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Anatomy Matters: The Stifle

Updated: Jul 11

The stifle joint is the largest joint in the horses and is anatomically equivalent to a human knee. It is located at in the hind limb.


Melbourne based equine lameness and Chiro specialist vet assessing and palpating the stifle joint on a horse

It comprises of the femur, tibia, fibula, and patella (knee cap). Just like the human knee, it also has several menisci and ligaments that make up it’s structure.

the Doral aspect of the stifle joint on a horse; showing the lateral patellar ligament, lateral collateral ligament, middle patellar ligament and fascia, medial collateral ligament, middle petellar ligament, the tibia, fibula, femur and patella


The stifle comprises of two joints: the femerotibial joint, and the femeropatellar joint. These joints give the stifle it’s flexion and extension motion. The stifle joint plays a very important role in shock-absorbing in the hind limbs.  


the lateral aspect of a horse stifle joint; showing lateral femorotibal joint, lateral collateral ligament, origin of peroneus tertius, lateral patella ligament, middle patella ligament, patella, femur, tibia, fibula






Compared to the human knee, the stifle shows a few key differences:

-          When people stand upright, their knees are upright, whereas the horses’ stifle joint is angled

-          Anterior and posterior cruciate ligament ruptures are common in humans (and as many of you may be aware, dogs!), but are rare in horses.

-          Humans only have one patellar ligament, whereas horses have three.

the medial aspect of the horse stifle. anatomical drawing showing the femur, patella, tibia, middle patella ligament, lateral patella ligament, middle patella ligament, medial meniscus, medial femorotibal joint and medial collateral ligament






Lameness issues can commonly arise from issues in the stifle joint, such as acute injuries, osteoarthritis, or osteochondrosis.


Maintaining good joint health in horses is important in preventing stifle injuries, as is keeping the stifle joints strong and mobile.  



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