Part 20

1. The =intervertebralfibro-cartilages= (Fibrocartilagines intervertebrales). Each of these is a disc which fits into the space between the bodies of two adjacent vertebræ, to which it is intimately attached. The discs are thinnest in the middle of the thoracic region, thicker in the cervical and lumbar regions, and thickest in the coccygeal region. Each consists of a dense fibrous peripheral part (Annulus fibrosus), and a soft pulpy central part (Nucleus pulposus).

[Illustration:

FIG. 139.—SAGITTAL SECTION OF LAST TWO THORACIC AND FIRST LUMBAR VERTEBRÆ, SHOWING LIGAMENTS AND SPINAL CORD (MEDULLA). (After Schmaltz, Atlas d. Anat. d. Pferdes.) ]

The fibrous ring consists of laminæ of fibrous tissue and fibro-cartilage, which pass obliquely between the two vertebræ and alternate in direction, forming an X-shaped arrangement. The central part of the ring is largely cartilaginous, and gradually assumes the character of the pulpy center. The latter is very elastic and is compressed, so that it bulges considerably from the surface of sections; it consists of white and elastic fibers, connective-tissue cells, and peculiar clear, transparent cells of various sizes. It is a remnant of the notochord. There are joint cavities in the cervical intercentral joints, and in those between the last cervical and the first thoracic, and between the last lumbar and the sacrum. In the latter the cavity is coextensive with the extremities of the bodies; in the former, it is usually not so extensive.

2. The =inferior common ligament= (Ligamentum longitudinale ventrale) lies on the ventral surface of the bodies of the vertebræ and the intervertebral fibro-cartilages, to which it is firmly attached. It begins about the fourteenth or fifteenth thoracic vertebra, and is at first a narrow, thin band. Further back it becomes gradually thicker and wider, and terminates on the pelvic surface of the sacrum by spreading out and blending with the periosteum. It is strongest in the lumbar region, where the tendons of the crura of the diaphragm fuse with it.

3. The =superior common ligament= (Ligamentum longitudinale dorsale) lies on the floor of the vertebral canal from the dens or odontoid process to the sacrum. It is narrow over the middles of the vertebral bodies, and widens over the intervertebral fibro-cartilages, to which it is very firmly attached.

This ligament is in relation with the spinal veins on either side, and in the middle of each vertebra a transverse anastomotic branch passes under the ligament.

INTERNEURAL ARTICULATIONS

Each typical vertebra presents two pairs of articular processes, which form diarthroses with the two adjacent vertebræ. The =articular surfaces= are extensive, flat, and oval in the cervical region, small and flat in the thoracic region, while in the lumbar region the anterior ones are concave and the posterior convex. The joint capsule is strong and ample in the cervical region, in conformity with the large size and greater mobility of these joints in the neck. In the thoracic and lumbar regions the capsule is small and close. These joints are arthrodia.

Associated with these joints are the =ligamenta flava=, which connect the arches of adjacent vertebræ. They are membranous and consist largely of elastic tissue.

[Illustration:

FIG. 140.—LIGAMENTUM NUCHÆ OF HORSE.

_1_, Scapula; _1′_, cartilage of scapula; _4_, lamellar part of ligamentum nuchæ; _x_, wing of atlas. (After Ellenberger-Baum, Anat. für Künstler.) ]

The =supraspinous ligament= extends medially from the occipital bone to the sacrum. From the withers backward it consists of a strong cord of fibrous tissue, attached to the summits of the vertebral spines. In the neck and withers it is remarkably modified to form the ligamentum nuchæ, which requires more extended notice.

The =ligamentum nuchæ= is a powerful elastic apparatus, the principal function of which is to assist the extensor muscles of the head and neck. It extends from the occipital bone to the withers, where it is directly continuous with the supraspinous ligament. It consists of two parts—funicular and lamellar. The =funicular part= (Pars occipitalis) arises from the external occipital protuberance and the fossa below it, and is inserted into the summits of the vertebral spines at the withers. Two =bursæ= are usually found under it in the adult. The =supra-atloid bursa= lies between the ligament and the dorsal arch of the atlas. The =supraspinous bursa= occurs usually over the fourth thoracic spine, but may be over the third and may extend to the fifth.[31] In the neck the funicular part consists for the greater part of two bands closely applied and attached to each other. Near and at the withers it broadens greatly, forming an expansion three to five inches (ca. 8 to 12.5 cm.) in width, the lateral margins of which are thin and overlie the trapezius and rhomboideus muscles. Behind the higher spines it becomes narrower and thinner, and is continued by the white fibrous lumbo-dorsal ligament.[32] A mass of fat and elastic tissue lies upon the ligament as far back as the withers. It varies greatly in amount in different subjects, and is most developed in stallions of draft breeds, in which it forms the basis of the “crest.” The =lamellar portion= (Pars cervicalis) consists of two laminæ separated medially by a layer of loose connective tissue. Each lamina is formed of digitations which arise from the second and third thoracic spines and from the funicular portion, are directed downward and forward, and end on the spines of the cervical vertebræ, except the first and last. The digitation which is attached to the spine of the axis is very thick and strong. Behind this they diminish in size and strength; that to the sixth cervical is quite thin and feeble, or may be absent.

