Part 11

The =anterior= or =dorsal surface= is convex from side to side and smooth in its middle; on its lower part are lateral rough depressions, surmounted by tuberosities, to both of which ligaments are attached.

The =posterior= or =volar= surface is smooth, flattened, and slopes obliquely downward and forward. The borders which separate the anterior and posterior surfaces are concave from above downward, rounded from before backward.

=Development.=—The second phalanx ossifies like the first, but the proximal end unites with the shaft two or three months earlier.

THE THIRD PHALANX

The =third= or =ungual phalanx= (Phalanx tertia)[24] is entirely inclosed by the hoof, to which it conforms in a general way. It presents for examination three surfaces, three borders, and two angles or wings.

The =articular surface= (Facies articularis) faces upward and backward, and is chiefly adapted to the distal surface of the second phalanx, but a narrow flattened area along the posterior border articulates with the third sesamoid. The =anterior= or =coronary border= forms a central eminence, the =extensor= (or pyramidal) =process= (Processus extensorius), to the front of which the anterior extensor tendon is attached. On either side is a depression for the attachment of the lateral ligament.

The =dorsal= or =wall surface= (Facies dorsalis) slopes downward and forward. The angle of inclination on the ground plane is about 45 to 50 degrees in front. Laterally the height diminishes, and the slope becomes steeper, especially on the inner side. From side to side the curvature is almost semicircular. The surface is rough and porous, resembling pumice stone somewhat. It is perforated by numerous foramina of various sizes; a series of larger ones is situated on or near the lower border. On either side the =dorsal= (or preplantar) =groove= (Sulcus dorsalis) passes forward from the wing and ends at one of the larger foramina. In the fresh state this surface is covered by the matrix of the wall of the hoof. The =inferior= or =distal border= is thin, sharp, and irregularly notched; there is commonly a wider notch in front.

The =volar= or =inferior surface= (Facies volaris) is arched, and divided into two unequal parts by a curved rough line, the =semilunar crest= (Crista semilunaris). The larger anterior area is crescent-shaped, concave, and comparatively smooth; it corresponds to the sole of the hoof, and may be termed the =sole surface=. The posterior part is much smaller, and is semilunar; it is related to the deep flexor tendon, and is hence called the =flexor= or =tendon surface= (Facies flexoria). It presents a central prominent rough area, on either side of which is the =volar= (or plantar) =foramen= (Foramen volare), to which the =volar= (or plantar) =groove= (Sulcus volaris) conducts from the wing. The foramina lead into the =semilunar canal= within the bone, from which small canals lead to some of the foramina of the wall surface. The deep flexor tendon is inserted into the semilunar crest and the central rough area behind it.

The volar grooves and foramina transmit the terminations of the digital arteries into the semilunar canal, where they meet and form a terminal arch, from which branches pass through canals in the bone and emerge through the foramina on the wall surface.

The =angles= or =wings= (Anguli) are prismatic masses which project backward on either side; the inner one is usually the shorter. Each is divided into upper and lower parts by a notch, or is perforated by a foramen which leads to the vascular groove on the side of the wall surface.[25] The upper border carries the lateral cartilage.

The =lateral cartilages= (Cartilagines ungulæ) are rhomboid curved plates, which surmount the wings on either side. They are relatively large and extend above the margin of the hoof sufficiently to be distinctly palpable. The abaxial surface is convex, the axial concave. The upper border is convex and thin; the lower is thicker and is in part attached to the wing. The anterior end is attached by ligament to the side of the second phalanx. The posterior end curves toward its fellow at the heel, and is perforated by numerous foramina for the passage of veins. The central part is mainly hyaline, the periphery mainly fibrous.

It will be noted that the size and form of the wings vary much in different specimens. In the new-born foal the wing is a small, pointed projection. Later the process of ossification invades the lower part of the cartilage to a varying extent. In some cases the greater part of the cartilage is ossified—a condition commonly termed “sidebone.”

=Development.=—The ossification of the terminal phalanx is peculiar. While the proximal articular part is still cartilaginous, a perichondrial cap of bone is formed in relation to the hoof. Later the process extends into the upper part.

=Structure.=—The interior of this bone is channeled by numerous canals for vessels, most of which radiate from the semilunar canal to the wall surface; these are not canals for nutrient vessels of the bone, but transmit arteries to the matrix of the hoof. Thick layers of compact substance are found at the articular and flexor surfaces and the extensor process, _i. e._, at the points of greatest pressure and traction.

