Nuchal Ligament - Horse Anatomy | Inside The Equine
Muscular System

Nuchal Ligament

Ligamentum nuchae

Overview

Not a muscle but a critical elastic structure unique in its development in horses. Consists of two parts: the funicular part (a thick elastic cord from the occiput to the withers) and the lamellar part (fan-shaped sheets from the funicular cord to each cervical vertebra). It passively supports the heavy head without constant muscular effort, saving enormous energy. The nuchal ligament is why a horse can hold its head up while sleeping standing.

Anatomical Details

Origin: External occipital protuberance (poll) and dorsal spinous processes of C2-C7 (lamellar part)

Insertion: Summit of the dorsal spinous processes of T2-T7 (withers), continuing as the supraspinous ligament

Action: Passive elastic support of the head and neck; stores and returns energy during head oscillation at walk and trot; allows the horse to raise and lower the head without constant muscular effort

Innervation: Not innervated (ligamentous tissue)

Clinical Significance

Note: This is a ligament/fascia structure, not a muscle, but is displayed with the muscular system in the 3D model.

Common Conditions & Injuries

Nuchal bursitis (poll evil)

Inflammation of the bursa at the poll, often involving the splenius attachment. Can be infectious (Brucella, Actinomyces) or traumatic.

Nuchal ligament desmitis / calcification

Degeneration and mineralization of the nuchal ligament, especially the lamellar portion at the C2-C3 level. Increasingly recognized on radiographs and ultrasound.

Frequently Asked Questions

What is Nuchal bursitis (poll evil) in horses?

Inflammation of the bursa at the poll, often involving the splenius attachment. Can be infectious (Brucella, Actinomyces) or traumatic. Signs include: Swelling at the poll; extreme pain on poll flexion; draining tract if infected; reluctance to lower the head; can become chronic and disfiguring.

What is Nuchal ligament desmitis / calcification in horses?

Degeneration and mineralization of the nuchal ligament, especially the lamellar portion at the C2-C3 level. Increasingly recognized on radiographs and ultrasound. Signs include: Chronic poll or upper neck pain; reluctance to flex the neck; headshaking; sensitivity to bridling; calcified foci visible on cervical radiographs; may be incidental finding.

What are the clinical concerns for the Nuchal Ligament?

Note: This is a ligament/fascia structure, not a muscle, but is displayed with the muscular system in the 3D model.

Explore This Structure in 3D

See the Nuchal Ligament on our interactive 3D horse model. Open 3D Model