When seen from the front, the limb deviates in a lateral direction from the fetlock downwards. Either due to deviation of the HPA in a lateral direction in the pastern or the coffin joint or to outward rotation of the digit from the fetlock. In an axial deviation the tip of the toe points forwards, if rotation is present, the tip of the hoof points laterally. Many Thoroughbred horses show a degree of toeing-out.