THE SESAMOID BONES

The two =proximal= or =great sesamoids= (Ossa sesamoidea phalangis primæ) are situated behind the distal end of the large metacarpal bone, and are closely attached to the first phalanx by strong ligaments. Each has the form of a three-sided pyramid. The =anterior= or =articular surface= conforms to the corresponding part of the distal end of the large metacarpal bone. The =posterior= or =flexor surface= is flattened and oblique; in the fresh state it is covered by a layer of cartilage which also fills the interval between the opposed borders of the two bones, and forms a smooth groove for the deep flexor tendon. The =abaxial surface= is concave, and gives attachment to part of the suspensory ligament; it is separated from the posterior surface by a rough everted border. The =base= faces downward, and furnishes attachment to the inferior sesamoidean ligaments. The =apex= is directed upward and is rounded.

The =third sesamoid= or =navicular= bone (Os sesamoideum phalangis tertiæ) is shuttle-shaped, and is situated behind the junction of the second and third phalanges. Its long axis is transverse, and it possesses two surfaces, two borders, and two extremities. The =articular surface= (Facies articularis) faces upward and forward; it consists of a central eminence, flanked by concave areas, and articulates with the distal end of the second phalanx. The =flexor= or =tendon surface= (Facies flexoria) is directed downward and backward. It resembles the articular surface in form, but is more extensive and not so smooth. In the fresh state it is coated with cartilage and the deep flexor tendon plays over it. The =proximal border= (Margo liber) is wide and grooved in its middle, narrower and rounded on either side. The =distal border= (Margo ligamenti) bears in front a narrow facet for articulation with the third phalanx. Behind this is a groove, which contains a number of relatively large foramina, and is bounded behind by a prominent edge. The =extremities= are blunt-pointed.

=Development.=—It ossifies from a single center.

THE BONES OF THE PELVIC LIMB

The =pelvic girdle= consists of the ossa coxæ, which unite ventrally at the symphysis pelvis, and articulate with the sacrum dorsally.

OS COXÆ

The =os coxæ= (or os innominatum) forms the skeleton of the hip or haunch, and is the largest of the flat bones. It consists primarily of three parts, the =ilium=, =ischium=, and =pubis=, which meet to form the =acetabulum=, a large cotyloid cavity for articulation with the head of the femur. These parts are fused at about one year of age, but it is convenient to describe them separately.

THE ILIUM

The =ilium= (Os ilium) is the largest of the three parts. It is irregularly triangular and presents two surfaces, three borders, and three angles.

The =gluteal surface= (Facies glutæa) faces upward, backward, and outward. It is wide and concave in front, narrower and convex behind. The wide part is crossed by the curved =gluteal line= (Linea glutæa), which extends from the middle of the inner border toward the external angle. This surface gives attachment to the middle and deep gluteal muscles.

The =pelvic surface= (Facies pelvina) faces in the opposite direction; it is convex, and consists of two distinct parts. The inner triangular part (Pars articularis) is roughened for ligamentous attachment, and bears an irregular facet, the =auricular surface= (Facies auricularis), for articulation with the sacrum. The outer quadrilateral part (Pars iliaca) is in general smooth. It is crossed by the =ilio-pectineal line= (Crista iliopectinea), which begins below the auricular surface and is continued on the shaft of the bone to join the anterior border of the pubis. The line is interrupted by furrows for the iliaco-femoral vessels, and below these it bears the =psoas tubercle= (Tuberculum psoadicum), which gives attachment to the psoas minor muscle. The iliacus muscle is attached to the surface external to the ilio-pectineal line.

The =anterior border= or =crest= (Crista iliaca) is concave, thick, and rough.

The =internal border= is deeply concave; its middle part forms the lower boundary of the =great sciatic foramen=, and it is continuous behind with the =superior ischiatic spine=.

The =external border= is concave and in great part rough. Its fore part is crossed by grooves for the ilio-lumbar vessels, which are continued on the pelvic surface. The =nutrient foramen= is usually situated on or near the posterior part of this border.

The =internal= or =sacral angle= (Tuber sacrale) curves upward and a little backward close to the first sacral spine, and forms here the highest point of the skeleton. It is somewhat thickened and rough.

The =external= or =coxal angle= (Tuber coxæ) forms the basis of the point of the hip. It is a large quadrangular mass, narrow in its middle, and enlarged at either end, where it bears a pair of tuberosities. It is roughened for muscular attachment.

The =posterior= or =acetabular angle= meets the other two bones at the acetabulum, of which it forms about two-fifths. Its prominent upper border forms part of the =superior ischiatic spine=, which is roughened externally, smooth internally. Two depressions above and in front of the acetabulum give attachment to the tendons of origin of the rectus femoris muscle. This angle is connected with the ala or wide part of the bone by a constricted part, often termed the =shaft=. The latter is of three-sided prismatic form. Its external surface is convex and rough, and gives attachment to the deep gluteus muscle. Its pelvic surface is smooth and is grooved for the obturator vessels and nerves. Its ventral surface is crossed by vascular grooves, below which is a rough area, bounded internally by the psoas tubercle.