The =interspinous ligaments= (Ligamenta interspinalia) extend between the spines of contiguous vertebræ. In the cervical region they are narrow elastic bands, and in the thoracic and lumbar regions they consist of white fibers directed obliquely downward and forward.

The =intertransverse ligaments= (Ligamenta intertransversaria) are membranes which connect adjacent transverse processes in the lumbar region.

INTERTRANSVERSE ARTICULATIONS

These joints (peculiar to equidæ) are diarthroses formed by the transverse processes of the last two lumbar vertebræ and the alæ of the sacrum. A similar joint between the fourth and fifth lumbar processes is frequently present. The =articular surfaces= have an elongated oval form, the anterior one being concave and the posterior one convex. The capsule is tight, and is reinforced ventrally.

SACRAL AND COCCYGEAL ARTICULATIONS

In the foal the bodies of the five sacral vertebræ form joints which resemble somewhat those in the posterior part of the lumbar region. These joints are invaded by the process of ossification early, so that the consolidation of the sacrum is usually complete, or nearly so, at three years.

The coccygeal vertebræ are united by relatively thick intervertebral fibro-cartilages, which have the form of biconcave discs. Special ligaments are not present, but there is a continuous sheath of fibrous tissue. The movement in this region is extensive and varied. In old horses the first coccygeal vertebra is often fused with the sacrum.

MOVEMENTS OF THE VERTEBRAL COLUMN

The movements of the spine, exclusive of those at the atlanto-axial joint, are dorsal, ventral, and lateral flexion, and rotation. The range of movement at a single joint is very small, but the sum of the movements is considerable. The movements are freest in the cervical and coccygeal regions. Rotation is extremely limited in the thoracic and lumbar regions.

ATLANTO-AXIAL ARTICULATION

This is a trochoid or pivot joint, of a rather peculiar character. The articular surfaces are: (1) On the lateral masses of the atlas, two somewhat saddle-shaped facets, which are usually confluent ventrally; (2) on the axis, reciprocal saddle-shaped surfaces which extend upon the odontoid process and are confluent on its ventral aspect. It will be observed that the joint surfaces are not at all accurately adapted to each other, so that only limited areas are in contact at any time.

The =joint capsule= is attached around the margins of the articular surfaces. It is loose and ample enough laterally to allow extensive movement.

The =superior atlanto-axial ligament= (Ligamentum interarcuale) is membranous and reinforces the capsule dorsally.

The =interspinous ligament= (Ligamentum inter-spinale) consists of two elastic bands which extend from the dorsal arch of the atlas to the spine of the axis.

The =inferior atlanto-axial ligament= (Ligamentum dentis externum) arises from the ventral tubercle of the atlas and is attached by two branches on the ventral spine of the axis.

The =odontoid ligament= (Ligamentum dentis internum) is short, very strong, and somewhat fan-shaped. It extends from the rough concave dorsal surface of the dens or odontoid process, widens in front, and is attached to the transverse rough area on the inner surface of the ventral arch of the atlas.

=Movements.=—The atlas and the head rotate upon the axis; the axis of rotation passes through the center of the odontoid process and body of the axis.

[Illustration:

FIG. 141.—ATLANTO-OCCIPITAL AND ATLANTO-AXIAL JOINTS OF HORSE, DORSAL VIEW AFTER REMOVAL OF DORSAL ARCH OF ATLAS.

_a_, Joint capsule of left part of atlanto-occipital joint; _b_, lateral ligament of same; _c_, _c′_, odontoid ligament; _d_, atlanto-occipital joint capsule; _e_, joint capsule of articulation between axis and third cervical vertebra; _f_, interspinous ligament; _1_, occipital bone; _2_, atlas; _3_, axis; _4_, third cervical vetrebra. (Ellenberger-Baum, Anat. d. Haustiere.) ]

THE ATLANTO-OCCIPITAL ARTICULATION

This joint may be classed as a ginglymus. The =articular surfaces= of this joint are: (1) On the atlas, two deep oval cavities; (2) the corresponding condyles of the occipital bone.

