NAVLE Musculoskeletal

Equine Tendonitis and Desmitis Study Guide

Tendonitis (tendon inflammation) and desmitis (ligament inflammation) represent some of the most common and career-limiting soft tissue injuries in performance horses.

Overview and Clinical Importance

Tendonitis (tendon inflammation) and desmitis (ligament inflammation) represent some of the most common and career-limiting soft tissue injuries in performance horses. These conditions account for approximately 43-54% of all musculoskeletal injuries in equine athletes and are a leading cause of early retirement and wastage in the racing and sport horse industries. Understanding the anatomy, pathophysiology, diagnosis, and treatment of these conditions is essential for the NAVLE examination.

The most commonly affected structures include the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), suspensory ligament (SL), and accessory ligaments. Forelimbs are more frequently affected than hindlimbs due to the greater weight-bearing load they experience during locomotion.

Structure Location and Course Function
SDFT Most superficial; carpus to P1/P2 via two branches Energy storage; flexes fetlock, pastern, coffin joints
DDFT Deep to SDFT; carpus through navicular bursa to P3 Flexes digit; stabilizes DIP joint
Suspensory Ligament Deepest structure; proximal MC3 to sesamoid bones Primary fetlock support; prevents hyperextension
Superior Check Ligament Radius to SDFT; above carpus Limits SDFT stretch; part of stay apparatus
Inferior Check Ligament Palmar carpal ligament to DDFT; mid-metacarpus Limits DDFT stretch; shock absorption

Functional Anatomy

The palmar/plantar aspect of the equine distal limb contains the key structures involved in weight-bearing and locomotion. Understanding their anatomy is crucial for diagnosis and treatment.

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