THE ISCHIUM

The =ischium= (Os ischii) forms the posterior part of the ventral wall or floor of the bony pelvis. It slopes a little downward and inward, but is practically horizontal in the longitudinal direction. It is irregularly quadrilateral, and may be described as having two surfaces, four borders, and four angles.

The =superior= or =pelvic surface= (Facies pelvina) is smooth and slightly concave from side to side.

The =inferior surface= (Facies externa) is nearly flat, and is in great part roughened for the attachment of the adductor muscles.

The =anterior border= forms the posterior margin of the obturator foramen.

The =posterior border= is thick and rough. It slopes obliquely inward and forward to meet the border of the other side, forming with it the =ischial arch= (Arcus ischiadicus).

The =internal border= meets the opposite bone at the symphysis.

The =external border= is thick and rounded, but concave in =its length=; it forms the =lesser sciatic notch=, the lower boundary of the lesser sciatic foramen.

The =antero-internal angle= or =symphyseal branch= (Ramus symphyseos) meets the pubis, with which it forms the inner boundary of the obturator foramen.

The =antero-external angle= or =acetabular branch= joins the other two bones at the acetabulum, of which it forms more than half. Superiorly it bears part of the =superior ischiatic spine= (Spina ischiadica), and internally it is grooved for the obturator vessels.

The =postero-external angle= is a thick three-sided mass, the =tuber ischii= (Tuber ischiadicum); its lower border is the =inferior ischiatic spine=, to which the biceps femoris and semitendinosus muscles are attached.

THE PUBIS

The =pubis= (Os pubis) is the smallest of the three parts of the os coxæ. It forms the anterior part of the pelvic floor, and may be described as having two surfaces, three borders, and three angles.

The =superior= or =pelvic surface= (Facies pelvina) is convex in the young subject and the stallion, concave and smooth in the mare and usually in the gelding also. The urinary bladder rests on it.

The =inferior= or =ventral surface= (Facies externa) is convex, and in great part rough for muscular attachment. Near the anterior border it is crossed by the =subpubic groove=, the inner part of which is occupied by a large vein, the outer part by the pubo-femoral ligament.

The =anterior border= is thin in its inner part (except in the young subject and the stallion), forming the pecten ossis pubis. Externally it bears the rough =ilio-pectineal eminence= (Eminentia iliopectinea), beyond which it is continuous with the ilio-pectineal line.

The =internal border= joins the opposite bone at the symphysis pubis.

The =posterior border= forms the anterior margin of the obturator foramen, and is marked externally by the obturator groove.

The =internal angle= meets its fellow at the anterior end of the symphysis. This part is very thick in the young subject and the stallion, but in the mare, and usually in the gelding also, it becomes thin with advancing age.

The =external= or =acetabular angle= joins the ilium and ischium at the acetabulum.

The =posterior angle= joins the ischium, with which it forms the inner boundary of the obturator foramen.

The =pubis= may conveniently be regarded as consisting of two branches which meet at a right angle; these are termed the =transverse= or =acetabular branch= (Ramus acetabularis) and the =longitudinal= or =symphyseal branch= (Ramus symphysecs).

The =acetabulum= is a cotyloid cavity which lodges the head of the femur. It faces downward and outward, and consists of an articular and a non-articular part. The =articular part= (Facies lunata) is crescentic, and is cut into internally by the non-articular part, which lies at a lower level, and is termed the =acetabular fossa= (Fossa acetabuli). The inner part of the rim is correspondingly cut into by the =acetabular notch= (Incisura acetabuli), which is converted into a foramen by the transverse ligament in the fresh state, and transmits the pubo-femoral and round ligaments to the head of the femur.

The =obturator foramen= (Foramen obturatum) is situated between the pubis and ischium. It is oval in outline, the longer axis being directed forward and outward. Its margin is grooved antero-externally for the obturator nerve and vessels.

=Development.=—Each division of the os coxæ ossifies from one chief center. The center for the ilium appears first near the acetabulum, followed quickly by one for the ischium, and a little later by the pubic center. Secondary centers appear for the crest and external angle of the ilium, the tuber and posterior border of the ischium, and the acetabular part of the pubis. The pubis and ischium are united at birth or soon after, but are not fused with the ilium until the second year. The epiphyseal parts fuse with the main mass at four and a half to five years of age.

The acetabular part of the pubis ossifies from a separate center. It is most distinct in the embryo at three months, and is often called the os acetabuli. Martin says that the ilium has a center for the acetabular part, one for the shaft and wing, and a third for the crest. He also states that there is a special center for the acetabular part of the ischium, and a transitory nucleus in the symphyseal part of the pubis.