The joint surfaces are oblique, coming very close to the median line ventrally, but separated by a considerable interval dorsally. Posteriorly, a triangular rough area cuts into the middle of each articular surface on the atlas.

There are two roomy =joint capsules=, which sometimes communicate ventrally, especially in old subjects.

The =superior atlanto-occipital membrane= extends from the dorsal arch of the atlas to the upper margin of the foramen magnum. It is blended with the capsules and contains many elastic fibers.

The =inferior atlanto-occipital membrane= extends from the ventral arch of the atlas to the lower margin of the foramen magnum. It is narrower and thinner than the superior membrane, and also fuses with the joint capsules.

The =lateral ligaments= are two short bands which are partially blended with the capsules. Each is attached to the border of the wing of the atlas near the intervertebral foramen, and to the outer surface of the paramastoid or styloid process of the occipital bone.

=Movements.=—These are chiefly flexion and extension. A small amount of lateral oblique movement is also possible.

ARTICULATIONS OF THE THORAX

COSTO-VERTEBRAL ARTICULATIONS

Each typical rib forms two joints with the vertebral column, one by its head, and one by its tubercle. They are termed respectively costo-central and costo-transverse joints.

[Illustration:

FIG. 142.—COSTO-VERTEBRAL ARTICULATION, ANTERIOR VIEW. (After Schmaltz, Atlas d. Anat. d. Pferdes.) ]

I. The =costo-central articulations= (Articulationes capitulorum) are trochoid or rotatory joints, formed by the junction of the head of the rib with the bodies of two adjacent vertebræ and the intervertebral fibro-cartilage. The two facets on the head of the rib are separated by a non-articular groove, and correspond to the two concave facets (Foveæ costales) on the vertebral bodies. The capsules are rather tight, and are covered by the accessory ligaments, which are as follows: 1. The =radiate ligament= (Ligamentum capituli costæ radiatum) extends ventrally from the neck of the rib to spread out on the vertebral bodies and the intervertebral fibro-cartilage. 2. The =conjugal ligament= (Ligamentum conjugale)—absent from the first joint—is attached to the groove on the head of the rib, passes transversely into the vertebral canal, and divides under the superior common ligament into two branches; one of these is attached to the body of the anterior vertebra; the other is continued across to the head of the opposite rib, and is attached to the intervertebral fibro-cartilage. The joint cavity is divided into two compartments by the conjugal ligament. 3. The =ligament of the neck= of the rib (Ligamentum colli costæ) is a strong band which crosses the joint dorsally. It is attached on the vertebra above the costal facet and on the neck of the rib.

II. The =costo-transverse articulations=. These occur between the facets on the tubercles of the ribs and those on the transverse processes of the vertebræ. They are gliding joints. The =capsule= is reinforced by the =superior costo-transverse ligament= (Ligamentum costo-transversarium dorsale), a distinct strong band which arises on the transverse process and ends on the non-articular part of the tubercle. It is covered by the levator costæ muscle, and begins to be quite distinct at the fifth joint.

The cavity for the head of the first rib is formed by concave facets on the bodies of the last cervical and first thoracic vertebræ. The conjugal ligament is absent, but the ligament of the neck is short and strong. The radiate ligament is very strong, and consists of two bands. In the case of the last two or three ribs the costo-central and costo-transverse joints are confluent, and the various structures are correspondingly modified.

=Movements.=—The chief movement is rotation around an axis which connects the centers of the head and tubercle of the rib. The movement is very limited in the anterior part of the series of joints, but very considerable in the posterior part.

In the case of the first rib, the movement is evidently extremely limited. The facet for the tubercle of the rib is deeply concave, and the axis of rotation is almost transverse. Further back the facets on the transverse processes become flat, and the axis of rotation gradually approaches a longitudinal direction. This, in connection with the mobility of the ventral ends of the asternal ribs and their elasticity, allows a great increase here in the range of movement, the effect of which is to enlarge (chiefly) the transverse diameter of the thorax.

COSTO-CHONDRAL ARTICULATIONS

The costo-chondral junctions are synarthroses. The rib has a concave surface which receives the convex end of the cartilage. They are united by the continuity of the strong periosteum and perichondrium.

