorum profundus

m. flexor digitorum profundus receives lig. accessorium (fibrous

continuation of plantar tarsal ligament)

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m. flexor digitorum superficialis is mostly tendinous, doesn’t

receive lig. accessorium (instead it’s tendon, the tendo plantaris forms

galea calcanea on the calcaneus)

Elements of the passive stay apparatus at the hindlimb:

The passive stay apparatus is a group of ligaments, tendons and muscles which

"lock" major joints in the limbs of the horse. It is best known as the mechanism

by which horses can enter a light sleep while still standing up.

patellar loop

lig accessorium toward the m. flexor dig. profundus

galea calcanea (formed by the tendon of m. flexor dig. superficialis)

m. peroneus tertius

interosseous medius + tractus appositus

suspensory apparatus (fetlock joint)