ISSN 2398-2977      

Humerus: bicipital bursa - bursotomy

pequis

Synonym(s): Intertuberal bursa


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.

Uses

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

Advantages

  • Good visibility.
  • Easy access to sheath.
  • The size of bone fragments which can be removed is not limited by the size of the incision.

Disadvantages

  • Invasive.
  • Poor cosmetic appearance following surgery vs bursoscopy.
  • Longer operating time vs bursoscopy.
  • Longer convalescence vs bursoscopy.
  • Poorer prognosis for return to previous level of performance (and beyond) vs bursoscopy.

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.
  • Gough M R & McDiarmid A M (1998) Septic intertuberal (bicipital) bursitis in a horse. Equine Vet Educ 10 (2), 66-69 VetMedResource.

Other sources of information

  • White N A & Moore J N (1998) Eds. Current techniques in Equine Surgery and Lameness. 2nd edn. Saunders.

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