THE PELVIS

The =bony pelvis= is composed of the ossa coxarum, the sacrum, and the first three coccygeal vertebræ. The =dorsal wall= or =roof= is formed by the sacrum and first three coccygeal vertebræ, and the =ventral wall= or =floor= by the pubic and ischial bones. The =lateral walls= are formed by the ilia and the acetabular part of the ischia. The defect in the skeleton here is supplied in the fresh state by the sacro-sciatic ligaments and semimembranosus muscles.

The =anterior aperture= or =inlet= (Apertura pelvis cranialis) is bounded by the =terminal line= (Linea terminalis) or brim, composed of the base of the sacrum dorsally, the ilio-pectineal lines laterally, and the anterior border of the pubis ventrally. It is almost circular in the mare, semi-elliptical in the stallion, and faces obliquely downward and forward. It has two principal diameters. Of these, the =conjugate= or =sacro-pubic diameter= (Conjugata) is measured from the sacral promontory to the anterior end of the symphysis. The =transverse diameter= (Diameter transversa) is measured at the greatest width, _i. e._, just above the psoas tubercle.

The =posterior aperture= or =outlet= (Apertura pelvis caudalis) is much smaller and is very incomplete in the skeleton. It is bounded above by the third coccygeal vertebra and below by the ischial arch; in the fresh state it is completed laterally by the sacro-sciatic ligament and the semimembranosus muscle.

The =axis= of the pelvis is an imaginary line drawn through the centers of the inlet, cavity, and outlet.

=Sexual Differences.=—Marked differences exist in the size and form of the pelvis in the two sexes. The average =conjugate diameter= is about 9½ inches (ca. 23 to 24 cm.) in the mare, 7½ inches (ca. 18 to 20 cm.) in the stallion. The =transverse diameter= of the inlet averages about 9 inches (ca. 22 to 23 cm.) in the mare, and 8 inches (ca. 20 cm.) in the stallion. The =obliquity= of the inlet is greater in the female; the difference is indicated by the fact that a vertical plane from the pecten cuts the fourth sacral segment in the female, the second in the male. The =outlet= is also larger in the mare, the =ischial arch= being about one-third wider than in the stallion. The =cavity= is much more roomy in the female; the transverse diameter between the middles of the superior ischiatic spines is about 8 inches (20 cm.) in the mare, 6 inches (15 cm.) in the stallion. The pubic part of the =floor= in the female is concave and lies considerably lower than the ischiatic part, which is wide and relatively flat. In the stallion the pubis is very thick centrally, and this part of the floor is convex, while the ischial part is relatively narrow, and is concave from side to side. The =obturator foramina= are correspondingly larger in the female. The ilium is shorter, and the greater sciatic notch deeper and narrower in the male. The pelvis of the gelding, when castration has been performed early, resembles that of the mare; otherwise the male characters appear to be retained to a large degree.

THE FEMUR

The =femur= or thigh bone (Os femoris) is the largest and most massive of the long bones. It extends obliquely downward and forward, articulating with the acetabulum above and the tibia and patella below. It presents for examination a shaft and two extremities.

The =shaft= or =body= (Corpus femoris) is in general cylindrical, but flattened behind, and larger above than below. The =anterior= and =lateral surfaces= are continuous and strongly convex from side to side; there is often a central vertical rough line on the proximal part, but otherwise these surfaces are smooth. They are covered by the quadriceps femoris muscle. The =posterior surface= is wide, flat, and smooth in its proximal fourth. Below this part there is a rough elevation externally for the attachment of the femoral tendon of the biceps femoris, and a rough line internally to which the quadratus femoris is attached. The middle third is narrower, and is rough for the attachment of the adductor muscle. Just below this area an oblique groove crosses the surface, indicating the position of the femoral vessels. The =internal border= bears on its proximal part the =internal trochanter= or =trochanter minor=, a thick rough ridge, to which the ilio-psoas muscle is attached. From this a rough line curves up to the front of the neck and indicates the limit of the attachment of the vastus internus muscle. A narrow rough area about the middle gives attachment to the pectineus muscle, and the =nutrient foramen= is usually found just in front of this mark. The =supracondyloid crest= is situated below the groove for the femoral vessels, and gives origin to the inner head of the gastrocnemius. The =external border= is prominent in its upper part, and bears at the junction of its proximal and middle thirds the =external= or =third trochanter= (Trochanter tertius); this process is curved forward, and furnishes insertion to the tendon of the superficial gluteus muscle. At the lower part is found the =supracondyloid= or =plantar fossa= (Fossa plantaris), in which the superficial flexor arises; it is bounded externally by a thick rough margin, to which the outer head of the gastrocnemius muscle is attached.