The Thoracic Limb of the Horse 1: Attachment of the thoracic limb to the trunk; anatomy and function. Different from ourselves, in the horse the attachment of the thoracic limb (uniformly designated the “upper” limb in humans) to the trunk is only by muscle and fascia. The clavicle is lacking and a well-defined rudiment of the clavicle is likewise absent. Where the brachiocephalicus muscle of the horse passes in front of the shoulder joint, there is often a short fibrous intersection, which is undoubtedly a clavicular rudiment. The intersection does not always extend the entire width of the muscle as in the dog and cat and there is no cartilage or bone embedded in it. The brachiocephalicus and a number of other muscles attach the thoracic limb to the trunk and are listed here. With their associated fascia, these muscles, attach the axial skeleton to the scapula, humerus, and forearm, allowing movement of the limb in relation to the trunk, support of the trunk by the limb, and respiratory movements made possible by attachment of forelimb muscles to the ribs and sternum. Trapezius. Origin: ligamentum nuchae (cervical part) and summits of spinous processes of thoracic vertebrae at the withers (thoracic part). Insertion: spine of the scapula; chiefly its tuber spinae. Rhomboideus. Origin: ligamentum nuchae (cervical part) and summits of the spinous processes of thoracic vertebrae at the withers (thoracic part). Insertion: medial aspect of the scapular cartilage. Brachiocephalicus. Origin: mastoid process of the temporal bone (cleidomastoideus); nuchal crest of the occipital bone (cleidooccipitalis). Insertion: clavicular rudiment, humeral crest and deltoid tuberosity. Note: From its attachment at the mastoid process and nuchal crest to the point of the shoulder and the clavicular rudiment, the muscle is homologous to the human cleidomastoideus muscle. From the point of the shoulder to the attachment at the deltoid tuberosity and humeral crest, the muscle is homologous to the clavicular deltoid of human anatomy. Omotransversarius. Origin: lateral margin of the wing of the atlas and the transverse processes of cervical vertebrae C2 – C4. Insertion: lateral fascia of the shoulder and brachium. Note: This muscle lies beside the brachiocephalicus and used to be described as a part of that muscle. Latissimus dorsi. Origin: spinous processes of thoracic vertebrae at the height of the withers (T3, T4) and extending caudally to the cranial lumbar spines. Insertion: teres major tuberosity of the humerus. Omohyoideus: Origin: basihyoid bone by means of a tendinous plate that passes from the bone ventrally and attaches the omohyoideus and sternohyoideus muscles on its caudal aspect, the geniohyoideus muscle on its rostral face. Insertion: scapula by means of the medial scapular fascia. Note: Functionally, the omohyoid-geniohyoid combination appears to be a means of assisting in drawing the shoulder forward as the head and neck are extended when the horse is running. The omohyoid will also draw the hyoid apparatus caudally in swallowing; but the size of the muscle and its superficial fusion with the cleidomastoideus suggest that its function is much involved with its action on the limb. Fig. 1. Muscular horse, lateral view. After Handbuch der Anatomie fur Künstler, W. Ellenberger, H. Baum, and H. Dittrich; 1901. Except for the caudal part of the cutaneus colli, all cutaneous muscles are removed in this figure. rhomboideus trapezius latissimus dorsi subclavius brachiocephalicus omotransversarius supf. pectoral, descending part serratus ventralis, thoracic part deep pectoral Redrawn from the original by David Stewart Geary Serratus ventralis. Origin: transverse processes of the fourth to seventh cervical vertebrae (cervical part) and the lateral aspect of ribs 1 – 8 (thoracic part). Insertion: facies serrata of the scapula. Superficial pectoral. Descending part: Origin: manubrium of the sternum. Insertion: humeral crest and deltoid tuberosity. Its tendon joins the tendon of insertion of the brachiocephalicus. Transverse part: Origin: ventral margin of the sternum from the manubrium to the level of th the 6 costal cartilage and sternebra. Insertion: medial antebrachial fascia. Fig. 2. Lateral view of the shoulder. Only the cutaneous muscles have been removed. The dashed line shows the approximate division of brachiocephalicus and omotransversarius muscles. trapezius cervical part thoracic part latissimus dorsi sternocephalicus brachiocephalicus omotransversarius supf pectoral, descending part serratus ventralis, thoracic part deltoideus Fig. 3. Deeper dissection of the shoulder, lateral view. Trapezius, brachiocephalicus, omotransversarius, latissimus dorsi and deltoideus muscles removed. rhomboideus serratus ventralis cervical part external jugular vein omohyoideus supf pectoral descending part serratus ventralis thoracic part deep pectoral Drawn by David Stewart Geary Subclavius: Origin: lateral side of the sternum caudal to the manubrium, and the cartilages of the first four ribs. Insertion: cranial