The most common angular limb deformity in foals is carpus valgus (sometimes called toeing out) in which affected foals have limbs that flare outward below the carpus (knee). This deformity can be corrected surgically with hemi-circumferential periosteal transection and elevation (HCPTE). The procedure involves lifting the fibrous layer, called the periosteum, off of the outside of the carpal
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