Peroneus Tertius - Horse Anatomy | Inside The Equine
Muscular System

Peroneus Tertius

Musculus fibularis tertius

Overview

Origin: Lateral condyle of femur. Insertion: By four branches on all tarsal bones (except T1+2) and on Mt3. Innervation: Peroneal nerve. Function: Entirely tendinous in the horse; a critical constituent of the reciprocal mechanism linking stifle and hock movements. Originates together with the long digital extensor.

Anatomical Details

Origin: Extensor fossa of the distal femur

Insertion: Dorsal surface of the proximal metatarsus (MT3) and tarsal bones

Action: Mechanically links stifle flexion to hock flexion (reciprocal apparatus)

Innervation: Not innervated (entirely tendinous in horses)

Clinical Significance

The peroneus tertius is entirely tendinous in the horse and is a critical component of the reciprocal mechanism linking stifle and hock joint movements. Rupture allows independent flexion of the stifle without corresponding flexion of the hock -- the horse can extend the hock while the stifle is flexed, which is the diagnostic sign.

Common Conditions & Injuries

Peroneus tertius rupture

Rupture (from hyperextension injuries, kicks, or getting a leg caught) breaks the reciprocal apparatus, allowing the hock to extend while the stifle is flexed — an anatomically impossible combination

Frequently Asked Questions

What is Peroneus tertius rupture in horses?

Rupture (from hyperextension injuries, kicks, or getting a leg caught) breaks the reciprocal apparatus, allowing the hock to extend while the stifle is flexed — an anatomically impossible combination in normal horses. Diagnostic and dramatic. Signs include: Horse can flex the stifle while the hock remains extended (pathognomonic sign — impossible in a normal horse); hock drops when the stifle is flexed; dimpling of the skin over the front of the hock; often surprisingly little lameness initially; surgical emergency.

What are the clinical concerns for the Peroneus Tertius?

The peroneus tertius is entirely tendinous in the horse and is a critical component of the reciprocal mechanism linking stifle and hock joint movements. Rupture allows independent flexion of the stifle without corresponding flexion of the hock -- the horse can extend the hock while the stifle is flexed, which is the diagnostic sign.

Explore This Structure in 3D

See the Peroneus Tertius on our interactive 3D horse model. Open 3D Model