Flashcards
Equine distal hindlimb
Cards in this deck (73)
- 1Where do the extensors of the stifle run?Cross cranial to stifle joint - via patella
- 2What muscles are the stifle extensors?Quadriceps
- 3What are the 4 muscles of the quadriceps?1. Vastus lateralis
2. Vastus intermedius
3. Vastus medialis
4. Rectus femoris - 4Where do vastus lateralis, intermediu and medialis originate?Shaft of femur
- 5What is the origin of the rectus femoris?Shaft of ilium, cranial to acetabulum
- 6What is the insertion for the quadriceps?Proximal tibia via inserting onto proximal patella
- 7What innervates the quadriceps?Femoral nerve
- 8What happens if there is a tumour on the femoral nerve causing partial paralysis?Stifle will collapse under weight bearing
Atrophy of quadriceps - 9What do the quadriceps do when weight bearing?Keep the stifle in extension
- 10Where are the flexors of the stifle located?Caudal to the stifle joint
- 11What are the main stifle flexors?Hamstrings
- Biceps femoris
- Semitendinosus
- Semimembranosus - 12What innervates the hamstrings?Sciatic nerve
- 13What makes the tuber ischii unpalpable in the horse?Vertebral head of the hamstrings
- 14Give the name of 3 other potential stifle flexors.1. Gastrocnemius
2. Popliteis
3. Superficial Digital Flexor (mostly tendinous) - 15What is the origin and insertion for the gastrocnemius?O: Distal femur
I: Calcaneus - 16What is the origin and insertion for the SDF?O: Distal femur
I: Calcaneus and P1 - 17Where do the flexor muscles of the hock lie?Cranial to the hock joint
- 18Give the name of 4 hock flexors.1. Peroneus tertius
2. Cranial tibial
3. Long digital extensor
4. Lateral digital extensor - 19What is the innervation to all the hock flexors?Peroneal nerve
- 20What is the insertion for the peroneus tertius and cranial tibial?Proximal MCIII
- 21What does the peroneus tertius share an origin with?Long digital extensor
- 22Where do the long and lateral digital extensors fuse?Mid-metatarsus
- 23Where does the long digital extensor insert?Dorsoproximal aspect of P3/distal phalanx
- 24What does the long digital extensor attaching to the distal phalanx allow?Provides extension of digit
- 25What functionally binds the long digital extensor to distal tibia and hock to prevent displacement?Retinaculae
- 26Give the name of 3 hock extensors.1. Gastrocnemius
2. Superficial digital flexor
3. Deep digital flexor - 27Where does the superficial digital flexor insert?Calcaneus
P1
P2 - 28What two muscles make up the reciprocal apparatus/mechanism?Superficial digital flexor
Peroneus tertius - 29What is the purpose of the reciprocal apparatus?Movements of stifle and hock are linked
- 30What allows the movements of the stifle and hock to be linked in the reciprocal apparatus?Hindlimb SDF is almost entirely tendinous, and peroneus tertius is completely tendinous
- 31Which part of the reciprocal apparatus is important in weight bearing?SDF
- 32Give 2 features of SDF that allow it to limit further flexion at the joint when the stifle is fixed.1. Mostly tendinous
2. Sturdy attachment to calcaneus - 33What is the function of peroneus tertius?Limits hock extension when stifle is flexed
- 34What is the position of all joints when weight bearing?Flexed
- 35What must happen to the stifle and hock due to the reciprocal apparatus?Flex or extend in tandem
- 36Give the 3 steps to which the SDF plays a role in stay appartus.1. Patella locking limits stifle flexion
2. Weight bearing encourages flexion of hip, stifle and hock
3. Flexion of hock limited by proximal portion of SDF when stifle locked - 37What happens when the SDf is ruptured?The hock can flex even with the stifle locked
- Cannot weight bear - 38What happens if the peroneus tertius is ruptured?Can extend the hock despite stifle remaining flexed
- doesn't affect weight bearing - 39How do you check to see if the peroneus tertius is ruptured?Stifle is in flexion and the try and extend the hock.