CHONDRO-STERNAL ARTICULATIONS

These joints (Articulationes sternocostales) are diarthroses formed by the junction of the cartilages of the sternal ribs with the sternum. The articular ends of the cartilages (except the first) are somewhat enlarged, and present surfaces of cylindrical curvature. The articular surfaces on the sternum for the first pair of cartilages are placed close together on the dorsal border of the cariniform cartilage (Manubrium sterni); the other seven are placed laterally at the junction of the segments. The capsules are strong and tight; the first pair of joints has a common capsule, and the cartilages articulate with each other medially. The lower ends of the first pair of ribs are firmly attached to each other by dense fibrous tissue, which is prolonged forward along the upper margin of the cariniform cartilage and is continuous behind with the sternal ligament. Each of the other capsules is reinforced dorsally by the =superior costo-sternal ligament= (Ligamentum sternocostale radiatum), composed of radiating fibers which blend with the sternal ligament. The movement is rotation around a nearly vertical axis, except in the case of the first pair of joints.

INTERCHONDRAL LIGAMENTS

The eighth and ninth costal cartilages are firmly united by fibrous tissue. The chondro-xiphoid ligament attaches the ninth costal cartilage to the xiphoid cartilage. The remaining cartilages are rather loosely attached to each other by elastic tissue.

STERNAL ARTICULATIONS

In the new-born foal the sternum has seven bony segments (Sternebræ), united by persisting cartilage. The last two segments coalesce within a few weeks after birth. In old subjects there is more or less ossification of the intersegmental cartilage, which may lead to partial fusion of adjacent segments, especially posteriorly. The =sternal ligament= (Ligamentum sterni proprium internum) lies on the thoracic surface of the sternum. It arises on the first segment, and divides opposite the second chondro-sternal joint into three bands. The median band passes backward and spreads out on the last segment and the xiphoid cartilage. The lateral branches—thicker and wider—lie along the lateral borders above the chondro-sternal joints, and end at the cartilage of the eighth rib; they are covered by the transversus thoracis muscle.

THE ARTICULATIONS OF THE SKULL

TEMPORO-MANDIBULAR ARTICULATION

This joint (Articulatio mandibularis) is the only diarthrosis formed between bones of the skull.

The =articular surfaces= are dissimilar in form and size. That on the squamous temporal bone is concavo-convex, and the long axis is directed outward and somewhat forward; it consists of a glenoid cavity, which is continued upon the postglenoid process behind, and a condyle in front. The mandible presents a transversely elongated condyle.

The =articular disc= is placed between the joint surfaces, which it renders congruent. Its upper and lower surfaces are molded upon the temporal and mandibular surfaces respectively, and its circumference is attached to the joint capsule; thus it divides the joint cavity into upper and lower compartments, the former being the more roomy.

The =joint capsule= is strong and tight. It is reinforced by two ligaments. The =external ligament= (Ligamentum laterale) extends obliquely across the anterior part of the outer surface of the capsule, from which it is not distinctly separable. The =posterior ligament= (Ligamentum posterius) is an elastic band which is attached above to the postglenoid process, and below to a line on the posterior face of the neck of the mandible.

=Movements.=—The chief movements take place around a transverse axis passing through both joints. Associated with this hinge-like action is slight gliding movement, as in opening and shutting the mouth. When the mouth is shut, the condyle lies under the glenoid cavity. When the mandible is depressed, the condyle moves forward under the articular eminence of the temporal bone, carrying the disc with it. In protrusion and retraction of the lower jaw the gliding movement just described occurs without the hinge-like rotation of the condyle. These movements are similar in both joints. In the lateral movements (as usually performed in mastication) the action consists of rotation of the condyles around a vertical axis, while the disc glides forward on one side and backward on the other.

THE SYNARTHROSES OF THE SKULL

Most of the bones of the skull are united with the adjacent bones by =sutures=; a few are united by cartilage. The difference in the uniting medium depends on the fact that most of these bones are developed in membrane, but some are preformed in cartilage. Most of these joints are temporary, and are obliterated at various periods during development and growth. Their importance rests on the fact that so long as they persist, continuous growth is possible. They are usually designated according to the bones which enter into their formation, _e. g._, spheno-squamous, naso-frontal, internasal, etc. Special names (borrowed from human anatomy) are sometimes used; thus the interparietal, the parieto-occipital, and the parieto-frontal sutures are often called the sagittal, lambdoid, and coronal respectively.