margin of the scapula and the upper part of the tendinous sheet covering the supraspinatus muscle. Deep pectoral: Origin: lateral side of the caudal part of the sternum and costal cartilages of ribs 4 – 9; abdominal tunic. Insertion: medial side of the proximal humerus below the proximal margin of the cranial part of the medial tubercle. Fig. 4. Craniolateral view of the shoulder. The sternal origin of the cutaneus colli and all of the cutaneus trunci are removed. Drawn by David S. Geary. trapezius external jugular vein cutaneus colli (cut away in part to expose the external jugular vein, which passes deep to it; its thick sternal part has also been removed to expose the origin of the sternocephalicus from the manubrium) sternocephalicus subclavius supf pectoral descending part transverse part deltoideus triceps brachii long head lateral head omotransversarius brachiocephalicus cephalic vein Note: The omotransversarius was at first regarded as a part of the brachiocephalicus. It is distinguished from that muscle by its origin from the atlas and cervical vertebrae. The brachiocephalicus arises from the skull. See Fig, 1. Note: The external jugular vein lies deep to the thin cutaneus colli muscle within the jugular furrow . The furrow is the sulcus between the sternocephalicus muscle ventrally and the brachiocephalicus muscle dorsally. The furrow ends at the jugular fossa where the vein passes beneath the thicker, sternal, attachment of the cutaneus colli. When excited, a horse will often contract the cutaneus colli, which erases the furrow. Venepuncture is not made more difficult as the large vein’s flow beneath the thinner part of the muscle is easily detected by palpation. Fig. 6. Deep dissection showing in particular the relations of the subclavius and deep pectoral at the shoulder. All of the cutaneus colli is removed. Drawn by David Stewart Geary. omohyoideus serratus vent. rhomboideus sternocephalicus supf. cerv. lln ext. jugular v. (cut) cephalic v. (cut) subclavius deep pectoral deep pectoral biceps brachii (sheathed by deep These muscles which attach the limb to the trunk are designated extrinsic muscles. fascia) All of the muscles named function in moving the limb with respect to the trunk. Cranial and caudal movement of the scapula determines the length of the stride. To advance the limb maximally, the scapula must be as far forward as possible as extension of the limb joints then advanes the limb maximally. Simultaneus ventral movement of the scapula, which the animal obtains by contracting the cervical serratus ventralis, extends the limb even farther. In the same manner, muscles that draw the scapula caudally and ventrally provide maximum length of the stride. Muscles can only shorten the distance between their attachments so that all of the muscles listed also act to move the trunk if the limb attachment is taken as the fixed point. In walking, running, jumping, the limb is advanced and the thoracic parts of the trapezius and rhomboideus, the latissimus dorsi, thoracic serratus ventralis, subclavius, and pectoral muscles then serve to draw the trunk forward. In the normal standing attitude, the brachiocephalicus and omotransversarius move the neck but draw the limb forward in the racing animal. The omohyoideus draws the hyoid apparatus caudally at the completion of swallowing; but, in the running animal, cooperates with the brachiocephalicus and omotransversarius in drawing the limb forward. The thoracic limbs bear most of the horse’s weight. Of the extrinsic muscles, the serratus ventralis muscle, and the fascia associated with it, is most responsible for this weight-bearing function. Sisson has a diagram illustrating the thoracic fascial attachment: Fig. 7. rhomboideus omohyoideus Drawn by David Stewart Geary sternocephalicus serratus ventralis cervical part subclavius serratus ventralis thoracic part supf pectoral deep pectoral When an animal is in severe respiratory distress, it will hold its head and neck stiffly extended and stand with its thoracic limbs far forward. Human beings do the same thing, grasping the headpost of the bed for maximum inspiration. This is to take advantage of the costal attachment of the thoracic serratus ventralis in a maximal inspiratory effort and to draw the sternum forward (upward in humans) by contraction of the sternocephalicus. The sternal ribs increase in length from the first to the last so that, when the sternum is drawn forward, each rib is replaced by a longer, succeeding, one and the dorsoventral diameter of the thorax is increased. This is undoubtedly very slight in the horse. An animal which demonstrates the distress posture very well is the cat with pulmonary edema. Fig. 7 emphasizes the serratus ventralis and pectoral muscles. The subclavius is drawn tightly against the supraspinatus in this illustration and, different from usual, in this lateral view shows only as a thin sliver of striated muscle. As Figure 6 shows, it is a substantial, fleshy, muscle and it is only its disposition here that makes it appear so slim.