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.

The joint capsule is attached around the margin of the articular surfaces. It is thick and ample in front; here a bursa is interposed between it and the extensor tendons, but the tendons are also attached to the capsule. Posteriorly it forms a thin-walled pouch which extends upward between the metacarpal bone and the suspensory ligament about as high as the point of bifurcation of the latter. The capsule is reinforced by two lateral ligaments.

The lateral ligaments, external and internal (Ligamentum collaterale ulnare, radiale) are partially divided into two layers: the superficial layer arises from the eminence on the side of the distal end of the large metacarpal bone, and passes straight to the rough lateral area below the margin of the articular surface of the first phalanx; the deep layer, shorter and much stronger, arises in the lateral depression on the distal end of the metacarpal bone, and passes obliquely downward and backward to be inserted into the outer surface of the sesamoid and the proximal end of the first phalanx.

The capsule is further strengthened by a layer of oblique fibers which pass over the lateral ligament on either side and end on the extensor tendon and the proximal extremity of the first phalanx. It may properly be regarded as fascia rather than ligament.

Movements.—These are of the nature of flexion and extension, the axis of motion passing through the upper attachments of the lateral ligaments. In the ordinary standing position the joint is in a state of partial dorsal flexion, the articular angle (in front) being about 140° to 150°. (In the hind limb it is about 5° greater.) Diminution of this angle (sometimes termed “overextension”) is normally very limited on account of the resistance offered by the sesamoidean apparatus, but it varies considerably in amount in different subjects. Volar flexion is limited only by contact of the heels with the metacarpus. During volar flexion a small amount of lateral flexion is possible.