Fetlock Joint - Horse Anatomy | Inside The Equine
Skeletal System

Fetlock Joint

Articulatio metacarpophalangea

Overview

The joint between the cannon bone and the proximal phalanx (P1), analogous to a human knuckle (MCP joint). Contains the proximal sesamoid bones on its palmar/plantar aspect. This joint hyperextends dramatically during galloping - the fetlock can drop to near ground level. The most commonly injured joint in the athletic horse.

Anatomical Details

Origin: N/A (bone)

Insertion: N/A (bone)

Action: Major shock absorber; allows flexion, extension, and hyperextension during locomotion; supported by the suspensory apparatus

Clinical Significance

The fetlock is the most common site of catastrophic injury in racehorses. Imaging includes radiography, ultrasonography, and MRI.

Common Conditions & Injuries

Fetlock arthritis / synovitis

Inflammation of the fetlock joint from repetitive trauma and concussion. The most common joint disease in sport horses and racehorses.

Proximal sesamoid bone fracture

Fractures of the sesamoid bones at the back of the fetlock. Can range from small chip fragments to catastrophic biaxial fractures (both sesamoids, often fatal in racehorses).

Sesamoiditis

Chronic inflammation and remodeling of the proximal sesamoid bones from repetitive loading and suspensory ligament traction.

Frequently Asked Questions

What is Fetlock arthritis / synovitis in horses?

Inflammation of the fetlock joint from repetitive trauma and concussion. The most common joint disease in sport horses and racehorses. Signs include: Joint effusion (windpuffs); shortened stride; lameness worse after exercise; positive flexion test; stiffness; often bilateral; diagnosed on radiographs and ultrasound.

What is Proximal sesamoid bone fracture in horses?

Fractures of the sesamoid bones at the back of the fetlock. Can range from small chip fragments to catastrophic biaxial fractures (both sesamoids, often fatal in racehorses). Signs include: Ranges from chip fractures (lameness, effusion) to catastrophic biaxial fracture (fetlock drops to the ground, complete breakdown, usually fatal on the track).; Consult veterinarian for specific symptoms.; Acute lameness; fetlock effusion; pain on palpation of the sesamoids; in catastrophic biaxial fractures: complete fetlock breakdown (fetlock touches the ground; emergency euthanasia usually required).

What is Sesamoiditis in horses?

Chronic inflammation and remodeling of the proximal sesamoid bones from repetitive loading and suspensory ligament traction. Signs include: Chronic low-grade forelimb lameness; pain on palpation of the sesamoid bones; positive flexion test; enlarged, remodeled sesamoids on radiographs; seen in young racehorses and sport horses.; Consult veterinarian for specific symptoms.

What are the clinical concerns for the Fetlock Joint?

The fetlock is the most common site of catastrophic injury in racehorses. Imaging includes radiography, ultrasonography, and MRI.

Explore This Structure in 3D

See the Fetlock Joint on our interactive 3D horse model. Open 3D Model