With rupture hock will extend, without rupture the hock won't extend - 40Where does the deep digital flexor originate and insert?O: Caudal tibia proximally
I: PIII - 41What are the 3 bellies of the deep digital flexor?Medial, lateral and caudal tibial
- 42What do the 3 bellies of the deep digital flexor converge to form?Combined tendon
(medial belly fuses more distally) - 43WMedially to calcaneus
(medial tendon separate to major tendon) - 44What is the path of the deep digital flexor prior to attaching to the distal phalanx?Passes over plantar aspect of distal sesamoid (navicular bone)
- 45What does the path of the deep digital flexor provide?Extra leverage and increased force delivery to the digit, while spreading the force over a smooth surface.
- 46What causes the inability of the hock to flex during patella locking?Superficial digital flexor
- 47Name 2 tendon sheaths/bursae in the tarsus region.1. Tarsal sheath
2. Calcaneal bursa - 48What does the tarsal sheath protect?D
- 49Where does the DDFT and the tarsal sheath run in the tarsal region?Groove made by sustentaculum tali
- 50What does the calcaneal bursa protect?SDFT as it runs over the calcaneus
- 51Name the 2 tarsal support structures.1. Very strong collateral ligaments
2. Long Plantar ligament - 52Do the tarsal collateral ligaments have two portions, short and long?Yes
- 53What do the tarsal collateral ligaments prevent?Mediolateral movement
- 54What does the long plantar ligament resist?Hyperextension
(particularly in distal joints) - 55What are the 4 levels in the tarsal joint?1. Tarsocrural (tarsotibial) - TC
2. Proximal intertarsal (PIT)
3. Distal intertarsal (DIT)
4. Tarsometatarsal (TMT) - 56Which tarsal joint capsules usually communicate?Tarsocrural and Proximal intertarsal
- 57Which tarsal joint capsule does distal intertarsal occasionally communicate with?Tarsometatarsal joint
- 58How many injections would need to be taken from the tarsal joint?3
(TC/PIT, DIT, TMT) - 59Which of the tarsal joints are harder to do and less likely to cause problems?DIT
TMT - 60Where would you inject for the TMT?Between MT IV and fourth tarsal bone
- 61Where would you inject for DIT?Palpate groove between 2nd and 3rd tarsal bone, inject at proximal end of this groove - next to central tarsal bone
- 62Where would you inject for TC/PIT joint?Palpate dorsal aspect of ridge-inject dorsal pouch
- 63What do you have to palpate and avoid when injecting into the TC-PIT joint?Medial saphenous veins on dorsal joint
- 64What is the extra sensory innervation to the dorsal aspect of the hindlimb?Deep peroneal nerve which give off dorsal metatarsal nerves
- 65Where do the deep peroneal nerves run?Medial and lateral to extensor tendons
- 66What nerve provides the majority of sensory innervation to the distal limb?Tibial nerve
(plantar and plantar metatarsal nerves) - 67When doing a hindlimb nerve block, how many injections are need and what do they account for?2 extra
Dorsal metatarsal nerves - 68What is the main arterial supply to the hindlimb?Cranial and caudal tibial
- 69Where does the cranial tibial artery perforate through and to get where?Perforates through tarsal bones
To plantar surface - 70At what point are the arteries the same as the forelimb?Distal to tarsus
- 71What prevents the veins completely satelliting the arteries?Enlarged medial and lateral saphenous veins
- 72Which vein is palpable over the dorsomedial hock?Medial saphenous vein
- 73What arteries are palpable in distal hindlimb of horse over abaxial surface of proximal sesamoid bones?Digital arteries
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- 2. Musculoskeletal lectures AHS2 (Locomotor anatomy) Flashcards on Equine distal hindlimb, created by Rachael Jones on 26/10/2016.
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- Rachael Jones
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