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Annular Ligament Desmotomy

Annular ligament desmotomy: Palmar–plantar annular ligament (PAL) constriction is a well recognized syndrome causing chronic lameness in performance horses. Clinically, the superficial digital flexor (SDF) and deep digital flexor (DDF) tendons may become constricted, resulting in pain and a decreased gliding function caused by thickening of the annular ligament (desmitis), — Complete, open transection of the ligament.

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