Infection of the intertubercular bursa in horses: four cases (1978-1991)

Nicholas J. Vatistas From the Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616 (Vatistas, Pascoe), and the Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, England (Wright, Dyson, Mayhew).

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Jack R. Pascoe From the Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616 (Vatistas, Pascoe), and the Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, England (Wright, Dyson, Mayhew).

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Ian M. Wright From the Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616 (Vatistas, Pascoe), and the Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, England (Wright, Dyson, Mayhew).

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Sue J. Dyson From the Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616 (Vatistas, Pascoe), and the Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, England (Wright, Dyson, Mayhew).

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Ian G. Mayhew From the Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616 (Vatistas, Pascoe), and the Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, England (Wright, Dyson, Mayhew).

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Objective

To determine the clinical outcome of horses treated for infection of the intertubercular bursa (infectious bicipital bursitis).

Design

Retrospective analysis of case records.

Animals

Four horses referred for treatment of infectious bicipital bursitis.

Procedure

Medical records of horses that were severely lame on admission were reviewed.

Results

In 3 horses, palpation over the bicipital bursa as well as flexion and extension of the scapulohumeral joint were resented. Ultrasonography performed in 1 horse revealed that the bicipital bursa was large and that excessive amounts of fluid containing hyperechoic material were evident within the bicipital bursa. Two horses were treated by the administration of antimicrobial and nonsteroidal antiinflammatory drugs. Both remained lame and failed to resume their former activity. Two horses additionally were treated surgically by means of a partial synovectomy. Both resumed their former activity although a subtle lameness remained in 1 horse.

Clinical Implications

Partial synovectomy may be useful in the treatment of horses with infectious bicipital bursitis. (J Am Vet Med Assoc 1996;208:1434-1437)

Objective

To determine the clinical outcome of horses treated for infection of the intertubercular bursa (infectious bicipital bursitis).

Design

Retrospective analysis of case records.

Animals

Four horses referred for treatment of infectious bicipital bursitis.

Procedure

Medical records of horses that were severely lame on admission were reviewed.

Results

In 3 horses, palpation over the bicipital bursa as well as flexion and extension of the scapulohumeral joint were resented. Ultrasonography performed in 1 horse revealed that the bicipital bursa was large and that excessive amounts of fluid containing hyperechoic material were evident within the bicipital bursa. Two horses were treated by the administration of antimicrobial and nonsteroidal antiinflammatory drugs. Both remained lame and failed to resume their former activity. Two horses additionally were treated surgically by means of a partial synovectomy. Both resumed their former activity although a subtle lameness remained in 1 horse.

Clinical Implications

Partial synovectomy may be useful in the treatment of horses with infectious bicipital bursitis. (J Am Vet Med Assoc 1996;208:1434-1437)

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