Detailed description of the sutures has not sufficient clinical value to justify much addition to the statements made in the osteology in this connection. The obliteration or closure of the sutures is, however, worthy of brief mention. The cranial sutures are usually all closed at seven years, but the apex only of the petrous temporal is fused with the occipital and squamous temporal. Most of the facial sutures are practically closed at ten years, although complete synostosis may in some be delayed for years or may not occur at all; the nasal suture, for example, often persists even in advanced age, so far as its anterior part is concerned.

The principal =synchondroses= are: (1) That between the basioccipital and the body of the sphenoid (Synchondrosis sphenooccipitalis); (2) that between the presphenoid and postsphenoid (Synchondrosis intersphenoidalis); (3) those between the parts of the occipital bone (Synchondroses intraoccipitales). The first is usually ossified at four years, the second at three years, and the occipital bone is consolidated at two years.

The =symphysis= of the lower jaw (Symphysis mandibulæ) ossifies at one to six months.

THE HYOIDEAN ARTICULATIONS

The =temporo-hyoid articulation= is an amphiarthrosis, in which the dorsal angle of the proximal end of the great cornu (Stylo-hyal) is attached by a short bar of cartilage to the hyoid process of the petrous temporal bone. The cartilage (Arthrohyal) is about half an inch (ca. 1 to 1.5 cm. ) in length. The chief movement is hinge-like, the axis of motion passing transversely through both joints.

The =intercornual articulation= is an amphiarthrosis formed by the junction of the distal extremity of the great cornu with the proximal end of the small cornu (kerato-hyal). They are united by a very short piece of cartilage, in which there is usually a small nodule of bone in the young subject. This nodule, the epihyal or middle cornu, is usually fused with the great cornu in the adult. The chief movement here is also hinge-like, the angle between the cornua being increased or diminished.

The =basi-cornual articulation= is a diarthrosis formed by the junction of each small cornu (kerato-hyal) with the body (basi-hyal). The small cornu has a concave facet which articulates with the convex facet on either end of the dorsal surface of the body. The capsule is ample enough to allow considerable movement, which is chiefly hinge-like. The movements of the hyoid bone are concerned chiefly in the acts of mastication and swallowing. In the latter the distal parts of the hyoid bone are moved forward and upward, carrying the root of the tongue and the larynx with them, and then return to their former position.

THE ARTICULATIONS OF THE THORACIC LIMB

In the absence of the clavicle the thoracic limb forms no articulation with the trunk, unless we regard as such the union by muscles. The movement of the shoulder on the chest-wall is chiefly rotation around a transverse axis passing through the scapula behind the upper part of the spine.

THE SHOULDER JOINT

The shoulder or scapulo-humeral joint (Articulatio scapulo-humeralis) is formed by the junction of the distal end of the scapula with the proximal end of the humerus. The =articular surfaces= are: (1) On the scapula, the glenoid cavity; (2) on the humerus, the head. Both surfaces are approximately spherical and similar in curvature, but the humeral surface is much more extensive than that of the scapula.

The =joint capsule= is ample enough to allow the bones to be drawn apart about an inch (ca. 2 to 3 cm.); but this requires a very considerable amount of force unless air is admitted into the joint cavity. The fibrous layer (or capsular ligament) is not attached to the margin of the joint surfaces, but at a distance of one to two centimeters from it. It is strengthened in front by two diverging elastic bands, which arise on the scapular tuberosity and end on the lips of the bicipital groove. A pad of fat is interposed between the capsule and the tendon of the biceps.

Ligaments are absent from this joint, but the muscles and tendons around it afford remarkable security, so that dislocation seldom or never occurs. The large extent of the head of the humerus is also of importance in this regard.

The principal muscles which are attached around the joint and act as ligaments are: externally, the supraspinatus, infraspinatus, and teres minor; internally, the subscapularis; in front, the biceps and supraspinatus; behind, the triceps.

=Movements.=—While it is a typical enarthrosis in structure, and capable of the various movements of the ball-and-socket joint, the chief normal movements are flexion and extension. In the position of rest the angle formed between the scapula and humerus posteriorly is about 110° to 120°; in flexion it is reduced to about 80°, and in extension it is increased to about 145°. Adduction and abduction are very restricted, the former being limited chiefly by the infraspinatus, the latter by the subscapularis and the low insertion of the superficial pectoral muscles. Rotation is somewhat freer, but does not exceed 33°, when all the muscles are removed (Franck).

THE ELBOW JOINT