Tibialis Cranialis - Horse Anatomy | Inside The Equine
Muscular System

Tibialis Cranialis

Musculus tibialis cranialis

Overview

Origin: Lateral condyle and tuberosity of tibia. Insertion: Dorsal branch on T3 and proximal end of Mt3; Medial branch on T1+2. Innervation: Peroneal nerve. Function: Flexes hock joint. The medial branch of its insertion tendon is known as the 'cunean tendon', clinically important in cunean tendon bursitis and bone spavin.

Anatomical Details

Origin: Lateral condyle and cranial border of the proximal tibia

Insertion: MT3 (proximal dorsal metatarsus) and tarsal bones

Action: Flexes the hock (dorsiflexion)

Innervation: Peroneal (fibular) nerve (L5-S2)

Clinical Significance

The medial branch of its insertion tendon is known as the 'cunean tendon'. Cunean tendon bursitis can cause hindlimb lameness, particularly in Standardbreds. Cunean tenotomy is sometimes performed as treatment for bone spavin.

Common Conditions & Injuries

Tibialis cranialis myopathy

Acute muscle damage from extreme exertion or compartment syndrome following prolonged recumbency.

Peroneal (Fibular) Nerve Paralysis

The common peroneal nerve is vulnerable where it crosses the lateral surface of the stifle. Commonly injured from lateral recumbency on hard surfaces (anesthesia, prolonged casting).

Frequently Asked Questions

What is Tibialis cranialis myopathy in horses?

Acute muscle damage from extreme exertion or compartment syndrome following prolonged recumbency. Signs include: Swelling and pain over the craniolateral gaskin; inability to flex the hock; heat over the muscle; dark urine if severe (myoglobinuria); requires urgent veterinary attention.

What is Peroneal (Fibular) Nerve Paralysis in horses?

The common peroneal nerve is vulnerable where it crosses the lateral surface of the stifle. Commonly injured from lateral recumbency on hard surfaces (anesthesia, prolonged casting). Signs include: Knuckling of the fetlock; dorsal hoof dragging; inability to flex the hock and extend the digit; characteristic 'goose-stepping' gait when recovering; Knuckling of the hind fetlock; inability to extend the digit; toe dragging; dorsal hoof wear; may occur after surgery from positioning.; Inability to flex the hock actively; knuckling; often from bandage or cast pressure on the lateral stifle/gaskin area.

What are the clinical concerns for the Tibialis Cranialis?

The medial branch of its insertion tendon is known as the 'cunean tendon'. Cunean tendon bursitis can cause hindlimb lameness, particularly in Standardbreds. Cunean tenotomy is sometimes performed as treatment for bone spavin.

Explore This Structure in 3D

See the Tibialis Cranialis on our interactive 3D horse model. Open 3D Model