ISSN 2398-2977      

Humerus: bicipital bursa - bursoscopy

pequis

Introduction

  • The bicipital bursa is an uncommon cause of lameness in the forelimb but both traumatic and infected lesions do occur and early surgical intervention may be warranted in certain cases   Bursoscopy: overview  .

Uses

  • Treatment of infectious bicipital (intertubercular) bursitis   Humerus: bicipital bursa - disease  .
  • Diagnosis of traumatic bicipital (intertubercular) bursitis   Bicipital bursa: bursitis  .
  • Diagnostic arthroscopy of suspected bicipital (intertubercular) bursa lesions.

Advantages

  • Minimally invasive.
  • Good visibility.
  • Easy access to sheath.
  • Good cosmetic appearance following surgery.
  • Shorter operating time vs. bursotomy.
  • Reduced convalescence vs. bursotomy.
  • Better prognosis for return to previous level of performance (and beyond) vs. surgical bursotomy.

Disadvantages

  • Expensive equipment.
  • High levels of surgical expertise, knowledge and experience of technique required.
  • Medial side of intertubular groove is not visible.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Guarded in acute septic cases and poor in chronic cases.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Adams M N & Turner T A (1999) Endoscopy of the intertubercular bursa in horses. JAVMA 214 (2), 221-225 PubMed.

Other sources of information

  • Ross M W & Dyson S J (2003) Eds. Diagnosis and Management of Lameness in the Horse. Saunders.
  • Riggs C et al (1995) Infection of the intertuberal (bicipital) bursa in seven horses. In: Proceedings of the 34th British Equine Veterinary Association Congress, Harrogate.

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